,image,image_path No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,,images/image_0.png 1. Bilateral airspace disease. 2. Stable enlarged heart and prominent mediastinal contours. No acute osseous abnormality. Degenerative changes throughout the thoracic spine. Soft tissue structures are within normal limits. There is stable enlargement of the heart. Stable prominent mediastinal contours. Central vascular congestion. Mildly low lung volumes bilaterally. Bibasilar and left perihilar airspace opacities. bilateral pleural effusions. No pneumothorax.,,images/image_1.png "Increasing prominence of the superior mediastinum may be secondary to enlarging thyroid mass. With increasing tortuosity of the thoracic aorta and concern for dissection, chest CT is recommended for further evaluation. 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.",,images/image_2.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The are unremarkable.",,images/image_3.png "Resolution of cardiomegaly. No active disease. In the interval, the heart size has become normal. Pulmonary are normal. Lungs are clear and expanded.",,images/image_4.png Cardiomegaly and increased interstitial opacities represent interstitial edema. Cardiomegaly. Mediastinal contours are normal limits. Increased interstitial opacities. No pneumothorax or large pleural effusion. No acute osseous abnormality.,,images/image_5.png No acute cardiopulmonary inability. . Right lower lobe calcified granuloma. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.,,images/image_6.png Stable postsurgical changes of left hemithorax with resolution of small apical pneumothorax and basilar air space opacities. The heart size is normal. Mediastinal contours are within normal limits. Postsurgical changes of left hemithorax are stable. Skin 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.,,images/image_7.png 1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. A calcified granuloma is identified in the peripheral aspect of the left lower lobe. Calcified lymph are identified in left hilar region. No pneumothorax. No pleural effusion. Minimal degenerative endplate changes of the thoracic spine.,,images/image_8.png "1. No acute abnormality. 2. No evidence of pulmonary tuberculosis. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. No upper lobe airspace disease or cavitary lesions identified.",,images/image_9.png "Cardiomegaly, no acute pulmonary findings Heart size moderately enlarged, stable mediastinal contours. Lateral view curvilinear densities over the heart suggestive of coronary artery stents. Diaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_10.png 1. No acute findings. 2. Stable midthoracic vertebral body fractures. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. No acute bony abnormalities. There are stable anterior wedge deformities of 2 midthoracic vertebral bodies.,,images/image_11.png No acute abnormality. Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Normal pulmonary vascularity. Stable postsurgical changes of the lower cervical spine.,,images/image_12.png "No acute findings Heart size within normal limits, stable mediastinal and hilar contours. Stable mild hyperinflation, right apical pleural-parenchymal irregularities compatible with scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_13.png No active disease. The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal . The skeletal structures and soft tissues are normal.,,images/image_14.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_15.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Old healed left 5th and 6th rib fractures are seen laterally.",,images/image_16.png No acute cardiopulmonary findings. Three images submitted. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_17.png "1. No acute cardiopulmonary findings. No focal consolidation. There are prominent interstitial markings, including focally in right upper lobe, which are similar from prior examination. No visualized pneumothorax. The heart size is normal. There are no pleural effusions.",,images/image_18.png "1. No acute pulmonary abnormality. 2. Mild cardiomegaly. The lungs and pleural spaces show no acute abnormality. Heart size is mildly enlarged, pulmonary vascularity within normal limits.",,images/image_19.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_20.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. Atherosclerotic calcifications present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild emphysematous changes are noted. Bilateral apical pleural scarring is present. Calcified granuloma is present within the right lower lobe. The are generally unremarkable.",,images/image_21.png No acute disease. The heart is normal in size. The mediastinum is grossly within normal limits. Moderate thoracolumbar scoliosis and patient rotation somewhat limits evaluation of the mediastinum. The lungs are clear.,,images/image_22.png "Negative for acute cardiopulmonary findings. Heart size and cardiomediastinal contours are normal. Low lung volumes without focal airspace opacity, pleural effusion, or pneumothorax. Multilevel degenerative changes in the spine.",,images/image_23.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_24.png Hypoinflation with bibasilar focal atelectasis. Lung volumes are . opacities are present in both lung bases. A hiatal hernia is present. Heart and pulmonary are normal.,,images/image_25.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Chronic appearing interstitial markings The lungs are normally inflated and clear. Degenerative changes of the spine.,,images/image_26.png "No acute or active cardiac, pulmonary or pleural disease. Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. No focal airspace consolidation or pleural effusion.",,images/image_27.png Unchanged platelike bibasilar opacities most representing scarring or subsegmental atelectasis. No acute cardiopulmonary abnormality. Again seen are platelike horizontal opacities in both lung bases through this is consistent with scarring or subsegmental atelectasis. There are T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There there is no lobar pneumonia. There are calcified right hilar granuloma. There are degenerative changes of the . There is a curvilinear density within and along the right costophrenic sulcus which most represents a skinfold. There is a unchanged fracture with callus at the left 9th lateral rib.,,images/image_28.png "Hyperexpanded lungs. Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Biapical fibronodular thickening/scarring. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_29.png Chest. Right shoulder. 1. No acute cardiopulmonary abnormality. 2. Negative for right shoulder fracture or dislocation. Chest: Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Hyperlucent apices. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Healed remote left 9th rib fracture. Right shoulder: Negative for fracture or dislocation.,,images/image_30.png "Normal chest radiograph. Heart size is normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact.",,images/image_31.png After further review with staff radiologist there is a right upper lobe focal opacity reflecting pneumonia. The cardiac silhouette mediastinal contours are within normal limits. There is no pneumothorax. There is no large pleural effusion. There is no focal opacity.,,images/image_32.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Note is of an closure device which appears grossly appropriate The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_33.png "Normal chest No evidence of tuberculosis. Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_34.png "1. No acute cardiopulmonary abnormality. Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. The lungs remain grossly clear, aside from mild biapical pleural-peripheral scarring and minimal chronic interstitial changes. No focal airspace consolidation, pleural effusion, or pneumothorax.",,images/image_35.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_36.png 1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are hyperexpanded. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,,images/image_37.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_38.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_39.png "No acute cardiopulmonary abnormalities. Specifically, no evidence of active tuberculosis. The heart is normal in size and contour. There is no mediastinal widening. No focal airspace disease. Left upper lobe granuloma. No evidence of active tuberculosis. Stable chronic blunting of the right costophrenic . No pneumothorax. The are intact.",,images/image_40.png " prominence of the mediastinal contour near the right hilum possibly representing the ascending aorta or mediastinal lymphadenopathy. CT chest with contrast may be helpful for further evaluation. The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac contour is within normal limits. Compared to prior exam, there is prominence of the mediastinal contour near the right hilum. This may represent the ascending aorta or mediastinal lymphadenopathy. CT chest with contrast may be helpful for further evaluation. There are mild degenerative changes of the thoracic spine.",,images/image_41.png No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,,images/image_42.png "No evidence of acute cardiopulmonary process. The 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.",,images/image_43.png 1. Improving bilateral interstitial edema pattern. 2. Small right-sided pleural effusion. and lateral chest examination was obtained. There is improvement in bilateral pulmonary edema with mild residual. There is minimal right-sided pleural effusion. Heart silhouette is not enlarged. There is calcified mediastinal lymph . There is no pneumothorax,,images/image_44.png "Right upper lobe cavity, consistent with prior tuberculous infection. There is increased right upper lobe opacities compared to the prior study. This could represent reactivation of tuberculosis or other infection. There is stable cavity in the right apex, related to prior tuberculosis infection. There is increased opacity in the left upper lobe, peripherally. There is pulmonary hyperexpansion. There is no large effusion or pneumothorax.",,images/image_45.png "No acute findings 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.",,images/image_46.png "1. No acute cardiopulmonary abnormality. 2. 1.7 cm nodular opacity within the right hilum, there is large lymph node or partially calcified granuloma. Followup radiograph to assess stability may be of benefit. No focal consolidation, pneumothorax, or pleural effusion identified. However, there is a 1.7 cm nodular opacity within the right hilum, which may represent partially calcified granuloma or lymphadenopathy. Scattered calcified granulomas also seen. Heart size is upper limit normal. No acute bony abnormality.",,images/image_47.png "No acute cardiopulmonary disease. The heart is upper limits of normal in size. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_48.png "No acute cardiopulmonary abnormality identified. The 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.",,images/image_49.png Right lower lobe pneumonia. Heart size is within normal limits. Tortuous thoracic aorta. There is patchy right base airspace disease. No pneumothorax or pleural effusion. There mild degenerative changes throughout the thoracic spine.,,images/image_50.png Stable left lower lung interstitial infiltrates or fibrosis. No acute cardiopulmonary findings. Stable left lower lung increased interstitial markings. No focal alveolar opacities. Low lung volumes. Heart size is normal. No pneumothorax or pleural effusions.,,images/image_51.png "No acute cardiopulmonary abnormality identified. 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.",,images/image_52.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_53.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_54.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.",,images/image_55.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_56.png "No acute cardiopulmonary abnormality. 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 . Unchanged streaky opacities in the bilateral costophrenic sulci represent chronic scarring or atelectasis.",,images/image_57.png "Negative for acute cardiopulmonary abnormality. Low lung volumes with magnified appearance of the heart, normal heart size. Negative for consolidation, effusion, or pneumothorax. Bony thorax and soft tissues grossly unremarkable.",,images/image_58.png "No acute cardiopulmonary abnormality.. 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.",,images/image_59.png "Cardiomegaly, no acute pulmonary findings Heart size mildly enlarged, stable mediastinal and hilar contours. Right hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_60.png No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,,images/image_61.png Normal chest film. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,,images/image_62.png No acute cardiopulmonary abnormality. 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. Degenerative changes of the thoracic spine.,,images/image_63.png "No evidence of acute thoracic . The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.",,images/image_64.png "Chronic changes of emphysema. No acute findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated with flattening of the hemidiaphragms. Coarsened interstitial testes appear chronic and compatible with emphysema. There is minimal scarring or atelectasis in the left lung base. The lungs are otherwise clear of focal infiltrate, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_65.png "1. No acute cardiopulmonary finding. 2. Mild to moderate T10 vertebral body anterior deformity, from . Slight interval increase in loss of T11. Unchanged severe L1 deformity. If further imaging characterization is needed, recommend MRI. Findings will be conveyed to the ordering physician the Primordial communication . Cardiomediastinal contour stable and within normal limits. Changes of prior CABG again noted. Normal pulmonary vascularity. Streaky bibasilar opacities decreased from previous, possibly subsegmental atelectasis and/or scar. No pneumothorax or pleural effusion demonstrated. Redemonstrated severe L1 fracture. Slight interval increase in loss of T11 and there is mild to moderate anterior loss of T10. Degenerative changes of the spine. Abdominal aortic stent.",,images/image_66.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_67.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_68.png 1. Right lower lobe airspace disease and small effusion probably representing pneumonia. and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Pacemaker leads are within the right atrium and ventricle. Lungs demonstrate there is right lower lobe airspace disease and small effusion suspicious for pneumonia. Left lung is clear. There is no pneumothorax.,,images/image_69.png No active pulmonary disease. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Left axillary surgical clips. Bony structures are intact.,,images/image_70.png Possible lower posterior lateral left rib fractures as described above. If further concern for rib fractures dedicated rib films would better evaluate. Otherwise no acute cardiopulmonary disease. Within the posterior lateral 8th rib there is a deformity along the cortex with associated oblique lucency. In addition within the posterior lateral 9th rib there appears to be a obliquely oriented lucency with cortical disruption. Findings are concerning for possible left rib fractures. Otherwise the cardiomediastinal silhouette is within normal limits. The lungs are clear bilaterally. Multiple small punctate radiopaque foreign bodies are seen within the subcutaneous tissues and are present on previous CT scan from .,,images/image_71.png No acute abnormality. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,,images/image_72.png "No acute cardiopulmonary disease. PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or focal air space consolidation.",,images/image_73.png No acute cardiopulmonary abnormalities. . Cardiomediastinal silhouette is within normal limits. No focal consolidation. No pneumothorax or pleural effusion. No acute bony abnormalities.,,images/image_74.png 1. No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.,,images/image_75.png No acute findings. Hyperaerated lungs with flattened hemidiaphragms. Normal heart size. Increased retrosternal airspace. No focal infiltrate. No pneumothorax or pleural effusion.,,images/image_76.png No acute cardiopulmonary disease The lungs appear clear. Scattered calcified granulomas are stable as are calcified mediastinal lymph . The heart and pulmonary are normal. Mediastinal contours are normal. Pleural spaces are clear.,,images/image_77.png "No acute cardiopulmonary abnormality identified. The 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.",,images/image_78.png "1. Possible infiltrates in the right lung and left base. Consider CT for further evaluation, if clinically indicated. Stable cardiomediastinal silhouette. There is mild haziness in the right lung and left base, which could represent infiltrate. No pleural effusion. No pneumothorax. Stable deformity of a midthoracic vertebra.",,images/image_79.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_80.png No acute disease. The heart is top normal in size. The mediastinum is stable. Aorta is tortuous and atherosclerotic. Lungs are mildly hypoinflated. No acute infiltrate is seen.,,images/image_81.png "Borderline heart size. Otherwise, no acute cardiopulmonary abnormality. The heart size is upper limits of normal. Mediastinal contour appears normal and pulmonary vascularity is within normal limits. Otherwise, no focal consolidation, large pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_82.png "1. No acute cardiopulmonary process. The aortic , cardiac apex, and stomach are left-sided. Cardiomediastinal silhouette is within normal limits in overall size and appearance. Pulmonary vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. No acute bony abnormality.",,images/image_83.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_84.png "No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. Stable opacity in the left base, scarring or atelectasis. Rounded calcified density in the left lung base, calcified granuloma. No consolidation. No pleural effusion or pneumothorax. Stable degenerative changes of the spine.",,images/image_85.png "1. No acute findings. 2. Bibasilar subsegmental atelectasis or scarring. 3. Emphysema. The lungs remain hyperexpanded. There are persistent bilateral lower lobe opacities, subsegmental atelectasis and scarring. No focal infiltrate is identified. There is no pleural effusion or pneumothorax. Normal heart size. There are minimal degenerative changes of the spine.",,images/image_86.png "No acute cardiopulmonary abnormality. . 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.",,images/image_87.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_88.png "No acute findings, see above. Moderate cardiomegaly. Prominent vascular pedicle/upper mediastinal contour. Mild central vascular congestion. No overt edema or confluent lobar pneumonia. No pleural effusion. Thoracic spondylosis.",,images/image_89.png "1. densities in left base may be compatible with scarring or subsegmental atelectasis 2. Abnormal opacity in the right base due at in part to atelectasis with right hemidiaphragm eventration, question small right pleural effusion Atrial septal occluder artifact. Rotated frontal position, overall heart size within normal limits, no typical findings of pulmonary edema. densities in the left base, small focal opacity in the right base with focal posterior right hemidiaphragm elevation and obscured right costophrenic . Biapical pleuroparenchymal irregularities most compatible with scarring, chronic appearing right 5th rib contour deformity. No pneumothorax seen.",,images/image_90.png Unremarkable chest. 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,,images/image_91.png Clear lungs without suspicious pulmonary nodules or masses. Sequelae of old granulomatous disease. No suspicious pulmonary nodules or masses. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.,,images/image_92.png "Left lower lobe infiltrate. Heart size and mediastinal contours appear within normal limits. Patchy airspace opacities in the left lower lobe, compatible with infiltrate. No large pleural effusion. No pneumothorax. No acute bony abnormality.",,images/image_93.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_94.png "No acute cardiopulmonary abnormality. Specifically, no evidence of active tuberculous process. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Left basilar subsegmental atelectasis versus scar noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_95.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_96.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_97.png "Left lower lobe and right perihilar airspace disease. In the appropriate clinical setting, this is compatible with infection/pneumonia and followup radiography is recommended following treatment to document resolution. If clinical findings are discordant, a is recommended. 2 images. Heart size is enlarged, stable. Thoracic aortic atherosclerotic calcifications are present. There is dense consolidation within the retrocardiac left lower lobe. There is also patchy airspace opacity within the perihilar right lung. No pleural effusion or pneumothorax.",,images/image_98.png "No acute cardiopulmonary finding. The heart size and cardiomediastinal silhouette are normal. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact with mild degenerative changes in thoracic spine.",,images/image_99.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_100.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. Low lung volumes on the AP view with bronchovascular crowding and bibasilar atelectasis. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.",,images/image_101.png No acute cardiopulmonary findings. There are low lung volumes with bronchovascular crowding. There is no focal consolidation. No visualized pneumothorax. Heart size is within normal limits. The cardiomediastinal contours is grossly normal in size and contour.,,images/image_102.png 1. Cardiomegaly with central vascular congestion and increased interstitial opacities suggesting mild interstitial pulmonary edema. 2. Small bilateral pleural effusions. 3. No visible pneumothorax. AP and lateral view of the chest.,,images/image_103.png "No focal lung opacity, pleural effusion of pneumothorax. No focal lung opacity, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.",,images/image_104.png "No acute disease. The heart is top normal in size. The mediastinum is stable. The lungs are grossly clear. Bilateral rib deformities are noted, possibly old fractures. There is no pleural effusion or pneumothorax.",,images/image_105.png No active disease. The lungs are clear. No pleural effusion is seen. The heart and mediastinum are normal. The skeletal structures are normal. There are surgical clips in the right axilla region.,,images/image_106.png No evidence of active disease. There are scattered calcified granulomas. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.,,images/image_107.png No acute cardiopulmonary abnormalities. Normal heart size and mediastinal contours. Atherosclerotic calcifications of the thoracic aorta. No focal airspace opacity. No pleural effusion or pneumothorax. The visualized bony structures are unremarkable in appearance.,,images/image_108.png No acute cardiopulmonary findings. Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,,images/image_109.png No acute process. The cardiac contours are normal. Aortic calcification. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.,,images/image_110.png "No acute cardiopulmonary abnormality. No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Left axillary surgical clips unchanged Visualized of the chest are within normal limits.",,images/image_111.png No acute cardiopulmonary abnormalities. Normal heart size. Mild unfolding and atherosclerotic calcification of the aorta. No focal air space consolidation. No pneumothorax or pleural effusion. Visualized bony structures are unremarkable in appearance.,,images/image_112.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_113.png "1. Cardiomegaly with bilateral interstitial opacities. 2. Bilateral effusions and/or atelectasis, right worse than left. The heart size is enlarged. The mediastinal contour is within normal limits. Calcification is seen within the aortic . interstitial opacities. There are no nodules or masses. Stable appearing right perihilar calcified granulomas. No visible pneumothorax. Bilateral costophrenic blunting, left worse than right. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.",,images/image_114.png "No acute cardiopulmonary disease. The heart, pulmonary 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.",,images/image_115.png 1. Findings consistent with mild congestive heart failure. Heart is mildly heart enlarged. Mediastinal contour normal. There is mild diffuse interstitial prominence suggestive of edema. No focal airspace consolidation or pleural effusion. Degenerative changes of the the spine.,,images/image_116.png "No acute findings Heart size within normal limits, stable mediastinal and hilar contours. Mild hyperinflation appears similar to prior. No focal alveolar consolidation, no definite pleural effusion seen. Scattered chronic appearing irregular interstitial markings, no typical findings of pulmonary edema.",,images/image_117.png "1. No acute cardiopulmonary abnormality. 2. Subcutaneous emphysema of the neck, left lateral chest, and right lateral abdominal soft tissues noted. . Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. Surgical is noted in the right upper quadrant. Subcutaneous emphysema seen along the neck bilaterally, right lateral upper abdomen, and left chest.",,images/image_118.png Low lung volumes with bronchovascular crowding otherwise lungs are clear. The cardiac silhouette and mediastinal contours are within normal limits. There are low lung volumes with bronchovascular crowding. Otherwise the lungs are clear. There is no pneumothorax. No large pleural effusion.,,images/image_119.png No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal opacity in the lung bases. The lungs are otherwise grossly clear. There are no acute bony findings.,,images/image_120.png No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_121.png No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_122.png 1. No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Lungs are expanded and clear airspace disease. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the to be grossly intact.,,images/image_123.png "Mild cardiomegaly with interstitial prominence, could represent mild interstitial edema, atypical infection, or chronic interstitial changes. Mild cardiomegaly is unchanged. Stable superior mediastinal contour which is within normal limits. Bilateral interstitial prominence. No focal airspace consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities.",,images/image_124.png No acute cardiopulmonary abnormalities. Normal heart size and mediastinal contours. Atherosclerotic calcifications of the thoracic aorta. No focal airspace opacity. No pleural effusion or pneumothorax. The visualized bony structures are unremarkable in appearance.,,images/image_125.png Focal airspace disease in the right middle lobe. This is most concerning for pneumonia. Recommend follow up to ensure resolution. The heart is normal in size and contour. There is focal airspace disease in the right middle lobe. There is no pneumothorax or effusion.,,images/image_126.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_127.png 1. No evidence of active disease. 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. Right -a- remains in .,,images/image_128.png "1. No acute cardiopulmonary abnormality. Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. The lungs remain grossly clear, aside from mild biapical pleural-peripheral scarring and minimal chronic interstitial changes. No focal airspace consolidation, pleural effusion, or pneumothorax.",,images/image_129.png "Stable moderate to marked cardiomegaly. The heart is enlarged. The left subclavian ICD is again identified. There is again hilar enlargement, superimposes enlarged pulmonary vasculature. opacities are unchanged and compatible with subsegmental atelectasis or scarring. There is no large pleural effusion or focal consolidation.",,images/image_130.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_131.png 1. No acute cardiopulmonary abnormalities Normal cardiac contour. Stable calcified granuloma left upper lobe. No pleural effusion or pneumothorax. Clear lungs bilaterally.,,images/image_132.png "No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is a scoliosis of the thoracic spine. The ribs, as visualized, appear unremarkable.",,images/image_133.png "No acute cardiopulmonary abnormality. Cardiomediastinal silhouette demonstrates normal heart size with tortuosity and atherosclerosis of the thoracic aorta. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormality identified. Multilevel degenerative disc disease of the thoracic spine noted.",,images/image_134.png No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,,images/image_135.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_136.png No acute findings Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_137.png "1. No evidence of acute cardiopulmonary process. 2. Irregularity of the posterior right 7th rib with underlying pleural thickening. This may be related to , however, if there is no known history, consider comparison with prior studies if available of the chest for further evaluation The cardiac and mediastinal silhouettes are normal. The lungs are well-expanded and clear. There is no focal airspace opacity. There is no pneumothorax or effusion. There is irregularity of the 7th posterior right rib with underlying pleural thickening.",,images/image_138.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_139.png Mild cardiomegaly. Basilar atelectasis. Frontal and lateral views of the chest with overlying external cardiac monitor leads show reduced lung volumes with bronchovascular crowding of basilar atelectasis. No definite focal airspace consolidation or pleural effusion. The cardiac silhouette appears mildly enlarged.,,images/image_140.png No evidence of active disease. 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.,,images/image_141.png No acute cardiopulmonary abnormality. Lungs are clear. No pneumothorax or pleural effusion. Normal heart and mediastinal contours. Normal pulmonary vasculature. Bony thorax intact.,,images/image_142.png 1. Low volume study without acute process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Sequela of prior granulomatous disease Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.,,images/image_143.png 1. Large hiatal hernia. 2. Clear lungs. 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. Large hiatal hernia is present. Osteopenia and degenerative changes are present in the spine. Vascular calcification is noted. Degenerative changes are present in the right shoulder.,,images/image_144.png No evidence of acute cardiopulmonary process. 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 suggesting prior granulomatous disease. The bony structures of the thorax are intact with no evidence of acute osseous abnormality.,,images/image_145.png Lungs are clear without suspicious pulmonary nodules or masses. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. old left rib fractures.,,images/image_146.png No acute cardiopulmonary findings. Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,,images/image_147.png "Normal chest radiograph. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact. The trachea and pulmonary bronchi are unremarkable.",,images/image_148.png "No acute cardiopulmonary findings Heart size within normal limits, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax. Small rounded bilateral axillary densities not seen on the previous exam most suggestive of artifacts, healed right lateral 10th rib fracture noted..",,images/image_149.png " right upper lobe mass, suspicious for neoplasm. CT of chest abdomen and head would be helpful for further evaluation. In the interval, a 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe. In addition, on the PA view, an 8 mm opacity is adjacent to the left of the heart. This opacity cannot be well identified on the lateral view. It may be artifactual, but another mass on the left cannot be excluded. Mediastinum is normal with no evidence for adenopathy. Heart size normal. Note of an unchanged hiatal hernia.",,images/image_150.png "1. No acute radiographic cardiopulmonary process. 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.",,images/image_151.png "Large pericardial effusion. There is an marked interval increase in heart size. The heart also demonstrates the configuration, compatible with pericardial effusion. A small right pleural effusion the present. The lungs are otherwise clear without focal infiltrates. Normal pulmonary vascularity. No pneumothorax.",,images/image_152.png 1. Hyperexpanded lungs. The cardiomediastinal silhouette is normal. Lungs are hyperexpanded but clear without evidence of effusion or infiltrate. There is a small right lower lobe calcified granuloma that is unchanged from prior examinations. No acute bony abnormality. No pneumothorax or pneumomediastinum.,,images/image_153.png "1. Increased left hilar fullness. This may represent superimposed , adenopathy cannot be excluded on this exam. If there is clinical concern, suggest reference to prior exam or CT chest. 2. Large hiatal hernia, increased in size from prior exam. The heart is normal in size. Mild fullness of the left hilum, small interval change from prior exam. Lucencies throughout the chest representing emphysematous change. Scattered bilateral calcified granulomas. No pneumothorax. Large hiatal hernia, increased from prior exam.",,images/image_154.png No acute cardiopulmonary findings. sternotomy appear intact. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is within normal limits. There is no focal lung opacity. Clips overlie the right upper quadrant.,,images/image_155.png "No acute cardiopulmonary disease. Evidence of previous granulomatous infection. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma in the left lung base.",,images/image_156.png "No radiographic evidence of acute cardiopulmonary disease Heart , mediastinum, , bony structures and lung are unremarkable.",,images/image_157.png Hyperexpanded but clear lungs. Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_158.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_159.png "No acute cardiopulmonary abnormality.. 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.",,images/image_160.png "No acute cardiopulmonary abnormality identified. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No acute bony changes.",,images/image_161.png "1. No acute cardiopulmonary abnormalities. 2. An ovoid opacity in the left retrocardiac area, could be projectional or solid mass, further study is recommended. . There is an ovoid opacity 3.5 cm in the retrocardiac area on AP view, not well-seen on the lateral view, a dedicated scan is recommended. No pneumothorax or pleural effusion present. The heart is normal in size. No hilar lymphadenopathy. No destructive bony lesions.",,images/image_162.png "1. No acute cardiopulmonary abnormality. 2. Stable bullous emphysematous changes. Cardiomediastinal silhouette are normal in size and contour. Again demonstrated are biapical bullous emphysematous changes. No focal consolidation, pneumothorax, or pleural effusion. Mild multilevel degenerative changes of the thoracic spine.",,images/image_163.png "Subtle interstitial markings bilateral, may represent mild pulmonary edema or chronic interstitial changes. There are no acute osseous abnormalities. Questionable old left posterior third and fourth rib fractures. Visualized soft tissues are within normal limits. Normal heart size. Normal hilar vascular markings. Subtle prominence of interstitial markings in the bases, left worse than right. No focal area of consolidation, pleural effusion, or pneumothorax.",,images/image_164.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_165.png 1. Cardiomegaly with central vascular congestion and increased interstitial opacities suggesting mild interstitial pulmonary edema. 2. Small bilateral pleural effusions. 3. No visible pneumothorax. AP and lateral view of the chest.,,images/image_166.png "No focal lung opacity, pleural effusion of pneumothorax.. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.",,images/image_167.png "No acute findings Heart size within normal limits. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.",,images/image_168.png Unremarkable examination of the chest. The cardiomediastinal silhouette is normal in size in appearance and stable from . The lungs are clear. Soft tissues and bony structures are unremarkable. No pneumothorax or pleural effusion.,,images/image_169.png "No acute cardiopulmonary disease. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. No consolidation, pneumothorax or large pleural effusion. Postsurgical changes of the cervical spine are present.",,images/image_170.png No acute cardiopulmonary abnormality. There are T-spine osteophytes. Small nodule projecting near the left heart is unchanged from and appears calcified. This represents a calcified granuloma. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_171.png No acute cardiopulmonary abnormalities. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,,images/image_172.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_173.png "1. Low lung volumes with subsequent bronchovascular crowding and bibasilar atelectasis. . 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.",,images/image_174.png "1. Changes of emphysema and left lower lobe scarring, both stable. 2. Unchanged degenerative and atherosclerotic changes of the thoracic aorta. The heart size is stable. The aorta is ectatic and atherosclerotic but stable. sternotomy 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.",,images/image_175.png Diffuse fibrosis. No visible focal acute disease. Interstitial markings are diffusely prominent throughout both lungs. Heart size is normal. Pulmonary normal.,,images/image_176.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic . No focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.",,images/image_177.png No acute cardiopulmonary abnormality. Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.,,images/image_178.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_179.png No acute cardiopulmonary abnormality. Heart size is normal. Cardiomediastinal contour is normal without mediastinal widening. Lungs are clear bilaterally. No pleural effusions or pneumothorax. No bony or soft tissue abnormalities.,,images/image_180.png Decreasing bilateral hilar adenopathy. Continued clear lungs. The mediastinal and hilar lymph are less prominent than previously. Heart size remains normal. Lungs are clear.,,images/image_181.png "No acute cardiopulmonary abnormality. . Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Stable tortuosity of the thoracic aorta. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality identified.",,images/image_182.png Clear lungs without suspicious pulmonary nodules or masses. Sequelae of old granulomatous disease. No suspicious pulmonary nodules or masses. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.,,images/image_183.png "No acute cardiopulmonary process. Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.",,images/image_184.png "No acute cardiopulmonary disease. Normal heart size. No focal airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No focal bony abnormality.",,images/image_185.png Moderate-to-severe cardiomegaly with probable pulmonary artery hypertension. Persistent left basilar opacity without significant effusion. The heart size is moderate to severely enlarged. There is prominence of the central pulmonary suggesting pulmonary artery hypertension. There has been removal of the right-sided PICC line. There is persistent left basilar airspace opacity with left costophrenic blunting which is not evident on the lateral exam. There are mild degenerative changes of the spine. There is no pneumothorax.,,images/image_186.png No acute cardiopulmonary findings. Heart size is normal. No pneumothorax or pleural effusions. There is an 8 mm calcified nodule in the left midlung. There is also a 7 mm calcified nodule near the left hilum. Hyperexpanded lungs consistent with chronic obstructive pulmonary disease.,,images/image_187.png "Chest. No acute radiographic cardiopulmonary process. Thoracic spine. Mild degenerative change without acute bony abnormality. Lumbar spine. Mild degenerative change without acute bony abnormality. Chest: 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. Thoracic spine: Mild dextro curvature the upper thoracic spine. Evaluation of the upper thoracic bodies is limited secondary to osseous overlap. Vertebral body and disc spaces are maintained. Mild degenerative endplate changes. Lumbar spine: There are 5 nonrib-bearing lumbar type vertebral bodies. Alignment is within normal limits. Vertebral body and disc spaces are maintained. Mild degenerative change without acute displaced fracture or dislocation. Moderate amount of stool..",,images/image_188.png "No acute cardiopulmonary abnormality. Specifically, no evidence of active tuberculous process. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Left basilar subsegmental atelectasis versus scar noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_189.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_190.png No acute cardiopulmonary abnormality. Normal heart size and mediastinal contours. Minimal blunting of the costophrenic . No focal airspace consolidation. No pneumothorax or pleural effusion.,,images/image_191.png Bronchovascular crowding versus atelectasis within the right lung base otherwise no acute cardiopulmonary disease. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. opacities reflecting atelectasis versus bronchovascular crowding.,,images/image_192.png change COPD with no acute findings. The lungs remain hyperexpanded. No infiltrates or masses. Heart and mediastinum are normal.,,images/image_193.png 1. Small bilateral pleural effusions. Left PICC line and NG tube remain in . Heart size and vascularity appear within normal limits. The lungs are free of focal airspace disease. Small bilateral pleural effusions are present. No pneumothorax is noted.,,images/image_194.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes within the spine.,,images/image_195.png "No acute cardiopulmonary abnormality. . 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.",,images/image_196.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. Pleural spaces are clear. Mediastinal contours are normal. There is stable lucency in the right mid clavicle dating back to .,,images/image_197.png No acute cardiopulmonary disease. The cardiac silhouette mediastinal contours are within normal limits. There are low lung volumes. There is no focal consolidation. There is pneumothorax. There is no large pleural effusion. There is prominent right anterior first rib end.,,images/image_198.png "No acute cardiopulmonary abnormality.. 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.",,images/image_199.png No acute cardiopulmonary abnormality. 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. Degenerative changes of the thoracic spine.,,images/image_200.png Hyperexpanded but clear lungs. Hyperexpanded lungs suggesting obstructive lung disease. Sequelae of old granulomatous disease. No focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_201.png 1. Retrocardiac soft tissue density. The appearance suggests hiatal hernia. 2. left base bandlike opacity. The appearance suggests atelectasis. Heart size and pulmonary vascularity appear within normal limits. Retrocardiac soft tissue density is present. There appears to be air within this which could suggest that this represents a hiatal hernia. Vascular calcification is noted. Calcified granuloma is seen. There has been interval development of bandlike opacity in the left lung base. This may represent atelectasis. No pneumothorax or pleural effusion is seen. Osteopenia is present in the spine.,,images/image_202.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.",,images/image_203.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified right hilar and mediastinal lymph . There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_204.png No acute cardiopulmonary findings. . There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits.,,images/image_205.png No acute findings. The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis. Lower cervical degenerative arthritis.,,images/image_206.png Low lung volumes without acute cardiopulmonary disease. There are low lung volumes. Cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no large pleural effusion. There is no pneumothorax.,,images/image_207.png "1. No acute cardiopulmonary process. 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 bone abnormality.",,images/image_208.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Mild dextrocurvature the spine.,,images/image_209.png "1. No acute cardiopulmonary abnormality. 2. Wedge-shaped fracture of T12. Heart size and mediastinal contour are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Again visualized is a wedge-shaped fracture of T12.",,images/image_210.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_211.png 1. Left lower lobe air space opacities without significant change. and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Lungs demonstrate left lower lobe air space opacity with atelectasis without significant change. There is no effusion or pneumothorax.,,images/image_212.png No acute cardiopulmonary abnormality. The aortic is mildly tortuous. 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. Large body habitus.,,images/image_213.png No acute cardiopulmonary finding. Heart size normal. Tortuous aorta. Sequela primary granulomatous disease. Lungs clear. Minimal spurring in the thoracic spine.,,images/image_214.png Stable emphysematous lung changes. No acute abnormality seen. Normal heart size. Stable tortuous aorta. No pneumothorax or pleural effusion. No suspicious focal air space opacities. Levoscoliosis of the thoracolumbar spine. Hyperinflated lungs with flattened diaphragms are consistent with emphysematous lung changes. Prior granulomatous disease.,,images/image_215.png "1. No acute pulmonary abnormality. 2. Mild cardiomegaly without pulmonary edema. The lungs and pleural spaces show no acute abnormality. Calcified right hilar lymph . Heart size is enlarged, pulmonary vascularity within normal limits. sternotomy and prosthetic aortic valve noted.",,images/image_216.png No evidence of active disease. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. The distal tip of a right IJ dual-lumen central venous catheter is at the which junction.,,images/image_217.png "Chest radiograph. 1. No acute radiographic cardiopulmonary process. Normal cardiomediastinal silhouette and hilar contours. Calcified bilateral lung and perihilar granulomas. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax.. are intact without acute osseous abnormality.",,images/image_218.png Perihilar opacities which may represent changes due to bronchiectasis. Vague nodular opacities in the right lung zone may represent dilated bronchi filled with mucous or possibly focal areas of peribronchial pneumonia. Right -A- is in . The heart size and pulmonary vascularity appear within normal limits. Some prominent perihilar opacities are present. Some vague small nodular opacities are present in the right upper lung zone. These are slightly more prominent than on the previous study. No pleural effusion or pneumothorax is seen.,,images/image_219.png No acute findings. Normal heart. Clear lungs. No pneumothorax. No pleural effusion.,,images/image_220.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_221.png No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_222.png Negative chest. The bony thorax is intact and the heart size is normal. The lung are free of infiltrate and there is no pleural effusion. We again note the left hilar calcifications that are unchanged from the prior studies.,,images/image_223.png Left midlung opacity may be secondary to acute infectious process or developing mass lesion. Followup to resolution is recommended. The heart is normal in size. The mediastinal contours are stable. Aortic calcifications are noted. There are small calcified lymph . Emphysema and chronic changes are identified. There is opacity in the left perihilar upper lobe. There is questionable extension to the pleural surface. This may represent acute infiltrate or developing density. There is no pleural effusion or pneumothorax.,,images/image_224.png "1. Lobulated contour of the right paratracheal stripe. This may represent a vascular structure or enlarged lymph node and could be evaluated further with chest CT. Otherwise, no acute intrathoracic abnormality. There is a lobulated contour to the right paratracheal stripe, possibly consistent with a vascular structure or lymph . The cardiomediastinal silhouette is otherwise within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.",,images/image_225.png No acute cardiopulmonary abnormalities. Normal heart size and mediastinal contours. No abnormal airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable appearance.,,images/image_226.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_227.png No x- evidence of pulmonary metastatic disease. Stable appearance of the chest. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_228.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_229.png "Small to moderate sized bilateral pleural effusions with adjacent infiltrate or atelectasis. There is bilateral lower lung airspace disease. There are small to moderate sized bilateral pleural effusions, left greater than right. There is no pneumothorax. Mediastinal silhouette normal. Calcified left hilar lymph .",,images/image_230.png There is no evidence of acute cardiopulmonary disease. No radiographic evidence for active tuberculosis a . The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no of a large pleural effusion. There is no evidence of pneumothorax.,,images/image_231.png Left retrocardiac airspace disease could reflect atelectasis and possible scarring. Small left pleural effusion. Left retrocardiac airspace disease with blunted posterior costophrenic on lateral view suggesting small pleural effusion. Normal heart size. Right PICC is unchanged with tip at the caval atrial junction.,,images/image_232.png No visible active cardiopulmonary disease. Lumbar and are low. No infiltrates. Heart size normal. A large hiatal hernia is present. An age-indeterminate fracture is present in the lower thoracic vertebra. Scoliosis is present in the thoracic and thoracolumbar spine.,,images/image_233.png "No acute cardiopulmonary abnormality.. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. No acute displaced rib fractures.",,images/image_234.png ". patchy right lower lobe infiltrate consistent with pneumonia. Lung volumes are low. In the interval, a patchy infiltrate has developed in the right lower lobe. Heart and pulmonary are normal.",,images/image_235.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact.,,images/image_236.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are slightly hypoinflated but clear. There is no pleural effusion.,,images/image_237.png 1. Stable aneurysmal enlargement of the and descending aorta. Chest CTA could be obtained as a . 2. Borderline heart size. 3. No acute pulmonary disease process. 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 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 focal airspace consolidation or pleural effusion. spine spondylitic changes.,,images/image_238.png "No acute cardiopulmonary disease. The heart is normal in size and contour. There is mild calcification of the transverse . The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Degenerative changes of the midthoracic spine are noted.",,images/image_239.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion. Incidental note of an azygos fissure. There are surgical clips, perhaps from cholecystectomy, in the right upper quadrant.",,images/image_240.png 1. Left midlung mass. 2. Left base effusion. 3. Probable hiatal hernia. The heart size and pulmonary vascularity appear within normal limits. Left pleural effusion is present. A mass density is present in the left midlung zone. This measures approximately 3.2 cm in diameter. Air-fluid level is present behind the heart which probably represents a hiatal hernia. Some of right lung atelectasis are noted. Osteopenia and deformities are present in the spine. Multiple surgical clips are noted. No pneumothorax is seen.,,images/image_241.png "No acute cardiothoracic abnormality. Normal heart size. No focal airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No focal bony abnormality.",,images/image_242.png "No acute cardiopulmonary disease. The heart is normal in size and contour. There is mild calcification of the transverse . The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Degenerative changes of the midthoracic spine are noted.",,images/image_243.png "No acute cardiopulmonary finding. The heart is normal in size with normal appearance of the cardiomediastinal silhouette. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact, with mild degenerative changes in the thoracic spine.",,images/image_244.png "No acute cardiopulmonary process. 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.",,images/image_245.png 1. No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,,images/image_246.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality.",,images/image_247.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_248.png "Left upper lobe pneumonia. Followup radiographs after appropriate therapy in 8-12 weeks are indicated to exclude an underlying abnormality. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is a region of left upper lobe perihilar opacity identified.",,images/image_249.png 1. Technically limited exam. 2. Low lung volumes with bilateral pleural effusions. . Evaluation is limited by body habitus and AP technique. Enteric suction catheter courses below diaphragm and film. Stable heart size and mediastinal contours. Low lung volumes. No pneumothorax. Cardiac generator leads over the right atrium and right ventricle. Two bilateral pleural effusions.,,images/image_250.png No acute cardiopulmonary abnormality. No focal areas of consolidation. No suspicious bony opacities. Heart size within normal limits. No pleural effusions. No pneumothorax.,,images/image_251.png Subsegmental atelectasis in the left lower lobe. 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.,,images/image_252.png "No acute cardiopulmonary disease. The heart, pulmonary 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.",,images/image_253.png "No acute cardiopulmonary disease. PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or focal air space consolidation. Minimal scarring or atelectasis left lung base.",,images/image_254.png "1. Unremarkable examination of the chest.. sternotomy 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. and soft tissues are unremarkable.",,images/image_255.png "1. No acute cardiopulmonary process. 2. Stable right middle lobe bronchiectasis, postinfectious/postinflammatory. . Normal heart size and mediastinal contours. There are reticular opacities in the medial right middle lobe with tubular airway ectasia which obscures the right heart . This was present previously and is most compatible with bronchiectasis. There is no focal airspace disease. No pneumothorax or pleural effusion. Unremarkable .",,images/image_256.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_257.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_258.png "Normal chest radiograph. Heart size is normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures are intact.",,images/image_259.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Degenerative disease is seen in the thoracic spine and left .",,images/image_260.png "No acute cardiopulmonary abnormality. Heart size and mediastinal contour within normal limits. Multiple calcified granulomas in the bilateral and lung parenchyma. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",,images/image_261.png "No acute cardiopulmonary finding. The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion or pneumothorax. The osseous structures are intact.",,images/image_262.png There is no radiographic evidence of acute cardiopulmonary disease. Normal cardiomediastinal silhouette. There is no focal consolidation. There are no of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen. Acromioclavicular joint degenerative change.,,images/image_263.png 1. Low lung volumes without acute infiltrate. 2. Aortic tortuosity and mild ectasia. The heart is normal in size. The aorta is tortuous. The lungs are hypoinflated. No focal consolidation or pleural effusion seen. Old right-sided rib fracture is noted.,,images/image_264.png "1. Stable right middle lobe consolidation, most consistent with pneumonia. The cardiomediastinal silhouette is stable in appearance. There is redemonstration of complete opacification of the right middle lobe no significant associated volume loss. The left lung appears clear. No pneumothorax or pleural effusion demonstrated. The thoracic spine appears intact.",,images/image_265.png 1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_266.png "Round density within the anterior segment of the right upper lobe. This may represent pulmonary nodule. The primordial was employed to notify the referring physicians of this critical finding. . 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 lung nodule.",,images/image_267.png 1. No acute cardiopulmonary disease 2. No suspicious pulmonary nodules or masses. No evidence of disease recurrence. The lungs appear clear. The heart and pulmonary 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.,,images/image_268.png 1. No evidence of active disease. Heart size is at the upper limits of normal. The pulmonary vascularity appears 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. No non-calcified nodules are identified.,,images/image_269.png "No acute cardiopulmonary abnormality. . Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable.",,images/image_270.png "Mildly hypoinflated, grossly clear lungs. . Cardiac silhouette is within normal limits in size for AP technique. Lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax, or pleural effusion. Pulmonary vasculature is normal in caliber. There are no acute bony findings.",,images/image_271.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_272.png "1. Chest. Right 4th rib fracture. No cardiopulmonary injury. No pleural air collection. 2. Right shoulder negative. 3. Right humerus negative. Chest. A minimally displaced fracture is present on right rib 4. The small amount of pleural fluid is deep to the fracture. No pleural air collection. Both lungs clear and expanded. Heart and mediastinum normal. Note of a levoscoliosis of the thoracolumbar spine. Right shoulder. , soft tissues, and alignment are normal. Right humerus. and soft tissues are intact.",,images/image_273.png "Moderately hyperinflated lung , otherwise no acute cardiopulmonary abnormality. Redemonstration of moderately-inflated lungs, consistent with COPD and unchanged. Atherosclerotic calcifications of the thoracic seen. No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized of the chest are within normal limits.",,images/image_274.png "1. No evidence of acute cardiopulmonary disease 2. Changes of acute kyphotic deformity and of the thorax as described above The lungs appear clear. The heart and pulmonary appear normal. There is severe kyphotic deformity of the chest involving prior fractures of thoracic vertebral bodies and the sternum. There are multiple fractures identified involving upper thoracic vertebral bodies and a single upper lumbar vertebral body. The patient is status post vertebroplasty at multiple levels. The pleural spaces appear clear. There is right-sided chest , the distal tip in the upper right atrium. Mediastinal contours appear normal.",,images/image_275.png "1. Left basilar opacity represents atelectasis/scarring with associated elevated hemidiaphragm. 2. Stable cardiomegaly. 3. No airspace disease. 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. sternotomy are again noted. There is a large amount of distending the stomach, which incidentally was also seen on prior exam of 3 years ago. There is no pneumothorax.",,images/image_276.png 1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.,,images/image_277.png No acute abnormality. The heart is normal in size and contour. There is no mediastinal widening. No focal airspace disease. No large pleural effusion or pneumothorax. The are intact.,,images/image_278.png "1. No acute cardiopulmonary abnormality.. 2. Interval placement of left-sided PICC line with tip in the innominate vein. 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. Left-sided PICC line has been placed in the interval with tip in the innominate vein.",,images/image_279.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Multiple punctate round over the abdomen on the lateral view. These may reside within, or outside of the patient.",,images/image_280.png "No acute cardiopulmonary abnormalities. The trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. Lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",,images/image_281.png No acute abnormality. The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no of pleural effusion. There is no evidence of pneumothorax.,,images/image_282.png "No acute cardiopulmonary finding. The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion or pneumothorax. The osseous structures are intact.",,images/image_283.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_284.png " right upper lobe mass, suspicious for neoplasm. CT of chest abdomen and head would be helpful for further evaluation. In the interval, a 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe. In addition, on the PA view, an 8 mm opacity is adjacent to the left of the heart. This opacity cannot be well identified on the lateral view. It may be artifactual, but another mass on the left cannot be excluded. Mediastinum is normal with no evidence for adenopathy. Heart size normal. Note of an unchanged hiatal hernia.",,images/image_285.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. No pleural effusion.",,images/image_286.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The are unremarkable.",,images/image_287.png Stable mild cardiomegaly. Clear lungs. Stable mild cardiomegaly. Mediastinal contours are unchanged. Lungs are clear without focal consolidation. No visible pleural effusion or pneumothorax.,,images/image_288.png No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits. Lungs are clear without focal consolidation. No pneumothorax or large pleural effusion.,,images/image_289.png "No acute cardiopulmonary abnormality. . Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable.",,images/image_290.png No pulmonary nodules. Negative chest. Heart size within normal limits. Trachea is midline. The lung volumes are is somewhat low. Both lungs are otherwise clear bilaterally. No pleural effusion. No pulmonary nodules visualized.,,images/image_291.png "No acute findings Stable cardiomediastinal silhouette with normal heart size, mediastinal calcifications suggest a previous granulomatous process. Apical irregularities also present on the previous exam suggestive of scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_292.png No acute cardiopulmonary abnormality. Normal heart size. Clear lungs. No pneumothorax. No pleural effusion. There is opacity at the base of the mediastinum which is a hiatal hernia.,,images/image_293.png Bronchovascular crowding versus atelectasis within the right lung base otherwise no acute cardiopulmonary disease. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. opacities reflecting atelectasis versus bronchovascular crowding.,,images/image_294.png "No acute disease. The heart is normal in size. The mediastinum is stable. Innumerable bilateral nodules are identified, most of which appear calcified on examination. There is no acute infiltrate or effusion. lingular scarring and/or atelectasis.",,images/image_295.png Hyperexpanded but clear lungs. Lungs are overall hyperexpanded consistent with obstructive lung disease. Lungs are clear without focal consolidation. No suspicious pulmonary nodules or masses are noted. No pleural effusions or pneumothoraces. heart size is upper limits of normal.,,images/image_296.png "Mild, nonconsolidating right lower lobe airspace disease. This may represent an early pneumonia. Normal heart size and mediastinal contours. Patchy right lower lobe airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.",,images/image_297.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_298.png No acute cardiopulmonary process. Heart size and vascularity are normal. Mild tortuosity of the aorta. No focal airspace disease or effusion. Degenerative change of the spine. No pneumothorax.,,images/image_299.png Mild cardiomegaly. Clear lungs. . Mild cardiomegaly. Normal size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable .,,images/image_300.png Nodular density noted on recent PA chest radiograph represents an artifact. No nodules noted within the lungs on a recent outside from . There are no airspace opacities to suggest pneumonia. There is a vague nodular like opacity in the right midlung measuring 1.2 cm projecting through the posterior 7th and 8th ribs. This may be artifact. Chest fluoroscopy would confirm this. Heart and pulmonary appear normal. There are calcified subcarinal and right hilar lymph . The pleural spaces are clear.,,images/image_301.png "No evidence of acute cardiopulmonary process or significant interval change. The examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. scoliosis is unchanged. Visualized upper abdomen is grossly unremarkable.",,images/image_302.png Mild patchy bibasilar airspace disease most representing atelectasis given the low lung volumes. Overall low lung volumes with mild patchy bibasilar airspace disease. This most represents atelectasis given the low lung volumes. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_303.png "Tortuous aorta, otherwise unremarkable exam. the heart size is normal. There is tortuosity of aorta. Pulmonary vascularity is normal. No focal airspace disease or effusion. Degenerative changes in the thoracic spine.",,images/image_304.png "No acute cardiopulmonary abnormality. 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.",,images/image_305.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_306.png No acute cardiopulmonary finding. Lungs are clear. Heart size normal. The are unremarkable.,,images/image_307.png No acute pulmonary disease. There is a calcified granuloma in the left upper lung zone. The lungs are otherwise clear. There is hyperinflation. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal for age.,,images/image_308.png "Borderline enlargement of the cardiac silhouette without acute pulmonary disease. The cardiac silhouette is borderline enlarged. Otherwise, there is no focal opacity. Mediastinal contours are within normal limits. There is no large pleural effusion. No pneumothorax.",,images/image_309.png "No acute findings 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.",,images/image_310.png 1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_311.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Mild degenerative changes of the spine.,,images/image_312.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_313.png Mildly limited study with lungs grossly clear. The lateral view is degraded by patient motion. Lungs are grossly clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_314.png No acute cardiopulmonary abnormality. Low lung volumes. Normal heart size. The trachea is midline. Lungs are clear. No pneumothorax. No pleural effusion.,,images/image_315.png Right basilar airspace disease. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. Patchy right lower lung opacification is noted.,,images/image_316.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. scoliosis.,,images/image_317.png "No acute cardiopulmonary abnormalities. The trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. Lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",,images/image_318.png Basilar atelectasis. No confluent lobar consolidation or pleural effusion. The cardiac contours are normal. basilar atelectasis. The lungs are clear. Thoracic spondylosis. Lower cervical arthritis.,,images/image_319.png No acute cardiopulmonary findings. The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic blunting to suggest large pleural effusion. Bony structures are within normal limits.,,images/image_320.png "No acute cardiopulmonary abnormality.. 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.",,images/image_321.png "1. Clear lungs. Cardiac And Mediastinal Contours Are Unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. are grossly unremarkable. There are some minimal degenerative changes of the thoracic spine. Evidence of chronic granulomatous disease.",,images/image_322.png "1. No focal airspace consolidation. 2. Mildly hyperexpanded lungs, suggestive of emphysema. The lungs are mildly hyperexpanded. There is no focal airspace consolidation. No suspicious pulmonary mass or nodule is identified. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.",,images/image_323.png change. COPD with no acute disease. Lungs are hyperexpanded. No infiltrates or masses in the lungs. Heart size normal. No change calcified left hilar and left small granuloma.,,images/image_324.png "Negative for acute cardiopulmonary abnormality. The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable.",,images/image_325.png "Low lung volumes with bibasilar opacities bronchovascular crowding. No acute infiltrate. The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. with opacities in the lung bases, bronchovascular crowding. No focal consolidation or pleural effusion are seen.",,images/image_326.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Right middle lobe calcified granuloma is unchanged. Heart and mediastinum unchanged. No change hiatus hernia.,,images/image_327.png 1. Left base opacity may represent early infection or atelectasis. Recommend followup PA and lateral chest x- in 6 weeks to ensure resolution. 2. Bilateral small pleural effusions. No acute osseous abnormality. Scattered degenerative changes throughout the thoracic spine. Stable normal cardiomediastinal silhouette and hilar contours. Scattered bilateral granulomas. Patchy left basal airspace opacity. Bilateral small effusions.,,images/image_328.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_329.png No change. No visible active cardiopulmonary disease. Both lungs remain clear and expanded. Heart and pulmonary are normal. No change in the large hiatus hernia.,,images/image_330.png "No acute cardiopulmonary abnormality. . Calcified left hilar lymph node. Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable.",,images/image_331.png No change in moderate left pneumothorax with left pleural drainage catheter again seen overlying the left upper lung. Redemonstration of moderate left pneumothorax which is unchanged from comparison. Left pleural catheter is again seen overlying the left upper lung at the level of the left 5th and 6th ribs. No focal consolidation. Cardiomediastinal silhouette is normal.,,images/image_332.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_333.png "Right paratracheal mass, possibly lymphadenopathy. If there are no previous chest x- from elsewhere are scan with contrast be of further . Dr. I discussed these findings in the Department approximately hours , . Right paratracheal stripe is denser and than normal. The are normal. Heart size normal. Lungs clear and expanded with no infiltrates.",,images/image_334.png "No acute cardiopulmonary abnormality identified. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. Multilevel degenerative changes are noted within the thoracic spine.",,images/image_335.png Minimal left basilar atelectasis versus infiltrate. Low lung volumes. Normal cardiomediastinal contours. Low lung volumes with minimal left basilar opacities. No pneumothorax or pleural effusions.,,images/image_336.png "Mild lung hyperexpansion, otherwise clear. The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_337.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.",,images/image_338.png "1. No acute radiographic cardiopulmonary process. There are no acute osseous abnormalities. Degenerative changes throughout the thoracic spine. Normal heart size. Calcific aorta. Normal vascular markings. No focal area of consolidation, pleural effusion, or pneumothorax.",,images/image_339.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable .,,images/image_340.png 1. Chronic appearing bibasilar pleural abnormality with possible small effusions. 2. No evidence of pneumonia. TIPS shunt visualized. . Normal heart size and mediastinal contours. No focal airspace consolidation. Chronic appearing left greater than right lung base scarring with possible small effusions. No pneumothorax. Visualized osseous structures are unremarkable in appearance.,,images/image_341.png "No acute cardiopulmonary abnormality. 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.",,images/image_342.png "No acute cardiopulmonary abnormality. . No pneumothorax, pleural effusion or airspace consolidation. Heart size is upper limits of normal. Pulmonary vasculature appear within normal limits. are intact.",,images/image_343.png No cardiopulmonary abnormality. Heart size is within normal limits. Cardiomediastinal silhouette is normal. Lungs are clear bilaterally without effusion or pneumothorax. No bony or soft tissue abnormalities.,,images/image_344.png Postoperative left upper lobe. No visible active cardiopulmonary disease. Postoperative changes are present in the left fifth rib. Residual radiopaque sutures are also present in the left upper lobe. The lungs are clear with no infiltrates or masses. Heart and mediastinum are normal.,,images/image_345.png "No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present. Small T-spine osteophytes. There is biapical pleural thickening, unchanged from prior. Mildly hyperexpanded lungs.",,images/image_346.png "Left basilar atelectasis and/or infiltrate, with no radiographic evidence of tuberculosis. Heart size upper limits of normal. Small amount of left basilar airspace disease. The right lung is clear. There are no cavitary lesions seen. No pneumothorax. No pleural effusions.",,images/image_347.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture. Bilateral nipple jewelry.",,images/image_348.png No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules or adenopathy are noted. Degenerative changes are present in the spine.,,images/image_349.png Limited study but no acute pulmonary disease identified. 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.,,images/image_350.png No acute cardiopulmonary abnormality. 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 small calcified granulomata in the right lateral lung.,,images/image_351.png 1. No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_352.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_353.png Emphysema without superimposed pneumonia. 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.,,images/image_354.png "1. No acute cardiopulmonary abnormalities. 2. Emphysema and chronic bony abnormalities are unchanged from prior exams. . The trachea is midline. The cardiomediastinal silhouette is normal. The superior thoracic spine is again noted, unchanged from prior. Lucent pulmonary parenchyma is consistent appearance with emphysema and appears unchanged from prior examinations. No evidence of pneumothorax. No focal airspace disease or pleural effusion. Vague density in the medial right lung apex most representing overlying shadows of bony structures, which is stable.",,images/image_355.png No change. No active disease. The parenchymal scar in the left lower lobe is unchanged in the interval. No infiltrates or masses in the lungs. Heart and mediastinum are normal.,,images/image_356.png Blunting of the right costophrenic sulcus could be secondary to a effusion versus scarring. No focal airspace consolidation. The heart size and mediastinal contours appear within normal limits. There is blunting of the right lateral costophrenic sulcus which could be secondary to a small effusion versus scarring. No focal airspace consolidation or pneumothorax. No acute bony abnormalities.,,images/image_357.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_358.png 1. No acute pulmonary disease. 2. Possible old injury or developmental anomaly partially T12-L1. The lungs are clear. There are calcified left hilar lymph . The heart and mediastinum are normal. The skeletal structures are notable for an old apparent fracture at T12-L1 or congenital fusion unchanged from the prior study.,,images/image_359.png "Hypoinflation with cardiomegaly and pulmonary venous hypertension. Left mid lung focal atelectasis. Lung volumes are low. The heart is large, the pulmonary are engorged. No infiltrates. opacity is present in the left midlung.",,images/image_360.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.",,images/image_361.png "No acute cardiopulmonary abnormality.. 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.",,images/image_362.png "No acute cardiopulmonary disease. . The cardiomediastinal silhouette is normal size and configuration. The thoracic aorta is tortuous. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. There is no obvious displaced rib fracture. If there is concern for fracture consider rib series.",,images/image_363.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_364.png Small nodular opacity in left upper lung may be secondary to superimposed structures or early infiltrate. Followup evaluation in 2 weeks may be helpful. 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.,,images/image_365.png "Bibasilar atelectasis. Otherwise, no acute abnormality Heart size is normal. Mild atelectasis. Lungs are otherwise clear. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.",,images/image_366.png "No acute cardiopulmonary abnormality. The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. No acute bony abnormality.",,images/image_367.png "1. No acute intrathoracic abnormality. . The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal osteophytes of the thoracic spine. No acute, displaced rib fractures. A calcified granuloma is demonstrated in the left upper lobe.",,images/image_368.png No acute findings. Cardiac and mediastinal contours are within normal limits. Mild aortic tortuosity. The lungs are clear. Bony structures are intact.,,images/image_369.png Hyperinflated but clear lungs. Lungs are hyperinflated but clear. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. Calcified mediastinal identified.,,images/image_370.png "1. Stable cardiomegaly without acute cardiopulmonary abnormality. There is stable cardiomegaly. The mediastinum is unremarkable. Atherosclerotic calcifications are present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are present in the thoracic spine.",,images/image_371.png No acute cardiopulmonary findings. Normal heart size. The lungs are clear without pneumothorax or large pleural effusion. The trachea is midline and .,,images/image_372.png No acute cardiopulmonary abnormalities. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,,images/image_373.png No acute cardiopulmonary findings. Clear lungs. No pneumothorax. No pleural effusion. Normal heart. Mild degenerative changes of the thoracic spine without acute bony abnormality. Prominent right epicardial fat ,,images/image_374.png "Stable cardiomegaly with clear lungs. Stable cardiomegaly. Stable tortuosity of the aorta. No focal airspace opacities, pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.",,images/image_375.png "1. No acute cardiopulmonary disease. PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Old right rib fractures.",,images/image_376.png 1. No evidence of active disease. 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.,,images/image_377.png "Cardiomegaly, no acute pulmonary findings Heart size mildly enlarged, stable mediastinal and hilar contours. Right hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_378.png Emphysema without acute cardiopulmonary findings. Heart size is within normal limits. Emphysematous changes. Focal pleural thickening in the left apex is scarring. Atherosclerotic calcifications of the aortic . There is no focal infiltrate. No pneumothorax or pleural effusion.,,images/image_379.png "No acute or active cardiac, pulmonary or pleural disease. 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.",,images/image_380.png 1. No acute cardiopulmonary abnormality. 2. Technically limited exam. 3. Incidental note of large cervical spine osteophytes. . Normal heart size and mediastinal contours. Low lung volumes mild bibasilar atelectasis. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance. The lateral views are limited by patient positioning and motion. Large cervical spine osteophytes.,,images/image_381.png "No acute cardiopulmonary findings. The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are moderate degenerative changes in the thoracic spine. There are postsurgical clips in the right upper quadrant.",,images/image_382.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.",,images/image_383.png "No acute cardiopulmonary process. There are low lung volumes. The cardiac silhouette, upper mediastinum pulmonary vasculature are within normal limits. There is no acute pulmonary consolidation, pleural effusion or pneumothorax.",,images/image_384.png No acute cardiopulmonary abnormality. Heart size is normal and cardiomediastinal silhouette is normal. There are scattered calcified granulomas throughout both lung . Lungs are clear bilaterally otherwise. No bony or soft tissue abnormalities.,,images/image_385.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.",,images/image_386.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable. Calcified left hilar .",,images/image_387.png "Unchanged exam without acute abnormality. Normal heart size. Stable tortuous aorta. No pneumothorax, pleural effusion or suspicious focal airspace opacity. Prior granulomatous disease.",,images/image_388.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_389.png "1. No acute cardiopulmonary abnormality. 2. Chronic changes consistent with emphysema. The lungs are hyperexpanded, with flattened diaphragms. The cardiomediastinal silhouette is normal in size and stable from prior exam. There is mild tortuosity of the thoracic aorta. There is no pneumothorax or large pleural effusion. There are degenerative changes of the thoracic spine.",,images/image_390.png No acute cardiopulmonary process. No focal lung consolidation. No pneumothorax or large pleural effusion. Heart size and pulmonary vascularity are within normal limits. Osseous structures are grossly intact.,,images/image_391.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_392.png "No acute cardiopulmonary abnormality. No evidence of active tuberculosis. . No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. are intact.",,images/image_393.png "Obscured right heart with streaky right medial basilar airspace opacities, possibly due to airspace disease versus atelectasis. Otherwise, no acute cardiopulmonary abnormalities. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. The right heart appears obscured and there are streaky right medial basilar airspace opacities, possibly due to airspace disease or atelectasis. Otherwise, no focal consolidation, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_394.png "No acute cardiopulmonary abnormality. Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",,images/image_395.png "No acute cardiopulmonary abnormality identified. 3 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",,images/image_396.png "Low lung volumes without acute cardiopulmonary abnormality. The lungs demonstrate low lung volumes but are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Mild streaky opacities in the left upper lobe on frontal projection are atelectatic or scar. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_397.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Mild dextrocurvature the spine.,,images/image_398.png 1. Stable appearance of the chest. No acute pulmonary disease. There are stable sternotomy . The heart and mediastinal contours are unchanged. The lungs are clear without focal infiltrate. There is no effusion or pneumothorax.,,images/image_399.png "1. Mild cardiomegaly. 2. No acute cardiopulmonary findings. Specifically, no displaced rib fractures demonstrated. . There is mild cardiomegaly. Pulmonary vasculature is normal in caliber. There are mild opacities bilaterally, favoring scar or atelectasis. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. No acute, displaced rib fractures are demonstrated. Visualized vertebral body are grossly intact.",,images/image_400.png There is no radiographic evidence of acute cardiopulmonary disease. Normal cardiomediastinal silhouette. There is no focal consolidation. There are no of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen. Probable old lateral right rib fractures.,,images/image_401.png 1. A few basilar of opacity. This may represent scarring or atelectasis. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma are noted. A few opacities are present consistent with of scarring or atelectasis.,,images/image_402.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_403.png "Mildly hyperinflated lungs, air trapping versus inspiratory . Mildly hyperinflated lungs with flattened posterior diaphragm. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. No pneumothorax.",,images/image_404.png "1. Small right apical pneumothorax. 2. Right middle and lower lobe patchy opacities, residual atelectasis. 3. Near-complete resolution of right-sided pleural effusion with residual. . Normal cardiomediastinal contours. Right lower lung patchy opacities. Small right pneumothorax. Small right pleural effusion.",,images/image_405.png "Mildly improved opacities, which may represent atelectasis, infiltrate and/or pleural effusions. Normal and stable cardiomediastinal contours. Interval removal of left-sided intravenous catheter. No pneumothorax. opacities obscuring the hemidiaphragms, slightly improved from prior exam.. Right-sided rib fractures again noted.",,images/image_406.png Low lung volumes. Bibasilar atelectasis versus scarring. Low lung volumes. Bibasilar atelectasis versus scarring. Stable left abdominal surgical clips. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The are intact.,,images/image_407.png "1. Redemonstrated pulmonary fibrosis without evidence for acute infiltrate. There are diffuse increased interstitial markings, suggestive of pulmonary fibrosis in bilateral lung . The fibrosis appears to slightly increased compared to previous examination, in . The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal.",,images/image_408.png "Borderline cardiomegaly. No acute findings. . The cardiac silhouette is borderline enlarged. Pulmonary vasculature is normal in caliber. Nipple shadows and dense breast tissue overlie the lung bases. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_409.png "1. Mild cardiomegaly. No acute cardiopulmonary abnormality. Unchanged elevation of the right hemidiaphragm. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is mildly enlarged. Mild degenerative changes throughout the thoracic spine anterior osteophytes noted inferiorly. Pulmonary artery prominence.",,images/image_410.png Blunting of the right costophrenic sulcus could be secondary to a effusion versus scarring. No focal airspace consolidation. The heart size and mediastinal contours appear within normal limits. There is blunting of the right lateral costophrenic sulcus which could be secondary to a small effusion versus scarring. No focal airspace consolidation or pneumothorax. No acute bony abnormalities.,,images/image_411.png "Borderline enlargement of the cardiac silhouette without acute pulmonary disease. The cardiac silhouette is borderline enlarged. Otherwise, there is no focal opacity. Mediastinal contours are within normal limits. There is no large pleural effusion. No pneumothorax.",,images/image_412.png "Low lung volumes with bronchovascular crowding, bibasilar opacities due at in part to atelectasis, infiltrates, pulmonary edema difficult to entirely exclude. Low lung volumes with streaky bibasilar opacities, right greater than left. Bronchovascular crowding, indistinct central vascular margination. No findings to suggest pleural effusion. Accounting for technical factors heart size within normal limits.",,images/image_413.png "No acute radiographic cardiopulmonary process. . Cardiac and mediastinal 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. There is a mild dextro scoliotic curvature of the midthoracic spine.",,images/image_414.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Stable calcified granuloma within the right upper lung. No acute bone abnormality..",,images/image_415.png "Low lung volumes, otherwise clear. Stable cardiomediastinal silhouette. Low lung volumes. without focal consolidation, pneumothorax or pleural effusion. Limited lateral view given overlapping tissue silhouettes. Negative for acute bone abnormality.",,images/image_416.png No acute process. The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.,,images/image_417.png "1. No acute cardiopulmonary disease. 2. Emphysematous changes 3. Retained contrast within the renal collecting . There is hyperexpansion with mild flattening of diaphragm. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal. Contrast retained within the renal collecting .",,images/image_418.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_419.png "No acute findings Stable enlargement of the cardiac silhouette, stable mediastinal and hilar contours, surgical clips and CABG markers. Stable 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.",,images/image_420.png "No acute cardiopulmonary abnormality.. Cardiomediastinal silhouette is within normal limits for size, with redemonstration of tortuous and atherosclerotic calcified thoracic aorta. No focal consolidation, effusion, or pneumothorax identified. Eventration of the right hemidiaphragm is stable compared to prior examination. Multilevel degenerative disc disease and thoracolumbar spine again noted without acute osseous abnormality.",,images/image_421.png 1. Moderate thoracic spondylosis. 2. No acute cardiopulmonary abnormality. Heart size is upper limits of normal for AP projection. Mediastinal contours and pulmonary vasculature are unremarkable. The patient's chin obscures the bilateral lung apices. There is no focal airspace consolidation. No visible pleural effusion or pneumothorax. No displaced rib fractures are seen. There are moderate degenerative changes along the thoracic spine.,,images/image_422.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No radiodense foreign bodies noted. No acute osseous findings.,,images/image_423.png Bandlike opacities in the right lung. Appearance atelectasis. Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. Bandlike opacities are present in the right lung. Appearance suggest atelectasis. No pneumothorax or pleural effusion is seen.,,images/image_424.png No acute cardiopulmonary abnormalities. Heart size mediastinal contours are normal in appearance. No focal airspace consolidation. No pleural effusion or pneumothorax. Mild degenerative changes of the thoracic spine.,,images/image_425.png "No focal lung opacity, pleural effusion of pneumothorax. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.",,images/image_426.png No acute cardiopulmonary abnormality. There are T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_427.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_428.png "Stable chest. No acute disease process identified. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and aeration of the lungs. No pleural effusion. There are spine marginal osteophytes.",,images/image_429.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.",,images/image_430.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are present within the spine.",,images/image_431.png 1. Hyperexpanded lungs. 2. Otherwise normal chest x-. The heart size is normal. There is vascular congestion in bilateral hilar areas. The lungs are hyperexpanded with flattened diaphragms. No acute bony abnormalities. No effusion or infiltrate. No pneumothorax or pneumomediastinum.,,images/image_432.png 1. Chest. No active disease. 2. The knee. Advanced degenerative joint disease. Chest. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left knee. The right total knee prosthesis remains in . The medial compartment is markedly narrow. Large osteophytes are present on the left femur and tibial lateral plateaus.,,images/image_433.png "1. No acute cardiopulmonary abnormalities. Normal and stable cardiomediastinal contours. No pneumothorax, pleural effusions or significant pulmonary edema. No focal lung consolidation.",,images/image_434.png 1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. Degenerative disease of multiple midthoracic vertebral bodies.,,images/image_435.png No acute cardiopulmonary abnormality. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_436.png No acute cardiopulmonary abnormality. Normal heart size and mediastinal contours. Calcified aortic . Calcified granuloma in the anterior segment of the right lower lobe. No pleural effusion or pneumothorax. Degenerative disc disease the thoracic spine. Coronary artery stent.,,images/image_437.png "No acute cardiopulmonary disease. The cardio mediastinal silhouette, pulmonary vascular pattern are within normal limits. No pneumothorax. No pneumonia. No pleural effusion. Mild degenerative changes mid thoracic spine.",,images/image_438.png 1. No evidence of active disease. 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.,,images/image_439.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_440.png "Emphysematous changes with streaky opacities in the left perihilar and lingular regions, focal atelectasis and scarring. Hyperexpanded lungs with flattened hemidiaphragms, consistent with emphysema. There is streaky airspace opacities in the left suprahilar and lingular regions. No pneumothorax or effusions. Mild bilateral costophrenic blunting represents pleural thickening and scarring. Degenerative changes of the thoracic spine.",,images/image_441.png Stable position of the left-sided hemodialysis catheter otherwise no acute cardiopulmonary disease. A left-sided hemodialysis catheter is in with its distal tip at the right atrium. The cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no pneumothorax. No large pleural effusion.,,images/image_442.png 1. Cardiomegaly without overt heart failure. 2. Continued elevation of the left hemidiaphragm. 3. Scattered of left base scarring/atelectasis. Cardiomegaly is present. The pulmonary vascularity appears within normal limits. Some scattered opacities are present whose appearance scarring or atelectasis. No focal airspace disease is seen. No pleural effusion is noted. No pneumothorax is identified. The left hemidiaphragm is elevated. Scoliosis is present involving the lumbar spine. There has been previous surgical resection of the left 6th rib.,,images/image_443.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. No definite pneumothorax. No displaced fracture. Small rounded radiopaque density within the posterior superficial subcutaneous fat represents projectile fragment..,,images/image_444.png No active/acute cardiopulmonary disease. Stable normal cardiac size and contour with unremarkable mediastinal silhouette. Normal pulmonary . No active airspace disease/infiltrate. No pleural effusion or pneumothorax. Calcified granuloma right upper lobe.,,images/image_445.png "No acute cardiopulmonary abnormality.. 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 demonstrate stable, mild multilevel thoracolumbar degenerative disc disease without acute abnormality. Upper abdominal midline surgical sutures are likewise stable.",,images/image_446.png "Stable cardiomegaly without acute cardiopulmonary abnormality.. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardiomegaly is noted and is stable compared to prior examination from . Stable right basilar calcified granuloma. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_447.png No acute cardiopulmonary disease. No evidence of metastatic disease to the lungs. The lungs appear clear. There is a calcified granuloma in the right lung base and calcified right hilar lymph . This was seen well on prior . There are no suspicious appearing pulmonary nodules or masses. Heart and pulmonary appear normal. The pleural spaces are clear. Mediastinal contours are normal.,,images/image_448.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_449.png 1. No acute bony findings. No focal consolidation. No visualized pneumothorax. No large pleural effusions. Heart size is normal. The cardiomediastinal silhouette is grossly unremarkable.,,images/image_450.png "Nodular densities projecting over right 5th and 6th ribs may healing rib fracture; recommended to rule-out underlying pulmonary nodule. level Veriphy message was sent . regarding possible lung nodules at hours /. Heart size and mediastinal contour within normal limits. Aortic atherosclerotic calcifications. Emphysematous changes. Nodular densities projecting over right anterior fifth and six ribs. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",,images/image_451.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_452.png No acute abnormality identified. Heart size is normal. There is mild tortuosity of the thoracic aorta. No consolidating airspace disease is seen. No pleural effusion or pneumothorax.,,images/image_453.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. There is widening adjacent to the right paratracheal stripe, most represents the SVC with rotated position. are unremarkable.",,images/image_454.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_455.png "1. No acute cardiopulmonary process. 2., Mild, age-indeterminate wedge deformity of a midthoracic vertebral body. The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous and calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Degenerative endplate changes of the thoracic spine with an age-indeterminate, mild wedge deformity of a midthoracic vertebral body.",,images/image_456.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is an interim cervical spinal fusion partly evaluated.",,images/image_457.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.",,images/image_458.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_459.png No acute cardiopulmonary abnormality. Normal heart size and mediastinal contours. Calcified aortic . Calcified granuloma in the anterior segment of the right lower lobe. No pleural effusion or pneumothorax. Degenerative disc disease the thoracic spine. Coronary artery stent.,,images/image_460.png Chronic changes without acute process Heart size is mildly enlarged. Tortuous aorta. Lungs are normally inflated and clear. Mild degenerative changes of the spine.,,images/image_461.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_462.png Low lung volume exam demonstrates small amount of right basilar atelectasis. There is no acute consolidation or pneumothorax. There are low lung volumes. The heart size and upper mediastinum have a normal appearance. There is no pulmonary vascular congestion. There is minimal right basilar atelectasis. There is no large effusion or pneumothorax. The osseous structures appear intact.,,images/image_463.png Findings of COPD. No acute findings. Lungs are hyperexpanded. Bullae are present in the upper lobes. No focal infiltrates. Heart size normal.,,images/image_464.png "No radiographic evidence of acute cardiopulmonary disease Heart , mediastinum, , bony structures and lung are unremarkable. Stable small calcified granuloma left base. No acute findings/opacities/infiltrates noted.",,images/image_465.png Findings of COPD with no acute changes. Lungs are hyperexpanded. No infiltrates or masses. The eventration of the left hemidiaphragm identified previously is largely unchanged since the previous computed tomogram. Pulmonary are normal.,,images/image_466.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_467.png "No acute cardiopulmonary abnormality. . 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.",,images/image_468.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.",,images/image_469.png "Multifocal right-sided pneumonia. There is diffuse right-sided airspace disease, with dense consolidation in the right base. A right upper extremity PICC is seen with the tip in the right brachiocephalic vein, representing an interval retraction of approximately 6 cm. No pneumothorax or large effusions. Heart size within normal limits.",,images/image_470.png "1. Emphysematous changes. 2. Resolution of prior right midlung infiltrate. Previous sulcal is normal in size and contour. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion. Interval resolution of previously described right midlung opacity suggesting resolved inflammatory/infectious process. Lungs are hyperexpanded with flattened diaphragms. and soft tissue are unremarkable.",,images/image_471.png "Mild cardiomegaly with interstitial prominence, could represent mild interstitial edema, atypical infection, or chronic interstitial changes. Mild cardiomegaly is unchanged. Stable superior mediastinal contour which is within normal limits. Bilateral interstitial prominence. No focal airspace consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities.",,images/image_472.png "No acute findings 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.",,images/image_473.png "No acute cardiopulmonary disease. The heart, pulmonary 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 aorta is tortuous and ectatic. There are degenerative changes of the acromioclavicular joints. There degenerative changes of the spine. There is an IVC identified.",,images/image_474.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_475.png "Hyperinflated lungs, air trapping versus inspiratory . Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. Right hilar calcification suggests a previous granulomatous process.",,images/image_476.png "No acute cardiopulmonary abnormality identified. 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.",,images/image_477.png "1. No acute cardiopulmonary process. 2. Mild, age-indeterminate wedge deformity of a midthoracic vertebral body. The cardiomediastinal silhouette is within normal limits for appearance. No focal air is prominent consolidation. No pneumothorax. No large pleural effusion. Minimal degenerative changes of the thoracic spine with a mild wedge deformity of a midthoracic vertebral body. This is age-indeterminate.",,images/image_478.png "No acute cardiopulmonary abnormality. Cardiomediastinal silhouette stable and within normal limits for size with unchanged atherosclerosis and tortuosity thoracic aorta. There is no focal consolidation, pneumothorax, or effusion. No acute bony abnormality. Stable left proximal humeral enchondroma versus remote bony infarct. Stable multilevel degenerative disc disease of the thoracic spine. Calcified granuloma seen anteriorly on lateral view is stable since .",,images/image_479.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_480.png Stable chronic lung changes without acute cardiopulmonary abnormality. Cardiomediastinal silhouette is within normal limits of size and appearance. Lungs are hyperlucent and hyperexpanded. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals no acute abnormality.,,images/image_481.png No acute radiographic cardiopulmonary process. The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There is a small calcified granuloma within the left upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_482.png No acute cardiopulmonary disease. The lungs appear clear. There are calcified nodules projecting in the right upper lung. Mediastinal contours appear normal. The heart pulmonary appear normal. Pleural spaces are clear. Surgical clips are identified in the right neck and left mediastinum.,,images/image_483.png No evidence of active tuberculosis. Mild cardiomegaly. Lungs are clear. Calcified hilar . No pleural effusion or pneumothorax. Soft tissues and showed unremarkable.,,images/image_484.png 1. Hyperexpanded lungs suggesting emphysema. 2. Patchy right middle lobe airspace disease. May represent pneumonia. Followup examination is suggested following treatment to confirm clearing of the opacities. A 4 to 6 post treatment interval film would be reasonable to allow clearing of inflammatory opacities. The lungs are hyperexpanded consistent with emphysema. The heart size and pulmonary vascularity appear within normal limits. No pneumothorax or pleural effusion is seen. Patchy airspace disease is present in the right middle lobe. Degenerative changes are present spine.,,images/image_485.png "No acute cardiopulmonary abnormality. . No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. are intact. There are calcified right hilar granulomas. There is mild thoracic dextroscoliosis.",,images/image_486.png "No acute cardiopulmonary abnormality. Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion.",,images/image_487.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Mild hyperinflation is noted. There are granulomatous sequela. No acute infiltrate or significant pleural effusion are noted. The costophrenic are excluded.,,images/image_488.png Significant bilateral emphysematous changes. No acute cardiopulmonary abnormalities. Chronic bilateral emphysematous changes. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_489.png No evidence of active disease. The lungs are clear. There is no focal airspace consolidation. No suspicious pulmonary mass or nodule is identified. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.,,images/image_490.png 1. No acute cardiopulmonary process. 2. Interval worsening of moderate thoracolumbar dextroscoliosis. . Cardiac silhouette is at the upper limits of normal. Lungs are clear bilaterally. There is no pleural effusion or pneumothorax. Interval worsening of the moderate thoracolumbar dextroscoliosis with mild exaggeration of normal thoracic kyphosis.,,images/image_491.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_492.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. No pleural effusion.",,images/image_493.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Calcified left hilar lymph . A calcified granuloma is seen in the left lower lobe. Bony thorax is unremarkable.",,images/image_494.png "Cardiomegaly, however no acute cardiopulmonary findings. There has been interval sternotomy with intact midline sternotomy . 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.",,images/image_495.png opacity left lung base.. There is opacity left lung base may represent atelectasis or early infiltrate. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_496.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_497.png "Stable subsegmental bibasilar atelectasis. Cardiomegaly without heart failure. Nasogastric tube tip within the stomach body, stable. Low lung volumes. Stable enlarged cardiomediastinal silhouette. Atherosclerosis of the thoracic aorta. No focal consolidation, pneumothorax or large pleural effusion. Relative elevation of right hemidiaphragm. Stable obscuration of lateral left diaphragm.",,images/image_498.png No acute cardiopulmonary abnormality. Normal heart size. Clear lungs. No large pleural effusion. No pneumothorax.,,images/image_499.png "No acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.",,images/image_500.png No acute cardiopulmonary findings. Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,,images/image_501.png "1. Bilateral pleural effusions, right larger than left 2. Abnormal pulmonary opacities which may be due to atelectasis, differential diagnosis includes infection, aspiration, atypical distribution pulmonary edema Bilateral pleural effusions, left small, right moderate in size, abnormal opacities in the adjacent lung bases. Limited assessment of heart size due to obscured margins, stable mediastinal contours.",,images/image_502.png 1. Overall stable appearance of the chest suggesting pulmonary fibrosis. Sequelae of old granulomatous disease. Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. Prominent interstitial markings are again noted which are predominantly lower lobe and peripheral suggesting pulmonary fibrosis. This appearance is overall not significantly . No pleural effusions or pneumothoraces. heart and mediastinum are stable with atherosclerotic vascular disease. Degenerative changes in the thoracic spine.,,images/image_503.png "Negative. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_504.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_505.png 1. No evidence of acute disease. 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 mild prominence of the interstitial markings which are unchanged.,,images/image_506.png "Moderate hypoinflation with associated bibasilar atelectasis. 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 opacities adjacent atelectasis. There is ill-defined density overlying the anterior left 5th rib, possibly healing deformity versus superimposition of structures.",,images/image_507.png 1. No evidence of active disease. 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. No adenopathy is seen.,,images/image_508.png No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. foreign body is noted in the soft tissues of the left chest wall.,,images/image_509.png "Low lung volumes with probable mild bibasilar airspace disease/atelectasis. Markedly limited exam, without significant interval change from . . There is severe dextroscoliosis of the thoracic spine with chronic deformity of the bilateral ribs. The lungs are chronically hypoinflated. There is visualization of the hemidiaphragms, which may be due to basilar airspace disease/atelectasis. Evaluation of the lungs is markedly limited. Overall, the appearance is similar to the prior study from . There is no evidence of pneumothorax or large pleural effusion.",,images/image_510.png "Negative for acute abnormality. Right thorax volume loss with some degree of left-to-right mediastinal shift. Relative hyperlucency of left lung, compensatory hyperinflation. Diminutive right hilar silhouette, compatible with absence of right pulmonary artery, as noted on prior CT. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.",,images/image_511.png "No acute cardiopulmonary abnormality. Chronic changes consistent with emphysema. The lungs are hyperexpanded, with increased AP diameter of the chest. The cardiomediastinal silhouette is stable and normal. There is no pneumothorax or large pleural effusion.",,images/image_512.png No acute cardiopulmonary abnormality. Normal and stable cardiomediastinal contours. No pneumothorax or pleural effusions. No focal lung consolidation.,,images/image_513.png "No evidence of active TB. There are no acute osseous abnormalities. There are surgical clips in the right upper abdomen, from cholecystectomy. Normal heart size. Normal hilar vascular markings. The lungs are grossly clear without focal area of consolidation, pleural effusion, pneumothorax.",,images/image_514.png No acute cardiopulmonary abnormalities. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,,images/image_515.png "No acute cardiopulmonary abnormality.. 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.",,images/image_516.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,,images/image_517.png No acute cardiopulmonary findings. Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,,images/image_518.png "No acute cardiopulmonary abnormalities. The trachea is midline. Cardiomediastinal silhouette is normal and unchanged from prior examination. There are round calcific densities in the right lung consistent with prior granulomatous disease. Otherwise, the lungs are clear without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",,images/image_519.png "No acute cardiopulmonary findings. There are changes of sternotomy and CABG. Heart size is within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.",,images/image_520.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Mild scoliosis and degenerative changes of the thoracic spine noted.,,images/image_521.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Stable foreign body over the left breast ( nipple piercing). Visualized osseous structures of the thorax are without acute abnormality.",,images/image_522.png "1. Suspected cardiomegaly, less pericardial effusion. Prior comparison studies would be helpful. 2. Low lung volumes. No evidence of focal airspace disease. . The cardiac silhouette is enlarged with no comparison studies. Findings are accentuated by low lung volumes and eventration of the anterior right hemidiaphragm, however, cardiomegaly or less , pericardial effusion is suspected. The lungs are hypoinflated with central bronchovascular crowding but no evidence of overt pulmonary edema. The lungs are grossly clear of focal airspace disease, pneumothorax, pleural effusion. There are no acute bony findings. There are degenerative changes of the thoracic spine. Patient appears morbidly obese.",,images/image_523.png Emphysema and mild medial right atelectasis. No acute process. Left lower lobe calcified granuloma. Heart size normal. No pleural effusion or pneumothorax. Mild medial right atelectasis. Mild emphysema.,,images/image_524.png "SOFT TISSUE NECK. Small 3 x 1 mm density possibly in a piriform sinus only seen on the lateral exam. CHEST. No acute cardiopulmonary disease. CHEST. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma in the left lung base. SOFT TISSUE NECK. There is reversal of the normal cervical lordosis which may indicate muscle spasm versus a positional phenomenon. There is no prevertebral soft tissue . The epiglottis is within normal limits. There is a 3 mm x 1 mm density identified on the lateral exam only, possibly within one of the piriform sinuses.",,images/image_525.png "1. No acute cardiopulmonary process. 2. 9 mm left lower lobe pulmonary nodule not definitively calcified. Recommend comparison with prior images to document stability. If none are available consider nonemergent chest for further characterization. . Normal heart size and mediastinal contours. The lungs are free of any focal airspace disease. In the left lung base, there is a 9 mm nodule that not definitively calcified. No pneumothorax or pleural effusion. No acute bony abnormalities.",,images/image_526.png Chronic changes without acute disease. The heart is top normal in size. The mediastinum is stable. The aorta is atherosclerotic. opacities are noted in the lung bases compatible with scarring or atelectasis. There is no acute infiltrate or pleural effusion.,,images/image_527.png "Chest. No acute radiographic cardiopulmonary process. Thoracic spine. Mild degenerative change without acute bony abnormality. Lumbar spine. Mild degenerative change without acute bony abnormality. Chest: 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. Thoracic spine: Mild dextro curvature the upper thoracic spine. Evaluation of the upper thoracic bodies is limited secondary to osseous overlap. Vertebral body and disc spaces are maintained. Mild degenerative endplate changes. Lumbar spine: There are 5 nonrib-bearing lumbar type vertebral bodies. Alignment is within normal limits. Vertebral body and disc spaces are maintained. Mild degenerative change without acute displaced fracture or dislocation. Moderate amount of stool..",,images/image_528.png 1. No acute radiographic cardiopulmonary process. 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. Mild degenerative change is seen within the midthoracic spine. There is no visible free intraperitoneal air under the diaphragm.,,images/image_529.png 1. Continued elevation of the left hemidiaphragm. 2. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. The left hemidiaphragm is elevated. This is unchanged. No focal airspace disease is seen. No pneumothorax or pleural effusion is noted. There is eventration of the right hemidiaphragm.,,images/image_530.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Mild degenerative changes of the spine.,,images/image_531.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_532.png "No acute cardiopulmonary abnormality.. 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.",,images/image_533.png 1. Cardiomegaly. 2. Pleural thickening along the inferior left lateral chest wall stable since the prior examination. Overall low lung volumes. Lungs are grossly clear. Pleural thickening along the inferior left lateral chest. This appears relatively stable compared to the prior examination. No pleural effusions or pneumothoraces. cardiomegaly. Degenerative changes in the spine.,,images/image_534.png 1. Small 3.3 mm right-sided pneumothorax. Small 3.3 mm right-sided pneumothorax only visible on the left lateral decubitus film. Left lung is clear. Normal cardiac contour. No evidence of pleural effusion.,,images/image_535.png Congestive heart failure with basilar pulmonary interstitial edema and bilateral pleural fluid. Heart is large. Pulmonary are engorged. Bibasilar interstitial infiltrates and bilateral costophrenic blunting are present.,,images/image_536.png "Low lung volumes, otherwise, no definite acute findings. Frontal view kyphotic and rotated, low lung volumes with bronchovascular crowding. Otherwise, no definite airspace consolidation or pleural effusion. Accounting for technical factors heart size borderline enlarged.",,images/image_537.png "Chest radiograph. No acute radiographic cardiopulmonary process. There is mild cardiomegaly and tortuous aorta. Mildly low lung volumes. No focal consolidation, pleural effusion, or pneumothorax. The are intact and without acute osseous abnormality. Mild degenerative changes of the thoracic spine.",,images/image_538.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_539.png "No acute cardiopulmonary abnormality. 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.",,images/image_540.png Small right juxtahilar opacity may represent infiltrate in the setting of . Followup chest x- is recommended at an appropriate interval following treatment to document . The heart is not enlarged. The central pulmonary vasculature is not engorged. Visualized osseous structures are unremarkable. No pneumothorax or pleural effusion. Small right juxtahilar opacity may represent infiltrate. Lungs are otherwise well aerated.,,images/image_541.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_542.png "No acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.",,images/image_543.png "1. Interval development of left lower lobe airspace disease. This may be due to atelectasis or infiltrate. The heart and mediastinal contours are stable. Aorta is calcified and tortuous, compatible with atherosclerotic disease. Since the prior study, there's been interval development of left lower lobe airspace disease. The right lung is clear.",,images/image_544.png "Stable groundglass and interstitial markings at the lung bases. Overall this is not to represent a significant change from . Frontal and lateral views. The cardiac silhouette is on the upper limits normal for size. Interstitial opacities are persistent at both lung bases. Calcified granulomas are also identified. compared to the previous CT scan, there has been no significant interval change. No developing airspace opacity, or pneumothorax.",,images/image_545.png "Findings of cystic fibrosis with increased interstitial and nodular opacities, representing acute exacerbation on chronic changes of cystic fibrosis. . Heart size within normal limits. Prominent interstitial and nodular opacities are increased since comparison exam. There is a 1 cm nodular opacity in the right costophrenic , increased since comparison examination. A cystic lesion in the right upper lobe appears similar to prior examination. No pleural effusion or pneumothorax.",,images/image_546.png 1. No evidence of active disease. Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Mild degenerative changes are present in the spine.,,images/image_547.png No acute cardiopulmonary process. . Cardiomediastinal contours are unchanged. There are stable fractures of several . Lungs are hyperexpanded but clear. No pneumothorax or pleural effusion. Degenerative changes are seen in the spine.,,images/image_548.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_549.png "No acute cardiopulmonary abnormality. No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. are intact.",,images/image_550.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal. Surgical clips are in the epigastrium of the abdomen.,,images/image_551.png "Low lung volumes. No acute cardiopulmonary findings. Low lung volumes. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Calcified bilateral hilar lymph , greater on the left. No acute osseous findings.",,images/image_552.png "Low lung volumes, otherwise clear. Stable cardiomediastinal silhouette. Low lung volumes. without focal consolidation, pneumothorax or pleural effusion. Limited lateral view given overlapping tissue silhouettes. Negative for acute bone abnormality.",,images/image_553.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_554.png "Worsening masslike opacification of right apex, suggesting worsening malignancy or malignancy with postobstructive pneumonia. The cardiomediastinal silhouette is normal in size and contour. Masslike opacification of right apex. No pneumothorax or large pleural effusion. are grossly normal.",,images/image_555.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. Both clavicles appear within normal limits on this limited radiographic evaluation.",,images/image_556.png 1. No evidence of active disease. 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.,,images/image_557.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_558.png "1. Marked bullous emphysematous changes and traction bronchiectasis, again most notable involving the bilateral upper lobes. Stable suspected superimposed left upper lobe aspergilloma - as more readily demonstrated on the previous CT chest study from . 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 ) a large left upper lobe , reflecting a superimposed aspergilloma-as more readily demonstrated on the previous CT chest study from . No areas of alveolar airspace consolidation are identified. No evidence of pleural effusion or pneumothorax.",,images/image_559.png 1. No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact..,,images/image_560.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_561.png 1. No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_562.png 1. Small left pleural effusion. 2. Stable mild cardiomegaly. Stable cardiomediastinal contour is mild cardiomegaly. No pneumothorax or significant pulmonary edema. Small left pleural effusion. No focal lung consolidation. Mildly low lung volumes.,,images/image_563.png "Streaky left retrocardiac airspace opacities, in the correct clinical setting this could represent a pneumonia. There are are streaky retrocardiac left lower lobe opacities, in the correct clinical setting this could represent a pneumonia. There is no pneumothorax or pleural effusion. The cardiac silhouette is within normal limits.",,images/image_564.png "Mild streaky left basilar airspace disease, atelectasis. . 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.",,images/image_565.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are degenerative changes of the spine.",,images/image_566.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_567.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Aortic calcifications and tortuosity. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings. Degenerative changes of the thoracic spine.,,images/image_568.png "1. No acute cardiopulmonary process. 2. Stable appearance of the left upper lobe. 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 focal airspace disease, pleural effusion, or pneumothorax. Mild scarring at the right apex. No acute bony abnormality.",,images/image_569.png "No acute cardiopulmonary abnormality.. No focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette unremarkable. Stable bilateral calcified granulomas/lymph . A bullet is present in the posterior soft tissues of the left chest wall, stable compared to prior examination.",,images/image_570.png "Cardiomegaly without acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Hyperinflated lungs. Cardiomegaly. Bony thorax and soft tissues grossly unremarkable",,images/image_571.png Patchy right lower lobe infiltrate as well as probable left basilar infiltrate versus atelectasis. The heart is normal in size. The mediastinum is unremarkable. There is patchy infiltrate within normal right lower lobe. Mild opacities in the retrocardiac region. No large effusions or pneumothorax.,,images/image_572.png "No acute cardiopulmonary abnormality. . 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.",,images/image_573.png No acute cardiopulmonary abnormality. 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.,,images/image_574.png "No acute thoracic . Frontal and lateral views of the chest show normal size cardiac silhouette, allowing for an AP projection. Normal contour of the mediastinum and aorta. Grossly clear lungs. No obvious pneumothorax or hemothorax. No acute displaced clavicle or rib fractures.",,images/image_575.png 1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_576.png No acute cardiopulmonary findings. There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits. There are mild thoracic spine degenerative changes.,,images/image_577.png Negative chest x-. No evidence of pneumonia. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Thoracic spondylosis.,,images/image_578.png Hypoinflation with no visible active cardiopulmonary disease. Lung volumes are low. No focal infiltrates. Heart size normal.,,images/image_579.png "Stable chest, no active/acute cardiopulmonary disease. Stable normal cardiac size and contour, normal mediastinal silhouette. Normal pulmonary . Lungs clear, no airspace disease. No pleural effusion or pneumothorax.",,images/image_580.png 1. No acute cardiopulmonary abnormalities Clear lungs bilaterally. No pneumothorax or pleural effusion. Normal cardiac contours,,images/image_581.png 1. Focal density overlying the right first rib and medial right clavicle. This could be bony in origin but an underlying pulmonary lesion cannot be excluded. No prior images are currently available for comparison. If outside images are available comparison is recommended. Otherwise scan of the chest. Calcified granulomas are present. There is an area of focal density overlying the right first rib and medial clavicle. This is approximately 1.2 cm in diameter. It may be secondary to overlapping structures. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart is normal. Calcifications of the aortic are seen. The skeletal structures are unremarkable. There has been a left mastectomy.,,images/image_582.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_583.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_584.png "No acute pulmonary findings. . There are broken 1st and 3rd-5 . Normal cardiomediastinal silhouette. Pulmonary vasculatures are within normal limits. Left-sided aortic . Central airways are . No focal consolidation, pleural effusion or pneumothorax. Left hemidiaphragm is mildly elevated. Interposition of the colon in the left upper quadrant.",,images/image_585.png "1. Right upper lobe opacity. Without comparisons, this may represent a focal area of infection/pneumonia. However, correlation should be for possible tuberculosis exposure as tuberculosis infection could have this appearance. If discordant from clinical suspicion, or does not resolve on follow up imaging, consider further evaluation with scan. 2. Enlargement of the cardiac silhouette. There is enlargement of the cardiac silhouette. There is a focal opacity within the right upper lung. There is dense calcification of the thoracic aorta. There is no pneumothorax. There is no large pleural effusion.",,images/image_586.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_587.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_588.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_589.png 1. No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,,images/image_590.png "1. Redemonstrated pulmonary fibrosis without evidence for acute infiltrate. There are diffuse increased interstitial markings, suggestive of pulmonary fibrosis in bilateral lung . The fibrosis appears to slightly increased compared to previous examination, in . The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal.",,images/image_591.png No focal lung infiltrates. The lungs are clear. The cardiomediastinal silhouette is within normal limits. A right-sided Mediport catheter is noted. No pleural effusion is identified.,,images/image_592.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_593.png No acute cardiopulmonary abnormality. There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Osseous structures intact.,,images/image_594.png No acute cardiopulmonary abnormalities. . The heart size is normal. No pneumothorax. No large pleural effusions. No focal airspace opacities.,,images/image_595.png No acute infiltrate. The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear.,,images/image_596.png "No acute cardiopulmonary abnormality identified. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No acute bony changes.",,images/image_597.png "No acute findings Heart size within normal limits, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_598.png No evidence of active disease. Heart size and pulmonary vascularity appears normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Callus or granulomas identified. Left -A- remains in .,,images/image_599.png "No acute findings 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.",,images/image_600.png 1. Left base opacity may represent early infection or atelectasis. Recommend followup PA and lateral chest x- in 6 weeks to ensure resolution. 2. Bilateral small pleural effusions. No acute osseous abnormality. Scattered degenerative changes throughout the thoracic spine. Stable normal cardiomediastinal silhouette and hilar contours. Scattered bilateral granulomas. Patchy left basal airspace opacity. Bilateral small effusions.,,images/image_601.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. No pleural effusion. There are right upper quadrant surgical clips, perhaps from cholecystectomy.",,images/image_602.png No acute cardiopulmonary findings. Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,,images/image_603.png 1. No evidence of active disease. 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. No adenopathy is seen.,,images/image_604.png "Stable chest without acute cardiopulmonary abnormality. 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.",,images/image_605.png "Low lung volumes with mild, left basilar opacity, atelectasis versus infiltrate. . Cardiac silhouette is within normal limits in size. The lungs are hypoinflated with mild bronchovascular crowding. There is mild, opacity projected over the left lung base. This is partly due to overlying soft tissues, however, there is partial obscuration of the lateral left hemidiaphragm. The lungs are otherwise grossly clear. There is no pneumothorax or pleural effusion. There are no acute bony findings. There are degenerative endplate changes throughout the thoracic spine.",,images/image_606.png "No acute cardiopulmonary abnormality identified. 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.",,images/image_607.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_608.png "No acute cardiopulmonary abnormality. No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Left axillary surgical clips unchanged Visualized of the chest are within normal limits.",,images/image_609.png No acute cardiopulmonary findings. Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,,images/image_610.png No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,,images/image_611.png "Negative for acute abnormality. Left ventricular enlargement. Tortuous thoracic aorta. Stable , including elongation of the left ventricle and tortuous thoracic aorta. Subcarinal calcified lymph . lung volumes. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_612.png "Multiple age-indeterminate left-sided rib fractures. The heart, pulmonary 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 several age-indeterminate left-sided rib fractures noted. There is a calcified right hilar lymph node. There basilar calcified granulomas. There minimal degenerative changes of the spine.",,images/image_613.png "Stable chest. No acute disease process identified. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and aeration of the lungs. No pleural effusion. There are spine marginal osteophytes.",,images/image_614.png No acute findings. Small hiatal hernia. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact. Small hiatal hernia.,,images/image_615.png "No acute cardiopulmonary findings. Cardiac silhouette is upper limits of normal in size. Normal mediastinal contour and pulmonary vasculature. There is evidence of healed granulomatous disease in the right hemithorax. Lungs are without focal airspace consolidation, large pleural effusion or pneumothorax.",,images/image_616.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_617.png "No acute radiographic cardiopulmonary process. The heart size is normal. The mediastinal contour is within normal limits. Low lung volumes and bronchovascular crowding. Mild bibasilar opacities, atelectasis. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Stable degenerative change throughout the thoracic spine. Stable thoracolumbar retrolisthesis. There is no visible free intraperitoneal air under the diaphragm.",,images/image_618.png Normal chest exam. Normal heart size. Clear lungs. No pneumothorax. No pleural effusion.,,images/image_619.png 1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_620.png "1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. right lower lung opacity represents combination of soft tissue overlay and minimal atelectasis. No focal airspace consolidation, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age.",,images/image_621.png 1. No evidence of active disease. Changes of renal osteodystrophy are noted. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,,images/image_622.png "1. Moderate right-sided pleural effusion. 2. No cavitary lung changes to suggest active tuberculosis. The airspace opacities in right upper lobe seen on chest are not visualized on this study which could be due to difference in technique and patient rotation. 3. Cardiomegaly with prominent aorta which may be accentuated due to AP view. 4. Left humerus fracture. . 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.",,images/image_623.png No acute cardiopulmonary abnormality. There are T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_624.png "1. No acute cardiopulmonary findings. 2. Extensive fibrotic changes of the right lung, similar to the previous exam. The cardiomediastinal silhouette is stable in appearance. There are extensive fibrotic changes in the right lung with rightward shift of the trachea, similar to the previous exam. The left lung is well-aerated without focal airspace consolidation, pleural effusions or pneumothorax. There is left apical pleural-parenchymal scarring. No acute bony findings.",,images/image_625.png 1. No acute cardiopulmonary disease. 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.,,images/image_626.png "Possible small right pleural effusion, without focal consolidation or pneumothorax. There is mild blunting of the right costophrenic which may represent a small right pleural effusion. No focal consolidation or pneumothorax identified. Cardiomediastinal silhouette demonstrates stable mild tortuosity of the thoracic aorta, and heart size within normal limits and stable. No acute osseous abnormality. There is redemonstration of mild multilevel degenerative disc disease of the thoracolumbar spine. Old, healed left rib fractures are noted.",,images/image_627.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Calcific granulomas are present in the right upper lobe. The are unremarkable.",,images/image_628.png No acute cardiopulmonary abnormalities. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_629.png "1.5 cm nodule in the left midlung zone. May contain calcium although this cannot be stated with certainty. Comparison to old films, if available would be useful to determine chronicity and stability. If old films are not available, scan could be to evaluate for the presence of calcium. Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. In the left midlung zone there is identified a 1.5 cm nodule. This appears somewhat dense and may contain calcium although this cannot be stated with certainty.",,images/image_630.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_631.png "COPD with almost completely resolved right apical pleural air collection. Both lungs remain hyperexpanded. No focal infiltrates. A small pleural or collection is present in the right apex. However, it has decreased considerably since the previous examination. Heart size remains normal.",,images/image_632.png No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_633.png "Negative for acute cardiopulmonary abnormality. Hyperexpanded lungs. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Multiple surgical clips overlie the midabdomen.",,images/image_634.png "1. No acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vasculature are within normal limits. Scattered granulomas and bilateral perihilar calcified lymph . Stable lingular scarring. No focal consolidation, large pleural effusion or pneumothorax is identified. No bony abnormality.",,images/image_635.png "Mild cardiomegaly. No pneumothorax, pleural effusion, or focal airspace disease. Mild cardiomegaly. Cardio mediastinal silhouette unremarkable. Bony structures appear intact.",,images/image_636.png "1. No acute cardiopulmonary abnormality. 2. Hyperlucent lungs, related to cachexia and probable pectus excavatum deformity. Normal heart size and mediastinal contours. No focal airspace consolidation. opacities in the right lower lung representing atelectasis versus scarring. Significantly decreased subcutaneous soft tissue since comparison radiograph. Probable pectus deformity. Negative for acute bony abnormality.",,images/image_637.png No acute acute cardiopulmonary disease. The lungs appear clear. The heart and pulmonary are normal. The pleural spaces are clear. Mediastinal contours are normal.,,images/image_638.png 1. Left basilar atelectasis. 2. No focal airspace consolidation. The lungs focal airspace consolidation. There is atelectasis of the left lung base. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion. Cervical vertebral is partially visible at the top of the radiographs.,,images/image_639.png 1. No acute pulmonary disease. 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 appear unremarkable. There is no effusion or pneumothorax.,,images/image_640.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .,,images/image_641.png Low lung volumes with opacities consistent with focal atelectasis. The heart is near top normal in size with tortuosity of the aorta. The pulmonary vascular markings are symmetric and normal. There are low lung volumes with opacities consistent with focal atelectasis. There is no pleural effusion or pneumothorax. There are degenerative changes in thoracic spine and thoracic kyphosis.,,images/image_642.png "Negative. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_643.png "Stable cardiomegaly. No acute infiltrate or effusion. There is a in the left chest with catheter tip terminating in the superior . The cardiac silhouette is mildly enlarged, similar to prior study. There is minimal pulmonary vascular congestion. There is no acute pulmonary consolidation, pleural effusion or pneumothorax. There are stable mild interstitial lung changes, which could be related to chronic edema or fibrosis.",,images/image_644.png "Cardiomegaly with elevated right hemidiaphragms and no acute findings. Patient is rotated. Mild cardiomegaly. Low lung volumes with elevated hemidiaphragms, greater on the right. This is identified on a thoracic study from as well. No pneumothorax. No large pleural effusion. No focal infiltrate.",,images/image_645.png "1. No acute cardiopulmonary abnormality. 2. Left midlung subsegmental atelectasis versus scar. Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. There are opacities in the left , subsegmental atelectasis or scar. Otherwise, the lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality.",,images/image_646.png Continued severe cardiomegaly and/or pericardial effusion. No acute pulmonary disease process identified. Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains markedly enlarged. There is aortic vascular calcification. No focal airspace consolidation or pleural effusion.,,images/image_647.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax.,,images/image_648.png " right upper lobe mass, suspicious for neoplasm. CT of chest abdomen and head would be helpful for further evaluation. In the interval, a 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe. In addition, on the PA view, an 8 mm opacity is adjacent to the left of the heart. This opacity cannot be well identified on the lateral view. It may be artifactual, but another mass on the left cannot be excluded. Mediastinum is normal with no evidence for adenopathy. Heart size normal. Note of an unchanged hiatal hernia.",,images/image_649.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.",,images/image_650.png 1. No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified lymph and granuloma are noted. Mild degenerative changes are present in the spine.,,images/image_651.png No acute cardiopulmonary abnormalities. Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. The visualized osseous structures are unremarkable in appearance.,,images/image_652.png "Stable cardiomegaly without acute cardiopulmonary disease. Left-sided /ICD device and leads are stable. Stable enlarged cardiac silhouette. No focal airspace consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.",,images/image_653.png 1. Left basilar mixed interstitial and alveolar infiltrate. Interval followup to resolution is recommended. Heart size appears upper limits of normal. Tortuous aorta. Otherwise normal mediastinum. Confluent and opacities seen within the left base. There are no visible nodules or masses. No visible pneumothorax. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_654.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette are grossly unremarkable.,,images/image_655.png "1. No acute radiographic cardiopulmonary process. No acute osseous abnormality. Mild degenerative changes of the thoracic spine. There is stable enlargement of the heart. No focus of consolidation, pleural effusion, or pneumothorax.",,images/image_656.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_657.png "Cardiomegaly with pulmonary interstitial edema and bilateral pleural effusions. . Heart is enlarged. There is prominence of the central pulmonary vasculature. Mild diffuse interstitial opacities bilaterally, predominantly in the bases, with no focal consolidation, pleural effusion, or pneumothoraces. and soft tissues are unremarkable.",,images/image_658.png 1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_659.png "1. No acute cardiopulmonary abnormality. Stable calcified granulomas. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal.",,images/image_660.png "1. No acute cardiopulmonary disease. Clear lungs. Low lung volumes. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. Mild left lingular platelike atelectasis. are grossly unremarkable.",,images/image_661.png "1. No focal airspace consolidation. 2. Hyperexpanded lungs, suggestive of emphysema. 3. Lingular subsegmental atelectasis or scarring. The lungs are hyperexpanded. There are opacities in the lingula, subsegmental atelectasis or scarring. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. There are degenerative changes of the spine.",,images/image_662.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_663.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Mild blunting of right costophrenic . The lungs are otherwise grossly clear.,,images/image_664.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The are unremarkable.",,images/image_665.png "Limited quality exam shows no definite acute findings. Rotated apical lordotic frontal projection, mild bronchovascular crowding and scattered chronic appearing irregular interstitial markings. No definite focal alveolar consolidation or pleural effusion seen. Accounting for technical factors heart size within normal limits, heavily calcified and mildly tortuous aorta. No typical findings of pulmonary edema.",,images/image_666.png "1. Low lung volumes with streaky left basilar opacity, subsegmental atelectasis and scarring. Infiltrate is less but not entirely excluded. 2. Mild central vascular congestion and bronchovascular crowding. The heart is normal in size. The mediastinum is stable. The lungs are hypoinflated. There are streaky opacities predominantly in the left lung base possibly related to scarring and atelectasis. B-lines are also noted. Definite infiltrate is not excluded. There is no large effusion.",,images/image_667.png "Postsurgical and postradiation changes on the left with no acute abnormality. 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. deviation towards the left. Right lung is hyperexpanded. The right lung is clear. Heart size and vascularity within normal limits.",,images/image_668.png No radiographic evidence for thoracic metastases. Heart size and vascularity normal. Lungs clear. No effusions or pneumothorax. Limited degenerative change of the spine,,images/image_669.png 1. Interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. 2. Bibasilar airspace opacities and bilateral pleural effusions. 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 . airspace opacities are identified with bilateral pleural effusions.,,images/image_670.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_671.png "Stable cardiomegaly without acute cardiopulmonary abnormality. Compared to prior examination from , there has been extubation and removal of central line and enteric tube. Stable cardiomegaly and mild thoracolumbar dextroscoliosis. Left basilar opacity represents chronic fibrosis/scar. No focal consolidation, pneumothorax, or effusion. No acute osseous abnormality.",,images/image_672.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. There is biapical scarring. The lungs are otherwise clear.,,images/image_673.png "Right upper lobe pneumonia. Consideration may be given for followup chest x-, following appropriate therapy. The patient is rotated to left. The cardiomediastinal silhouette is normal in size. lucency along the left ventricular related to interface between the heart and aerated lung. Patchy right perihilar/upper lobe opacities, which abut the fissure on lateral projection. No pneumothorax or large pleural effusion. Exaggerated thoracic kyphosis. No definite acute bone abnormality.",,images/image_674.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_675.png No acute cardiopulmonary abnormalities. The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No pleural effusion or pneumothorax. are intact.,,images/image_676.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal. -A- has its tip at the caval atrial junction.,,images/image_677.png "No acute cardiopulmonary findings. Calcified thoracic aorta. Mild rightward deviation of the trachea, unchanged from comparison , secondary to a goiter. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Advanced degenerative change of the thoracic spine.",,images/image_678.png "1. No acute cardiopulmonary process. 2. Stable appearance of the left upper lobe. 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 focal airspace disease, pleural effusion, or pneumothorax. Mild scarring at the right apex. No acute bony abnormality.",,images/image_679.png No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_680.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_681.png No acute abnormality. . Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. Calcified right upper lobe pulmonary granuloma and calcified right hilar lymph . The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,,images/image_682.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_683.png 1. No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified lymph are present.,,images/image_684.png "No acute cardiopulmonary abnormality. No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized of the chest are within normal limits.",,images/image_685.png 1. Small left basilar parenchymal scarring and/or effusion. 2. Postsurgical changes of the mediastinum. 3. Otherwise unremarkable chest radiograph. Postsurgical changes are noted in the mediastinum. There is tortuosity and/or ectasia of the thoracic and upper abdominal aorta. No consolidative airspace opacities. Blunting of the lateral and posterior left costophrenic sulcus may represent residual postsurgical effusion or pleural-parenchymal scarring. No demonstrable pneumothorax. Cardiomediastinal silhouette within normal limits. Multilevel anterior osteophytes of the thoracic spine.,,images/image_686.png "No acute findings Heart size near top normal limits for technique. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense left lower lobe nodule suggests a previous granulomatous process.",,images/image_687.png "Left mid lung opacity noted, most compatible with atelectasis versus infiltrate. Recommend clinical correlation. . Left midlung opacity noted, not visualized on prior. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.",,images/image_688.png "Negative acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Negative for pneumoperitoneum. Bony thorax and soft tissue grossly unremarkable",,images/image_689.png "No acute cardiopulmonary abnormality. . Tortuosity of the aorta. No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . intact. Unchanged eventration of the left hemidiaphragm versus small hernia (Bochdalek).",,images/image_690.png No acute cardiopulmonary abnormalities. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_691.png "Low lung volumes, otherwise clear. The cardiomediastinal silhouette is normal in size and contour. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_692.png "Normal cardiac size and contour unremarkable mediastinal silhouette. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease. Normal cardiac size and contour unremarkable mediastinal silhouette. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease.",,images/image_693.png "No acute cardiopulmonary abnormality. Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. and soft tissue are unremarkable.",,images/image_694.png "Compared to , there are extensive bilateral reticulonodular interstitial opacities, concerning for atypical infection. Result notification Primordial. . Normal heart size. Diffuse bilateral reticulonodular interstitial opacities. There are no of a large pleural effusion. There is no evidence of pneumothorax. Heart is not enlarged. are unremarkable.",,images/image_695.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_696.png "Bilateral large pleural effusion, possibly from pleuritis or sympathetic from the known pancreatitis. One are low. Both costophrenic are blunted. Pulmonary are normal. No visible infiltrates in the aerated lungs.",,images/image_697.png "Cardiomegaly without heart failure. Minimal left basilar scarring/atelectasis. Enlarged cardiomediastinal silhouette. Low lung volumes. Relative elevation of right hemidiaphragm. left base density. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_698.png "1. Chest. Hypoinflation with no visible active cardiopulmonary disease. 2. Abdomen. Negative. No mechanical obstruction. Chest. Lung volumes are low, but no focal infiltrates are present. Heart and mediastinum remain normal. Abdomen. Multiple slightly distended loops are present from stomach to rectum. Formed stool is present in the rectum.",,images/image_699.png "Negative acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable.",,images/image_700.png "Hypoventilated lungs, but no focal consolidation. The lungs are hypoventilated. There is no focal consolidation. Cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.",,images/image_701.png Normal chest. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,,images/image_702.png "Stable mild cardiomegaly without acute cardiopulmonary abnormality. Stable mild cardiomegaly. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures intact. Right humeral head bone anchor.",,images/image_703.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. External monitor leads 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.",,images/image_704.png "No Acute cardiopulmonary disease. The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The Heart and mediastinum are normal size and shape. and soft tissues are unremarkable.",,images/image_705.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No change right anterior soft tissue surgical clips. Configuration of breast shadows on the PA view suggests prior right lumpectomy.,,images/image_706.png "No acute findings Apical lordotic frontal view. Considering differences in technical factors stable cardiomediastinal silhouette with mild cardiomegaly. No focal alveolar consolidation, no definite pleural effusion seen. Dense left lower lung nodule suggests a previous granulomatous process. No typical findings of pulmonary edema.",,images/image_707.png Stable left basilar atelectasis versus scarring. No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact. Stable left basilar atelectasis versus scarring.,,images/image_708.png "1. of left base atelectasis. Otherwise, clear. Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. No pleural effusion or pneumothorax is seen. Scattered of left base atelectasis are noted. Left -a- is in with the tip projecting over the caval atrial junction.",,images/image_709.png "Negative for acute cardiopulmonary disease. No pulmonary nodules identified. Heart size is normal. Cardiomediastinal silhouette stable. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Emphysema.",,images/image_710.png No acute findings. Cardiac and mediastinal contours are within normal limits. Right chest tip in the low SVC. Right granulomatous disease. The lungs are clear. Bony structures are intact.,,images/image_711.png No evidence of active disease. 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.,,images/image_712.png No acute cardiopulmonary process This is an apical lordotic view the chest. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,,images/image_713.png COPD. No acute disease. Lungs are hyperexpanded. Bullae are present in the upper lobes. No focal infiltrates or masses in the lungs. Heart size normal.,,images/image_714.png "No acute disease. The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aorta identified. There is no focal consolidation, pleural effusion or pneumothorax. Degenerative changes of the thoracic spine are noted.",,images/image_715.png "Mild cardiomegaly, no acute pulmonary findings Mild cardiomegaly, stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. Mild bronchovascular crowding without typical findings of pulmonary edema.",,images/image_716.png 1. No pneumothorax following removal of left-sided chest tubes. and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Removal of 2 left-sided chest tubes. There is no pneumothorax. Lungs demonstrate no acute findings. There is minimal posterior pleural effusions.,,images/image_717.png "Moderate hypoinflation with associated bibasilar atelectasis. 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 opacities adjacent atelectasis. There is ill-defined density overlying the anterior left 5th rib, possibly healing deformity versus superimposition of structures.",,images/image_718.png 1. No acute pulmonary process. 2. Large hiatal hernia. . Aortic atherosclerotic calcifications. Large hiatal hernia. No pleural effusion or pneumothorax. No focal opacity. Cardiomediastinal silhouette is stable in size and appearance.,,images/image_719.png No acute cardiopulmonary finding. Lungs are clear. Heart size normal. The are unremarkable.,,images/image_720.png No acute preoperative findings. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_721.png No acute cardiopulmonary findings. The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic blunting to suggest large pleural effusion. Bony structures are within normal limits.,,images/image_722.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_723.png "No acute cardiopulmonary findings. Cardiac silhouette is upper limits of normal in size. Normal mediastinal contour and pulmonary vasculature. There is evidence of healed granulomatous disease in the right hemithorax. Lungs are without focal airspace consolidation, large pleural effusion or pneumothorax.",,images/image_724.png "1. Borderline enlarged heart. 2. Tortuous/ectatic thoracic aorta. 3. Fracture of the distal right clavicle, better seen on today's radiograph of the shoulder. Borderline enlarged heart. Torturous/ectatic thoracic aorta. No focal pulmonary opacity, pleural effusion or pneumothorax. There are degenerative changes of the spine. There is fracture of distal right clavicle, better seen on the right shoulder radiographs dated . Small round lucency in the distal left clavicle, appears benign. Degenerative changes of both joints.",,images/image_725.png 1. Continued elevation of the left hemidiaphragm. 2. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. The left hemidiaphragm is elevated. This is unchanged. No focal airspace disease is seen. No pneumothorax or pleural effusion is noted. There is eventration of the right hemidiaphragm.,,images/image_726.png No acute cardiopulmonary disease. The heart size is upper limits of normal. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.,,images/image_727.png Clear lungs. Sequelae of old granulomatous disease is again noted. Lungs are clear without focal air space disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_728.png No acute abnormality. . Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity. Umbilical piercing.,,images/image_729.png No acute cardiopulmonary abnormality. There are T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_730.png "1. No acute cardiopulmonary finding. 2. Emphysema and atherosclerosis. The heart size and cardiomediastinal silhouette are normal. The aorta is tortuous and atherosclerotic. The lungs are hyperexpanded with flattening of hemidiaphragms and increased retrosternal airspace. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.",,images/image_731.png Stable appearance of the chest without acute abnormality noted. 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.,,images/image_732.png 1. No evidence of active disease. 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.,,images/image_733.png "No evidence of acute cardiopulmonary process. Interval CABG. The examination consists of frontal and lateral radiographs of the chest. There has been interval CABG. Surgical clips are again seen in the epigastric region. 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 are unremarkable.",,images/image_734.png No acute cardiopulmonary abnormality. Normal cardiomediastinal contours. Clear lungs bilaterally. No pneumothorax or large effusion.,,images/image_735.png "Limited quality exam shows no definite acute findings. 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.",,images/image_736.png "Moderately hyperinflated lung , otherwise no acute cardiopulmonary abnormality. Redemonstration of moderately-inflated lungs, consistent with COPD and unchanged. Atherosclerotic calcifications of the thoracic seen. No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized of the chest are within normal limits.",,images/image_737.png No acute cardiopulmonary findings. The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic blunting to suggest large pleural effusion. Bony structures are within normal limits.,,images/image_738.png No evidence of active disease. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal.,,images/image_739.png "Right middle lobe airspace disease, which could represent pneumonia in the appropriate clinical setting. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. There is mild blunting of the right costophrenic on the frontal view. There is also mild obscuration of the right cardiac . Airspace disease in expected location of right middle lobe also noted on the lateral view to No pleural effusion. Left lung clear. Degenerative changes spine. No pneumothorax.",,images/image_740.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Evidence of prior granulomatous disease. No acute osseous findings.,,images/image_741.png "Obscuration of the bilateral lung bases, combination of atelectasis, infiltrate, effusions. There is obscuration of the bilateral lung bases with lower lung volumes compared to prior examination. Stable atelectatic/fibrotic changes of the visualized lung, and stable left-sided calcified granuloma. No acute osseous abnormalities identified. Cardiomediastinal silhouette unremarkable.",,images/image_742.png "1. No acute cardiopulmonary abnormality. Heart size appears within normal limits. Pulmonary vasculature appears within normal limits. Radiodensity overlying the middle cardiac silhouette, representing a hiatal hernia. No focal consolidation, pleural effusion or pneumothorax. No acute bony abnormality.",,images/image_743.png " opacity projecting over the left midlung. Comparison examinations would be useful. If no comparison examinations exist, would be helpful for further evaluation. . There is a opacity projecting over the left midlung, posterior on the lateral view. No pleural effusions. No evidence of pneumothorax. Heart size top normal. Degenerative changes thoracic spine.",,images/image_744.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is normal in size and contour. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",,images/image_745.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine. Degenerative changes of the . Tortuous aorta.,,images/image_746.png "No acute cardiopulmonary disease. The lungs appear clear. There are no suspicious pulmonary nodules or infiltrates. The heart and pulmonary appear normal. The pleural spaces are clear. Mediastinal contours are normal. There is a left-sided tunneled catheter, the distal tip at the mid superior level.",,images/image_747.png "No acute cardiopulmonary abnormality. Interval removal of left-sided chest tube. Small residual left apical pneumothorax has increased slightly in size the prior exam, now measuring approximately 0.9 cm from the thoracic apex. Stable cardiomediastinal silhouette. No focal airspace consolidation. No pleural effusion.",,images/image_748.png "Stable chronic changes. No acute findings. . There is stable, mild cardiomegaly with normal caliber pulmonary vasculature. There are grossly intact sternotomy and mediastinal surgical clips. There is no focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_749.png No acute preoperative findings. The cardiac contours are normal. Mild atherosclerosis. The lungs are clear. Thoracic spondylosis.,,images/image_750.png "Vague opacity in the right midlung, this could reflect a small focus of atelectasis or infiltrate. Bibasilar airspace opacities, atelectasis. The heart is normal in size and contour. There is no mediastinal widening. Streaky bibasilar opacities, atelectasis. Vague opacity in the right midlung. Scattered calcified granulomas. No large pleural effusion or pneumothorax. The are intact.",,images/image_751.png "Unremarkable radiographs of the chest. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.",,images/image_752.png "No acute cardiopulmonary abnormality identified. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No acute bony changes.",,images/image_753.png No acute findings. Cardiac and mediastinal contours are within normal limits. Right chest tip in the low SVC. Right granulomatous disease. The lungs are clear. Bony structures are intact.,,images/image_754.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax.,,images/image_755.png No acute cardiopulmonary abnormalities are seen. END OF REPORT. and lateral views of the chest were obtained on 02/010/. The lung volumes are normal. The lungs are clear and there are no pleural effusions. There is stable mild tenting of the medial aspect of the right diaphragm. The mediastinum and pulmonary are normal. The bony elements are not remarkable.,,images/image_756.png "No acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Minimal streaky atelectasis the left lung base. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Thoracic spondylosis.",,images/image_757.png Stable cardiomegaly with no focal airspace disease. Stable mild thoracic levoscoliosis. Stable cardiomegaly. Multiple scattered round calcific densities represent old granulomatous disease. No pneumothorax or pleural effusion. No focal consolidation. Moderate degenerative changes of the thoracic spine.,,images/image_758.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_759.png "No acute findings Apical lordotic frontal view. Considering differences in technical factors stable cardiomediastinal silhouette with mild cardiomegaly. No focal alveolar consolidation, no definite pleural effusion seen. Dense left lower lung nodule suggests a previous granulomatous process. No typical findings of pulmonary edema.",,images/image_760.png No acute cardiopulmonary findings. The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic blunting to suggest large pleural effusion. Bony structures are within normal limits.,,images/image_761.png "1. No acute cardiopulmonary abnormalities. Stable mild interstitial prominence. Normal and stable cardiomediastinal contours. No pneumothorax, pleural effusions or significant pulmonary edema. No focal lung consolidation. Stable mild interstitial prominence and bilateral lung bases.",,images/image_762.png 1. Elevated left diaphragm. 2. No focal airspace disease. 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. Left hemidiaphragm is elevated.,,images/image_763.png 1. No acute cardiopulmonary abnormalities. Normal cardiac contour. Clear hyperexpanded lungs bilaterally with no pneumothorax or pleural effusion.,,images/image_764.png No acute cardiopulmonary abnormality. Normal heart size mediastinal contours. Eventration of the right hemidiaphragm. No focal airspace consolidation. No pleural effusion or pneumothorax.,,images/image_765.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_766.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. No focal airspace consolidation or pleural effusion.",,images/image_767.png "No acute cardiopulmonary abnormality. Normal heart size and mediastinal contours. No focal airspace consolidation. No pneumothorax or pleural effusion. Mild dextro curvature of the lower thoracic spine, this may be positional. Visualized bony structures are otherwise unremarkable.",,images/image_768.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are hyperexpanded. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_769.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. Left shoulder arthroplasty is noted. Old left rib fractures.,,images/image_770.png "Stable appearance of the chest There is a stable closure device projected over the heart. The heart and mediastinum are otherwise normal. There is stable scarring of left mid lung. The lungs are otherwise clear. There is no infiltrate, effusion, mass or pneumothorax.",,images/image_771.png 1.Lucency in the left lateral clavicle near the acromioclavicular joint. Metastatic disease is possible. 2. Clear lungs The lungs appear clear. There are no suspicious pulmonary nodules or masses. density in the left lung base represents atelectasis or scarring. The heart and very are normal. Pleural spaces are clear. Surgical clips are identified in the left axilla. There is lucency involving the lateral aspect of the left clavicle. Metastatic disease cannot be excluded.,,images/image_772.png 1. Chest. No radiographic evidence of acute cardiopulmonary abnormality. 2. Abdomen. Nonobstructive bowel pattern. Chest. Normal heart size. Mediastinal silhouette is unremarkable. No focal infiltrates or masses. No pneumothorax or visible pleural fluid. No free intraperitoneal air in the diaphragm. Osseous structures unremarkable. Abdomen: There are no dilated loops of bowel to suggest obstruction. No air-fluid levels or free intraperitoneal air. No suspicious calcifications. There is curvature of the thoracolumbar spine. Otherwise the osseous structures are grossly unremarkable.,,images/image_773.png No acute cardiopulmonary abnormality. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_774.png "No acute cardiopulmonary abnormality. Normal heart size. Prominent contour of the ascending aorta, consistent with ectasia. Normal mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Minimal degenerative changes of the thoracic spine.",,images/image_775.png "1. No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. Atherosclerotic calcification of the aorta. No focal airspace consolidation, pleural effusions or pneumothorax. Questionable thin-walled cavitary lesion in the right lower lobe, only seen on the AP view and may represent artifact. No acute bony abnormalities.",,images/image_776.png "1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax. Bilateral prominent lung vascularity medially, unchanged.",,images/image_777.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_778.png No acute cardiopulmonary abnormality. 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. Stable left mid lung granuloma.,,images/image_779.png "1. Bilateral lower lung airspace disease right greater than left, most representing acute infectious process. 2. Widening of the mediastinum, secondary to lymphadenopathy related to sarcoid, or possibly reactive adenopathy. 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.",,images/image_780.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_781.png "1. Hyperinflated lungs, air trapping versus inspiratory . 2. Question mild right atrial enlargement, no findings to suggest pulmonary edema. Lungs mildly hyperinflated with flattened posterior diaphragm and increased retrosternal airspace. No focal alveolar consolidation, no definite pleural effusion seen. Left hilar calcifications and dense left lower lobe nodules suggest a previous granulomatous process. Overall heart size within normal limits with prominent right atrial convexity, no typical findings of pulmonary edema. No pneumothorax.",,images/image_782.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_783.png pulmonary edema and left basilar atelectasis/airspace disease. Central vascular prominence and diffuse bilateral interstitial and alveolar opacities. Left basilar airspace opacities. No pneumothorax. Heart size large. unremarkable. No large pleural effusion.,,images/image_784.png No evidence of active disease. The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. Mild degenerative changes of the spine.,,images/image_785.png "Normal chest. Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_786.png 1. No evidence of active disease. 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. Right -a- remains in .,,images/image_787.png "1. Cardiomegaly without heart failure. 2. Low lung findings. Left retrocardiac opacities, subsegmental atelectasis. Apparent cardiomegaly at partially accentuated by low lung volumes. Relative elevation right hemidiaphragm. Streaky left retrocardiac densities. No pneumothorax or large pleural effusion. Surgical clips near the gastroesophageal junction. Negative for acute bone abnormality.",,images/image_788.png No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,,images/image_789.png No acute findings. Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications and mediastinum. The lungs are clear. Bony structures are intact.,,images/image_790.png Persistent bibasilar airspace disease and bilateral pleural fluid. Consolidation and costophrenic blunting persists in both lower lobes. Heart and pulmonary remain normal. No infiltrates.,,images/image_791.png No acute cardiopulmonary abnormality. . Heart is at the upper limits of normal size. Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal pulmonary vascularity.,,images/image_792.png "No acute cardiopulmonary findings. The heart size is within normal limits. There is ectasia/tortuosity of the thoracic aorta. Calcified hilar lymph . Irregular calcific density projecting over the left lower lobe, stable since and may represent mitral annular calcifications. No focal airspace consolidation, pleural effusions or pneumothorax. Degenerative changes of the thoracic spine. No acute bony abnormalities.",,images/image_793.png No acute cardiopulmonary abnormality. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Multiple healed bilateral rib fractures. No acute bony abnormality is identified.,,images/image_794.png "1. Stable cardiomegaly without acute cardio pulmonary process. Heart size is enlarged but stable. Stable sequela prior granulomatous disease. Stable sternotomy with fracture of the superior-most sternotomy .. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.",,images/image_795.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_796.png "Patchy opacities in right upper lobe, concerning for pneumonia, given history. Right paratracheal density possibly reactive lymphadenopathy. Followup evaluation to resolution is recommended. The heart is normal in size. There is right paratracheal density concerning for lymphadenopathy. There are patchy right upper lobe streaky opacities. The remainder of the lungs are clear. There is no pleural effusion.",,images/image_797.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_798.png 1. No acute radiographic cardiopulmonary process. This is a stable normal cardiomediastinal silhouette. The lungs are mildly hyperexpanded. Some blunting of the left costophrenic represent scarring or atelectasis. No large pneumothorax or effusion. There are no acute osseous abnormalities.,,images/image_799.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. The previously seen right upper lobe mass lesion is not seen in study. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_800.png "Prominent interstitial markings, represent bronchiolitis. No focal areas of consolidation. . Prominent interstitial markings. There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.",,images/image_801.png No acute pulmonary findings. Normal heart size. Clear lungs. Degenerative this disease within the spine. Prosthetic right shoulder. Possible body in the axillary recess of the left shoulder. Degenerative left glenohumeral osteoarthritis.,,images/image_802.png No acute cardiopulmonary findings. Heart size normal. No focal airspace disease. No pneumothorax or effusions.,,images/image_803.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion or pneumothorax. Normal heart size. Bony thorax and soft tissues unremarkable",,images/image_804.png No acute cardiopulmonary abnormalities. The heart is normal in size and contour. There is no mediastinal widening. Low lung volumes. No focal airspace disease. No large pleural effusion or pneumothorax. The are intact.,,images/image_805.png No acute cardiopulmonary abnormality. 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.,,images/image_806.png 1. No acute cardiopulmonary abnormality. 2. Technically limited exam. 3. Incidental note of large cervical spine osteophytes. . Normal heart size and mediastinal contours. Low lung volumes mild bibasilar atelectasis. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance. The lateral views are limited by patient positioning and motion. Large cervical spine osteophytes.,,images/image_807.png "Normal chest x-. The trachea is midline. The cardiomediastinal silhouette is normal. Lung are clear without evidence of effusion, infiltrate, or pneumothorax. Visualized bony structures are intact. Visualized soft tissues appear normal.",,images/image_808.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There are calcified granulomas at the right perihilar regions appear stable. There are significant degenerative osteophytes of the thoracic spine also appear stable.",,images/image_809.png No acute cardiopulmonary abnormality seen on chest x-. No pneumothorax. The trachea is midline. 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 abnormalities.,,images/image_810.png No acute cardiopulmonary abnormalities. 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. There is dextroscoliosis of the lower thoracic spine.,,images/image_811.png "1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is surgical clips projected over the left lung apex, as well as, over the right upper quadrant of the abdomen.",,images/image_812.png Negative for acute cardiopulmonary disease. Stable appearance of lower cervical fusion . Heart size normal. No pneumothorax or pleural effusion. No focal airspace disease. Calcified nodules consistent with chronic granulomatous disease. Bony structures appear intact. DISH of the thoracic spine.,,images/image_813.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_814.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_815.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_816.png No acute findings. Normal heart. Clear lungs. No pneumothorax. No pleural effusion.,,images/image_817.png "1. Emphysematous change without evidence of acute cardiopulmonary process. Cardiomediastinal silhouette is within normal limits for size and contour. Lungs are hyperinflated with flattening of the diaphragms consistent with emphysematous change. No evidence of focal airspace disease, pleural effusion, or pneumothorax. Multilevel degenerative changes of the spine are noted.",,images/image_818.png No acute pulmonary disease. Evaluation for pneumothorax is limited due to exclusion of the superior-most pulmonary apices. No visible pleural . No focal air space opacities or pleural effusion. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air. Mild degenerative changes of the thoracic spine. Included osseous structures are grossly intact.,,images/image_819.png Clear lungs. Lungs are clear without focal consolidation. No suspicious pulmonary nodules identified. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_820.png "Changes of chronic lung disease without acute cardiopulmonary abnormality. There is minimal hyperexpansion and hyperlucency of the lungs suggestive of chronic lung disease, without focal consolidation, pneumothorax, or effusion identified. opacity in the left subsegmental atelectasis. Cardiomediastinal silhouette is grossly stable and within normal limits, with mild tortuosity and atherosclerosis of the thoracic aorta. Multilevel degenerative disc disease of the thoracolumbar spine noted without acute bony abnormality.",,images/image_821.png No acute cardiopulmonary findings. Heart size is within normal limits. No focal airspace disease. No pneumothorax or effusion.,,images/image_822.png "Mild emphysema. Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Hyperexpanded lungs. Normal heart size. Bony thorax and soft tissues grossly unremarkable.",,images/image_823.png Small right juxtahilar opacity may represent infiltrate in the setting of . Followup chest x- is recommended at an appropriate interval following treatment to document . The heart is not enlarged. The central pulmonary vasculature is not engorged. Visualized osseous structures are unremarkable. No pneumothorax or pleural effusion. Small right juxtahilar opacity may represent infiltrate. Lungs are otherwise well aerated.,,images/image_824.png "1. Cardiomegaly, question small bilateral pleural effusions 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, differential diagnosis includes infectious and inflammatory processes. Stable enlargement of the cardiac silhouette, lateral view interlobar fissural thickening. Interstitial opacities greatest in the central lungs and bases.",,images/image_825.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_826.png "1. Redemonstration of diffuse bilateral pulmonary fibrosis with relative sparing of the bilateral lung apices. No focal pulmonary consolidation. . The cardiomediastinal silhouette appears irregular secondary to the diffuse bilateral pulmonary interstitial disease. The thoracic aorta is tortuous. Calcified lymph are demonstrated in the left hilum. No focal pulmonary consolidation. Diffuse increased bilateral pulmonary interstitial markings, consistent with the patient's history of known pulmonary fibrosis, with relative sparing of the bilateral lung apices. No pneumothorax or pleural effusion demonstrated. The thoracic spine appears intact.",,images/image_827.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. Calcified left suprahilar . The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_828.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_829.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. No change in a small calcified right apical granuloma. Heart and mediastinum normal.,,images/image_830.png "Probable mild cardiomegaly, without evidence of acute failure. No focal airspace disease. . The cardiac silhouette is mildly enlarged and appears mildly increased in size from the study. There is normal caliber pulmonary vasculature. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There is no evidence of pulmonary edema.",,images/image_831.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_832.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_833.png No evidence of active disease. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.,,images/image_834.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_835.png "1. No acute radiographic cardiopulmonary process. Normal heart size and hilar vascular markings. Evidence of prior granulomatous disease. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax. There are no acute osseous abnormalities present. Mild degenerative changes of the thoracic spine. The soft tissues are within normal limits.",,images/image_836.png "1. Large left hydropneumothorax, with complete collapse of the left lung. 2. Airspace and interstitial opacity within the right upper and lower lobes. Possible apical cavitation. Tuberculosis should be excluded clinically. 4 images. There is a large hydropneumothorax within the left chest. There is essentially complete collapse of the left lung. Within the right lung, there are increased interstitial opacities within the medial right lung base and right upper lobe, with patchy airspace opacity within the right lung apex. At the right lung apex, there is a more focal ovoid lucency which measures approximately 1.3 cm. This could indicate cavitation. Left-sided cardiomediastinal contours are obscured by collapse of the left lung. No convincing acute bony findings.",,images/image_837.png Right IJ catheter tip in proximal right atrium. No pneumothorax. The heart is borderline in size. The aorta is mildly tortuous. right IJ catheter is in with tip in proximal right atrium/cavoatrial junction. There is no pneumothorax. Lungs are grossly clear. There is no large effusion.,,images/image_838.png "No acute cardiopulmonary abnormality.. 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.",,images/image_839.png "Small streaky opacity lateral right lung, subsegmental atelectasis versus scarring. Heart is within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild streaky opacity lateral right lung, atelectasis versus scarring.",,images/image_840.png "1. No active disease. Specifically, no radiographic evidence for tuberculosis. 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..",,images/image_841.png No evidence of active disease. 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.,,images/image_842.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_843.png "No acute cardiopulmonary disease. The heart, pulmonary 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.",,images/image_844.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. There is again biapical scarring. Small stable calcified left lower lobe granuloma. The lungs are otherwise clear.,,images/image_845.png 1. No acute radiographic cardiopulmonary process. Heart size is upper limits of normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_846.png No acute findings. Cardiac and mediastinal contours are within normal limits. Emphysematous changes are present. The lungs are free of active disease. Deformed right ribs. Thoracic spondylosis.,,images/image_847.png No acute cardiopulmonary abnormality. . There is no focal airspace consolidation or pleural effusion. Heart size is normal. No pneumothorax.,,images/image_848.png Possible area of pneumonitis right lower lobe. There may be a subtle airspace opacity in the right base near the midclavicular line. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_849.png "No acute process. Stable cardiomegaly. There is stable mild cardiomegaly without significant pulmonary vascular congestion. They're stable tortuosity of the aorta. There is no acute pulmonary consolidation, large effusion or pneumothorax.",,images/image_850.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_851.png "Unremarkable chest x-. . The cardiac silhouette, mediastinum, and pulmonary vasculature are within normal limits. Lungs are clear. No pleural fluid or pneumothorax is appreciated.",,images/image_852.png "Small left retrocardiac opacity, may represent minimal atelectasis or small focus of airspace disease. Normal cardiomediastinal contours. No pneumothorax or large pleural effusions. Small focal retrocardiac lung opacity.",,images/image_853.png No acute cardiopulmonary abnormality. There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No pneumothorax.,,images/image_854.png "No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. Stable opacity in the left base, scarring or atelectasis. Rounded calcified density in the left lung base, calcified granuloma. No consolidation. No pleural effusion or pneumothorax. Stable degenerative changes of the spine.",,images/image_855.png 1. Stable moderate cardiomegaly with prominent central pulmonary vasculature. 2. Improved left basilar atelectasis or infiltrate. Stable moderate cardiomegaly. Mediastinal contours are unchanged. Stable prominence of the central pulmonary vasculature with coarse central interstitial markings. Decreased left basilar airspace disease. No visible pleural effusion or pneumothorax.,,images/image_856.png "1. Borderline enlargement of cardiac silhouette, otherwise no acute cardiopulmonary abnormality. No evidence for active TB. Low lung volumes with redemonstrated bronchovascular crowding. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The cardiac silhouette size is borderline enlarged.",,images/image_857.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrates stable mild multilevel degenerative disc disease of the thoracolumbar spine as well as chronic left-sided rib fractures without acute abnormality.",,images/image_858.png Normal chest. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,,images/image_859.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. Calcified granuloma in the left midlung. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.",,images/image_860.png "No acute cardiopulmonary abnormality. . No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . intact. Chondral cartilages causing over the anterior lungs on lateral view.",,images/image_861.png "Chronic lung changes without acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic . Minimal densities, left lung base. Hyperexpanded lungs. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_862.png Lungs appear relatively clear on today's exam. No significant interval change since the prior study and . The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_863.png "Mild cardiomegaly without heart failure. Mild cardiomegaly. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_864.png No acute cardiopulmonary abnormality. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_865.png No acute cardiopulmonary abnormality. Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal heart size. Normal pulmonary vascularity. Bony thorax intact.,,images/image_866.png No acute cardiopulmonary abnormality. Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality. There is incompletely evaluated lumbar levoscoliosis.,,images/image_867.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_868.png 1. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.,,images/image_869.png No acute cardiopulmonary abnormality. . There are low lung volumes. The lungs are otherwise clear. Heart size is normal. No pneumothorax.,,images/image_870.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_871.png "Chest: No acute cardiopulmonary finding. Right knee: Severe tricompartmental degenerative changes without fracture or dislocation. Left knee: Severe medial compartment degenerative changes. Chest: The heart is normal size with normal appearance of the cardia mediastinal silhouette. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are mild degenerative changes and thoracic spine. Right knee: There are severe tricompartmental degenerative changes with obliteration of the joint spaces. There is no fracture or dislocation. Left knee: There is joint space loss most prominent in the medial compartment. The of lateral view and limits evaluation for an effusion or the patellofemoral joint space. There is no fracture or dislocation.",,images/image_872.png No acute cardiopulmonary process. . 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.,,images/image_873.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present.,,images/image_874.png Right mid lung mass with mild right paratracheal soft tissue may be secondary to associated lymphadenopathy. Further imaging with CT of the chest is recommended. The heart is normal in size. Prominent right paratracheal soft tissue density. Rounded mass in the right middle lobe measures approximately 4.6 cm x 3.7 cm. There is mild surrounding airspace disease and/or atelectasis. No pleural effusions noted. The visualized bony thorax appears grossly intact.,,images/image_875.png "No acute cardiopulmonary abnormality. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.",,images/image_876.png "1. No acute cardiopulmonary abnormality. Well circumscribed 11 mm right upper lobe nodule, unchanged appearance from previous examination 7 years ago. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal. Redemonstrated syndesmophyte.",,images/image_877.png Persistent cardiomegaly and patchy bibasilar interstitial disease. The patchy right lower lobe and left lower lobe interstitial infiltrates are largely unchanged in the interval. No infiltrates. Heart size remains large. Tracheostomy tube remains in the trachea. A right central line has its tip at the superior .,,images/image_878.png "KUB 1. There are numerous air-filled dilated loops of small bowel over the mid abdomen. These findings are consistent with small bowel obstruction. Chest 1. Left basilar airspace disease, atelectasis. . KUB. Centered over the mid abdomen there are multiple air-filled dilated loops of small bowel measuring the of which measure up to about 3.7 cm in diameter. There is also an extremely dilated in the same region which measures 5.9 cm in diameter. There is extensive soft tissue pannus. Prior abdominal surgery. Chest. There is 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.",,images/image_879.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Granulomatous sequela are noted. The lungs are otherwise clear.,,images/image_880.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal airspace opacity in the right middle lobe, atelectasis. The lungs are otherwise clear of focal airspace disease. There is no pneumothorax or pleural effusion. There is mild tortuosity of the thoracic aorta with atherosclerotic calcification of the aortic . There are moderate degenerative endplate changes in the thoracic spine. There are no acute bony findings.",,images/image_881.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild chronic degenerative changes are present in the spine.",,images/image_882.png "1. No acute cardiopulmonary disease. 2. Emphysematous changes 3. Retained contrast within the renal collecting . There is hyperexpansion with mild flattening of diaphragm. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal. Contrast retained within the renal collecting .",,images/image_883.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_884.png "No focal lung opacity, pleural effusion of pneumothorax. Minimal subsegmental atelectasis posteriorly. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.",,images/image_885.png "No acute cardiopulmonary abnormality identified. 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 acute bony changes.",,images/image_886.png "At 2 right lung pulmonary nodules concerning for
metastatic disease Two nodules are noted in the right measuring 13 mm and one measuring 16 mm in diameter. The smaller one appears to be within the right upper lobe and the large appears to be within the left lower lobe. No focal consolidation and no other pulmonary nodules are identified. However, if a full evaluation for lung nodules is desired consider for further evaluation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.",,images/image_887.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_888.png "No acute cardiopulmonary disease. . 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.",,images/image_889.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_890.png 1. Marked cardiomegaly. 2. Low lung volumes. There is marked cardiomegaly. There is questionable dilation of the pulmonary arteries. Low lung volumes. No focal airspace consolidation. No pleural effusion or pneumothorax. Prominent interstitial markings are due to low lung volumes. Elevated right hemidiaphragm.,,images/image_891.png "1. No acute cardiopulmonary disease. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. are grossly unremarkable.",,images/image_892.png "No acute cardiopulmonary findings. Specifically, no radiographic evidence of tuberculosis. Heart size within normal limits. No focal airspace disease. No pleural effusion. No pneumothorax.",,images/image_893.png No acute cardiopulmonary abnormality. The aortic is mildly tortuous. 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. Large body habitus.,,images/image_894.png 1. Ill-defined oblong opacity in the lateral right base. This may represent pleural based process. The exact is unclear. Followup exam is suggested to confirm clearing or stability. Heart size and pulmonary vascularity appear within normal limits. Calcified granuloma is present in the right base. No pneumothorax or pleural effusion is seen. In the lateral right base is identified an ill-defined somewhat oblong opacity. This was not present on the previous study. The remainder of the lungs appear clear.,,images/image_895.png "No acute cardiopulmonary findings Apical lordotic frontal view. Heart size within normal limits, mild aortic ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Chronic appearing contour irregularity of the distal left clavicle and widening may be posttraumatic or postsurgical, verterbroplasty noted at the thoracolumbar junction.",,images/image_896.png Right upper lobe pneumonia. Heart size is stable. There is focal airspace consolidation in the lateral aspect of the right upper lobe. There is no pneumothorax or effusion. No acute bony abnormalities.,,images/image_897.png No acute pulmonary disease. There is a calcified granuloma in the right midlung zone. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. Surgical clips are present in the right upper quadrant.,,images/image_898.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_899.png Posterior airspace opacity consistent with developing infection. Midline sternotomy identified. Heart size and cardiomediastinal silhouette are grossly normal. Airspace opacity in posterior segment on the lateral view. Osseous structures are grossly intact.,,images/image_900.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_901.png No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules or adenopathy identified.,,images/image_902.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_903.png Hypoinflation with no visible active cardiopulmonary disease. Lung volumes are low. No focal infiltrates. Heart and pulmonary normal. An indwelling catheter from the left has its tip at the superior .,,images/image_904.png "Negative for acute cardiopulmonary disease. No pneumothorax, pleural effusion, or focal airspace disease. Heart size normal. Cardiomediastinal silhouette stable. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.",,images/image_905.png No acute cardiopulmonary abnormalities. 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. There is dextroscoliosis of the lower thoracic spine.,,images/image_906.png "1. Negative for acute cardiopulmonary findings. No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. is intact.",,images/image_907.png "No acute abnormality. Low volumes for the opportunity to assist in the care of your patient. If there are any questions about this examination please . , certified radiologist, at . . 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.",,images/image_908.png "1. No acute cardiopulmonary process. 2. Large hiatal hernia. The cardiomediastinal silhouette is within normal limits. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality. Large hiatal hernia.",,images/image_909.png No acute cardiopulmonary finding. Lungs are clear. Heart size normal. The are unremarkable.,,images/image_910.png No acute pulmonary findings. Cardiac and mediastinal contours are within normal limits. Large calcified granulomas in the right hilum. The lungs are otherwise clear. Prior anterior cervical fusion.,,images/image_911.png No evidence of active disease. There are scattered calcified granulomas. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.,,images/image_912.png "No focal lung consolidation. COPD. The lungs are hyperexpanded, consistent with COPD. Mild cardiomegaly. No focal lung consolidation. No pneumothorax or pleural effusion. Pulmonary vascularity is within normal limits. Mild degenerative changes of the thoracic spine. Aortic calcifications consistent with atherosclerotic disease.",,images/image_913.png No acute cardiopulmonary disease The lungs appear clear. The heart and pulmonary are normal. Pleural spaces are clear. Mediastinal contours are normal. Patient status post sternotomy and CABG.,,images/image_914.png Limited study but no evidence for acute pulmonary disease. This study is limited by the patient body habitus. Lungs appear to be clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_915.png "Mild cardiomegaly without heart failure. Mild cardiomegaly. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_916.png "1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. There are two subcentimeter hyperdense nodular opacities are noted within the right lung. These may represent on end or alternatively, calcified granulomas. The lungs are clear without infiltrate. There is no effusion or pneumothorax.",,images/image_917.png No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,,images/image_918.png "No radiographic evidence of acute cardiopulmonary disease Heart , mediastinum, , bony structures and lung are unremarkable.",,images/image_919.png "1. Right upper lobe pulmonary nodule, granuloma. The heart size is within normal limits. Cardiomediastinal contour is normal. There is a right upper lobe nodule measuring 8 mm in diameter. Trachea is midline. The lungs otherwise clear. and soft tissues are unremarkable.",,images/image_920.png Findings of COPD with right lung base focal atelectasis. No evidence for failure or pneumonia. No change lung . opacities are present in the right lower lobe. No focal infiltrates. Heart and mediastinum are unremarkable. Aorta normal.,,images/image_921.png "No acute findings. . 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.",,images/image_922.png No evidence of active disease. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.,,images/image_923.png There is no evidence of acute cardiopulmonary disease. . The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no of a large pleural effusion. There is no evidence of pneumothorax.,,images/image_924.png "No acute cardiopulmonary abnormality. 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.",,images/image_925.png "1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. Calcified lymph are identified in the left infrahilar region. No pneumothorax. No pleural effusion. No acute, displaced rib fractures identified.",,images/image_926.png "Negative for acute cardiopulmonary findings. Heart size and cardiomediastinal silhouette are normal. Mild tortuosity of the aorta. Low lung volumes, however lungs are grossly clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures grossly intact.",,images/image_927.png "No acute cardiopulmonary abnormality. No fracture visualized. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. The visualized bony structures appear intact. There is a radiodensity overlying the right shoulder which is external to the patient however clinical correlation recommended. Scattered calcified granulomas.",,images/image_928.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Left subclavian central catheter tip in distal SVC. No pneumothorax. The lungs are clear.,,images/image_929.png "No acute cardiopulmonary abnormalities. Heart size, mediastinal contour, and pulmonary vascularity are similar to comparison exam and within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_930.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. No focal airspace consolidation or pleural effusion.",,images/image_931.png Emphysema without acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated. There is biapical scarring. No acute infiltrate or pleural effusion seen.,,images/image_932.png 1. Moderate right pleural effusion. Moderate sized right loculated pleural effusion with right lower lobe atelectasis. Normal cardiac contour with atherosclerotic changes throughout the aorta. Clear left lung .,,images/image_933.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_934.png " onset right basal chest infection onset right basal atelectasis with airspace disease and effusion suggestive of the chest infection. Stable cardiomegaly and features of CABG. Interval removal of left PICC line, no pneumothorax.",,images/image_935.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_936.png No acute cardiopulmonary findings. The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.,,images/image_937.png "Minimal left base atelectasis/infiltrate. Otherwise, stable exam. Mild cardiomegaly unchanged. Stable superior mediastinal contour with tortuous aorta. Normal pulmonary vascularity. Unchanged elevated right hemidiaphragm with minimal right base subsegmental atelectasis. Minimal left basal airspace opacity. Unchanged blunting of the right lateral costophrenic , scarring versus effusion. No pneumothorax. No acute osseous findings.",,images/image_938.png No acute cardiopulmonary finding. Lungs are clear. Heart size normal. The are unremarkable.,,images/image_939.png "1. Cardiomegaly, vascular congestion and probable mild interstitial edema. 2. Bibasilar airspace disease, bilateral pleural effusions, right greater than left. There is stable cardiomegaly with pulmonary vascular congestion and probable mild interstitial edema. There are bilateral pleural effusions with bibasilar airspace disease, right greater than left. There is no pneumothorax. There are no acute bony findings.",,images/image_940.png Chest. 1. Cardiomegaly with possible pericardial effusion. 2. No evidence for pulmonary edema or pneumonitis. KUB. 1. Nonspecific abdomen. Chest: The heart is enlarged. There may be a pericardial effusion. No definite pulmonary edema is seen. Lungs appear clear. There is no pleural effusion. The skeletal structures and soft tissues are unremarkable. KUB : single view of the abdomen was obtained. The bowel pattern is nonspecific. There is no evidence for obstruction or free intraperitoneal air. No large soft tissue masses or organomegaly are identified. The skeletal structures appear normal.,,images/image_941.png No evidence of active disease. Heart size and pulmonary vascularity appears normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Callus or granulomas identified. Left -A- remains in .,,images/image_942.png No evidence of acute cardiopulmonary process. Mild cardiomegaly. Tortuous thoracic aorta with atherosclerosis. No pneumothorax or pleural effusion. Degenerative changes in the thoracic spine without evidence of deformity. The visualized osseous structures are intact. No displaced rib fractures. No edema or airspace consolidation,,images/image_943.png 1. Moderate right-sided pneumothorax measuring approximately 3.3 cm in the right apex. 2. Minimally displaced right lateral 8th rib fracture probable nondisplaced right lateral 7th rib fracture. There is a moderate right-sided pneumothorax measuring approximately 3.3 cm in the right apex. There is a minimally displaced right lateral 8th rib fracture and probable nondisplaced right lateral 7th rib fracture. Cardiomediastinal silhouette is within normal limits. Left lung is clear.,,images/image_944.png "Mild emphysema. Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Hyperexpanded lungs. Normal heart size. Bony thorax and soft tissues grossly unremarkable.",,images/image_945.png No acute or pulmonary abnormality. Normal heart size and mediastinal contours. Calcified aortic . No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable appearance.,,images/image_946.png "1. Chest. No active disease. 2. Lumbar spine negative. Chest. Both lungs are clear and expanded with no pleural air collections or parenchymal consolidations. Heart and mediastinum remain normal. Lumbosacral spine. , disc spaces, and alignment are normal. Sacrum and sacroiliac joints are normal.",,images/image_947.png "No acute changes from prior imaging. 2 images. Moderate thoracic dextroscoliosis, similar to prior imaging. Heart size is normal. No focal airspace consolidation is seen within the lungs. No pleural effusion or pneumothorax.",,images/image_948.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_949.png "Unremarkable examination. Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, pneumothorax. No acute bony abnormality. No lymphadenopathy.",,images/image_950.png "1. Stable chest with no acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. Mild congestion without edema. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Redemonstrated are endplate depressions of the vertebral bodies, compatible with cell changes.",,images/image_951.png "Chronic changes of emphysema. No acute findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated with flattening of the hemidiaphragms. Coarsened interstitial testes appear chronic and compatible with emphysema. There is minimal scarring or atelectasis in the left lung base. The lungs are otherwise clear of focal infiltrate, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_952.png "1. Right lower lobe pulmonary nodule. for better characterization. 2. No acute pulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. There is a 9 mm right lower lobe pulmonary nodule, not seen on prior exams. There are posttraumatic deformities of the right posterior ribs. No focal airspace consolidation or effusion. No pneumothorax.",,images/image_953.png "No acute cardiopulmonary disease. . 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.",,images/image_954.png No acute findings. Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are clear. Bony structures are intact.,,images/image_955.png No acute cardiopulmonary findings. The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.,,images/image_956.png "Left base atelectasis. Lungs otherwise clear. . There is minimal opacity in the left lung base, representing atelectasis. The lungs are otherwise clear. Heart size is normal. No pneumothorax.",,images/image_957.png COPD and probable right basilar scarring. No acute pulmonary disease identified. There is hyperinflation. There is some subtle scarring in the lateral right base. 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.,,images/image_958.png "Emphysematous changes without evidence of focal airspace disease or pulmonary edema. PA and moderate loss of the chest demonstrate stable moderate cardiomediastinal silhouette with atherosclerotic calcifications of the aortic and mild aortic ectasia. Emphysematous changes with flattening of the hemidiaphragms. Blunting of the costophrenic , and secondary to scarring/emphysematous changes. No evidence of focal airspace consolidation large pleural effusion or pneumothorax. Visualized osseous structures appear intact.",,images/image_959.png "1. No acute cardiopulmonary abnormality. 2. No suspicious masses or nodules. 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. are unremarkable.",,images/image_960.png "Small bilateral pleural effusions. . Prominent interstitial markings. There are small bilateral pleural effusions. No pneumothorax or focal consolidation. Normal heart size. Catheter tubing present in the upper midabdomen. There is bilateral acromioclavicular degenerative joint disease, right greater than left.",,images/image_961.png "1. No acute cardiopulmonary process. 2. Age indeterminant grade 1 anterior wedge deformity of L1. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. There is a mild anterior wedge deformity of L1, age-indeterminate.",,images/image_962.png "No acute cardiopulmonary findings. 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 corticated irregularity of the right posterior 5th rib, secondary to old rib fracture. There are no gross acute bony findings.",,images/image_963.png "Obscuration of the bilateral lung bases, combination of atelectasis, infiltrate, effusions. There is obscuration of the bilateral lung bases with lower lung volumes compared to prior examination. Stable atelectatic/fibrotic changes of the visualized lung, and stable left-sided calcified granuloma. No acute osseous abnormalities identified. Cardiomediastinal silhouette unremarkable.",,images/image_964.png 1. Ill-defined opacity in the lingula. Increased since the previous study. May represent increased atelectasis or scarring. The heart size size and pulmonary vascularity appear within normal limits. Ill-defined opacity is again noted in the region of the lingula. This is increased since the previous study. The remainder of the lungs appear clear. Mild deformity is noted in the mid-thoracic spine. No pneumothorax or pleural effusion is seen.,,images/image_965.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Mild pectus excavatum deformity is noted. The lungs are clear.,,images/image_966.png "No acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is a right chest with central venous catheter tip overlying the high SVC. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.",,images/image_967.png 1. Hyperexpanded lungs consistent with emphysema. 2. No evidence of acute disease. The heart size and pulmonary vascularity appear within normal limits. There has been clearing of left base airspace opacities. The lungs now appear clear. No pneumothorax or pleural effusion is seen. The lungs appear hyperexpanded consistent with emphysema.,,images/image_968.png No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Mild prominence left hilar contour. Bony structures are intact.,,images/image_969.png "1. densities in left base may be compatible with scarring or subsegmental atelectasis 2. Abnormal opacity in the right base due at in part to atelectasis with right hemidiaphragm eventration, question small right pleural effusion Atrial septal occluder artifact. Rotated frontal position, overall heart size within normal limits, no typical findings of pulmonary edema. densities in the left base, small focal opacity in the right base with focal posterior right hemidiaphragm elevation and obscured right costophrenic . Biapical pleuroparenchymal irregularities most compatible with scarring, chronic appearing right 5th rib contour deformity. No pneumothorax seen.",,images/image_970.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.",,images/image_971.png "Cardiomegaly, but no focal consolidation. The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is enlarged. There is no pneumothorax or large pleural effusion.",,images/image_972.png 1. No pneumothorax following removal of left-sided chest tubes. and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Removal of 2 left-sided chest tubes. There is no pneumothorax. Lungs demonstrate no acute findings. There is minimal posterior pleural effusions.,,images/image_973.png No acute cardiopulmonary disease The lungs appear clear. The heart and pulmonary are normal. Pleural spaces are clear. Mediastinal contours are normal. Patient status post sternotomy and CABG.,,images/image_974.png 1. Improved right mid lung and right basilar consolidation. 2. Decreasing right pleural effusion. There is significant interval decrease in right middle and right lower lobe opacification. Persistent small right pleural effusion and atelectasis. No pneumothorax. Stable appearance of the cardiomediastinal silhouette. No acute bone abnormality.,,images/image_975.png 1. No acute cardiopulmonary disease. 2. Acute anterior deformities at L1-L2. Please see CT of the lumbar spine for further details. The heart and mediastinum are unremarkable. There is a calcified granuloma within the left upper lobe. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There are acute mild anterior deformities identified at L1-L2. There is retropulsion of the posterior vertebral body of L1. A CT of the lumbar spine was already ordered at the time of this dictation.,,images/image_976.png "No radiographic evidence of acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. No suspicious pulmonary nodules or masses. Bony thorax and soft tissues grossly unremarkable.",,images/image_977.png "1. Clear lungs. No radiographic evidence of active TB. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. There is is a calcified opacity in the left lung base suggestive of old empyema, hematoma, or prior TB. No cavitary lesions are seen. are grossly unremarkable.",,images/image_978.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal airspace opacity in the right middle lobe, atelectasis. The lungs are otherwise clear of focal airspace disease. There is no pneumothorax or pleural effusion. There is mild tortuosity of the thoracic aorta with atherosclerotic calcification of the aortic . There are moderate degenerative endplate changes in the thoracic spine. There are no acute bony findings.",,images/image_979.png "KUB 1. There are numerous air-filled dilated loops of small bowel over the mid abdomen. These findings are consistent with small bowel obstruction. Chest 1. Left basilar airspace disease, atelectasis. . KUB. Centered over the mid abdomen there are multiple air-filled dilated loops of small bowel measuring the of which measure up to about 3.7 cm in diameter. There is also an extremely dilated in the same region which measures 5.9 cm in diameter. There is extensive soft tissue pannus. Prior abdominal surgery. Chest. There is 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.",,images/image_980.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. The pleural spaces are clear. Mediastinal contours are normal.,,images/image_981.png Perihilar opacities which may represent changes due to bronchiectasis. Vague nodular opacities in the right lung zone may represent dilated bronchi filled with mucous or possibly focal areas of peribronchial pneumonia. Right -A- is in . The heart size and pulmonary vascularity appear within normal limits. Some prominent perihilar opacities are present. Some vague small nodular opacities are present in the right upper lung zone. These are slightly more prominent than on the previous study. No pleural effusion or pneumothorax is seen.,,images/image_982.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is stable scarring in the right upper lobe. Lungs are otherwise clear. There is no focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_983.png "No acute cardiopulmonary abnormality.. 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.",,images/image_984.png Normal chest x-. The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no of a pleural effusion. There is no evidence of pneumothorax.,,images/image_985.png "No acute cardiopulmonary abnormality. Normal heart size. Clear, hyperaerated lungs. No pneumothorax. No pleural effusion. substernal density may be related to a pectus deformity.",,images/image_986.png "No evidence of acute cardiopulmonary process. Negative examination of the chest. 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.",,images/image_987.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Mild right basilar atelectasis and relative elevation of the right hemidiaphragm noted. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_988.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues unremarkable.",,images/image_989.png "Stable appearance of chest without active process evident and without evidence of progression of disease in patient with history of Hodgkin's lymphoma . If one would like to discuss this case further, please . at . Thanks. Stable appearance of chest with no findings of disease progression. Heart and mediastinum stable configuration. Stable elevation of left hemidiaphragm. Lungs clear of consolidation. No pneumothorax or pleural effusion. Bony thorax intact. Minimal spondylosis of the lower thoracic spine.",,images/image_990.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_991.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_992.png "1. Borderline heart size, stable. 2. Interval left subclavian pacemaker placed in satisfactory position. No pneumothorax. The heart is borderline in size. The mediastinum is stable. Small calcified lymph are seen. Dual- left subclavian pacemaker is identified in satisfactory position. The right hemidiaphragm is again elevated. There are streaky areas of atelectasis. No pleural effusion or pneumothorax are seen.",,images/image_993.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is mild eventration of right hemidiaphragm. No pleural effusion is seen.,,images/image_994.png "No acute cardiopulmonary abnormalities. 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 show no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.",,images/image_995.png "No acute process. The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax.",,images/image_996.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is stable scarring in the right upper lobe. Lungs are otherwise clear. There is no focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_997.png "Chest radiograph. 1. No acute radiographic cardiopulmonary process. 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..",,images/image_998.png "1. Stable mild cardiomegaly. 2. No evidence of active cardiopulmonary disease. Limited evaluation of the lateral view due to rotation and frontal view due to motion artifact. Stable mild cardiomegaly. Normal pulmonary vascularity. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusions. opacities are related to overlying soft tissues. The posterior sulci are clear. Degenerative changes of the spine.",,images/image_999.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Multilevel degenerative changes of the thoracic spine are noted.,,images/image_1000.png "1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.",,images/image_1001.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1002.png No active disease.. No visible cardiopulmonary injuries. change. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1003.png left lower lobe airspace disease. The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. airspace disease within the left lower lung. The remainder of the lungs are clear. There is no pleural effusion or pneumothorax. Surgical clips overlying the right breast.,,images/image_1004.png No acute cardiopulmonary findings. Three images submitted. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_1005.png "There is no evidence of acute cardiopulmonary disease. . Normal heart size. Stable position of 2 pacemaker electrodes, with a tip in the expected region of the right atrium and another tip in the expected region of the right ventricle. There is no pulmonary edema. There is no focal consolidation. There are no of pleural effusion. There is no evidence of pneumothorax. are unremarkable.",,images/image_1006.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The are unremarkable.",,images/image_1007.png No acute cardiopulmonary findings. Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,,images/image_1008.png "1. Probable residual left pneumothorax. 2. Stable streaky left basilar airspace disease, possibly atelectasis. There are persistent low lung volumes. There is stable streaky left lower lobe airspace disease. Probable residual left pneumothorax. No large pleural effusion. Stable cardiomediastinal contour. Left-sided rib fractures are better appreciated on the chest comparison.",,images/image_1009.png "1. Emphysema. 2. No acute cardiopulmonary abnormality. Heart size and mediastinal contours appear within normal limits. Hyperinflated lungs with flattening of diaphragms, compatible with emphysema. No focal consolidation, pleural effusion or pneumothorax. No acute bony abnormality.",,images/image_1010.png "1. Stable left lung consolidation, possibly infectious pneumonia and/or aspiration. Recommend followup radiographs after treatment to ensure complete resolution. 2. Stable mild residual medial right basilar airspace disease. Feeding tube passes below the left hemidiaphragm. Left subclavian central line tip is at the upper SVC. Shunt tubing courses along the anterior left hemithorax. There is grossly stable left lower lobe consolidation. Stable mild residual medial right basilar airspace disease. There is no pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. There are diffuse degenerative changes of the spine.",,images/image_1011.png "Chest. 1. No acute cardiopulmonary abnormality. Abdomen. 1. No acute intra-abdominal process. Negative for obstruction. 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 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 over the abdomen or pelvis. 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.",,images/image_1012.png No acute cardiopulmonary abnormality. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_1013.png left lower lobe airspace disease. The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. airspace disease within the left lower lung. The remainder of the lungs are clear. There is no pleural effusion or pneumothorax. Surgical clips overlying the right breast.,,images/image_1014.png "1. Prominence of left hilum which could be due to nodule/lymph node or superimposing blood . In the absence of prior studies for comparison, chest for further evaluation. Result notification Primordial. There is a 1.5 cm nodular opacity projecting over left hilum. The cardiac silhouette is within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no of pleural effusion. There is no evidence of pneumothorax. opacities representing surgical clips, in the midline at the level of the thoracic inlet.",,images/image_1015.png Negative for acute cardiopulmonary disease. Stable cardiomediastinal silhouette with borderline cardiomegaly. No pneumothorax or large pleural effusion. No focal airspace disease. Diffuse interstitial opacities. Bony structures appear intact. Nodular densities consistent with chronic granulomatous disease.,,images/image_1016.png "Improving lung volumes with bibasilar atelectasis. 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.",,images/image_1017.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Reduced lung volumes with basilar atelectasis. No focal airspace consolidation or pleural effusion.",,images/image_1018.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Right basilar calcified granuloma noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_1019.png Similar exam with changes of cystic fibrosis. No focal abnormality. . Right -A- tip overlies the mid SVC. Similar bronchiectatic changes with diffuse patchy airspace opacities. No pneumothorax or pleural effusion.,,images/image_1020.png "No acute abnormality. Heart size and mediastinal contour within normal limits. Atherosclerotic calcification of the aorta. Stable scattered calcified granulomas are noted. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",,images/image_1021.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_1022.png "Cardiomegaly, no acute pulmonary findings Heart size mildly enlarged. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax. S-shaped spine curvature noted.",,images/image_1023.png "No acute cardiopulmonary findings. The heart is mildly enlarged. Lung volumes are low. There is no focal consolidation, pneumothorax, or large pleural effusion. Bony structures are within normal limits. There is no free air under the diaphragm. There is a mild amount of seen in the transverse colon.",,images/image_1024.png No acute cardiopulmonary abnormality. Stable appearing bilateral calcified lymph . The cardiac silhouette and mediastinal contours are within normal limits. No focal opacity. No large pleural effusion. There is no pneumothorax.,,images/image_1025.png Tortuous thoracic aorta. Clear lungs. The heart size and pulmonary vascularity appear within normal limits. The thoracic aorta is tortuous. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,,images/image_1026.png 1. Worsening bibasilar subpleural interstitial opacities suggestive of interstitial lung disease. High-resolution would be recommended to evaluate these findings 2. No evidence of acute pneumonia opacities in the lung bases are slightly worse compared to prior study. Lung volumes are low. Heart size and pulmonary are normal. There no focal airspace opacities to suggest pneumonia. The patient is status post sternotomy. There calcifications of the thoracic aorta.,,images/image_1027.png "Age-indeterminate lower thoracic slight deformity otherwise negative exam. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There mild degenerative changes of the thoracic spine. There is a slight deformity of the lower thoracic body which is age-indeterminate.",,images/image_1028.png "1. No pneumothorax or pleural effusion. 2. Right middle lobe infiltrate. Normal cardiac contours. No pneumothorax or pleural effusions. Clear left lung . Right middle lobe with increased opacities, representative of infiltrate.",,images/image_1029.png "No acute cardiopulmonary disease. . 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.",,images/image_1030.png 1. Continued innumerable bilateral small lung nodules. No change. Heart size and pulmonary vascularity appear within normal limits. Innumerable bilateral lung nodules are present. These are seen diffusely throughout both lungs. No superimposed focal airspace disease is seen. No pleural effusion or pneumothorax is identified. Scoliosis is present.,,images/image_1031.png "No acute cardiopulmonary abnormalities. The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. Mild dextro curvature of the thoracic spine, possibly positional.",,images/image_1032.png 1. Small right pleural effusion. Increased. 2. No pneumothorax is seen. 3. Scattered of right base atelectasis. The heart size and pulmonary vascularity appear within normal limits. Right pleural effusion is present and appears increased. No pneumothorax is identified. Some scattered of right base atelectasis are seen. Surgical remain in . The left lung appears clear.,,images/image_1033.png "1. Large left hydropneumothorax, with complete collapse of the left lung. 2. Airspace and interstitial opacity within the right upper and lower lobes. Possible apical cavitation. Tuberculosis should be excluded clinically. 4 images. There is a large hydropneumothorax within the left chest. There is essentially complete collapse of the left lung. Within the right lung, there are increased interstitial opacities within the medial right lung base and right upper lobe, with patchy airspace opacity within the right lung apex. At the right lung apex, there is a more focal ovoid lucency which measures approximately 1.3 cm. This could indicate cavitation. Left-sided cardiomediastinal contours are obscured by collapse of the left lung. No convincing acute bony findings.",,images/image_1034.png 1. Patchy right lower lobe airspace disease may be due to atelectasis or infiltrate. The heart and mediastinal contours are stable. There is minimal patchy right lower lobe airspace disease identified. No pleural effusion or pneumothorax.,,images/image_1035.png Slight cardiomegaly with no failure or pneumonia. The heart is slightly large. Pulmonary are normal. No infiltrates.,,images/image_1036.png "No acute cardiopulmonary abnormality. 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.",,images/image_1037.png No acute cardiopulmonary abnormality. No focal areas of consolidation. No suspicious bony opacities. Heart size within normal limits. No pleural effusions. No pneumothorax.,,images/image_1038.png No acute pulmonary findings. Normal heart size. Clear lungs. Degenerative this disease within the spine. Prosthetic right shoulder. Possible body in the axillary recess of the left shoulder. Degenerative left glenohumeral osteoarthritis.,,images/image_1039.png Hyperexpanded but clear lungs. Previous lower spine cervical fusion. Lungs are overall hyperexpanded with flattening of the diaphragms consistent with obstructive lung disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_1040.png No acute cardiopulmonary disease The lungs are clear. The heart pulmonary are normal. The pleural spaces are clear. Mediastinal contours are normal.,,images/image_1041.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_1042.png 1. No acute cardiopulmonary disease. 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 .,,images/image_1043.png 1. Stable mild cardiomegaly. 2. Hyperexpanded but clear lungs. Heart is mildly enlarged stable. Mediastinal contour is normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces.,,images/image_1044.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.,,images/image_1045.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. First rib fracture not well demonstrated on study..,,images/image_1046.png Scattered opacities may be secondary to scarring and underlying emphysematous changes versus mild interstitial lung disease. No acute infiltrate. The heart is normal in size. The mediastinal contours are within normal limits. Aorta is mildly tortuous and demonstrates atherosclerotic calcifications. The lungs are mildly hypoinflated with increased peripheral lung markings noted predominantly in the right upper and lower lung. There is no acute infiltrate or significant pleural effusion. Mild eventration of left hemidiaphragm is noted.,,images/image_1047.png "1. Chest. No acute cardiopulmonary findings. 2. Right knee. Stable advanced degenerative changes, most severe in the medial compartment. Chest. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Mild degenerative changes throughout the thoracic spine. Right knee. There has been prior ligamentous repair. There is tricompartmental joint space narrowing and marginal osteophyte formation which is severe in the medial compartment. No knee joint effusion. No fractures or dislocations.",,images/image_1048.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Minimal degenerative changes of the thoracic spine. There is anterior fusion at the cervicothoracic junction.,,images/image_1049.png "No acute cardiopulmonary abnormality. . No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. are intact. There are calcified right hilar granulomas. There is mild thoracic dextroscoliosis.",,images/image_1050.png No acute cardiopulmonary abnormality. . Calcified mediastinal . No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.,,images/image_1051.png "1. Stable mild cardiomegaly. 2. No evidence of active cardiopulmonary disease. Limited evaluation of the lateral view due to rotation and frontal view due to motion artifact. Stable mild cardiomegaly. Normal pulmonary vascularity. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusions. opacities are related to overlying soft tissues. The posterior sulci are clear. Degenerative changes of the spine.",,images/image_1052.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures and soft tissues have a normal appearance.,,images/image_1053.png "No acute cardiopulmonary abnormality. 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.",,images/image_1054.png "1. No focal airspace consolidation. 2. Emphysema. 3. Stable biapical opacities, possibly scarring. Heart size is at the upper limits of normal. There is aortic atherosclerotic vascular calcification. The lungs remain hyperexpanded. There are biapical opacities, stable from the prior study. No focal airspace consolidation. No significant pleural effusion. No pneumothorax. There are mild degenerative changes of the spine.",,images/image_1055.png "No acute cardiopulmonary abnormality. Prior granulomatous infection. Cardiomediastinal contours within normal limits. Pulmonary vascularity is normal. There are scattered calcified testes bilaterally, consistent with prior granulomatous infection, stable. No focal airspace consolidation. No pleural effusion, no pneumothorax. Bony structures unremarkable.",,images/image_1056.png "No acute cardiopulmonary finding. 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.",,images/image_1057.png "No acute process. No definite pulmonary nodules are seen. If clinically indicated, further evaluation with CT of the thorax can be performed to identify a small nodule. Correlation with prior radiographs would be helpful to identify the location of the previously described nodule. The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax. No pulmonary nodules are identified.",,images/image_1058.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures show several old rib fractures unchanged in the prior study on the left.,,images/image_1059.png No acute disease. PA and lateral views of the chest were obtained. The heart is normal in size. Mediastinal contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax.,,images/image_1060.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_1061.png "Negative for acute cardiopulmonary abnormality. Hyperexpanded lungs. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Multiple surgical clips overlie the midabdomen.",,images/image_1062.png 1. Clear lungs. 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. Multiple -filled loops of bowel are present. Gastrostomy is noted.,,images/image_1063.png Chronic parenchymal changes reflecting sequela of patient's known sarcoidosis. No acute disease. The heart is normal in size. The mediastinum is stable with tortuous aorta. There are chronic changes particularly noted in the lung apices. The are mildly prominent but stable. No acute infiltrate is seen. There is no pleural effusion.,,images/image_1064.png "No acute findings 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.",,images/image_1065.png Clear lungs. The lungs are clear. No focal air space consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.,,images/image_1066.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_1067.png "No acute cardiopulmonary findings. The heart size is normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. There are degenerative changes within the bilaterally and left acromioclavicular joint. in the soft tissues of the right upper extremity.",,images/image_1068.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_1069.png "No focal lung opacity, pleural effusion of pneumothorax.. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.",,images/image_1070.png "No acute cardiopulmonary abnormality. 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.",,images/image_1071.png 1. Unchanged cardiomegaly. 2. Question pleural effusions. There is no focal consolidation. Mild blunting of the posterior costophrenic represent small effusions. No pneumothorax is present. There is moderate cardiomegaly. The pulmonary vasculature is within normal limits.,,images/image_1072.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. No evidence of active tuberculosis.,,images/image_1073.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is no obvious lytic or destructive lesion. No displaced rib fracture is evident.,,images/image_1074.png No acute findings. The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis. Lower cervical degenerative arthritis.,,images/image_1075.png "No acute findings Heart size within normal limits, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Chronic appearing contour deformity of the right posterolateral 7th rib again noted suggestive of old injury.",,images/image_1076.png "No acute findings Heart size within normal limits, stable mediastinal and hilar contours. Mild hyperinflation appears similar to prior. No focal alveolar consolidation, no definite pleural effusion seen. Scattered chronic appearing irregular interstitial markings, no typical findings of pulmonary edema.",,images/image_1077.png "Cardiomegaly, no acute pulmonary findings Heart size mildly enlarged with enlarged right atrium. No focal alveolar consolidation, no definite pleural effusion seen. No pneumothorax.",,images/image_1078.png "1. No acute radiographic cardiopulmonary or osseous process. No acute osseous abnormality. Stable scattered endplate degenerative changes and osteophyte formation in the thoracic spine. Normal cardiomediastinal silhouette and hilar contours. No focal area of consolidation, pleural effusion, or pneumothorax.",,images/image_1079.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.",,images/image_1080.png "No suspicious pulmonary mass or nodule identified. However, given the presence of small nodules on the chest CT scan and patient history of prostate cancer, recommend further evaluation with scan (unless already recently performed). There is a calcified left upper lobe granuloma. No suspicious pulmonary mass or nodule is identified. There is no focal airspace consolidation. No pleural effusion or pneumothorax. The lungs remain hyperexpanded. Stable cardiomediastinal silhouette. Calcified mediastinal and hilar lymph are consistent with prior granulomatous disease. There are minimal degenerative changes of the spine.",,images/image_1081.png No evidence of active pulmonary pneumonia on today's exam. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_1082.png "No acute cardiopulmonary findings. 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 corticated irregularity of the right posterior 5th rib, secondary to old rib fracture. There are no gross acute bony findings.",,images/image_1083.png No acute cardiopulmonary abnormalities. . Right chest central venous line is noted with tip in the mid SVC. There is no pneumothorax. Heart size is normal. No large pleural effusions. No acute focal airspace opacification.,,images/image_1084.png "No acute cardiopulmonary abnormality. . No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . intact. Mild degenerative change of the lower thoracic spine, anterior osteophytes.",,images/image_1085.png Prominent transverse aorta. Otherwise clear. The heart size and pulmonary vascularity appear within normal limits. The thoracic aorta is prominent with calcification within the aorta. Azygos lobe is noted. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes noted in the spine.,,images/image_1086.png No active tuberculosis. Heart size within normal limits and cardiomediastinal contours are normal. Lungs are clear bilaterally. No focal consolidations. No pleural effusions or pneumothorax. Bony structures and soft tissues are unremarkable.,,images/image_1087.png "Cardiomegaly, but no focal consolidation. The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is enlarged. There is no pneumothorax or large pleural effusion.",,images/image_1088.png "1. No acute cardiopulmonary abnormality. Heart size appears within normal limits. Pulmonary vasculature appears within normal limits. Radiodensity overlying the middle cardiac silhouette, representing a hiatal hernia. No focal consolidation, pleural effusion or pneumothorax. No acute bony abnormality.",,images/image_1089.png "Central pulmonary vascular congestion without edema, consolidation. bilateral pleural effusions. Compared to prior chest radiograph from , there has been removal of right-sided tunneled dialysis catheter. The cardiomediastinal silhouette is stable and within normal limits for size and contour. Mildly increased atherosclerotic calcifications of the thoracic aorta. 1.0 cm nodular opacity in the left midlung is stable compared to prior examination from . No nodules, focal consolidation, or pneumothorax identified. There are bilateral pleural effusions posteriorly. There is mild central pulmonary vascular congestion without pulmonary edema. No acute bony abnormality.",,images/image_1090.png "No acute cardiopulmonary abnormality. . No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. Calcified granuloma in the anterior left lower lobe. are intact.",,images/image_1091.png No acute pulmonary disease. The lungs are clear. A calcified granuloma is seen in the left midlung zone. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_1092.png "1. Clear lungs. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. are grossly unremarkable.",,images/image_1093.png "Negative. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_1094.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1095.png "1. Cardiomegaly and small bilateral pleural effusions 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, primary differential diagnosis includes infection and aspiration, clinical correlation recommended Moderate-to-marked enlargement of the cardiac silhouette, mediastinal contours appear similar to prior. Mild bilateral posterior sulcus blunting, interstitial and alveolar opacities greatest in the central lungs and bases with indistinct vascular margination.",,images/image_1096.png Findings of COPD and left base focal atelectasis. Lungs are . opacities are present in the left lung base. Heart size normal. Mediastinum normal.,,images/image_1097.png "1. No acute cardiopulmonary abnormality. 2. Left midlung subsegmental atelectasis versus scar. Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. There are opacities in the left , subsegmental atelectasis or scar. Otherwise, the lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality.",,images/image_1098.png "1. Clear lungs. No radiographic evidence of active TB. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. No cavitary lesions. are grossly unremarkable.",,images/image_1099.png "1. No acute cardiopulmonary abnormalities. . The trachea is midline. The heart size is normal. opacities are seen in the left lower lobe and left costodiaphragmatic , which could represent scarring or atelectasis. There is no pneumothorax. No acute bony abnormalities.",,images/image_1100.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_1101.png "No acute cardiopulmonary abnormality. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Central left midlung granuloma with calcified left hilar adenopathy. Bony structures appear intact.",,images/image_1102.png Normal chest. Heart size and vascularity normal. These contour normal. Lungs clear. No pleural effusions or pneumothoraces.,,images/image_1103.png No acute cardiopulmonary abnormality. Heart size and mediastinal contours are stable. Stable calcification of the thoracic aorta. Pulmonary vasculature is within normal limits. There is no focal air space opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is demonstrated.,,images/image_1104.png "No acute cardiopulmonary finding. There is a left chest wall cardiac generator with 2 leads, one projecting over the right atrium and one projecting over the right . The heart is near top normal in size with normal appearance of the cardiomediastinal silhouette. The lungs are clear without focal air space opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.",,images/image_1105.png There is no radiographic evidence of acute cardiopulmonary disease. Normal cardiomediastinal silhouette. There is no focal consolidation. There are no of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen. Acromioclavicular joint degenerative change.,,images/image_1106.png Mildly low lung volumes with atelectasis or scarring in the lung bases. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. Lungs are mildly hypoinflated with minimal streaky atelectasis or scar in the lung bases. Lungs are otherwise grossly clear of focal airspace disease. There is a stable calcified granuloma in the posterior left midlung. There is no pneumothorax or pleural effusion. There are no acute bony findings.,,images/image_1107.png "No acute cardiopulmonary abnormality. 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.",,images/image_1108.png "No acute cardiopulmonary findings. The cardiac silhouette measures near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is stable eventration of the anterior right hemidiaphragm. The lungs are clear of focal airspace disease, pneumothorax, pleural effusion. There are no acute bony findings.",,images/image_1109.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,,images/image_1110.png "No acute cardiopulmonary abnormality. Normal heart size and mediastinal contours. No focal airspace consolidation. No pneumothorax or pleural effusion. Mild dextro curvature of the lower thoracic spine, this may be positional. Visualized bony structures are otherwise unremarkable.",,images/image_1111.png 1. No acute cardiopulmonary abnormalities. Normal cardiomediastinal contours. No pneumothorax or pleural effusions. No focal lung consolidation.,,images/image_1112.png "No pneumothorax. Similar appearance. Minimal opacities at the posterior sulci. A few septal lines of the left lateral sulcus. Otherwise, The lungs are clear with granulomas and sulci. Heart size upper normal thin LV contour.Unfolded calcified aorta. T-spine small osteophytes.",,images/image_1113.png "No acute cardiopulmonary abnormality. Lungs are hyperexpanded bilaterally, with no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_1114.png 1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,,images/image_1115.png "No acute cardiopulmonary abnormality. No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. are intact.",,images/image_1116.png "1. No acute cardiopulmonary abnormality. 2. Prominent soft tissue density in the upper mediastinum. Recommend follow PA and lateral radiograph or CT thorax for further evaluation. Bilateral glenohumeral degenerative joint disease. Scattered degenerative changes of the thoracic spine. Stable mild heart enlargement.Prominence of soft tissue density in the upper mediastinum. It is increased from most recent prior exam on . However, it appears similar compared to exams performed in . No focal area of consolidation, pleural effusion, or pneumothorax. Focal opacity in the left upper lobe represents scarring or related to overlying rib opacity.",,images/image_1117.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_1118.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Small T-spine osteophytes.,,images/image_1119.png 1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_1120.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion. Again seen is paraspinal foreign body which may represent a bullet fragment.,,images/image_1121.png "1. No acute pulmonary abnormality. 2. Abnormal appearance of the mediastinum as discussed below. The lungs and pleural spaces show no acute abnormality. Heart size within normal limits. There is tortuosity of the descending thoracic aorta, unchanged. There is right paratracheal thickening and bilateral hilar enlargement corresponding to lymphadenopathy and pulmonary arterial enlargement visualized on chest in . Radiographically, the findings are grossly stable.",,images/image_1122.png "No acute cardiopulmonary abnormalities. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_1123.png "1. No focal airspace consolidation. 2. Hyperexpanded lungs, suggestive of obstructive lung disease. There are postoperative changes of sternotomy. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. The lungs are mildly hyperexpanded. There is no focal airspace consolidation. No pleural effusion or pneumothorax. There are diffuse degenerative changes of the spine.",,images/image_1124.png No acute cardiopulmonary abnormality. Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.,,images/image_1125.png Chronic changes without acute disease. The heart is top normal in size. The mediastinum is stable. The aorta is atherosclerotic. opacities are noted in the lung bases compatible with scarring or atelectasis. There is no acute infiltrate or pleural effusion.,,images/image_1126.png "No acute radiographic cardiopulmonary process. . Cardiac and mediastinal 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.",,images/image_1127.png "Unremarkable radiographs of the chest. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.",,images/image_1128.png "1. No acute radiographic cardiopulmonary process. 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.",,images/image_1129.png "Right basilar infiltrate or atelectasis, and bilateral pleural effusions. There is mild blunting of the costophrenic . There is right basilar airspace disease. There is no pneumothorax. The cardiac mediastinal silhouettes are normal. Pulmonary are slightly prominent. Calcified hilar lymph . No acute bony abnormalities.",,images/image_1130.png "Normal chest xray. PA and lateral views. The cardiomediastinal silhouette is normal. The lungs are clear. No effusions, consolidation or pneumothorax.",,images/image_1131.png "No acute findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size and contour. There is a -A- terminating at the caval atrial junction, without evidence of pneumothorax. There is no focal airspace disease. There are small calcified nodules in the superior segment of the right lower lobe, old granulomatous infection. There are no acute bony findings.",,images/image_1132.png No acute cardiopulmonary findings. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.,,images/image_1133.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_1134.png "Interval development of bilateral upper lobe consolidation, right greater than left, representing pneumonia.. Followup imaging to document resolution is recommended. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. A wedge-shaped opacity has developed in the right upper lobe. There is also patchy opacification identified in the left upper lobe. No acute bony abnormality.",,images/image_1135.png Hypoinflation with lingular focal atelectasis. Lung volumes are . opacities are present in the angulate. No focal infiltrates. Heart size normal.,,images/image_1136.png "1. Stable bilateral pleural effusions and pleural thickening, right worse than left, with mild right-sided loculation. 2. Stable appearance of right apical thickening/atelectasis with volume loss, possibly related to prior radiation or surgery. Suggest clinical correlation. The heart is normal in size. The cardiomediastinal contours are stable. There are stable bilateral pleural effusions with partial right-sided loculation. Biapical scarring and pleural thickening appears stable. There is again right-sided superior hilar retraction and mild rightward deviation. No acute infiltrate is appreciated.",,images/image_1137.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine. spinal stimulator is in with tip overlying the T9 vertebral body.,,images/image_1138.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_1139.png " opacity projecting over the left midlung. Comparison examinations would be useful. If no comparison examinations exist, would be helpful for further evaluation. . There is a opacity projecting over the left midlung, posterior on the lateral view. No pleural effusions. No evidence of pneumothorax. Heart size top normal. Degenerative changes thoracic spine.",,images/image_1140.png "Negative for acute cardiopulmonary disease. Heart size normal. Stable cardiomediastinal silhouette. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures are in alignment without fracture.",,images/image_1141.png "No acute cardiopulmonary abnormality.. Specifically, no evidence of active tuberculous process. 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.",,images/image_1142.png 1. Low lung volumes without acute infiltrate. 2. Aortic tortuosity and mild ectasia. The heart is normal in size. The aorta is tortuous. The lungs are hypoinflated. No focal consolidation or pleural effusion seen. Old right-sided rib fracture is noted.,,images/image_1143.png 1. No acute cardiopulmonary abnormalities. No pneumothorax or pleural effusion. Normal cardiac contour. Clear lungs bilaterally.,,images/image_1144.png No acute cardiopulmonary abnormalities. Large calcified granuloma in the right lower lobe is unchanged. No pneumothorax. Heart size is normal. No large pleural effusions. No focal airspace opacification.,,images/image_1145.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Right chest wall surgical clips, compatible with prior lumpectomy. Negative for acute bone abnormality.",,images/image_1146.png "1. No acute pulmonary abnormality. 2. Moderate cardiomegaly without pulmonary edema. The lungs and pleural spaces show no acute abnormality. Heart size is moderately enlarged, pulmonary vascularity within normal limits. There is a ICD generator obscuring the left lateral midlung with the leads projecting over the expected location of the right atrium, right ventricle, and coronary sinus.",,images/image_1147.png Cardiomegaly with pulmonary edema superimposed on chronic interstitial lung changes. Increased interstitial lung changes with superimposed pulmonary edema. Cardiomegaly. Negative for effusion or pneumothorax. Degenerative changes of the thoracic spine.,,images/image_1148.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes within the spine.,,images/image_1149.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_1150.png Cardiomegaly with globular appearance of the cardiac silhouette. Considerations would include pericardial effusion or dilated cardiomyopathy. The cardiac silhouette is enlarged and has a globular appearance. Mild bibasilar dependent atelectasis. No pneumothorax or large pleural effusion. No acute bone abnormality.,,images/image_1151.png No acute disease. Retrocardiac density corresponding to known hiatal hernia. The heart is normal in size. The mediastinum is within normal limits. There is retrocardiac density which corresponds to patient's known hiatal hernia. The lungs are hypoinflated. No focal consolidation is seen.,,images/image_1152.png No acute cardiopulmonary abnormalities. The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No pleural effusion or pneumothorax. are intact.,,images/image_1153.png Normal chest. Heart size and vascularity normal. Mediastinal contour normal. Lungs are clear. No pleural effusions or pneumothoraces.,,images/image_1154.png 1. No interval change in the appearance of the opacities in the bilateral lower lobes. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No interval change in the appearance of the opacities in the bilateral lower lobes. No pneumothorax. No pleural effusion. The thoracic spine appears intact.,,images/image_1155.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_1156.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable with normal sized heart. Degenerative changes in the spine.,,images/image_1157.png "1. No active disease. Specifically, no radiographic evidence for tuberculosis. 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..",,images/image_1158.png 1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is mildly tortuous and calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild degenerative changes of the thoracic spine. Mild levoscoliosis of the thoracolumbar spine.,,images/image_1159.png "No acute cardiothoracic abnormality. Normal heart size. No focal airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No focal bony abnormality.",,images/image_1160.png "Left basilar patchy opacities, which may represent atelectasis or infection. . Normal cardiomediastinal contours. No pneumothorax or large pleural effusions. Left basilar patchy opacities. Small hiatal hernia.",,images/image_1161.png No acute radiographic cardiopulmonary process. 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. There is no pneumothorax. There is no pleural effusion. There is redemonstration of right rib deformities from old . of mild dextroscoliosis of the thoracic spine. There is no free intraperitoneal air under the diaphragm.,,images/image_1162.png No acute cardiopulmonary disease. The heart size is upper limits of normal. The pulmonary 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 minimal degenerative changes of the spine.,,images/image_1163.png "No acute cardiopulmonary abnormality.. 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.",,images/image_1164.png "No evidence of acute cardiopulmonary process. Stable appearance of the chest. 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.",,images/image_1165.png No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. There is mild tortuosity to the descending thoracic aorta. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules or adenopathy are noted. Degenerative changes are present in the spine.,,images/image_1166.png "Minimal patchy airspace disease within the lingula, may reflect atelectasis or infiltrate. PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Prominent bilateral pericardial fat pads. The lungs are well aerated. There is minimal patchy and air space opacity within the lingula favored as atelectasis.",,images/image_1167.png No acute cardiopulmonary finding. Heart size is normal. No focal airspace disease. Emphysema. Bibasilar pleural scarring. No pneumothorax or effusion.,,images/image_1168.png "1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Stable paratracheal soft tissue density dating back to exams in , confluence of vascular shadows. Lungs are hyperexpanded. Heart size and pulmonary vascularity within normal limits.",,images/image_1169.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_1170.png No acute findings. The cardiac contours are normal. The lungs are clear. Stable granuloma in the left lower lung zone. Thoracic spondylosis.,,images/image_1171.png "Multiple pulmonary nodules consistent with metastases. Chest, abdomen, and pelvis CT with contrast would be helpful for further evaluation. In the interval, the interval, there has been development of multiple nodules in both the upper and lower lobes bilaterally. The previously identified left lower lobe nodule has increased in size. Left hemidiaphragm is slightly elevated, possibly from splinting. The mediastinum remains normal. Heart size normal.",,images/image_1172.png "1. Left lower lobe airspace disease and bilateral pleural effusions, left greater than right. This may be secondary to inhalational injury. Recommend followup to ensure complete resolution. The heart is within normal limits in size. Surgical suture material projects over the right lung apex. The lungs are hyperlucent and hyperinflated compatible with emphysema. There is left lower lobe airspace disease identified. There is moderate left pleural effusion and small right pleural effusion. No visualized pneumothorax.",,images/image_1173.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_1174.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_1175.png "1. No acute findings. 2. Emphysema. 3. Scattered of scarring, most notably in the left upper lobe. The lungs are hyperexpanded. There are stable scattered bilateral opacities, most notable in the left upper lobe, scarring. No focal airspace consolidation to suggest pneumonia. No large pleural effusion. No pneumothorax. Heart size is normal. Thoracic aorta is mildly tortuous and demonstrates atherosclerotic vascular calcification. There are degenerative changes of the spine.",,images/image_1176.png 1. No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact..,,images/image_1177.png "No acute cardiopulmonary abnormality. 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. A right humeral intramedullary is noted incidentally, without evidence of complicating features.",,images/image_1178.png 1. Stable appearance of the chest with moderate hiatal hernia. No acute pulmonary disease. The heart and mediastinal contours are unchanged. There is a moderate hiatal hernia. The lungs are clear without focal infiltrate. No effusion or pneumothorax.,,images/image_1179.png Probable right lower lobe pneumonia. diffuse right lower lobe airspace opacity is present. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_1180.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_1181.png Clear lungs. Sequelae of old granulomatous disease is again noted. Lungs are clear without focal air space disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_1182.png 1. No acute radiographic cardiopulmonary process. The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. Mild lung hyperinflation. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Degenerative changes seen within the midthoracic spine. There is no visible free intraperitoneal air under the diaphragm.,,images/image_1183.png No acute cardiopulmonary abnormalities. No pneumothorax. Heart size is normal. Granulomas are seen within the right lung. No large pleural effusions. No focal airspace consolidation.,,images/image_1184.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_1185.png "No acute disease. Left lung nodule. Correlate with prior films if available. If none are available, followup imaging in 6 months is suggested. The heart is normal in size. The mediastinum is unremarkable. Small nodule seen in the left upper lung, possibly granuloma. The lungs are otherwise clear.",,images/image_1186.png Large right pneumothorax with associated complete collapse of the right lower lobe. A large pleural air collection is present on the right. Mediastinum is shifted to the left as compared to the previous examination. The right lower lobe is totally opaque.,,images/image_1187.png Recurrent moderate sized left pleural effusion. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. The right lung is clear. There is a recurrence moderate-sized left pleural effusion. No pneumothorax. Limited right base stringy density compatible with atelectasis. Dextroscoliosis of the thoracic spine.,,images/image_1188.png "Negative for acute cardiopulmonary findings. Heart size and cardiomediastinal silhouette are normal. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures are grossly intact.",,images/image_1189.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_1190.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1191.png "Limited exam, no definite acute intrathoracic finding. The lateral images limited secondary to motion artifact. No focal consolidation, large pneumothorax or large pleural effusion. Heart size normal. unremarkable.",,images/image_1192.png "No acute pulmonary findings. Normal heart size. Aortic calcification. Granulomatous nodule left midlung, stable. No acute pulmonary abnormalities. Thoracic spondylosis.",,images/image_1193.png "No acute cardiopulmonary abnormality. 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.",,images/image_1194.png No acute abnormality. Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,,images/image_1195.png "Lines and tubes as above. Moderate-to-large left pleural effusion, with adjacent airspace disease or atelectasis. There is blunting of the left costophrenic compatible with a moderate to large left pleural fluid collection. There are areas of airspace opacity within the left lung base which may represent atelectasis or infiltrate. Minimal bandlike atelectasis within the right lung base. Heart size is normal. Left-sided tunneled catheter terminates at the caval atrial junction. Right IJ venous catheter terminates at the proximal SVC.",,images/image_1196.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Stable calcified granuloma in the left midlung. Heart size and pulmonary vascularity within normal limits.,,images/image_1197.png "1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size upper limits of normal, pulmonary vascularity within normal limits. Straightening of the normal thoracic kyphosis. Levocurvature the lumbar spine, incompletely imaged.",,images/image_1198.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_1199.png "1 cm nodule within the lung base, seen only on the lateral view. Consider imaging correlation with abdomen study, if available. . There is a 1 cm nodule within one of the lung bases, seen only on the lateral view. There is a calcified right hilar lymph node and right granuloma. Heart size is normal. No pneumothorax.",,images/image_1200.png "Stable cardiomegaly. Clear lungs. . Stable cardiomegaly and mediastinal contour. Lungs are clear without focal consolidation, large pleural effusion, or pneumothorax. Left basilar airspace opacity secondary to epicardial fat and overlying soft tissues. DISH of the thoracic spine is noted. Otherwise, visualized osseous structures are unremarkable.",,images/image_1201.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. No pleural effusion. There are right upper quadrant surgical clips, perhaps from cholecystectomy.",,images/image_1202.png 1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. A calcified granuloma is identified in the peripheral aspect of the left lower lobe. Calcified lymph are identified in left hilar region. No pneumothorax. No pleural effusion. Minimal degenerative endplate changes of the thoracic spine.,,images/image_1203.png "No acute cardiopulmonary abnormality. 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 calcifications projecting of the left midlung, unchanged from prior, this is is sequela of prior granulomatous disease. There are small T-spine osteophytes.",,images/image_1204.png COPD. No acute pulmonary disease. There is hyperinflation of the lungs appear to be clear. There is no pleural effusion or The heart is normal. There are atherosclerotic changes of the aorta. The skeletal structures are normal.,,images/image_1205.png "No acute cardiopulmonary findings. . The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal consolidations or pleural effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",,images/image_1206.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality.",,images/image_1207.png "1. Severe emphysema. 2. Irregular, pleural-parenchymal opacity in left upper lobe. This may irregular pleural-parenchymal scarring, however, recommend comparison with more remote outside imaging, if available to determine long-term stability. If none are available, recommend short-term in 3 to 4 months. Evaluation of coronal and sagittal reformatted images from the outside study would also be helpful. These were not available at the outside institution. Malignancy cannot be confidently excluded on the available images. Lungs are hyperinflated with interstitial changes of severe emphysema. There is an ill-defined pleural parenchymal opacity in the left upper lobe. This may represent scarring but is incompletely evaluated on the outside study, without coronal and sagittal reformats. There is mild scarring and/or atelectasis in the lung bases. Lungs otherwise grossly clear. There is no pneumothorax or pleural effusion. Heart size is normal. There are mild degenerative endplate changes in the thoracic spine. There is generalized osteopenia.",,images/image_1208.png "Cardiomegaly with central pulmonary vascular prominence and coarsened interstitial markings, concerning for interstitial pulmonary edema. Study is somewhat limited by body habitus. Cardiomegaly is noted, with central pulmonary vascular prominence and coarsened interstitial markings, suspicious for developing interstitial pulmonary edema. No focal consolidation, pneumothorax, or definite effusion identified. No acute bony abnormality seen.",,images/image_1209.png "1. Continued elevation of the left hemidiaphragm. 2. Extensive post-op changes. 3. Right pleural densities which may represent thickening or localized fluid. 4. Air-fluid level below the right hemidiaphragm medially. Although this could represent air-fluid within a of bowel, a subpulmonic process is a consideration. If clinically indicated, scan would better define this. 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.",,images/image_1210.png "Chronic asymmetric elevation of the right hemidiaphragm with mildly increased right basilar airspace disease, atelectasis versus infiltrate. . 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.",,images/image_1211.png "Cardiomegaly with central pulmonary vascular congestion. No edema. The heart is significantly enlarged. Prominent pulmonary vascularity. No focal airspace consolidation, suspicious pulmonary opacity, or definite pleural effusion. No pneumothorax. Visualized osseous structures appear intact.",,images/image_1212.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1213.png "No evidence of acute cardiopulmonary process. Mediastinal and hilar adenopathy compatible with patient's known sarcoidosis. The examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes. Right greater than left bilateral hilar and subcarinal adenopathy is again seen. The cardiac silhouette is prominent but probably artifactually large due to diminished lung volumes. No focal consolidation, pleural effusion, or pneumothorax identified. There is a deformity of the left clavicle compatible with remote .",,images/image_1214.png "No acute cardiopulmonary abnormalities. The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. Mild dextro curvature of the thoracic spine, possibly positional.",,images/image_1215.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_1216.png "No acute findings 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.",,images/image_1217.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_1218.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present.,,images/image_1219.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1220.png "Mildly hyperexpanded lungs without acute focal infiltrate. Mild hyperinflation. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.",,images/image_1221.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.",,images/image_1222.png 1. No acute cardiopulmonary findings. No focal consolidation. No pneumothorax. No pleural effusions. Heart size normal. Cardio mediastinal silhouette is unremarkable.,,images/image_1223.png "No acute findings Heart size within normal limits, stable mediastinal contours, mediastinal clips, left base pleural-parenchymal irregularity compatible with scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Chronic appearing left rib contour irregularities may be posttraumatic or postsurgical.",,images/image_1224.png "No acute cardiopulmonary finding. The heart size and cardiopulmonary silhouette is normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. The obstruction are intact with mild degenerative change in the thoracic spine.",,images/image_1225.png No acute cardiopulmonary abnormality. 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.,,images/image_1226.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_1227.png "Stable cardiomegaly without acute cardiopulmonary abnormality. No stable cardiomegaly, without focal consolidation, pneumothorax, or pleural effusion. Stable right basilar calcified granuloma. No acute osseous abnormality identified.",,images/image_1228.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is at the upper limits of normal in size but stable from prior exam. There is tortuosity of the thoracic aorta, stable. There is no pneumothorax or large pleural effusion.",,images/image_1229.png No acute cardiopulmonary abnormalities. Heart size is normal. No pleural effusions. No pneumothorax. No focal air space opacities. Mild degenerative osteophytes are noted in the thoracic spine.,,images/image_1230.png No acute cardiopulmonary abnormalities. Heart size is normal. No large effusions. No focal airspace opacities. No pneumothorax.,,images/image_1231.png "No acute cardiopulmonary disease. . The cardiomediastinal silhouette is normal size and configuration. Atherosclerotic calcification of the thoracic aorta. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.",,images/image_1232.png Emphysema without acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are mildly hyperexpanded but clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,,images/image_1233.png "Small bilateral pleural effusions with bibasilar atelectasis and/or airspace disease, left greater than right. The heart size is within normal limits. There are calcified hilar lymph bilaterally. There are bibasilar airspace opacities with small bilateral pleural effusions, left greater than right. No pneumothorax. No acute bony abnormalities.",,images/image_1234.png "No acute cardiopulmonary abnormalities. . The 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 abnormalities. Lateral view reveals degenerative changes of the thoracic spine.",,images/image_1235.png "Stable exam without acute abnormality. Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity. Prior granulomatous disease appears stable.",,images/image_1236.png "No acute disease. Previously visualized nodule in right lower lobe not well-seen on today's study, summation artifact. Examination was performed with nipple markers. The previously noted small nodule in the right lower lung is not well-seen on today's study and may have been secondary to summation of structures. The heart is normal in size. The mediastinum is unremarkable. The lungs are otherwise clear.",,images/image_1237.png No acute cardiopulmonary process. 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.,,images/image_1238.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1239.png "Chest radiograph. 1. No acute radiographic cardiopulmonary process. 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..",,images/image_1240.png "No acute cardiopulmonary abnormality.. Specifically, no evidence of active tuberculous process. 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.",,images/image_1241.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Negative for pneumoperitoneum. Mild degenerative changes of the thoracic spine.",,images/image_1242.png 1. No acute radiographic cardiopulmonary process. This is a stable normal cardiomediastinal silhouette. The lungs are mildly hyperexpanded. Some blunting of the left costophrenic represent scarring or atelectasis. No large pneumothorax or effusion. There are no acute osseous abnormalities.,,images/image_1243.png Stable cardiomegaly and mild bilateral interstitial opacities which represent mild pulmonary edema. Stable appearance of previous sternotomy. Stable cardiomegaly. Stable mild bilateral interstitial opacities in which may represent mild pulmonary edema. No evidence of large pleural effusion or pneumothorax.,,images/image_1244.png "No acute cardiopulmonary abnormality identified. 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.",,images/image_1245.png No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No nodules or adenopathy is identified.,,images/image_1246.png "1. Scattered bilateral subsegmental atelectasis. Decreased from prior radiograph. 2. Stable mild cardiomegaly. There are postoperative changes of sternotomy and CABG. There is stable mild cardiomegaly. There are scattered of subsegmental atelectasis, decreased from the prior chest radiograph. No focal airspace consolidation. No pleural effusion or pneumothorax. There are minimal degenerative changes of the spine.",,images/image_1247.png No evidence of active tuberculosis. Mild cardiomegaly. Lungs are clear. Calcified hilar . No pleural effusion or pneumothorax. Soft tissues and showed unremarkable.,,images/image_1248.png "Low lung volumes. No acute pulmonary disease. Calcified granuloma is noted in the left upper lobe. There are low lung volumes, with bronchovascular crowding as a result. Heart size is within normal limits. Normal mediastinal contours. No pleural effusion, pneumothorax or focal airspace disease. No free subdiaphragmatic air. The osseous structures are grossly intact.",,images/image_1249.png "Clear lungs, no acute cardiopulmonary abnormality. Heart size is normal. Mediastinal contour and pulmonary vascularity within normal limits. No focal airspace consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.",,images/image_1250.png "1. No acute radiographic cardiopulmonary process. 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. Mild degenerative endplate changes of the spine.",,images/image_1251.png "No acute cardiopulmonary disease. The 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. Multilevel thoracic spondylosis is again demonstrated..",,images/image_1252.png 1. No acute cardiopulmonary abnormalities Clear lungs bilaterally. No pneumothorax or pleural effusion. Normal cardiac contours,,images/image_1253.png No acute cardiopulmonary abnormalities. Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Stable postoperative and degenerative changes of the . Stable degenerative disc disease of the thoracic spine.,,images/image_1254.png "No evidence of acute cardiopulmonary process. Mediastinal and hilar adenopathy compatible with patient's known sarcoidosis. The examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes. Right greater than left bilateral hilar and subcarinal adenopathy is again seen. The cardiac silhouette is prominent but probably artifactually large due to diminished lung volumes. No focal consolidation, pleural effusion, or pneumothorax identified. There is a deformity of the left clavicle compatible with remote .",,images/image_1255.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1256.png 1. Malpositioned right PICC line tip. Now located in left innominate vein. 2. ill-defined focal opacities. These may represent small areas of pneumonia. Heart size and pulmonary vascularity appear within normal limits. Right PICC line is in . 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.,,images/image_1257.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. Heart size is normal. Cardiac and mediastinal silhouette is grossly unremarkable.,,images/image_1258.png 1. Pathologic fractures seen at T5 and L2. 2. Left venous catheter in SVC. Left chest wall Mediport placement with venous catheter tip in superior . Normal cardiac contours. No pneumothorax or pleural effusions. Clear lungs bilaterally. fracture seen at T5 and L2 with areas of sclerosis throughout the thoracic and lumbar spine.,,images/image_1259.png "No acute cardiopulmonary abnormalities. No radiographic evidence of metastatic disease. Normal heart size and mediastinal contours. Stable calcification in the left upper lobe, representing a granuloma. No focal airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.",,images/image_1260.png "1. No focal airspace consolidation. 2. Hyperexpanded lungs, suggestive of emphysema. 3. Lingular subsegmental atelectasis or scarring. The lungs are hyperexpanded. There are opacities in the lingula, subsegmental atelectasis or scarring. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. There are degenerative changes of the spine.",,images/image_1261.png "No acute cardiopulmonary abnormality.. 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.",,images/image_1262.png 1. No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified lymph are present.,,images/image_1263.png "No radiographic evidence of acute cardiopulmonary disease. Low lung volumes. No focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable",,images/image_1264.png "No acute findings 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.",,images/image_1265.png 1. Blunting of the right costophrenic . This may represent pleural effusion or pleural reaction. 2. Clearing of left base airspace disease. 3. Outward of PICC line. Tip now projects over upper SVC. Left PICC line remains in . The tip projects over the upper SVC. It has moved outward since the previous study. The heart size and pulmonary vascularity appear within normal limits. Previously present left base airspace disease has cleared. There is blunting of the right costophrenic which may represent small amount of pleural effusion or pleural reaction. Some scattered bandlike opacities are present which appear to represent scars. Degenerative changes are present in the right shoulder.,,images/image_1266.png 1. Hyperexpanded lungs suggesting emphysema. 2. Patchy right middle lobe airspace disease. May represent pneumonia. Followup examination is suggested following treatment to confirm clearing of the opacities. A 4 to 6 post treatment interval film would be reasonable to allow clearing of inflammatory opacities. The lungs are hyperexpanded consistent with emphysema. The heart size and pulmonary vascularity appear within normal limits. No pneumothorax or pleural effusion is seen. Patchy airspace disease is present in the right middle lobe. Degenerative changes are present spine.,,images/image_1267.png "No acute cardiopulmonary finding. The heart and cardiomediastinal silhouette or normal in size and contour. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",,images/image_1268.png "1. Persistent mild right upper lobe infiltrate, similar to slightly improved from . 2. Left lung grossly clear. Stable cardiomediastinal silhouette. Mild patchy right upper lobe opacities, similar to slightly improved from . Left lung clear. No pleural effusion or pneumothorax.",,images/image_1269.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. of the spine.,,images/image_1270.png "No acute cardiopulmonary abnormality. Specifically, no radiographically apparent etiology for hemoptysis. 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.",,images/image_1271.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_1272.png 1. right-sided chest tube tip projects outside the thoracic cavity. No residual pneumothorax. 2. Small residual pneumoperitoneum consistent with known colonic perforation. . right-sided chest tube tip now projects outside the thoracic cavity. No definite residual pneumothorax. Stable cardiomediastinal silhouette. There are low lung volumes. No large pleural effusion. No focal airspace consolidation. Small amount of subdiaphragmatic free air.,,images/image_1273.png "1. No acute cardiopulmonary abnormalities. 2. No acute bony abnormalities. If there is continued concern for occult fracture, consider dedicated rib series. . Cardiomediastinal silhouette is a within normal limits. No focal consolidation, pneumothorax, or pleural effusion. Multiple granulomas. No acute bony abnormalities.",,images/image_1274.png "No acute cardiopulmonary abnormality. Low lung volumes. Heart size and mediastinal contour within normal limits. No focal air space consolidation, pneumothorax, or pleural effusion. Mild thoracic spine degenerative change.",,images/image_1275.png No acute cardiopulmonary abnormality. There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Osseous structures are intact.,,images/image_1276.png 1. Cardiomegaly and pulmonary vascular congestion. 2. Eventration of right hemidiaphragm with basilar atelectasis. The heart is mildly enlarged. Pulmonary vascularity is increased. There is again mild elevation of the right hemidiaphragm. Air space disease and/or atelectasis is noted in right lung base. There is also streaky opacity in the left base. The costophrenic are blunted.,,images/image_1277.png No acute cardiopulmonary abnormality. Normal heart size. Stable unfolding the thoracic aorta. No focal air space consolidation. No pleural effusion or pneumothorax. Stable calcified granuloma in the left lower lobe. Visualized osseous structures are unremarkable appearance.,,images/image_1278.png Stable cardiomegaly without acute abnormality. Persistent cardiomegaly. No abnormal airspace consolidation. Resolved interstitial edema. No pneumothorax or pleural effusion.,,images/image_1279.png "1. Asymmetric left suprahilar opacity, consider focal airspace disease or adenopathy. Correlate clinically as to or symptoms of infection. Recommend followup radiograph to document resolution. PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is asymmetric opacity to left suprahilar chest. No discrete correlate is seen on lateral view. Findings may reflect focal airspace disease or adenopathy. No pleural effusion. No pneumothorax.",,images/image_1280.png "1. Borderline enlarged heart. 2. Tortuous/ectatic thoracic aorta. 3. Fracture of the distal right clavicle, better seen on today's radiograph of the shoulder. Borderline enlarged heart. Torturous/ectatic thoracic aorta. No focal pulmonary opacity, pleural effusion or pneumothorax. There are degenerative changes of the spine. There is fracture of distal right clavicle, better seen on the right shoulder radiographs dated . Small round lucency in the distal left clavicle, appears benign. Degenerative changes of both joints.",,images/image_1281.png "1. Wide mediastinal , consistent with history of aortic dissection. 2. Otherwise normal chest x-. The mediastinal silhouette is widened with overlying sternotomy . The heart size is normal. The lungs are clear without evidence of effusion, infiltrate or pneumothorax. Visualized bony structures are intact with no acute abnormalities.",,images/image_1282.png "Stable chronic changes. No acute findings. . There is stable, mild cardiomegaly with normal caliber pulmonary vasculature. There are grossly intact sternotomy and mediastinal surgical clips. There is no focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1283.png Mild hyperexpansion. No acute process. Flattening of the bilateral hemidiaphragms. Lungs are clear. Soft tissues and bony structures unremarkable. No pneumothorax or effusion.,,images/image_1284.png "Minimal patchy airspace disease within the lingula, may reflect atelectasis or infiltrate. PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Prominent bilateral pericardial fat pads. The lungs are well aerated. There is minimal patchy and air space opacity within the lingula favored as atelectasis.",,images/image_1285.png "1. No acute cardiopulmonary process. 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.",,images/image_1286.png No active disease. Heart size is within normal limits. Aorta is tortuous. Remainder of the cardiomediastinal silhouette is normal. Lungs are clear bilaterally without pleural effusion or pneumothorax. No bony abnormalities.,,images/image_1287.png 1. Increased opacity in the right upper lobe with associated atelectasis may represent focal consolidation or mass lesion with atelectasis. Recommend chest CT for further evaluation. 2. opacity overlying the left 5th rib may represent focal airspace disease. There is increased opacity within the right upper lobe with possible mass and associated area of atelectasis or focal consolidation. The cardiac silhouette is within normal limits. opacity in the left midlung overlying the posterior left 5th rib may represent focal airspace disease. No pleural effusion or pneumothorax. No acute bone abnormality.,,images/image_1288.png No acute cardiopulmonary abnormalities. The heart is normal in size and contour. There is no mediastinal widening. No focal air space disease. Prominent hilar . No large pleural effusion or pneumothorax. The are intact.,,images/image_1289.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_1290.png No evidence of active disease. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.,,images/image_1291.png "Hypoventilated lungs, but no focal consolidation. The lungs are hypoventilated. There is no focal consolidation. Cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.",,images/image_1292.png "1. Unchanged cardiomegaly. 2. Interstitial prominence. Maybe due to technical factors. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains moderately enlarged, exaggerated by epicardial fat pads. Interstitium is prominent. No focal airspace consolidation or pleural effusion. There is spine spondylosis.",,images/image_1293.png No evidence of active disease. 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.,,images/image_1294.png "No acute cardiopulmonary findings. . 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.",,images/image_1295.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1296.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1297.png "No acute findings. Please note that fractures may not be demonstrated and consider additional imaging as clinically warranted. No focal consolidation, pneumothorax or definite pleural effusion. Heart size within normal limits for technique, no mediastinal widening seen. No acute osseous injury demonstrated. Dextroscoliosis noted.",,images/image_1298.png " change. Hypoinflation with no visible active cardiopulmonary disease. Lung lines remain low. However, no focal infiltrates are identified. Heart and pulmonary are normal.",,images/image_1299.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.,,images/image_1300.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1301.png No acute cardiopulmonary findings. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.,,images/image_1302.png "Left lower lobe airspace disease consistent with pneumonia. Associated right pleural effusion. In the interval, consolidation and atelectasis have developed in the right lower lobe. Costophrenic blunted on the right. Left lung clear. Heart size normal.",,images/image_1303.png Bibasilar pneumonia. Consolidation is developing in the left lower lobe. A patchy infiltrate is also present in the right lower lobe. Heart size is normal.,,images/image_1304.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. The posterior costophrenic are excluded on the lateral view. 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.",,images/image_1305.png "1 cm of apical opacity, scarring versus nodule. A noncontrast is indicated for further characterization. Critical result notification documented through Primordial. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a 1 cm focal opacity in the right lung apex incompletely evaluated by this exam. There is minimal left basilar opacity compatible with scarring or atelectasis. There are degenerative changes of the spine.",,images/image_1306.png "1. Multiple bilateral pulmonary nodules, concerning for metastatic disease. 2. Prominent left hilum. After correlation with the scan performed today, findings reflect enlargement of the left pulmonary artery. There are multiple bilateral pulmonary nodules. For example, there is a 12 mm left lower lobe nodule, seen on the frontal view. There is no pleural effusion or pneumothorax. Heart size is within normal limits. The left hilar contour is prominent. There are diffuse degenerative changes of the spine.",,images/image_1307.png "1. No acute cardiopulmonary abnormality. Low lung volumes. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Mild degenerate change of the thoracic spine. Stable cholecystectomy clips in the right upper quadrant.",,images/image_1308.png No acute pulmonary disease. There is scarring in the right mid and upper lung zone with surgical clips identified as well. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_1309.png No acute abnormality. Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Again noted is tortuosity and unfolding of the thoracic aorta. Aortic vascular calcifications. Normal pulmonary vascularity. Bone demineralization.,,images/image_1310.png "Diffuse reticulonodular pattern bilaterally. The this may represent heart failure, opportunistic infection, or idiopathic interstitial pneumonitis. of chest for further characterization. Cardiomediastinal silhouettes are within normal limits. The there is a diffuse reticulonodular pattern the lungs bilaterally. Pulmonary vasculature is within normal limits. Negative for pneumothorax or large pleural effusion. Bony thorax is unremarkable",,images/image_1311.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_1312.png Bandlike opacities in the right lung. Appearance atelectasis. Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. Bandlike opacities are present in the right lung. Appearance suggest atelectasis. No pneumothorax or pleural effusion is seen.,,images/image_1313.png "1. No acute radiographic cardiopulmonary process. Heart size is mildly enlarged but stable.. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..",,images/image_1314.png Left lower lobe atelectasis otherwise no acute cardiopulmonary disease. Streaky opacity is noted within the left lung base which may represent focal area of atelectasis. Right lung is grossly clear. Cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. No large pleural effusion.,,images/image_1315.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_1316.png 1. No acute cardiopulmonary abnormalities. 2. No acute bony abnormalities. . Cardiomediastinal silhouette is within normal limits. No focal consolidation. There is right lower lobe scarring. No pneumothorax or large pleural effusion. Granulomas present. No acute bony abnormalities.,,images/image_1317.png "No evidence of acute cardiopulmonary process. The 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. There are multilevel degenerative changes of the thoracic spine.",,images/image_1318.png "1. Interval enlargement of right middle lobe mass, highly suspicious for malignancy. Recommend CT of the chest/abdomen with intravenous contrast for further evaluation. 2. Otherwise clear lungs. Dr. notified of the critical results at on , by telephone and acknowledged receipt of these results. Lobulated right middle lobe mass measuring 4.5 x 6.8 cm, increased in size compared to prior study, most compatible with neoplasm. Otherwise, the lungs are clear without focal consolidation. No pneumothorax or pleural effusion. Cardiomediastinal silhouette within normal limits.",,images/image_1319.png "1. Patchy left basilar subsegmental atelectasis, infiltrates and/or small left pleural effusion. . The cardiac silhouette is at the upper limits of normal for size. Patchy opacities are demonstrated in the left lung base. No focal pulmonary consolidation. No pneumothorax. Minimal degenerative changes of the thoracic spine.",,images/image_1320.png "Right paratracheal mass, possibly lymphadenopathy. If there are no previous chest x- from elsewhere are scan with contrast be of further . Dr. I discussed these findings in the Department approximately hours , . Right paratracheal stripe is denser and than normal. The are normal. Heart size normal. Lungs clear and expanded with no infiltrates.",,images/image_1321.png "1. No active disease. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. are grossly unremarkable.",,images/image_1322.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_1323.png Normal chest radiograph The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,,images/image_1324.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1325.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.",,images/image_1326.png "Patchy left lower lobe infiltrate and focal atelectasis, consistent with pneumonitis. A strandy infiltrate has developed in the left lower lobe. Right lung is clear. Heart size remains normal.",,images/image_1327.png 1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.,,images/image_1328.png No acute disease. The heart is normal in size. The mediastinum is stable. The lungs are clear.,,images/image_1329.png 1. No evidence of active disease. 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.,,images/image_1330.png "1. Stable bilateral pleural effusions and pleural thickening, right worse than left, with mild right-sided loculation. 2. Stable appearance of right apical thickening/atelectasis with volume loss, possibly related to prior radiation or surgery. Suggest clinical correlation. The heart is normal in size. The cardiomediastinal contours are stable. There are stable bilateral pleural effusions with partial right-sided loculation. Biapical scarring and pleural thickening appears stable. There is again right-sided superior hilar retraction and mild rightward deviation. No acute infiltrate is appreciated.",,images/image_1331.png "Low lung volumes, no acute cardiopulmonary findings. Lung volumes are mildly low. The cardiomediastinal silhouette is within normal limits for size contour. No consolidation. No pleural effusion or pneumothorax. Mild degenerative disc change at the thoracic spine, no deformity.",,images/image_1332.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally without focal consolidation, pneumothorax, or effusion. Calcified granuloma noted in the right midlung. The heart size is within normal limits. No acute bony abnormality is identified.",,images/image_1333.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1334.png "No acute radiographic cardiopulmonary process. . Cardiac and mediastinal 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.",,images/image_1335.png "No acute cardiopulmonary finding. The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion or pneumothorax. The bony structures are normal.",,images/image_1336.png Low lung volume exam demonstrates small amount of right basilar atelectasis. There is no acute consolidation or pneumothorax. There are low lung volumes. The heart size and upper mediastinum have a normal appearance. There is no pulmonary vascular congestion. There is minimal right basilar atelectasis. There is no large effusion or pneumothorax. The osseous structures appear intact.,,images/image_1337.png "1. No acute cardiopulmonary abnormality. 2. 1.7 cm nodular opacity within the right hilum, there is large lymph node or partially calcified granuloma. Followup radiograph to assess stability may be of benefit. No focal consolidation, pneumothorax, or pleural effusion identified. However, there is a 1.7 cm nodular opacity within the right hilum, which may represent partially calcified granuloma or lymphadenopathy. Scattered calcified granulomas also seen. Heart size is upper limit normal. No acute bony abnormality.",,images/image_1338.png No focal lung consolidation. COPD. No displaced fractures. There is hyperexpansion of lungs and flattening of the diaphragm consistent with COPD. No focal lung consolidation. No pneumothorax or pleural effusion. Heart size and pulmonary vascularity are within normal limits. There is a kyphosis and osteopenia of the thoracic spine. No displaced rib fractures.,,images/image_1339.png Question mild pulmonary vascular congestion in a patient with prosthetic aortic valve. There has been previous aortic valve replacement. Heart is towards upper limits normal for size and may be mild pulmonary vascular congestion. The skeletal structures are normal. The soft tissues are normal.,,images/image_1340.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1341.png No acute cardiopulmonary disease. Lungs are clear. No focal infiltrate or effusion. No pneumothorax. Heart and mediastinal contours within normal limits. There are significant degenerative changes of the thoracic spine.,,images/image_1342.png "1. Low lung volumes with mild crowding. PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Mild nodular prominence of the right hilum, without significant change. Lung volumes are decreased, with crowding. There is no pneumothorax, pleural effusion, or focal air space consolidation.",,images/image_1343.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_1344.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax. Sternotomy overlie the heart.,,images/image_1345.png 1. Chest. No active disease. No evidence for cardiopulmonary injury. 2. Left ankle. Soft tissue edema with no visible bony injury. Chest. Both lungs clear and expanded. Heart and mediastinum normal. Ankle. Soft tissue is present around the malleoli. intact. Mortise radiographically stable.,,images/image_1346.png "No acute cardiopulmonary findings. Specifically, no radiographic evidence of tuberculosis. Heart size within normal limits. No focal airspace disease. No pleural effusion. No pneumothorax.",,images/image_1347.png 1. No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm. Surgical clips are seen the right upper quadrant.,,images/image_1348.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1349.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. Lungs are clear. There is no pneumothorax or pleural effusion. Postoperative changes seen in the left humerus. No acute bony abnormalities.,,images/image_1350.png "1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. scar in the right lateral midlung. Adjacent focal pleural thickening is noted. Chronic blunting of both lateral costophrenic . Heart size and pulmonary vascularity within normal limits. Tortuous, ectatic thoracic aorta, unchanged. sternotomy intact.",,images/image_1351.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_1352.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1353.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_1354.png "No acute cardiopulmonary abnormality identified. 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.",,images/image_1355.png "No acute cardiopulmonary abnormality. . 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 due to hiatal hernia seen on examination.",,images/image_1356.png "No acute cardiopulmonary abnormality. Mild nonspecific prominence of mediastinum, consider repeat CXR if any concern for vascular process. Technically limited study secondary to patient . Decreased lung volumes with associated bronchopulmonary crowding without evidence of focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.",,images/image_1357.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1358.png "Lung lines without evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. A total of 3 images were obtained. The cardiomediastinal contours are within normal limits allowing for low lung volumes and patient rotation. There is atelectasis. No consolidation, pleural effusion or pneumothorax. Calcified right infrahilar lymph again seen. Partially visualized lower cervical spine fusion .",,images/image_1359.png Normal chest. Heart size is normal. The lungs and costophrenic are clear. The bony thorax is grossly intact.,,images/image_1360.png Normal chest. Heart size is normal. The lungs and costophrenic are clear. The bony thorax is grossly intact.,,images/image_1361.png "No acute cardiopulmonary findings. Specifically, no radiographic evidence of tuberculosis. Heart size within normal limits. No focal airspace disease. No cavitations. No pneumothorax or pleural effusion.",,images/image_1362.png "Redemonstration of right chest wall mass compatible with patient's known breast carcinoma. The heart is normal in size. Atherosclerotic calcifications of the aorta. The mediastinum is stable. There is again soft tissue density projected over the right mid chest, patient's known large breast mass. The appearance is grossly stable to decreased from prior study. The lateral projection is suboptimal as patient could not raise . There is no pleural effusion.",,images/image_1363.png No acute cardiopulmonary findings. Clear lungs. Heart size is normal. No pneumothorax or large pleural effusion.,,images/image_1364.png "1. Cardiomegaly and findings of prior asbestos exposure without interval acute cardiopulmonary findings. There is stable cardiomegaly. Aorta is calcified and tortuous. There are multiple pleural calcifications representing prior asbestos exposure. These appear unchanged. There is no pneumothorax, pleural effusion, or focal airspace consolidation.",,images/image_1365.png Minimal left basilar opacity most representing atelectasis or chronic scarring. 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 repair on the right.,,images/image_1366.png "Borderline cardiomegaly, otherwise unremarkable exam. Heart size upper limits normal. Vascularity normal.Calcified breast implants obscure some detail. Lungs are clear. Vascular calcifications aorta. No pleural effusions or pneumothoraces.",,images/image_1367.png No acute cardiopulmonary process. . The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild degenerative changes of the thoracic spine.,,images/image_1368.png Normal chest exam. Normal heart size. Clear lungs without pneumothorax or pleural effusion.,,images/image_1369.png "No acute cardiopulmonary abnormality. Limited lateral projection. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Healed distal left clavicular fracture noted.",,images/image_1370.png "Core irregularity along the anterior margin of the sternum may represent an age-indeterminate nondisplaced fracture. In addition, focal lentiform hyperdensity along the aspect of the sternum may represent callus formation. Left basilar atelectasis otherwise clear lungs. There is a cortical irregularity along the anterior margin of the sternum. In addition, there is a focal retrosternal hypodense convexity. The cardiac silhouette is within normal limits. The thoracic aorta is torturous however the mediastinal contours are within normal limits. There is no pneumothorax. There is no large pleural effusion. There is streaky opacity within the left lung base representing atelectasis. Otherwise, the lungs are clear. There is thoracic kyphosis. There is hyperinflation of the lungs.",,images/image_1371.png "1. No acute cardiopulmonary abnormalities. 2. Multiple chronic changes as described above. . Mediastinum is stable. Retrocardiac lucency represents a large hiatal hernia, unchanged from prior. The lungs are clear, without focal infiltrate or pleural effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities. Stable thoracic deformity.",,images/image_1372.png "Negative for acute cardiopulmonary abnormality. The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax unremarkable.",,images/image_1373.png No evidence of active disease. Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. There are minimal degenerative changes of the spine.,,images/image_1374.png Findings of COPD with no acute changes. Lungs are hyperexpanded. No infiltrates or masses. The eventration of the left hemidiaphragm identified previously is largely unchanged since the previous computed tomogram. Pulmonary are normal.,,images/image_1375.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_1376.png "Negative for acute cardiopulmonary disease. No pneumothorax, pleural effusion, or focal airspace disease. Heart size normal. Stable cardiomediastinal silhouette. Nodular opacities consistent with chronic granulomatous disease. Bony structures intact.",,images/image_1377.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality.",,images/image_1378.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1379.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Note is of an closure device which appears grossly appropriate The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_1380.png Negative chest. . Heart size is normal. No focal consolidations. No pneumothorax or pleural effusion.,,images/image_1381.png "1. No acute cardiopulmonary abnormalities. Stable prominence of the cardiac apex, from ventricular hypertrophy. Mid sternotomy again noted. No pneumothorax, significant pulmonary edema or large pleural effusions. No focal lung consolidation. Clips in the right upper quadrant consistent with cholecystectomy. Dextroscoliosis of the thoracolumbar spine.",,images/image_1382.png 1. No acute pulmonary disease. and lateral chest examination was obtained. One AP view is expiratory and was repeated. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no focal infiltrates. There is no effusion or pneumothorax.,,images/image_1383.png Right basilar airspace disease. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. Patchy right lower lung opacification is noted.,,images/image_1384.png "1. Patchy left basilar subsegmental atelectasis, infiltrates and/or small left pleural effusion. . The cardiac silhouette is at the upper limits of normal for size. Patchy opacities are demonstrated in the left lung base. No focal pulmonary consolidation. No pneumothorax. Minimal degenerative changes of the thoracic spine.",,images/image_1385.png "1. Stable cardiomegaly without acute cardiopulmonary abnormality. There is stable cardiomegaly. The mediastinum is unremarkable. Atherosclerotic calcifications are present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are present in the thoracic spine.",,images/image_1386.png Clear lungs. The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits.,,images/image_1387.png "No acute pulmonary findings. . Broken of the 4 , similar to the prior study. Stable multiple surgical clips in the left hilar area. Stable cardiomediastinal silhouette. Pulmonary vasculatures are within normal limits. No focal consolidation, pleural effusion or pneumothorax. Unremarkable bony structure.",,images/image_1388.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_1389.png "1. Clear lungs. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. are grossly unremarkable.",,images/image_1390.png No acute cardiopulmonary process. 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.,,images/image_1391.png "No acute cardiopulmonary disease. The heart is normal in size and contour. Scattered calcifications are noted, compatible with prior granulomatous disease. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_1392.png Emphysema without acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated. There is biapical scarring. No acute infiltrate or pleural effusion seen.,,images/image_1393.png "Right upper lobe pneumonia. Consideration may be given for followup chest x-, following appropriate therapy. The patient is rotated to left. The cardiomediastinal silhouette is normal in size. lucency along the left ventricular related to interface between the heart and aerated lung. Patchy right perihilar/upper lobe opacities, which abut the fissure on lateral projection. No pneumothorax or large pleural effusion. Exaggerated thoracic kyphosis. No definite acute bone abnormality.",,images/image_1394.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and aeration of the lungs. No pleural effusion. There are gastroesophageal junction and epigastric postsurgical changes.",,images/image_1395.png "No acute cardiopulmonary findings. Right jugular catheter present with tip overlying the lower SVC. Curvilinear density projecting over the upper chest appears external on the lateral projection. Correlate clinically. Normal heart size and mediastinal contour appear normal pulmonary vascularity. scar/subsegmental atelectasis in the lingula. No focal airspace consolidation, pleural effusion, or pneumothorax. No acute osseous findings. Mild degenerative changes of the spine.",,images/image_1396.png "Stable radiographic view of chest. Right mid lung nodule stable ; etiology not determined. This is noncalcified, and is stable since a CT examination from and is benign etiology. The lungs are well inflated and without focal consolidation. The cardiomediastinal silhouette appears unremarkable. Costophrenic clear. Visualized spine vertebrae appear normal in and alignment. Overlying leads.",,images/image_1397.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1398.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Suspected artifact over the bilateral neck soft tissues and supraclavicular fossae. Normal .",,images/image_1399.png 1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,,images/image_1400.png No active disease. The lungs are clear. No pleural effusion is identified. The heart is normal. There are calcifications of the aortic . The skeletal structures are normal.,,images/image_1401.png "No acute cardiopulmonary finding. The heart and cardiomediastinal silhouette are normal in size and shape. There is no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",,images/image_1402.png "Normal chest No evidence of tuberculosis Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_1403.png "No acute cardiopulmonary abnormalities. The heart is normal in size. Stable appearance of coronary stent. sternotomy changes are present. No focal consolidation, pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.",,images/image_1404.png Right IJ catheter tip in proximal right atrium. No pneumothorax. The heart is borderline in size. The aorta is mildly tortuous. right IJ catheter is in with tip in proximal right atrium/cavoatrial junction. There is no pneumothorax. Lungs are grossly clear. There is no large effusion.,,images/image_1405.png "No acute cardiopulmonary abnormality. . 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.",,images/image_1406.png 1. No evidence of active disease. 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.,,images/image_1407.png "No acute cardiopulmonary abnormality. No radiographic evidence of metastatic disease in the chest. 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.",,images/image_1408.png "No acute cardiopulmonary abnormality. 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.",,images/image_1409.png No acute cardiopulmonary abnormalities. No pneumothorax. Heart size is normal. Granulomas are seen within the right lung. No large pleural effusions. No focal airspace consolidation.,,images/image_1410.png Emphysema without acute disease. The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. Emphysematous changes are identified. There is no acute infiltrate or effusion.,,images/image_1411.png No acute cardiopulmonary abnormalities. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,,images/image_1412.png "1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. There is a right middle lobe nodule which is denser than adjacent is most calcified. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.",,images/image_1413.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_1414.png No acute cardiopulmonary abnormality. The lungs are hypoventilated. There is no focal airspace opacity. The cardiomediastinal silhouette is normal in size. There is no pneumothorax or large pleural effusion.,,images/image_1415.png 1. Left paraspinal/retrocrural adenopathy. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Low left paraspinal/retrocrural adenopathy is present. This appears unchanged.,,images/image_1416.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1417.png No acute cardiothoracic process. Negative for cardiac enlargement. Negative for vascular congestion. Bilateral granulomas are seen scattered throughout the lungs. Negative for pneumothorax. Negative for focal air space consolidation. Some minimal streaky opacity at the bilateral bases relates to subsegmental atelectasis.,,images/image_1418.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_1419.png Cardiomegaly without superimposed acute disease identified. Heart size is mildly enlarged. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma in the right lung base. There are mild degenerative changes of the spine. There are some chronic increased interstitial markings noted.,,images/image_1420.png No acute cardiopulmonary abnormality. The lungs are clear. There are calcified granulomas. Heart size is normal. No pneumothorax.,,images/image_1421.png No acute cardiopulmonary disease. The cardiac silhouette mediastinal contours are within normal limits. There is no definite focal infiltrate. There is no large pleural effusion. There is no pneumothorax.,,images/image_1422.png No acute process. The cardiac contours are normal. Atherosclerotic aorta. The lungs are clear. Thoracic spondylosis.,,images/image_1423.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. Atherosclerotic calcifications present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild emphysematous changes are noted. Bilateral apical pleural scarring is present. Calcified granuloma is present within the right lower lobe. The are generally unremarkable.",,images/image_1424.png No acute cardiopulmonary findings. Heart size normal. No focal airspace consolidations. No pneumothorax or effusion. Degenerative changes in the midthoracic spine.,,images/image_1425.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_1426.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. There is right greater than left biapical bullous emphysema. No focal consolidation, pleural effusion, or pneumothorax identified. There are degenerative changes of the thoracic spine.",,images/image_1427.png "1. Unremarkable chest radiograph. 2. Unchanged degenerative joint disease of the thoracic spine. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. Osseous structures are grossly unremarkable. Unchanged degenerative changes to the thoracic spine.",,images/image_1428.png No acute cardiopulmonary abnormality. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_1429.png "1. Redemonstration of diffuse bilateral pulmonary fibrosis with relative sparing of the bilateral lung apices. No focal pulmonary consolidation. . The cardiomediastinal silhouette appears irregular secondary to the diffuse bilateral pulmonary interstitial disease. The thoracic aorta is tortuous. Calcified lymph are demonstrated in the left hilum. No focal pulmonary consolidation. Diffuse increased bilateral pulmonary interstitial markings, consistent with the patient's history of known pulmonary fibrosis, with relative sparing of the bilateral lung apices. No pneumothorax or pleural effusion demonstrated. The thoracic spine appears intact.",,images/image_1430.png "No acute cardiopulmonary abnormality. 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.",,images/image_1431.png "Left mid lung opacity noted, most compatible with atelectasis versus infiltrate. Recommend clinical correlation. . Left midlung opacity noted, not visualized on prior. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.",,images/image_1432.png "No acute cardiopulmonary abnormality. . No pneumothorax, pleural effusion or airspace consolidation. Stable right lower lung granuloma. Interval to right clavicle procedure. Heart size and pulmonary vasculature appear within normal limits. are intact.",,images/image_1433.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_1434.png "Emphysema, however no acute cardiopulmonary finding. The heart size and cardiomediastinal silhouette are normal. There is hyperexpansion of the lungs with flattening of the hemidiaphragms. There is no focal airspace opacity, pleural effusion, or pneumothorax. There multilevel degenerative changes of thoracic spine.",,images/image_1435.png "Left basilar atelectasis. No acute cardiopulmonary abnormalities. The heart is mildly enlarged. Mediastinal contour and pulmonary vascularity are within normal limits. There are streaky left basilar airspace opacities, compatible with atelectasis as seen on comparison abdomen and pelvis CT. There is a left upper lung granuloma. Otherwise, no focal consolidation, large pleural effusion, or pneumothorax. appear intact.",,images/image_1436.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear. Bilateral breast prostheses are noted.,,images/image_1437.png "Mild blunted right costophrenic which could be due to effusion or scarring. The heart and mediastinum are normal. The lungs are clear. There is mild blunting of the right costophrenic . There is no infiltrate, mass or pneumothorax. The right internal jugular catheter has been removed.",,images/image_1438.png "Stable appearance of the chest. No acute cardiopulmonary findings. 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.",,images/image_1439.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Slight thoracolumbar curvature is noted.,,images/image_1440.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1441.png Negative preoperative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_1442.png "No acute cardiopulmonary disease. Cardio mediastinal silhouette, pulmonary vascular pattern are within normal limits. Mildly low lung volumes. No focal infiltrate, pleural effusion or pulmonary edema. No pneumothorax.",,images/image_1443.png 1. Unchanged cardiomegaly. 2. Question pleural effusions. There is no focal consolidation. Mild blunting of the posterior costophrenic represent small effusions. No pneumothorax is present. There is moderate cardiomegaly. The pulmonary vasculature is within normal limits.,,images/image_1444.png "No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality.",,images/image_1445.png "No acute cardiopulmonary abnormalities. The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. Mild dextro curvature of the thoracic spine, possibly positional.",,images/image_1446.png "No acute cardiopulmonary abnormalities. . The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",,images/image_1447.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_1448.png No acute cardiopulmonary abnormalities. Emphysematous changes of the lungs. The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact.,,images/image_1449.png No radiographic evidence of tuberculosis. Normal heart size and mediastinal contours. No abnormal airspace opacities or large cavitary lung lesions. Visualized osseous structures are unremarkable in appearance.,,images/image_1450.png No acute cardiopulmonary abnormality. The heart size is normal and cardiomediastinal silhouette is normal in contour. Lungs are clear bilaterally. There is no pleural effusion or pneumothorax. No bony or soft tissue abnormalities.,,images/image_1451.png 1. No acute cardiopulmonary abnormalities. No pleural effusion no pneumothorax. Normal cardiac contour. No focal consolidation. Lungs clear bilaterally.,,images/image_1452.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,,images/image_1453.png No acute cardiopulmonary abnormalities. . Right chest central venous line is noted with tip in the mid SVC. There is no pneumothorax. Heart size is normal. No large pleural effusions. No acute focal airspace opacification.,,images/image_1454.png "1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size upper limits of normal, pulmonary vascularity within normal limits. Straightening of the normal thoracic kyphosis. Levocurvature the lumbar spine, incompletely imaged.",,images/image_1455.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The right chest tip is visualized in the mid SVC. There is no pneumothorax. The lungs are clear.,,images/image_1456.png "Interval placement of right humeral orthopedic , incompletely evaluated. If attention is desired to this area, consider dedicated shoulder x-. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Interval placement of right humeral prosthesis, incompletely evaluated. Incompletely evaluated the lumbar spine fusion . cholecystectomy.",,images/image_1457.png No acute abnormality. . Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,,images/image_1458.png "No acute disease. The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aorta identified. There is no focal consolidation, pleural effusion or pneumothorax. Degenerative changes of the thoracic spine are noted.",,images/image_1459.png No acute cardiopulmonary abnormality. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_1460.png "1. No focal airspace consolidation. 2. Prominent bilateral interstitial opacities, stable from prior radiographs. The tracheostomy tube tip is 5 cm above the carina. There are prominent diffuse bilateral interstitial opacities, stable from prior radiographs. There is no focal airspace consolidation. No pleural effusion. No pneumothorax. Heart size is within normal limits. There are mild degenerative changes of the spine.",,images/image_1461.png "No acute findings Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense nodule again noted in the right lower lobe suggesting a previous granulomatous process.",,images/image_1462.png "1. Haziness in the right lung apex and questionable right middle lobe pulmonary nodule. These may be explained by overlapping structures, chest would be useful for further evaluation. 2. Emphysematous changes. The cardiac and mediastinal contours are within normal limits. There are calcifications of the aortic . The lungs are hyperinflated with increased retrosternal airspace and flattening of hemidiaphragms. There is haziness in the right lung apex. There is a 1.7 cm nodular density in the medial right lung base seen on the frontal view, not identified on the lateral view. This may represent a vessel on end. There is no consolidation, pneumothorax, or effusion. There are mild degenerative changes of the spine.",,images/image_1463.png Emphysema without acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated compatible with emphysema. There is biapical scarring. No acute infiltrate is seen.,,images/image_1464.png "Low lung volumes with minimal bibasilar atelectasis. Overall no significant interval change. The examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes with atelectasis. The cardiac silhouette is unchanged. There is mild to moderate tortuosity of the thoracic aorta. No focal consolidation, pleural effusion, or pneumothorax identified. Thoracic spondylosis is again seen.",,images/image_1465.png "No acute findings Considering differences in technical factors stable cardiomegaly and stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema.",,images/image_1466.png No evidence of active disease. 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.,,images/image_1467.png "1. Suspected mild patchy right upper lobe pneumonia, for which clinical correlation is recommended. Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. Interval development of mild patchy airspace opacities within the posterior aspect of the right upper lobe, concerning for underlying pneumonia. Stable mild background chronic interstitial changes. No evidence of associated pleural effusion or pneumothorax. Multilevel midthoracic degenerative changes, with prominent anterolateral marginal osteophytes.",,images/image_1468.png No acute cardiopulmonary abnormalities. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,,images/image_1469.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present.,,images/image_1470.png "No acute cardiopulmonary abnormality. Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion.",,images/image_1471.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Soft tissues unremarkable",,images/image_1472.png "No cardiopulmonary abnormality. Normal cardiomediastinal contours. Hyperexpansion of the lungs with flattening of the diaphragm. No focal lung consolidation, pneumothorax or pleural effusions.",,images/image_1473.png "1. Lobulated anterior mediastinal opacity on the lateral view, possibly consistent with a tortuous/ectatic thoracic aorta versus an anterior mediastinal mass. Contrast-enhanced examination would to further evaluate if clinically indicated. 2. Mild cardiomegaly with findings of chronic obstructive pulmonary disease. The cardiac silhouette is mildly enlarged. A lobulated opacity is identified superior to the heart, in the anterior mediastinum on the lateral view, possibly consistent with a tortuous/ectatic thoracic aorta versus an anterior mediastinal mass. The thoracic aorta is tortuous and calcified. No focal areas of pulmonary consolidation. The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. No pneumothorax or pleural effusion. Severe degenerative changes of the thoracic spine.",,images/image_1474.png "Negative. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_1475.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Mild granulomatous sequela are noted. The lungs are grossly clear.,,images/image_1476.png "Mildly hyperinflated, clear lungs. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated, without evidence of focal airspace disease, pneumothorax, or pleural effusion. Incidental note is of an azygos fissure. There are no acute bony findings.",,images/image_1477.png "No acute changes from prior imaging. 2 images. Moderate thoracic dextroscoliosis, similar to prior imaging. Heart size is normal. No focal airspace consolidation is seen within the lungs. No pleural effusion or pneumothorax.",,images/image_1478.png "No acute cardiopulmonary abnormality.. No focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette unremarkable. Stable bilateral calcified granulomas/lymph . A bullet is present in the posterior soft tissues of the left chest wall, stable compared to prior examination.",,images/image_1479.png "Stable appearance of the chest, see above. Stable borderline enlarged cardiac contour. Calcified mediastinal lymph . Prominent right paratracheal stripe. Emphysema. No active pulmonary disease. Mild spondylosis.",,images/image_1480.png "No acute cardiopulmonary findings. The cardiac silhouette measures near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is stable eventration of the anterior right hemidiaphragm. The lungs are clear of focal airspace disease, pneumothorax, pleural effusion. There are no acute bony findings.",,images/image_1481.png "No acute cardiopulmonary abnormalities. 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.",,images/image_1482.png "No acute cardiopulmonary abnormality identified. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. Multilevel degenerative changes are noted within the thoracic spine.",,images/image_1483.png "No acute radiographic cardiopulmonary process. . Cardiac and mediastinal appear normal. Low lung volumes and bronchovascular crowding. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. Surgical clips are seen within the right upper abdomen.",,images/image_1484.png "No acute cardiopulmonary abnormality identified. 3 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",,images/image_1485.png 1. No acute radiographic cardiopulmonary process. The heart size is normal. Tortuous aorta. Calcifications are seen within the aortic . The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. Stable calcified granuloma within the lingula. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm. Surgical clips are seen within the right upper abdomen.,,images/image_1486.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. The heart size is normal. No large pleural effusions. The cardiomediastinal silhouette is grossly unremarkable.,,images/image_1487.png "1. Distal tip of the dual-lumen right internal jugular central venous catheter projects over the right atrium. 2. No apparent pneumothorax. 3. Stable right upper lung lucency. CT chest may be helpful to further characterize. There is a dual-lumen right internal jugular central venous catheter, the distal tip projects over the right atrium. There is no apparent pneumothorax. There is no focal lung opacity or pleural effusion. There is stable right upper lung lucency. The cardiopulmonary mediastinal silhouettes are stable. The visualized osseous structures appear within normal limits.",,images/image_1488.png No acute cardiopulmonary findings. Heart size within normal limits. No focal airspace disease. No pneumothorax or pleural effusion.,,images/image_1489.png Subsegmental atelectasis in the left lower lobe. 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.,,images/image_1490.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.",,images/image_1491.png "No acute cardiopulmonary abnormality. Scattered calcified pulmonary nodules, represents calcified granulomas. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Stable calcified hilar and mediastinal lymph , decreased in size from prior exam. Heart size is normal. are unremarkable.",,images/image_1492.png No acute cardiopulmonary abnormalities. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,,images/image_1493.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1494.png No acute process. The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.,,images/image_1495.png "No acute cardiopulmonary abnormality.. Low lung volumes bilaterally. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_1496.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1497.png "No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. No focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. Changes of right mastectomy. Sequelae of prior granulomatous disease. Mild thoracic spine degenerative change",,images/image_1498.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1499.png No acute cardiopulmonary findings. Heart size is within normal limits. Low lung volumes. No focal airspace consolidations. No pneumothorax or pleural effusion.,,images/image_1500.png No acute cardiopulmonary process. No focal lung consolidation. No pneumothorax or pleural effusion.Heart size and pulmonary vascularity are within normal limits.Minimal degenerative changes of the thoracic spine. The previously
described deformity in the midthoracic spine is again seen. There is subcutaneous shunt catheter tubing along the anterior chest wall,,images/image_1501.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1502.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1503.png 1. Hypoinflation without acute parenchymal infiltrate. 2. Mild mediastinal prominence related to superimposed and mediastinal fat. The heart is normal in size. The mediastinal contours are within normal limits. There is mild prominence of the superior mediastinum which is somewhat lucent and reflects mediastinal and vascular structures. No focal consolidation is seen. There is no pleural effusion.,,images/image_1504.png 1. No evidence of active disease. Heart size is at the upper limits of normal. The pulmonary vascularity appears 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. No non-calcified nodules are identified.,,images/image_1505.png Low lung volumes without acute cardiopulmonary disease. Low lung volumes with bronchovascular crowding at the bases. No focal opacity. No pneumothorax. No large pleural effusion. Cardiac silhouette mediastinal contours within normal limits.,,images/image_1506.png 1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. There is calcified mediastinal lymph . Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_1507.png No active disease. Lungs are clear. No focal infiltrate. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.,,images/image_1508.png "1. right apical pneumothorax measuring approximately 5 mm in thickness. 2. Multiple right-sided rib fractures involving at the right anterior 5th through 9th ribs with mild displacement. 3. Mild right basilar airspace disease, atelectasis versus contusion. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is a thin right apical pneumothorax measuring approximately 5 mm in thickness. There is extensive subcutaneous emphysema in the right chest wall and neck. There are fractures of the right anterior 5th through 9th anterior ribs with mild displacement. Additional fractures cannot entirely be excluded. There is mild streaky airspace disease in the right lung base. Left lung is clear. There is a small hiatal hernia. There is an intrathecal catheter terminating in the lower thoracic spine.",,images/image_1509.png "1. No acute cardiopulmonary abnormalities. 2. Normal chest radiograph. The central airway is midline and is . The cardiomediastinal silhouette is within normal limits. There is no focal lung consolidation, pleural effusion, or pneumothorax seen. The osseous structures appear within normal limits.",,images/image_1510.png "Resolution of cardiomegaly. No active disease. In the interval, the heart size has become normal. Pulmonary are normal. Lungs are clear and expanded.",,images/image_1511.png No acute pulmonary findings. Cardiac and mediastinal contours are within normal limits. Right lung base granuloma. The lungs are otherwise clear. Thoracic spondylosis.,,images/image_1512.png No acute findings. Cardiac and mediastinal contours are within normal limits. Mild aortic tortuosity. The lungs are clear. Bony structures are intact.,,images/image_1513.png 1. opacities at the lateral left base. The appearance atelectasis. Right central venous line has been removed. Heart size and pulmonary vascularity appear within normal limits. A few bandlike opacities are present at the lateral left base. The appearance scarring or atelectasis. No focal airspace disease is seen. No discrete nodules are identified. No pneumothorax or pleural effusion is seen.,,images/image_1514.png No acute cardiopulmonary inability. . Right lower lobe calcified granuloma. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.,,images/image_1515.png "No acute cardiopulmonary abnormality. 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.",,images/image_1516.png "No acute cardiopulmonary abnormality. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.",,images/image_1517.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1518.png "No acute cardiopulmonary disease. Lungs are clear. No focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Osseous structures intact.",,images/image_1519.png No acute cardiopulmonary abnormality identified. 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.,,images/image_1520.png "1. No focal pulmonary consolidation or effusion. Minimal left basilar atelectasis. 2. Bilateral pulmonary nodules. These were not present on the prior study and may represent sequela of infection, but could represent neoplastic process. Correlation with history of primary malignancy is recommended. Further evaluation of the thorax could be performed, if clinically indicated. The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute pulmonary consolidation, large effusion or pneumothorax. There is minimal left basilar atelectasis. There are small bilateral pulmonary nodules measure approximately 5 mm in size in the right midlung and left upper lung . These are not well appreciated on the lateral projection.",,images/image_1521.png "No acute cardiopulmonary abnormalities. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_1522.png No acute cardio pulmonary disease The lungs appear clear. The heart and pulmonary are normal. Pleural spaces are clear. Mediastinal contours are normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.,,images/image_1523.png No significant change in right pneumothorax or pleural fluid. Mediastinal contours are normal. No significant change in pneumothorax or right pleural fluid..,,images/image_1524.png "No acute cardiopulmonary abnormality.. 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.",,images/image_1525.png 1. No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Lungs are expanded and clear airspace disease. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the to be grossly intact.,,images/image_1526.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Slight thoracolumbar curvature is noted.,,images/image_1527.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Calcified left hilar lymph /granulomas. No focal consolidation, pneumothorax or large pleural effusion. Old fracture, right mid clavicle.",,images/image_1528.png Vague patchy opacity in the right midlung which may represent an early pneumonia given patient's history. Sequelae of old granulomatous disease. Vague patchy opacity in the right midlung which may represent early pneumonia. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_1529.png 1. Stable cardiomegaly without evidence for acute pulmonary process. Heart is mildly enlarged but stable. Pulmonary vascularity is normal. The patient is status post valve replacement. sternotomy intact. No focal airspace disease or effusion. Residuals of prior granulomatous infection. Degenerative change of the spine. No pneumothorax.,,images/image_1530.png No acute cardiopulmonary abnormality. This radiograph was available for my interpretation at hours /. There are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_1531.png "Chest x-, lateral, and decubitus. 1. No acute cardiopulmonary abnormalities. 2. No evidence of pleural effusion. . The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without focal consolidation or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine. No layering pleural effusion or pneumothorax seen on decubitus exam.",,images/image_1532.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_1533.png No acute disease. The heart is top normal in size. The mediastinum is stable. There is a small retrocardiac density which may be secondary to small hiatal hernia. Left IJ catheter tip at cavoatrial junction. No pneumothorax is seen. The lungs are clear.,,images/image_1534.png No acute cardiopulmonary findings. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.,,images/image_1535.png "No acute findings Heart size within normal limits, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_1536.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_1537.png Focal area of scarring or atelectasis within the lingula. No acute pulmonary process. The heart is normal in size and contour. There is a focal area of scarring or atelectasis identified in the lingula. The lungs are otherwise clear without focal infiltrate. There is no pneumothorax or effusion.,,images/image_1538.png "No acute cardiopulmonary disease. Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.",,images/image_1539.png "1. Large left hydropneumothorax, with complete collapse of the left lung. 2. Airspace and interstitial opacity within the right upper and lower lobes. Possible apical cavitation. Tuberculosis should be excluded clinically. 4 images. There is a large hydropneumothorax within the left chest. There is essentially complete collapse of the left lung. Within the right lung, there are increased interstitial opacities within the medial right lung base and right upper lobe, with patchy airspace opacity within the right lung apex. At the right lung apex, there is a more focal ovoid lucency which measures approximately 1.3 cm. This could indicate cavitation. Left-sided cardiomediastinal contours are obscured by collapse of the left lung. No convincing acute bony findings.",,images/image_1540.png "Bibasilar atelectasis. No pneumonia. . There are opacities within both lung bases, representing atelectasis. Heart size is upper limits of normal. No pneumothorax. No pneumothorax.",,images/image_1541.png "No acute cardiopulmonary abnormality. 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.",,images/image_1542.png Interval development of large right-sided pleural effusion. deformity noted at the upper thoracic vertebral body relates to deformity described on previous CT scan. There has been interval development of a large right-sided pleural effusion. The left lung is clear. There is no pneumothorax. Heart size mediastinal contours are within normal limits. deformity is noted at the upper thoracic vertebral body.,,images/image_1543.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures and soft tissues have a normal appearance.,,images/image_1544.png "Significant improvement in bilateral airspace disease and improved aeration bilaterally as described above. Compared to prior examination, there is significant improvement in aeration bilaterally, with improved bilateral airspace opacities. Currently, there are only minimal streaky opacities in the bilateral midlung, which may represent mild residual airspace disease, atelectasis, or underlying changes of chronic lung disease. No large focal consolidations, pneumothorax, or definite pleural effusions identified. The mediastinal silhouette is stable and within normal limits for size and contour. No acute osseous abnormality is identified.",,images/image_1545.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Evidence of prior granulomatous disease. No acute osseous findings.,,images/image_1546.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_1547.png "1. No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. Atherosclerotic calcification of the aorta. No focal airspace consolidation, pleural effusions or pneumothorax. Questionable thin-walled cavitary lesion in the right lower lobe, only seen on the AP view and may represent artifact. No acute bony abnormalities.",,images/image_1548.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1549.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. No focal airspace consolidation or pleural effusion.",,images/image_1550.png Right lower lobe pneumonia. Consider followup radiograph to document resolution. . The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. There is a right lower lobe pneumonia. No pleural effusion. No pneumothorax.,,images/image_1551.png Right lower lobe airspace disease. . Low lung volumes. Elevation of the right hemidiaphragm. Patchy opacities right base again noted. Left lung clear. Heart size top normal. Aortic calcification. Granulomas. No evidence of pneumothorax. Blunting of the bilateral costophrenic . Degenerative changes of the thoracic spine.,,images/image_1552.png "1. Left central venous catheter fracture at the level of the overlap of the clavicle and first rib. Distal catheter tip may be within the azygos vein. 2. Similar-appearing left midlung scarring. There is 1.9 cm interruption of the tunneled left central venous catheter, at the level of the overlap of the clavicle and first rib. Catheter tip may be within the proximal SVC or azygos vein. Normal heart size. left perihilar and midlung densities. No pneumothorax or large pleural effusion.",,images/image_1553.png Prominence of the left hilum may be secondary to adenopathy or enlarged pulmonary vasculature. Chest CT with contrast may be helpful for further clarification. There is prominence of the left hilum which may represent adenopathy or engorged vasculature. Cardiac silhouette is within normal limits of size and contour. No pneumothorax or large pleural effusion. No acute bone abnormality.,,images/image_1554.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_1555.png 1. No evidence of active tuberculosis. 2. left upper lobe opacities. The appearance subsegmental atelectasis or scarring. There are left upper lobe opacities. Lungs otherwise appear clear. No pleural effusion or pneumothorax. Heart size is as is within normal limits.,,images/image_1556.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal atelectasis or scar in the left lung base. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1557.png "Low lung volumes. No acute cardiopulmonary findings. Low lung volumes. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Calcified bilateral hilar lymph , greater on the left. No acute osseous findings.",,images/image_1558.png 1. No acute cardiopulmonary findings. 2. Unchanged chronic appearance of the left lung. There is stable left costophrenic blunting. The patient has undergone prior left lobectomy. There are chronic appearing right basilar interstitial markings. Heart size normal. No visualized pneumothorax. There is stable appearing left upper and right upper lobe bullous disease.,,images/image_1559.png 1. No acute cardiopulmonary abnormality. 2. Feeding tube tip distal to the gastroesophageal junction. Feeding tube noted with tip distal to the gastroesophageal junction. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. Osseous structures intact.,,images/image_1560.png 1. No acute radiographic cardiopulmonary process. 2. Interval development of cardiomegaly. There's been interval enlargement in the cardiac silhouette. These 't contours are within normal limits. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_1561.png "No acute cardiothoracic disease or significant interval change. The examination consists of frontal and lateral radiographs of the chest. sternotomy are again seen. The cardiomediastinal contours are grossly unchanged. Right lung calcified granulomata are again seen. There is no consolidation, pleural effusion or pneumothorax.",,images/image_1562.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1563.png "No radiographic evidence of acute cardiopulmonary disease Heart , mediastinum, , bony structures are unremarkable. Stable increased lung volumes consistent with chronic lung disease. No infiltrates noted.",,images/image_1564.png Mild cardiomegaly. Clear lungs. . Mild cardiomegaly. Normal size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable .,,images/image_1565.png 1. No acute cardiopulmonary abnormality. 2. Interval development of healing left sided rib fractures. Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing left lateral rib deformities.,,images/image_1566.png "No acute process. No definite pulmonary nodules are seen. If clinically indicated, further evaluation with CT of the thorax can be performed to identify a small nodule. Correlation with prior radiographs would be helpful to identify the location of the previously described nodule. The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax. No pulmonary nodules are identified.",,images/image_1567.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. The heart size is normal. No large pleural effusions. The cardiomediastinal silhouette is grossly unremarkable.,,images/image_1568.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1569.png Normal chest exam. Clear lungs. Normal heart mediastinum. No pneumothorax. No pleural effusion. No acute bony abnormality. Nipple ring on left.,,images/image_1570.png "1.There is a left basilar airspace opacity, which is concerning for pneumonia. 2. Right basilar atelectasis. There is a left basilar airspace opacity. Right basilar atelectasis. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The are intact.",,images/image_1571.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Degenerative changes of the spine..,,images/image_1572.png "1. Evidence of prior granulomatous disease, stable. No acute abnormality. The heart and mediastinum are unremarkable. Again identified are numerous calcified mediastinal lymph as well as large calcifications within the left upper and left lower lobes. These appear similar to the patient's previous chest CT and are the sequela of prior granulomatous disease. The lungs are otherwise clear without infiltrate. There is no effusion or pneumothorax.",,images/image_1573.png Normal chest film. The lungs are clear. The cardiomediastinal silhouette is within normal limits. There is ectasia of the thoracic aorta. No pleural effusion is identified.,,images/image_1574.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion.",,images/image_1575.png 1. Persistent cardiomegaly. 2. Clear lungs. There is persistent cardiomegaly with suggestion of left atrial enlargement as evidenced by cardiac contour the lateral image and density on the frontal image. The lungs are clear. No visible pleural effusion or pneumothorax.,,images/image_1576.png Mildly displaced fracture of the mid right clavicle. No acute pulmonary findings. Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. Elevated right diaphragm. The lungs are clear. degenerative spondylosis. There appears to be a mildly displaced fracture of the mid right clavicle.,,images/image_1577.png "1. atelectasis in the right lung base. Elevated right hemidiaphragm. No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. Elevated right hemidiaphragm. atelectasis in the right lung base. No focal pulmonary consolidation, pleural effusion or pneumothorax. No acute bony abnormality. Degenerative changes of the thoracic spine.",,images/image_1578.png No acute cardiopulmonary abnormalities. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,,images/image_1579.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality.",,images/image_1580.png "1. Mild cardiomegaly. 2. Otherwise, no acute cardiopulmonary abnormalities. 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.",,images/image_1581.png no radiographic evidence of tuberculosis or sarcoidosis. 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. are unchanged from previous exam and appear normal. Thoracic spine shows osteophyte formations at several levels.,,images/image_1582.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is a stable calcified granuloma within the left lower lobe. There are stable chronic degenerative changes of the thoracic spine.",,images/image_1583.png 1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. There is calcified mediastinal lymph . Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_1584.png "Stable pacemaker generator within the left chest with 2 distal leads terminating in the right atrium and right ventricle, also in stable position. No pneumothorax. Pacemaker generator overlying the left chest in stable position with 2 leads terminating in the right atrium and right ventricle in stable position. Stable sternotomy . No pneumothorax, pleural effusion, or focal airspace disease. Minimal fluid within the right horizontal fissure.",,images/image_1585.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is stable from prior exam. There is no pneumothorax or large pleural effusion. Mediastinal surgical clips are again noted.",,images/image_1586.png 1. Cardiomegaly The heart size is enlarged. The aorta is tortuous. The pulmonary vasculature appears normal. Lungs are otherwise clear bilaterally. No pleural effusions or pneumothorax. No bony abnormalities.,,images/image_1587.png "1. No acute cardiopulmonary abnormalities. Normal and stable cardiomediastinal contours. No pneumothorax, pleural effusions or significant pulmonary edema. No focal lung consolidation.",,images/image_1588.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1589.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1590.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1591.png "1. No acute cardiopulmonary abnormality. 2. No evidence of tuberculosis. Stable obscuration of the left cardiac , representing left pleural thickening. Stable nodular opacity within the left midlung. The lungs are clear bilaterally with no focal consolidation, pleural effusions, or pneumothoraces. Cardiomediastinal silhouette is stable. are unremarkable.",,images/image_1592.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1593.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_1594.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_1595.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_1596.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Sternotomy sutures and coronary bypass clips remain intact.,,images/image_1597.png "Interval postsurgical changes of sternotomy without acute cardiopulmonary abnormality. Postsurgical changes of sternotomy with screw fixation of anterior plates. Heart size and cardiomediastinal silhouette are normal. No focal consolidation, suspicious bony opacity, pneumothorax, or pleural effusion. No acute osseous abnormality.",,images/image_1598.png No acute cardiopulmonary abnormality. . No focal areas of consolidation. No pleural effusions. No pneumothorax. Degenerative changes thoracic spine. Heart size normal limits. Cholecystectomy clips.,,images/image_1599.png "No acute cardiopulmonary abnormality. Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. Cervical fusion . Degenerative changes of the spine and the acromioclavicular joints.",,images/image_1600.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The are unremarkable.",,images/image_1601.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_1602.png change. Hypoinflation with no visible active cardiopulmonary disease. Lung volumes are low. No focal infiltrates. Heart size normal.,,images/image_1603.png Negative chest radiographs. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_1604.png Focal area of scarring or atelectasis within the lingula. No acute pulmonary process. The heart is normal in size and contour. There is a focal area of scarring or atelectasis identified in the lingula. The lungs are otherwise clear without focal infiltrate. There is no pneumothorax or effusion.,,images/image_1605.png "1. There is abnormal separation of right , question very acute versus chronic injury. Correlate for focal pain. If indicated consider dedicated right shoulder films. 2. No acute cortical artery disease. There is abnormal separation of the right . This is age-indeterminate. Corticated bony density over the lateral aspect of the clavicle may reflect sequela of old remote . The cardia mediastinal silhouette, pulmonary vascular pattern are normal. No pneumothorax. No pleural effusion. No pulmonary edema . There is minimal endplate degenerative changes of the midthoracic spine. Partial obscuration retrosternal space due to overlying .",,images/image_1606.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,,images/image_1607.png No acute cardiopulmonary process. No focal lung consolidation. A density overlying the left costophrenic is due to overlying soft tissues. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,,images/image_1608.png Right upper lobe subsegmental atelectasis. No evidence of heart failure. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. There is a vague right suprahilar density with elevation of the fissure most mild subsegmental atelectasis though superimposed infection cannot be entirely excluded. The remaining lungs are clear. The visualized osseous structures and upper abdomen are unremarkable.,,images/image_1609.png No acute process. The cardiac contours are normal. The lungs are hyperinflated with flattened diaphragms. No acute pulmonary findings. Thoracic spondylosis.,,images/image_1610.png Streaky right lower lobe infiltrate versus atelectasis. The heart size is normal. Tortuous aorta. Otherwise the mediastinal contour is within normal limits. Low lung volumes. Mild elevation of the right hemidiaphragm. There is streaky opacity within the right lower lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_1611.png "1. Left midlung opacity, not well seen on prior exam, may represent focus of airspace disease. 2. Stable left base opacities, scarring or atelectasis. 2. Postsurgical changes as above. . Right-sided internal jugular central venous catheter with tip approximating the right atrium. Postsurgical changes of the mediastinum including sternotomy . Left base opacities again noted, stable. There is a left lung opacity, not well appreciated on prior. There is no evidence of pneumothorax. Low lung volumes. Degenerative changes thoracic spine.",,images/image_1612.png "1. Interval central catheter exchange. No acute cardiopulmonary abnormality. 2. Stable cardiomegaly. . A right internal jugular this catheter has been exchanged for a large left internal jugular central venous catheter with the tip at the cavoatrial junction. No pneumothorax, pleural effusion or airspace consolidation. Stable thoracolumbar scoliosis. No acute bone findings. Stable cardiomegaly.",,images/image_1613.png "Hyperinflated lungs, air trapping versus inspiratory . Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits, the typical findings of pulmonary edema. Mild spine dextrocurvature noted.",,images/image_1614.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Calcified left hilar lymph /granulomas. No focal consolidation, pneumothorax or large pleural effusion. Old fracture, right mid clavicle.",,images/image_1615.png "Interval postsurgical changes of sternotomy without acute cardiopulmonary abnormality. Postsurgical changes of sternotomy with screw fixation of anterior plates. Heart size and cardiomediastinal silhouette are normal. No focal consolidation, suspicious bony opacity, pneumothorax, or pleural effusion. No acute osseous abnormality.",,images/image_1616.png "1. Negative for acute cardiopulmonary findings. No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. is intact.",,images/image_1617.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_1618.png "1. Cardiomegaly 2. Indistinct vascular margination which may be secondary to bronchovascular crowding however differential diagnosis includes mild pulmonary edema, atypical infection, inflammation Heart size mildly to moderately enlarged. Mild right hemidiaphragm elevation with mild bronchovascular crowding, right greater than left, indistinct vascular margination. No definite focal alveolar consolidation, no pleural effusion demonstrated.",,images/image_1619.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_1620.png "1. Left PICC tip at cavoatrial junction. 2. No acute cardiopulmonary abnormality. There is a left-sided PICC with tip at the caval atrial junction. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Stable short segment catheter tubing overlying the left , to reside within anterior chest soft tissues on recent chest CT. Stable remote posttraumatic changes of multiple right ribs.",,images/image_1621.png "1. No acute pulmonary abnormality demonstrated. 2. Stable cardiomegaly. 3. Prominent contour of the ascending aorta, consistent with known ascending aortic aneurysm. 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.",,images/image_1622.png "1. No finding suggestive of active disease. No acute osseous abnormalities. Mild thoracic spine degenerative changes. Soft tissues are within normal limits. No focal area of consolidation, pleural effusion, or pneumothorax.",,images/image_1623.png No acute findings. Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.,,images/image_1624.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_1625.png "Mild stable cardiomegaly, no acute disease. The heart is mildly enlarged. The mediastinal contours are stable. The lungs are clear.",,images/image_1626.png "1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild degenerative changes of the thoracic spine.. No acute, displaced rib fractures.",,images/image_1627.png "No acute or active cardiac, pulmonary or pleural disease. Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. No focal airspace consolidation or pleural effusion.",,images/image_1628.png No radiographic evidence of acute cardiopulmonary abnormality. The heart size is normal. The mediastinal contour is within normal limits. There are no focal infiltrates. There is prominent epipericardial fat. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Right 7th and 8th rib deformities are noted. There is no visible free intraperitoneal air under the diaphragm.,,images/image_1629.png 1. Hyperexpanded lungs consistent with emphysema. 2. Pectus carinatum. 3. No evidence of acute disease. The lungs are hyperexpanded consistent with emphysema. Pectus carinatum is noted. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. Calcified granuloma are noted. Vascular calcification is noted.,,images/image_1630.png "No acute cardiopulmonary findings Scoliosis and focal eventration of the posterior left hemidiaphragm. No focal alveolar consolidation. Rotated position, considering technical factors heart size within normal limits. No definite pleural effusion seen, left bronchovascular crowding without typical findings of pulmonary edema. Exaggerated kyphosis with increased AP dimension of the thorax.",,images/image_1631.png Hypoinflation with no visible active cardiopulmonary disease. Lung volumes are low. No focal infiltrates. Heart and pulmonary normal. An indwelling catheter from the left has its tip at the superior .,,images/image_1632.png 1. No acute cardiopulmonary abnormality. 2. Cardiomegaly. . Cardiomegaly. No focal consolidation. No pleural effusions. No evidence of pneumothorax. Osseous structures intact. Levocurvature of the thoracic spine. Lumbar vertebral body stabilization .,,images/image_1633.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is a stable calcified granuloma within the left lower lobe. There are stable chronic degenerative changes of the thoracic spine.",,images/image_1634.png "No acute cardiopulmonary abnormality. 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.",,images/image_1635.png Right upper lobe airspace consolidation Please correlate clinically for pneumonia. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is airspace opacity in the mid right lung radiating from the right hilum to the pleura and bordered inferiorly by the fissures. The fissure is convex upward. There is right base patchy airspace opacity. This appears chronic and may be due to scarring. There is no significant pleural effusion.,,images/image_1636.png COPD and chronic opacities more pronounced in the lower lung . There is persistent mild elevation right hemidiaphragm. There is suggestion of subtle patchy opacities in lower lung bilaterally. This is to be similar to scan. The heart is normal. The aorta is calcified and tortuous. The skeletal structures show scoliosis and arthritic changes.,,images/image_1637.png "No acute radiographic cardiopulmonary process. No acute osseous abnormality. Scattered degenerative changes of the thoracic spine. Surgical clips overlying the right upper quadrant. Anterior cervical fusion . Tortuous and ectatic aorta. No focal area of consolidation, pleural effusion, or pneumothorax.",,images/image_1638.png No evidence of active disease. 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.,,images/image_1639.png "1. No acute pulmonary disease. 2. Stable moderate hiatal hernia. There is stable prominence of the pulmonary interstitium. 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 . No pleural effusion, focal airspace disease or pneumothorax. Stable exaggerated kyphosis of the thoracic spine, stable anterior wedge deformities of at 2 thoracic vertebral bodies at the apex of the kyphotic curvature. Diffuse osteopenia.",,images/image_1640.png "1. No active cardiopulmonary disease. 2. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation. This is related to the muscular dystrophy and decreased shoulder muscles support. 3. postoperative changes from the spinal placement. PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is within limits. Postoperative changes from spinal rods are demonstrated. There is elevation of the left hemidiaphragm. Multiple colonic loops are demonstrated in the left upper quadrant. The lungs are clear bilaterally. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation.",,images/image_1641.png No acute cardiopulmonary disease The lungs are clear. The heart pulmonary are normal. The pleural spaces are clear. Mediastinal contours are normal.,,images/image_1642.png change. COPD with no acute disease. Lungs are hyperexpanded. No infiltrates or masses in the lungs. Heart size normal. No change calcified left hilar and left small granuloma.,,images/image_1643.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1644.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Stable calcified granulomas. Bony thorax is unremarkable.",,images/image_1645.png Right hemidiaphragm elevation. No acute cardiopulmonary process. Heart size and pulmonary vascularity normal. The stomach contour normal. There is right hemidiaphragm elevation. Lungs are clear. Degenerative changes in the thoracic spine.,,images/image_1646.png "No acute cardiopulmonary disease. . 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.",,images/image_1647.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1648.png "Tortuous aorta, otherwise unremarkable exam. the heart size is normal. There is tortuosity of aorta. Pulmonary vascularity is normal. No focal airspace disease or effusion. Degenerative changes in the thoracic spine.",,images/image_1649.png Findings suggestive of emphysema. No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,,images/image_1650.png "No acute cardiopulmonary findings. . 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.",,images/image_1651.png Cardiomegaly with vascular congestion and suspected pulmonary edema. . The heart is enlarged. There is pulmonary vascular congestion with diffusely increased interstitial and mild patchy airspace opacities. The distribution pulmonary edema. There is no pneumothorax or large pleural effusion. There are no acute bony findings.,,images/image_1652.png No acute cardiopulmonary abnormality. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_1653.png No acute cardiopulmonary abnormality. Normal cardiomediastinal contours. Clear lungs bilaterally. No pneumothorax or large effusion.,,images/image_1654.png No evidence of active disease. 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.,,images/image_1655.png "Redemonstration of right chest wall mass compatible with patient's known breast carcinoma. The heart is normal in size. Atherosclerotic calcifications of the aorta. The mediastinum is stable. There is again soft tissue density projected over the right mid chest, patient's known large breast mass. The appearance is grossly stable to decreased from prior study. The lateral projection is suboptimal as patient could not raise . There is no pleural effusion.",,images/image_1656.png Stable cardiomegaly and mild bilateral interstitial opacities which represent mild pulmonary edema. Stable appearance of previous sternotomy. Stable cardiomegaly. Stable mild bilateral interstitial opacities in which may represent mild pulmonary edema. No evidence of large pleural effusion or pneumothorax.,,images/image_1657.png "No acute cardiopulmonary disease. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.",,images/image_1658.png "No acute cardiopulmonary abnormality identified. 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.",,images/image_1659.png "Normal chest Heart size normal. Lungs clear. normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_1660.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Mild scoliosis and degenerative changes of the thoracic spine noted.,,images/image_1661.png "1. No active disease. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. There are increased lucencies in the bilateral apices along with horizontal oblique scarring in the left upper lobe. This could suggest emphysematous bullae. are grossly unremarkable.",,images/image_1662.png "1. No evidence of pulmonary tuberculosis. 2. Low lung volumes with minimal streaky basilar airspace disease, atelectasis. 3. Right paratracheal prominence represents tortuous . Comparison with prior imaging studies could confirm this if available. . Heart size within normal limits. Right paratracheal prominence represents tortuous . lung volumes. Mild streaky bibasilar opacities. No pleural effusion or pneumothorax.",,images/image_1663.png "No acute findings. Stable cardiomediastinal silhouette with mild cardiomegaly and aortic ectasia and tortuosity. No alveolar consolidation, no findings of pleural effusion. Chronic appearing bilateral rib contour deformities compatible with old fractures. No pneumothorax.",,images/image_1664.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Calcific granulomas are present in the right upper lobe. The are unremarkable.",,images/image_1665.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1666.png "No acute cardiopulmonary abnormality. 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.",,images/image_1667.png Right lung base airspace disease and left base atelectasis. Normal heart size and mediastinal contour. Right lung base airspace disease on frontal . opacities in the left lung base consistent with atelectasis. No pneumothorax. No pleural effusion. Mild wedge deformity of T12.,,images/image_1668.png "No acute cardiopulmonary abnormalities. Heart size, mediastinal contour, and pulmonary vascularity are similar to comparison exam and within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_1669.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1670.png No acute cardiopulmonary findings. Heart size is normal. No focal consolidations. There are degenerative changes throughout the midlower thoracic spine. No pneumothorax or pleural effusion.,,images/image_1671.png "1. No acute cardiopulmonary abnormality.. 2. Abnormal configuration of the heart and mediastinum suggestive of right aortic versus dextrocardia. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal suggests possible right versus dextrocardia. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_1672.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Suspected artifact over the bilateral neck soft tissues and supraclavicular fossae. Normal .",,images/image_1673.png "1. Minimally displaced fracture involving the lateral right 7th rib, acute. There is and associated small right pleural effusion and right basilar atelectasis. 2. Questionable anterior cortical disruption seen on lateral view. would be needed to evaluate this. 3. left-sided pleural effusion There is a minimally displaced fracture of the right lateral 7th rib. There is a small right pleural effusion with associated atelectasis of the right lower lobe. There appears to be a healing fracture of the posterolateral right 8th rib. There is questionable cortical defect involving the sternum seen on lateral view. would be to evaluate this finding. As the small right-sided pleural effusion is visible on both PA and lateral views. There is a left-sided pleural effusion as well. The left lung appears grossly clear. Heart size and pulmonary appear normal. There is a mild scoliosis involving the thoracic spine.",,images/image_1674.png No acute cardiopulmonary finding. Lungs are clear. Heart size normal. The are unremarkable.,,images/image_1675.png "No acute cardiopulmonary abnormality. . Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable.",,images/image_1676.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_1677.png "Cardiomegaly with elevated right hemidiaphragms and no acute findings. Patient is rotated. Mild cardiomegaly. Low lung volumes with elevated hemidiaphragms, greater on the right. This is identified on a thoracic study from as well. No pneumothorax. No large pleural effusion. No focal infiltrate.",,images/image_1678.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1679.png "No acute cardiopulmonary abnormality. No fracture visualized. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. The visualized bony structures appear intact. There is a radiodensity overlying the right shoulder which is external to the patient however clinical correlation recommended. Scattered calcified granulomas.",,images/image_1680.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1681.png "Low lung volumes, otherwise clear. Borderline cardiomegaly, at partially accentuated by low lung volumes. Right upper lobe calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_1682.png "No acute cardiopulmonary abnormality. . 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.",,images/image_1683.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Mild pectus excavatum deformity is noted. The lungs are clear.,,images/image_1684.png "No acute abnormality. Heart size within normal limits. There is mild hyperexpansion with flattening diaphragms and bronchovascular crowding in the lung bases compatible with emphysema. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.",,images/image_1685.png "No acute cardiopulmonary disease. . The cardiomediastinal silhouette is normal size and configuration. Tortuous aorta with atherosclerotic calcification. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. There are multiple overlying leads at the level of the left lower chest, with overlying or clothing there is this is thought to account for mild increased density the left lung base on AP view, with correlate on lateral view. Degenerative spine.",,images/image_1686.png "No acute findings Heart size within normal limits, stable mediastinal contours with aortic ectasia/tortuosity. Left hilar and left lower lobe calcifications indicate a previous granulomatous process. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.",,images/image_1687.png No acute disease. The heart is normal in size. The mediastinum is grossly within normal limits. Moderate thoracolumbar scoliosis and patient rotation somewhat limits evaluation of the mediastinum. The lungs are clear.,,images/image_1688.png "Hyperinflation with chronic upper lobe reticular-nodular pleural-parenchymal opacities and hilar retraction. No gross interval change from . . The lungs are hyperinflated with biapical pleural-parenchymal scarring and upward retraction of the , similar to the prior study. There are multiple reticular-nodular opacities in the upper lobes bilaterally which appear grossly stable from the prior study. There is no evidence of , focal airspace disease. There is no pneumothorax or pleural effusion. Heart size is normal.",,images/image_1689.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_1690.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Multilevel cervical arthritis.,,images/image_1691.png "No acute cardiopulmonary disease. The lungs appear clear. There are no suspicious pulmonary nodules or infiltrates. The heart and pulmonary appear normal. The pleural spaces are clear. Mediastinal contours are normal. There is a left-sided tunneled catheter, the distal tip at the mid superior level.",,images/image_1692.png No acute cardiopulmonary disease. There is a healing fracture involving the left posterolateral 7th rib. There is deformity of the 8th vertebral body. These bony lesions may be secondary to the patient's known multiple myeloma. The lungs appear clear. The heart and pulmonary are normal. The pleural spaces are clear. Mediastinal contours are normal.,,images/image_1693.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mediastinal calcification and dense right upper lung nodule suggest a previous granulomatous process.",,images/image_1694.png No acute findings. Cardiac and mediastinal contours are within normal limits. Emphysematous changes are present. The lungs are free of active disease. Deformed right ribs. Thoracic spondylosis.,,images/image_1695.png Negative for acute cardiopulmonary disease. Heart size borderline enlarged. Stable cardiomediastinal silhouette. No pneumothorax or large pleural effusion. No focal airspace disease. Low lung volumes. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Mild degenerative disease of the thoracic spine.,,images/image_1696.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Soft tissues unremarkable",,images/image_1697.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,,images/image_1698.png No acute cardiopulmonary findings. Heart size normal. No focal airspace disease. No pneumothorax or effusions.,,images/image_1699.png Normal chest. Heart size and vascularity normal. Lungs are clear. No effusions or pneumothorax.,,images/image_1700.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1701.png "1. No acute cardiopulmonary abnormality.. 2. Interval placement of left-sided PICC line with tip in the innominate vein. 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. Left-sided PICC line has been placed in the interval with tip in the innominate vein.",,images/image_1702.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1703.png "Limited examination with stable cardiomegaly and low lung volumes without acute cardiopulmonary abnormality identified. Stable cardiomegaly with significantly low lung volumes and associated bronchovascular crowding and bibasilar atelectasis. No definite pleural effusion, consolidation, or pneumothorax identified. No acute bony abnormality.",,images/image_1704.png "1. Right upper lobe pulmonary nodule, granuloma. The heart size is within normal limits. Cardiomediastinal contour is normal. There is a right upper lobe nodule measuring 8 mm in diameter. Trachea is midline. The lungs otherwise clear. and soft tissues are unremarkable.",,images/image_1705.png "Cardiomegaly with central pulmonary vascular prominence and coarsened interstitial markings, concerning for interstitial pulmonary edema. Study is somewhat limited by body habitus. Cardiomegaly is noted, with central pulmonary vascular prominence and coarsened interstitial markings, suspicious for developing interstitial pulmonary edema. No focal consolidation, pneumothorax, or definite effusion identified. No acute bony abnormality seen.",,images/image_1706.png "1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size upper limits of normal, predominantly left ventricular contour ( visualized on lateral projection), pulmonary vascularity within normal limits. .",,images/image_1707.png 1. Hyperexpanded lung . 2. No acute cardiopulmonary abnormalities. The trachea is midline. The cardiomediastinal silhouette is normal in size and unchanged from prior examinations with sternotomy and surgical clips overlying. There is blunting of the right costophrenic which appears unchanged from prior examination and may be secondary to scarring or pleural thickening of the right lung base. There is no evidence of acute infiltrate. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.,,images/image_1708.png In view of the history findings are strongly suggestive of acute pneumonia with right-sided pleural effusion. PICC line catheter tip in the right atrium. Heart is not enlarged. Trachea and bronchi appear normal. Lungs are mildly under expanded. No pneumothorax. 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.,,images/image_1709.png "Developing heart failure with pulmonary venous engorgement and bibasilar pulmonary interstitial edema. The heart is large. In the interval, pulmonary venous engorgement has developed. Also, bibasilar interstitial infiltrates are present.",,images/image_1710.png "Changes of chronic emphysematous lung disease without acute cardiopulmonary abnormality identified. There is hyperexpansion, hyperlucency of both lungs, as well as flattening of the diaphragm consistent with chronic emphysematous lung disease. No focal consolidation, pneumothorax, or large pleural effusion identified (blunting of costophrenic recesses bilaterally may represent small effusions or pleural thickening/scar. Stable calcified mediastinal and hilar lymph and a left basilar calcified granuloma. Acute osseous abnormality. The mediastinal silhouette stable.",,images/image_1711.png No acute pulmonary disease. There are numerous surgical clips at the thoracic inlet. Small areas of scarring are seen in the left base. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_1712.png Findings of COPD and left base focal atelectasis. Lungs are . opacities are present in the left lung base. Heart size normal. Mediastinum normal.,,images/image_1713.png "Clear lungs The lungs are grossly clear without focal pneumonic consolidation, large effusion or pneumothorax. Heart size is within normal limits.",,images/image_1714.png Bullous disease and upper lobe scars. Decreasing right upper lobe cavity. The cavity and the left upper lobe has decreased in size. Bilateral apical bullae and parenchymal scars are unchanged. No infiltrates in the lower lobes. Heart size remains normal.,,images/image_1715.png "No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality.",,images/image_1716.png "1. Stable chronic lung changes without acute cardiopulmonary abnormality. opacities projecting over the right apex and mediastinum on PA view are artifactual. Stable cardiomediastinal silhouette. Pulmonary vascularity is unremarkable. Stable chronic coarse interstitial markings, without focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the are grossly intact. right cervical rib.",,images/image_1717.png "1. Cardiomegaly without acute cardiopulmonary abnormality. The heart is enlarged. The mediastinum is unremarkable. Atherosclerotic calcifications present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are noted within the spine.",,images/image_1718.png No acute cardiopulmonary abnormality. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified.,,images/image_1719.png Stable cardiomegaly with prominent perihilar opacities which may represent scarring or edema. Cardiomegaly is noted. No pleural effusions. No pneumothorax. There is perihilar prominence and interstitial opacification.,,images/image_1720.png "1. No acute cardiopulmonary abnormality. 2. No evidence of active or changes from chronic tuberculosis infection. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.",,images/image_1721.png 1. Cardiomegaly without failure 2. Ectatic aorta Heart size is enlarged. Cardiomediastinal contours are unchanged since previous exam. There is blunting of the right costophrenic old pleural scar. Lungs are otherwise clear bilaterally. A left upper lobe granuloma appears unchanged. There is kyphosis of the thoracic spine with anterior osteophyte formations. Aortic ectasia is seen in the ascending aorta and the .,,images/image_1722.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. Scattered calcified granulomas bilaterally. No acute bony abnormalities.",,images/image_1723.png "Stable chest x-, without acute cardiopulmonary findings. Frontal and lateral views of the chest demonstrate the cardiomediastinal silhouette normal. There is normal distribution of the pulmonary vascularity. The lungs are clear. No effusion, consolidation, or pneumothorax.",,images/image_1724.png "No acute cardiopulmonary abnormality. 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.",,images/image_1725.png "Patchy right lower lobe opacities, infectious infiltrate. Right lower lobe patchy opacities noted. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Mild degenerative changes of the thoracic spine.",,images/image_1726.png No acute abnormality. Normal heart and mediastinum. Clear lungs. Trachea is midline. No pneumothorax. No pleural effusion. Radiopaque foreign body overlying left chest.,,images/image_1727.png No acute pulmonary disease. No gross evidence for rib fracture. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. The mediastinum is normal. Arthritic changes of the skeletal structures are noted.,,images/image_1728.png No acute cardiopulmonary abnormality. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. There is a stable calcified granuloma in the infrahilar right lung. There are mild degenerative changes along the thoracic spine. No acute bony abnormality is identified.,,images/image_1729.png No radiographic evidence of acute cardiopulmonary disease. The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The are unremarkable.,,images/image_1730.png Emphysema without acute disease. The heart is normal in size. The mediastinum is unremarkable. Mild emphysematous changes without focal consolidation. There is no pleural effusion. lingular scarring or atelectasis noted.,,images/image_1731.png No acute cardiopulmonary abnormalities. Normal heart size and mediastinal contours. No focal airspace opacity. No pleural effusion or pneumothorax. Multiple healed posterior left rib fractures.,,images/image_1732.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1733.png Ectatic aorta. No acute cardiopulmonary abnormality. Heart size is normal. Aorta is tortuous and ectatic. Cardiomediastinal contours are normal. Lungs are clear without evidence of fibrosis. Pleural effusions or pneumothorax. Endplate sclerotic changes are present in the thoracic spine.,,images/image_1734.png 1. No acute cardiopulmonary process. 2. Emphysematous changes in the lungs. . The lungs are hyperexpanded. Heart size normal. No mass or focal opacities seen. Stable degenerative changes of the thoracic spine.,,images/image_1735.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Mild hyperinflation is noted. There are granulomatous sequela. No acute infiltrate or significant pleural effusion are noted. The costophrenic are excluded.,,images/image_1736.png There is no radiographic evidence of acute cardiopulmonary disease. Normal cardiomediastinal silhouette. There is no focal consolidation. There are no of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen. Mild degenerative changes of the spine.,,images/image_1737.png The right lower lobe pneumonia There is airspace disease in the right lower lobe seen behind the right hemidiaphragm on PA view. This is also well seen on lateral view. Remainder of the lungs appear clear. The heart and pulmonary appear normal. Mediastinal contours are normal.,,images/image_1738.png "No acute findings Heart size within normal limits, stable mediastinal and hilar contours, right chest tip in the low SVC. Monitoring device artifacts. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_1739.png "No acute cardiopulmonary abnormality.. Bilateral calcified granulomas stable compared to prior examination, without focal consolidation, pneumothorax, or pleural effusion identified. Cardiomediastinal silhouette stable and unremarkable. No acute osseous abnormality identified.",,images/image_1740.png "1. No acute pulmonary abnormality demonstrated. 2. Stable cardiomegaly. 3. Prominent contour of the ascending aorta, consistent with known ascending aortic aneurysm. 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.",,images/image_1741.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette are grossly unremarkable.,,images/image_1742.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1743.png 1. No evidence of pneumonia or post primary tuberculosis infection 2. No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. The pleural spaces are clear. The mediastinal contours are normal. There are mild degenerative changes of the thoracic spine.,,images/image_1744.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_1745.png Minimal perihilar opacity which could indicate an atypical pneumonia. The heart size is upper limits of normal. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is mild streaky perihilar opacity without confluent airspace opacity to suggest a bacterial pneumonia.,,images/image_1746.png Unremarkable 2 views of the chest. Normal cardiac size. Normal pulmonary vasculature. No airspace disease. Negative for pneumothorax. Negative for acute osseous deformity. The thoracic spine has a normal appearance.,,images/image_1747.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Old healed left 5th and 6th rib fractures are seen laterally.",,images/image_1748.png Limited exam secondary to artifact within the upper abdomen (this does not represent free intra-abdominal ). Recommend repeat chest x-. 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.,,images/image_1749.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1750.png No acute cardiopulmonary findings. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.,,images/image_1751.png "No acute disease. Left lower lobe nodule of uncertain identity. Chest CT may be of further . level Veriphy message sent. Lungs are free of infiltrates. However, in the left lower lobe there is a 1 cm diameter nodule that is not calcified. The right lung is clear. The heart, , and mediastinum are normal.",,images/image_1752.png Streaky air space disease may represent infiltrate. . Heart size within normal limits. Streaky airspace disease is demonstrated on the lateral examination. No pneumothorax or pleural effusion.,,images/image_1753.png of COPD and interstitial lung disease. No definite pneumonia. There does appear to be progression of changes since . There your regular interstitial changes and possibly fibrosis in the left mid and lower lung zone and region of the right middle lobe. Hyperinflation is present. No focal consolidation is seen. There is no evidence for pleural effusion. The heart is not enlarged. Mediastinum is normal. There are arthritic changes of the spine.,,images/image_1754.png "No acute cardiopulmonary disease. The heart, pulmonary 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 aorta is tortuous and ectatic. There are degenerative changes of the acromioclavicular joints. There degenerative changes of the spine. There is an IVC identified.",,images/image_1755.png 1. Ill-defined oblong opacity in the lateral right base. This may represent pleural based process. The exact is unclear. Followup exam is suggested to confirm clearing or stability. Heart size and pulmonary vascularity appear within normal limits. Calcified granuloma is present in the right base. No pneumothorax or pleural effusion is seen. In the lateral right base is identified an ill-defined somewhat oblong opacity. This was not present on the previous study. The remainder of the lungs appear clear.,,images/image_1756.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,,images/image_1757.png "Left basilar airspace disease. Recommend follow up chest x- to document resolution for better characterization. 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.",,images/image_1758.png No acute abnormality. AP view was obtained due to patient condition. Low volume lungs. No focal lung consolidation. The heart is not enlarged. No pleural effusion.,,images/image_1759.png Normal chest exam. Trachea is midline. Normal heart. Clear lungs. No pneumothorax. No pleural effusion.,,images/image_1760.png COPD. No acute disease. Lungs are hyperexpanded. Bullae are present in the upper lobes. No focal infiltrates or masses in the lungs. Heart size normal.,,images/image_1761.png "1. Stable emphysematous changes. 2. Stable biapical pleural-parenchymal scarring. Heart size and mediastinal contours are stable. Atherosclerotic calcifications of the aorta. Moderate severe hyperexpansion of the lungs and decreased peripheral vascular markings, consistent with emphysema. Stable biapical pleural-parenchymal scarring. Scattered granulomas. No abnormal airspace consolidation. No pneumothorax or pleural effusion.",,images/image_1762.png 1. No acute cardiopulmonary abnormalities. Normal cardiac contour. No pleural effusion or pneumothorax. Clear lungs bilaterally.,,images/image_1763.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There are calcified granulomas within the left lower lobe. There is no pneumothorax or effusion.",,images/image_1764.png 1. Low lung volumes. 2. opacities. Right base appears to represent atelectasis. Left base could be atelectasis or pneumonia. Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. There has been interval development of bibasilar opacities. The appearance of the right base opacity atelectasis. The left base opacities could represent early pneumonia or areas of atelectasis. No pneumothorax or pleural effusion is seen.,,images/image_1765.png "1. Prominent mediastinum. May be due to mediastinal fat. Comparison films, if available, would be useful to determine if this is a chronic appearance. 2. Clear lungs. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is noted. Degenerative changes are noted in the spine. The descending thoracic aorta is mildly tortuous. The mediastinum appears somewhat prominent.",,images/image_1766.png "No acute pulmonary disease. No focal airspace disease, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.",,images/image_1767.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. Heart size and cardiomediastinal silhouette are grossly unremarkable. No large pleural effusions.,,images/image_1768.png "1. Changes of emphysema and left lower lobe scarring, both stable. 2. Unchanged degenerative and atherosclerotic changes of the thoracic aorta. The heart size is stable. The aorta is ectatic and atherosclerotic but stable. sternotomy 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.",,images/image_1769.png "1. Interval resolution of bibasilar airspace disease. 2. Hyperinflation with chronic changes of emphysema. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated with flattening of the diaphragms and expansion of the retrosternal clear space. Compared with prior exam, there has been interval resolution of previously demonstrated bibasilar infiltrates. There is minimal scarring or atelectasis in the right midlung. There is no focal airspace disease. There is no pneumothorax or pleural effusion. There are no acute bony findings.",,images/image_1770.png "No acute cardiopulmonary abnormality. 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.",,images/image_1771.png No x- evidence of pulmonary metastatic disease. Stable appearance of the chest. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_1772.png "Abnormal opacity in the right lung base which may be compatible with pneumonia in the appropriate clinical setting. Recommend clinical correlation for infection and followup to resolution. Or, if clinical findings are not compatible with may be of . focal opacity in the medial right lung base seen on the frontal view. No definite pleural effusion. Stable cardiomediastinal silhouette with normal heart size, no typical findings of pulmonary edema.",,images/image_1773.png Old granulomatous disease. No acute pulmonary disease. The lungs are clear. No pleural effusion is seen. The heart is normal. Calcified right hilar and infracarinal lymph are seen. The skeletal structures are normal.,,images/image_1774.png "1. Minimal patchy bibasilar opacities, evolving pneumonia or atelectasis 2. bilateral pleural effusions Minimal patchy bibasilar airspace opacities, atelectasis or evolving pneumonia. The heart pulmonary appear normal. Is minimal blunting of the pleural spaces, effusions.",,images/image_1775.png "No acute cardiopulmonary abnormality identified. 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.",,images/image_1776.png "1. No focal airspace consolidation. 2. Hyperexpanded lungs, suggestive of obstructive lung disease. There are postoperative changes of sternotomy. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. The lungs are mildly hyperexpanded. There is no focal airspace consolidation. No pleural effusion or pneumothorax. There are diffuse degenerative changes of the spine.",,images/image_1777.png "No acute cardiopulmonary process. No evidence of active tuberculosis. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.",,images/image_1778.png No acute cardiopulmonary findings. The previously seen right-sided PICC has been removed. The heart size is normal. Lungs are clear. There is no pneumothorax or large pleural effusion. Bony structures are within normal limits.,,images/image_1779.png "No acute cardiopulmonary abnormality. The heart size is at the upper limits of normal. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild chronic degenerative changes are present within the thoracic spine..",,images/image_1780.png opacities in the right upper lobe anterior segment which may represent atelectasis or infiltrate. Heart size is normal. There are opacities which appear to above the right fissure. There is mild thickening in the fissure. No pneumothorax. No large pleural effusions.,,images/image_1781.png Emphysema without acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear. Underlying emphysematous changes are noted.,,images/image_1782.png "Hyperexpanded lungs. right upper lobe scarring/atelectasis. No focal pneumonia. The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs, without focal consolidation, pneumothorax or large pleural effusion. right upper lobe scarring/atelectasis. Aortic calcifications.",,images/image_1783.png No acute cardiopulmonary findings. Normal heart size. Clear lungs. No pneumothorax or large pleural effusion.,,images/image_1784.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_1785.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1786.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1787.png "1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size upper limits of normal, predominantly left ventricular contour ( visualized on lateral projection), pulmonary vascularity within normal limits. .",,images/image_1788.png "No acute cardiopulmonary disease. . 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.",,images/image_1789.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1790.png "1. opacities in the left base, the appearance which scarring or atelectasis. Otherwise, clear. Heart size and pulmonary vascularity appear within normal limits. The patient is status post CABG. A few opacities are present in the left base, the appearance which scarring or atelectasis. No pneumothorax or pleural effusion is seen. Degenerative changes are present in the spine.",,images/image_1791.png 1. No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_1792.png "1. Left basilar opacity represents atelectasis/scarring with associated elevated hemidiaphragm. 2. Stable cardiomegaly. 3. No airspace disease. 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. sternotomy are again noted. There is a large amount of distending the stomach, which incidentally was also seen on prior exam of 3 years ago. There is no pneumothorax.",,images/image_1793.png No acute radiographic cardiopulmonary process. The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There is a small calcified granuloma within the left upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_1794.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_1795.png No acute cardiopulmonary disease. The lungs appear clear. There are calcified nodules projecting in the right upper lung. Mediastinal contours appear normal. The heart pulmonary appear normal. Pleural spaces are clear. Surgical clips are identified in the right neck and left mediastinum.,,images/image_1796.png "1. Chest. Right 4th rib fracture. No cardiopulmonary injury. No pleural air collection. 2. Right shoulder negative. 3. Right humerus negative. Chest. A minimally displaced fracture is present on right rib 4. The small amount of pleural fluid is deep to the fracture. No pleural air collection. Both lungs clear and expanded. Heart and mediastinum normal. Note of a levoscoliosis of the thoracolumbar spine. Right shoulder. , soft tissues, and alignment are normal. Right humerus. and soft tissues are intact.",,images/image_1797.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Right apical pleural retraction. Hyperexpansion, flattening of diaphragms, and increased AP diameter consistent with history of COPD. Degenerative disease of the thoracic spine is present.",,images/image_1798.png 1. No acute radiographic cardiopulmonary process. The heart size is normal. There is prominent left epicardial fat. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_1799.png "No acute cardiopulmonary abnormalities. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_1800.png No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_1801.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_1802.png "No acute cardiopulmonary disease. Normal heart size. No focal air space consolidation, pneumothorax, pleural effusion, or pulmonary edema. No focal bony abnormality.",,images/image_1803.png "No acute cardiopulmonary abnormality. No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized of the chest are within normal limits.",,images/image_1804.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. Calcified left suprahilar . The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_1805.png "Possible subtle increased opacity in right apex otherwise unremarkable appearance of lung Heart , mediastinum, , bony structures are unremarkable. Possible subtle increased opacity in right apex versus technique. Otherwise no significant interval change compared to prior study",,images/image_1806.png "No acute cardiopulmonary abnormality. 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.",,images/image_1807.png "Changes of chronic interstitial lung disease with ill-defined patchy left apical and right basilar airspace disease. PA and lateral chest radiograph may be of benefit clinically feasible. Cardiomediastinal silhouette stable with atherosclerosis of the thoracic aorta. Diffusely coarsened interstitial markings are noted consistent with chronic lung disease, with worsened patchy opacities and a left apex and right base. No pneumothorax or pleural effusion. No acute bony abnormality.",,images/image_1808.png "1. Increased bilateral interstitial opacity, consistent with mild interstitial edema. Low lung volumes are noted. Allowing for technical factors the heart size is normal. The mediastinum is unremarkable. There is increased bilateral predominantly perihilar interstitial opacity, consistent with pulmonary edema. There is no pneumothorax or pleural effusion. The are unremarkable.",,images/image_1809.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_1810.png "1. No acute cardiopulmonary abnormality. Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear airspace disease. Negative for pneumothorax, pleural effusion, or pneumoperitoneum. Limited bone evaluation reveals no acute abnormality.",,images/image_1811.png "Stable cardiomegaly and persistent minimal bibasilar atelectasis. Interval performance of anterior cervical spinal fusion, intact without complicating features. There is stable cardiomegaly, with persistent bibasilar opacities atelectasis and/or infiltrate. No focal consolidations, pneumothorax, or pleural effusions. The visualized osseous structures demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine, without acute osseous abnormality.",,images/image_1812.png No acute abnormality identified. There are lower lung volumes. There is central bronchovascular crowding. Volume loss in the medial right upper lobe seen on is not as well-demonstrated on radiography. No lobar consolidation. No pleural effusion or pneumothorax.,,images/image_1813.png No acute cardiopulmonary abnormalities. Emphysematous changes of the lungs. The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact.,,images/image_1814.png "Chest: No acute cardiopulmonary finding. Right knee: Severe tricompartmental degenerative changes without fracture or dislocation. Left knee: Severe medial compartment degenerative changes. Chest: The heart is normal size with normal appearance of the cardia mediastinal silhouette. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are mild degenerative changes and thoracic spine. Right knee: There are severe tricompartmental degenerative changes with obliteration of the joint spaces. There is no fracture or dislocation. Left knee: There is joint space loss most prominent in the medial compartment. The of lateral view and limits evaluation for an effusion or the patellofemoral joint space. There is no fracture or dislocation.",,images/image_1815.png No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications are present. The lungs are otherwise clear. Bony structures are intact. Prior cholecystectomy.,,images/image_1816.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .,,images/image_1817.png "1. No acute abnormality of the chest. 2. Right hilar prominence, corresponding to lymphadenopathy partially demonstrated abdomen and pelvis , . Consider of the chest for further evaluation. . Heart size within normal limits. Prominent right perihilar density consistent with lymphadenopathy, previously partially demonstrated abdomen and pelvis , . Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. TIPS noted.",,images/image_1818.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion. The heart is normal. There are atherosclerotic changes of the aorta. Senescent changes of the spine are seen.,,images/image_1819.png "No acute cardiopulmonary findings Heart size borderline enlarged, mediastinal contours appear similar to the from , noted. Right hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_1820.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1821.png "1. Negative for acute cardiopulmonary disease. 2. 1.4 cm right lower lobe nodule, calcified granulomas disease. If patient high for pulmonary malignancy, consider cross-sectional imaging to verify. No pneumothorax, pleural effusion, or focal airspace disease. There is a discrete 1.4 cm nodule within the anterior segment of the right lower lobe. The additional nodular opacities consistent with chronic granulomatous disease. Heart size normal. Cardiomediastinal silhouette is clear. Bony structures appear intact. Right unilateral nipple ring.",,images/image_1822.png No radiographic evidence of acute cardiopulmonary disease. The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The are unremarkable.,,images/image_1823.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_1824.png "Cardiomegaly without acute pulmonary findings. The heart size is mildly enlarged. There is tortuosity of the thoracic aorta. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.",,images/image_1825.png No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_1826.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.",,images/image_1827.png "No acute cardiopulmonary abnormality. Given differences in patient rotation, heart size and mediastinal contours are grossly unchanged. Lungs appear clear without focal consolidation. No visible pleural effusion or pneumothorax. Stable degenerative changes of the thoracic spine with scattered deformities. Stable postsurgical changes of the left shoulder and marked degenerative changes of the right shoulder.",,images/image_1828.png No acute cardiopulmonary disease Lungs appear clear. Heart and pulmonary appear normal. Pleural spaces are clear. Mediastinal contours are normal. No pneumothorax.,,images/image_1829.png Minimal small area scarring of the left base. There is a small area of scarring or atelectasis in the left base. Calcified granulomas seen in the posterior right lower lobe. Lungs are otherwise clear. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.,,images/image_1830.png Chest. Right shoulder. 1. No acute cardiopulmonary abnormality. 2. Negative for right shoulder fracture or dislocation. Chest: Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Hyperlucent apices. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Healed remote left 9th rib fracture. Right shoulder: Negative for fracture or dislocation.,,images/image_1831.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact.,,images/image_1832.png "1. Partially loculated right pleural effusion, grossly stable. 2. Stable moderate layering left pleural effusion. 3. Bibasilar airspace disease, possibly atelectasis. There is a moderate layering left pleural effusion, grossly stable. There is a moderate right pleural effusion, which is partially loculated. There is some pleural fluid tracking along the right fissure. There is bibasilar airspace disease, possibly passive atelectasis. No pneumothorax is identified. Heart size is within normal limits. Right PICC tip is at the SVC. There are mild degenerative changes of the spine.",,images/image_1833.png "Bibasilar atelectasis. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is bilateral basilar opacity compatible with atelectasis. There are somewhat low lung volumes. There is a calcified right hilar lymph node.",,images/image_1834.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_1835.png No active disease. The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal as are the skeletal structures and soft tissues.,,images/image_1836.png No active disease. Mild cardiomegaly. Small area of platelike atelectasis in left mid lung. No pneumothorax or pleural effusion. Soft tissue and bony structures unremarkable.,,images/image_1837.png Bilateral lower lobe focal atelectasis. Lung volumes are mildly decreased. The cardiac silhouette and pulmonary vascularity are normal. There is bilateral lower lobe airspace opacities compatible with discoid atelectasis. There is no evidence of pleural effusion or pneumothorax.,,images/image_1838.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax.,,images/image_1839.png No acute abnormality seen. Normal heart size. Stable tortuous thoracic aorta. Prior granulomatous disease. Healed rib fractures appear stable. Focal opacity is noted in the left midlung overlying the 9th posterior rib which represents healing rib callus. No pneumothorax or pleural effusion.,,images/image_1840.png "1. Chest. No active disease. 2. Left and right knees negative. Chest. Lungs are clear and expanded. Heart size normal. A calcified pleural plaque in the right subpulmonic area has not since the abdomen CT. Left and right knees. , spaces, and soft tissues are normal.",,images/image_1841.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.",,images/image_1842.png Possible right lower lobe pneumonia. Cardiomegaly Heart size is moderately enlarged. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is suspected right lower lobe airspace opacity demonstrated on the lateral study. There is a fracture of superior sternotomy unchanged.,,images/image_1843.png Emphysema and scarring without acute disease The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated with opacities compatible with pleural-parenchymal scarring. There is no acute infiltrate or effusion.,,images/image_1844.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Peripheral right basilar calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Apparent nodular opacity on lateral projection, immediately retrocardiac, is to represent confluence of overlapping silhouettes. Negative for acute bone abnormality.",,images/image_1845.png Stable elevated right hemidiaphragm with questionable subtle increased right basilar airspace disease/atelectasis. Correlate clinically. There is stable elevation of the right hemidiaphragm with questionable increased right basilar airspace opacities. The left lung is clear. Heart size normal. unremarkable.,,images/image_1846.png "No acute findings 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. convexity also present on the previous exam.",,images/image_1847.png No acute cardiopulmonary findings. . There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits. The cardiac generator overlies left upper thorax with tips overlying the right atrium and ventricles.,,images/image_1848.png "1. Pulmonary hypoinflation with bronchovascular crowding and minimal bibasilar subsegmental atelectasis. The cardiomediastinal silhouette is within normal limits for appearance. There are low lung volumes with bronchovascular crowding and scattered opacities in the bilateral lung bases. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. No acute, displaced rib fractures identified.",,images/image_1849.png Cardiomegaly with right pleural effusion. Cardiomegaly. Prominent are stable. Low lung volumes. No pneumothorax. Minimal right costophrenic blunting. No focal infiltrates.,,images/image_1850.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1851.png "No acute cardiopulmonary abnormalities. 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 show no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.",,images/image_1852.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality..",,images/image_1853.png "1. Exam somewhat limited, costophrenic excluded. 2. Stable mild cardiomegaly. 3. Clear lungs. Examination is somewhat limited, the costophrenic and posterior costophrenic sulci are excluded. Patient is rotated to the right. Heart size upper limits normal, but stable. Mediastinal contour is grossly unremarkable. Lung parenchyma is clear, no focal airspace consolidation. No large effusion, no visible pneumothorax within the limits of the study.",,images/image_1854.png No acute cardiopulmonary disease. The cardiac silhouette mediastinal contours are within normal limits. There is no definite focal infiltrate. There is no large pleural effusion. There is no pneumothorax.,,images/image_1855.png "No acute cardiopulmonary abnormalities. . The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities, pleural effusion or pneumothorax. No acute bony abnormalities.",,images/image_1856.png 1. Small 3.3 mm right-sided pneumothorax. Small 3.3 mm right-sided pneumothorax only visible on the left lateral decubitus film. Left lung is clear. Normal cardiac contour. No evidence of pleural effusion.,,images/image_1857.png change. Hypoinflation with no visible active cardiopulmonary disease. Lung volumes are low. No focal infiltrates. Pulmonary are normal.,,images/image_1858.png Interval increase in size and number of innumerable bilateral pulmonary nodules consistent with worsening metastatic disease. The heart is normal in size. The mediastinum is stable. Left-sided chest is again visualized with tip at cavoatrial junction. There is no pneumothorax. Numerous bilateral pulmonary nodules have increased in size and number compared to prior study. The dominant nodule/mass in the left midlung is also mildly increased. There is no pleural effusion.,,images/image_1859.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_1860.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_1861.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1862.png "Limited quality exam shows no definite acute findings. Rotated apical lordotic frontal projection, mild bronchovascular crowding and scattered chronic appearing irregular interstitial markings. No definite focal alveolar consolidation or pleural effusion seen. Accounting for technical factors heart size within normal limits, heavily calcified and mildly tortuous aorta. No typical findings of pulmonary edema.",,images/image_1863.png 1. No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_1864.png "No acute cardiopulmonary disease. Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.",,images/image_1865.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_1866.png No acute cardiopulmonary abnormality. 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.,,images/image_1867.png "No acute cardiopulmonary abnormality. 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.",,images/image_1868.png No acute cardiopulmonary disease. The heart size is upper limits of normal. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.,,images/image_1869.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. There has been a sternotomy. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_1870.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_1871.png Stable position of the left-sided hemodialysis catheter otherwise no acute cardiopulmonary disease. A left-sided hemodialysis catheter is in with its distal tip at the right atrium. The cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no pneumothorax. No large pleural effusion.,,images/image_1872.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_1873.png "No acute cardiopulmonary disease. The heart, pulmonary 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 mild biapical pleural thickening which is smooth. There is evidence of previous anterior cervical spine fusion. There are degenerative changes of the spine.",,images/image_1874.png "1. Mild cardiomegaly. No acute cardiopulmonary abnormality. Unchanged elevation of the right hemidiaphragm. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is mildly enlarged. Mild degenerative changes throughout the thoracic spine anterior osteophytes noted inferiorly. Pulmonary artery prominence.",,images/image_1875.png Significant bilateral emphysematous changes. No acute cardiopulmonary abnormalities. Chronic bilateral emphysematous changes. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_1876.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1877.png No acute process. The cardiac contours are normal. Aortic calcification. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.,,images/image_1878.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_1879.png 1. Small right pleural effusion. Increased. 2. No pneumothorax is seen. 3. Scattered of right base atelectasis. The heart size and pulmonary vascularity appear within normal limits. Right pleural effusion is present and appears increased. No pneumothorax is identified. Some scattered of right base atelectasis are seen. Surgical remain in . The left lung appears clear.,,images/image_1880.png Unremarkable 2 views of the chest. Normal cardiac size. Normal pulmonary vasculature. No airspace disease. Negative for pneumothorax. Negative for acute osseous deformity. The thoracic spine has a normal appearance.,,images/image_1881.png "1. Minimal right basilar subsegmental atelectasis. Otherwise, no acute cardiopulmonary abnormality demonstrated. . sternotomy and mediastinal surgical clips remain in . The cardiomediastinal silhouette is stable in appearance. The thoracic aorta is tortuous and calcified with stable appearance since exam. No focal areas of pulmonary consolidation. Scattered right basilar subsegmental atelectasis. The left lung appears clear. No pneumothorax or pleural effusion present. Moderate degenerative changes of the thoracic spine. Osteopenia. Mild loss of of a mid thoracic vertebral body.",,images/image_1882.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_1883.png No acute cardiopulmonary findings. Heart size within normal limits. Tortuous aorta. There is an accessory azygos fissure in the right upper lung. No focal air space consolidations are noted. No pneumothorax or pleural effusion. There is severe degenerative change at the thoracolumbar junction with mild anterior wedging at approximately T12.,,images/image_1884.png "1. No acute findings. 2. Emphysema. 3. Scattered of scarring, most notably in the left upper lobe. The lungs are hyperexpanded. There are stable scattered bilateral opacities, most notable in the left upper lobe, scarring. No focal airspace consolidation to suggest pneumonia. No large pleural effusion. No pneumothorax. Heart size is normal. Thoracic aorta is mildly tortuous and demonstrates atherosclerotic vascular calcification. There are degenerative changes of the spine.",,images/image_1885.png "Streaky left basilar airspace opacities, which could reflect atelectasis and/or infection. Cardiomediastinal contour and pulmonary vascularity stable and within normal limits. Lung volumes are slightly low. There are streaky left basal opacities. No pleural effusion or pneumothorax. No acute osseous findings. No free air is demonstrated.",,images/image_1886.png "No acute findings 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.",,images/image_1887.png "No acute cardiopulmonary abnormality.. 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.",,images/image_1888.png Chronic interstitial lung disease and scars unchanged. No acute disease. Prominent interstitial markings in the lungs are unchanged. No focal infiltrates. Heart and pulmonary are normal.,,images/image_1889.png "No acute cardiopulmonary abnormality. Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",,images/image_1890.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_1891.png No acute cardiopulmonary abnormality. There are sternotomy and mediastinal surgical clips secondary to a CABG procedure. Small T-spine osteophytes. 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 cholecystectomy clips. There is eventration of right hemidiaphragm.,,images/image_1892.png 1. Continued hilar fullness consistent with adenopathy and bilateral interstitial opacities. Stable as compared to earlier study. The changes are compatible with known diagnosis of sarcoidosis. Heart size and pulmonary vascularity appear within normal limits. Bilateral hilar fullness is present consistent with adenopathy. The appearance is unchanged. There is prominence of the interstitial markings bilaterally. These are also unchanged. No focal superimposed airspace disease is seen. No pneumothorax or pleural effusion is noted.,,images/image_1893.png "Basilar atelectasis. Otherwise, no acute cardiac or pulmonary disease process. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. And scattered calcified granulomas. Left greater than right basilar opacity, probable atelectasis and/or scarring. No pleural effusion.",,images/image_1894.png "No acute cardiopulmonary abnormality.. 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.",,images/image_1895.png No evidence of acute cardiopulmonary process. Stable appearance of the chest. 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. The bony structures of the thorax are intact with no evidence of acute osseous abnormality.,,images/image_1896.png 1. Cardiac in stable position. 2. Increase in right and decrease in left basilar atelectasis. Left-sided dual- cardiac in stable position. The heart is of normal size. Interval decrease and left basilar opacity. Increase in opacities in the right lung base. No pneumothorax or large effusion. The pulmonary vascularity is unremarkable. Calcification of the thoracic aorta.,,images/image_1897.png Low lung volumes with increased lung markings particularly in the left perihilar region related to history of bronchitis. No acute infiltrate. The heart is normal in size. The mediastinum is Within normal limits the lungs are hypoinflated. There is mild increase in perihilar markings related to patient's history bronchitis. No acute infiltrate or pleural effusion are seen.,,images/image_1898.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. The heart size is normal. There are no large pleural effusions.,,images/image_1899.png Persistent cardiomegaly. Right midlung scar. No visible acute failure or pneumonia. The heart is large. Lung volumes are . opacity persists in the right midlung. No focal infiltrates.,,images/image_1900.png "No significant change compared to prior. Bibasilar airspace disease may represent infection or mild edema. Stable enlarged cardiac silhouette. Persistent bilateral lower lobe airspace disease, not significantly compared to prior. No pleural effusion or pneumothorax. No acute bony abnormality.",,images/image_1901.png No acute cardiopulmonary abnormality. There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No pneumothorax.,,images/image_1902.png No acute cardiopulmonary abnormalities. Heart size is normal. No large effusions. No focal airspace opacities. No pneumothorax.,,images/image_1903.png "1. Low lung volume study, no acute pulmonary process. The heart and mediastinum are unremarkable. There is mild calcification of the aortic , consistent with atherosclerosis. The lung volumes are low, with bronchovascular crowding. The lungs are clear without infiltrate. There is no effusion or pneumothorax. Moderate degenerative changes of the spine.",,images/image_1904.png "No acute cardiopulmonary abnormality. . 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.",,images/image_1905.png "No acute process. Stable cardiomegaly. There is stable mild cardiomegaly without significant pulmonary vascular congestion. They're stable tortuosity of the aorta. There is no acute pulmonary consolidation, large effusion or pneumothorax.",,images/image_1906.png No evidence of active disease. 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.,,images/image_1907.png "No acute cardiopulmonary abnormality.. 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.",,images/image_1908.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_1909.png "1. Mild stable cardiomegaly and central vascular congestion. 2. Low lung volumes with elevated left hemidiaphragm and basilar subsegmental atelectasis. 3. Extensive bilateral shoulder degenerative changes with subluxation/dislocation left shoulder, possibly chronic. Suggest clinical correlation. The heart is again mildly enlarged. Mediastinal contours are stable. Patient is somewhat rotated. The lungs are hypoinflated with elevated left hemidiaphragm. opacities compatible with atelectasis. No large effusion is seen. There is no focal consolidation. Pulmonary vascularity is mildly accentuated. There are bilateral degenerative changes of the with probable chronic dislocation of the left humerus. Correlate clinically.",,images/image_1910.png 1. No evidence of active disease. 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. Scoliosis and degenerative changes are present in the spine.,,images/image_1911.png "No acute cardiopulmonary abnormalities. The trachea is midline. The cardiomediastinal silhouette is normal. Right lung calcified densities are unchanged from prior and indicate old granulomatous disease. Otherwise, the lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.",,images/image_1912.png 7 nodular density at the left costophrenic . Recommend CT scan for further evaluation. There is a 7 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.,,images/image_1913.png "1. Cardiomegaly 2. Indistinct vascular margination which may be secondary to bronchovascular crowding however differential diagnosis includes mild pulmonary edema, atypical infection, inflammation Heart size mildly to moderately enlarged. Mild right hemidiaphragm elevation with mild bronchovascular crowding, right greater than left, indistinct vascular margination. No definite focal alveolar consolidation, no pleural effusion demonstrated.",,images/image_1914.png "No acute cardiopulmonary abnormality. Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",,images/image_1915.png Bibasilar airspace disease left greater than right with small effusions. The cardiac silhouette is enlarged. There are bibasilar airspace opacities left greater than right with small right pleural effusion. No visualized pneumothorax.,,images/image_1916.png 1. Left basilar mixed interstitial and alveolar infiltrate. Interval followup to resolution is recommended. Heart size appears upper limits of normal. Tortuous aorta. Otherwise normal mediastinum. Confluent and opacities seen within the left base. There are no visible nodules or masses. No visible pneumothorax. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_1917.png 1. No acute cardiopulmonary abnormality. Low lung volumes. Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascularity is within normal limits. Lungs are clear airspace disease. Negative for pneumothorax or pleural effusion. are grossly intact.,,images/image_1918.png Stable emphysematous lung changes. No acute abnormality seen. Normal heart size. Stable tortuous aorta. No pneumothorax or pleural effusion. No suspicious focal air space opacities. Levoscoliosis of the thoracolumbar spine. Hyperinflated lungs with flattened diaphragms are consistent with emphysematous lung changes. Prior granulomatous disease.,,images/image_1919.png "No acute process. The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax.",,images/image_1920.png Normal chest. Heart size and vascularity normal. Mediastinal contour normal. Lungs are clear. No pleural effusions or pneumothoraces.,,images/image_1921.png No acute cardiopulmonary process. Heart size and mediastinal contour normal. Lungs are clear except for residuals of prior granulomatous infection. No pleural effusions or pneumothoraces.,,images/image_1922.png 1. Chest. Continued right hemidiaphragm elevation with right lower lobe airspace disease. 2. Right shoulder. Scapular fracture. 3. Clavicle. Acromioclavicular separation. Chest. Right hemidiaphragm remains elevated. Consolidation and atelectasis are present in the right lung base. Left lung is clear. No pleural air collections. Shoulder and clavicle. Fractures present in the right scapula the base of the glenoid process. It is attached to the coracoid process and a portion of the spine. The humeral head is located within the glenoid articular surface. Cutaneous air is present. Fracture is present in the posterior portion of the right 3rd rib. The acromioclavicular joint and coracoclavicular joints are widened.,,images/image_1923.png No acute cardiopulmonary abnormalities. Normal heart size mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Degenerative disc disease in the thoracic spine with osteophyte formation bridging.,,images/image_1924.png Negative chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_1925.png "Left basilar atelectasis and/or infiltrate, with no radiographic evidence of tuberculosis. Heart size upper limits of normal. Small amount of left basilar airspace disease. The right lung is clear. There are no cavitary lesions seen. No pneumothorax. No pleural effusions.",,images/image_1926.png Mild chronic changes in the left lung base without acute disease. The heart is normal in size. The mediastinum is stable. The lungs are hypoinflated with scarring in the left lung base. There is no focal consolidation or significant effusion.,,images/image_1927.png "1. No acute cardiopulmonary abnormality. 2. Mild age indeterminate anterior wedging at the T11 level. Heart size and mediastinal contours are within normal limits. Diffuse bilateral calcified sequelae of prior granulomatous infection. No pulmonary vascular congestion. No edema. No focal consolidation. There is no visible pleural effusion or pneumothorax. There is mild anterior wedging of a lower thoracic vertebral body, approximately T11 level.",,images/image_1928.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1929.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1930.png No evidence of active disease. 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.,,images/image_1931.png Low lung volumes. No acute cardiopulmonary abnormalities. Low lung volumes. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_1932.png "No acute cardiopulmonary abnormality. 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.",,images/image_1933.png "No evidence of acute cardiopulmonary process. Stable appearance of the chest. 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.",,images/image_1934.png No acute cardiopulmonary disease. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. Limbus vertebra noted within the partial visualized lumbar vertebral body.,,images/image_1935.png "1. Cardiomegaly, vascular congestion and probable mild interstitial edema. 2. Bibasilar airspace disease, bilateral pleural effusions, right greater than left. There is stable cardiomegaly with pulmonary vascular congestion and probable mild interstitial edema. There are bilateral pleural effusions with bibasilar airspace disease, right greater than left. There is no pneumothorax. There are no acute bony findings.",,images/image_1936.png "1. Right lower lobe pulmonary nodule. for better characterization. 2. No acute pulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. There is a 9 mm right lower lobe pulmonary nodule, not seen on prior exams. There are posttraumatic deformities of the right posterior ribs. No focal airspace consolidation or effusion. No pneumothorax.",,images/image_1937.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_1938.png Heart size upper limits normal. Lungs are clear. No evidence of active tuberculosis. No change from prior exam. The outside x- is normal except for slight cardiomegaly.,,images/image_1939.png "1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size is upper limits of normal, pulmonary vascularity within normal limits. .",,images/image_1940.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax.,,images/image_1941.png "Hyperexpanded lungs with no focal airspace disease. The lungs are hyperexpanded. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal airspace opacities, pneumothorax or pleural effusion. A calcific density in the left midlung zone represents old granulomatous disease. No acute bony abnormalities.",,images/image_1942.png No acute cardiopulmonary process. No focal lung consolidation. No pneumothorax or pleural effusion.Heart size and pulmonary vascularity are within normal limits.Minimal degenerative changes of the thoracic spine. The previously
described deformity in the midthoracic spine is again seen. There is subcutaneous shunt catheter tubing along the anterior chest wall,,images/image_1943.png "1. Minimally displaced fracture involving the lateral right 7th rib, acute. There is and associated small right pleural effusion and right basilar atelectasis. 2. Questionable anterior cortical disruption seen on lateral view. would be needed to evaluate this. 3. left-sided pleural effusion There is a minimally displaced fracture of the right lateral 7th rib. There is a small right pleural effusion with associated atelectasis of the right lower lobe. There appears to be a healing fracture of the posterolateral right 8th rib. There is questionable cortical defect involving the sternum seen on lateral view. would be to evaluate this finding. As the small right-sided pleural effusion is visible on both PA and lateral views. There is a left-sided pleural effusion as well. The left lung appears grossly clear. Heart size and pulmonary appear normal. There is a mild scoliosis involving the thoracic spine.",,images/image_1944.png Heart size upper limits of normal with clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. heart size is upper limits of normal.,,images/image_1945.png "Mild cardiomegaly. No pneumothorax, pleural effusion, or focal airspace disease. Mild cardiomegaly. Cardio mediastinal silhouette unremarkable. Bony structures appear intact.",,images/image_1946.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1947.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_1948.png "1. Vague nodular opacity near the anterior right first rib costicartilage junction. This may be calcification. 2. Minimal streaky atelectasis in the right lung base. Lung volumes are low. There is vague opacity in the right upper lung near the anterior right first rib on PA view. This may be artifact relating to calcification at the first rib costicartilage junction. There is minimal atelectasis in the right lung base. There is left-sided PICC line, the distal tip in the lower superior vena . The heart and pulmonary are normal. These contours are normal.",,images/image_1949.png "SOFT TISSUE NECK. Small 3 x 1 mm density possibly in a piriform sinus only seen on the lateral exam. CHEST. No acute cardiopulmonary disease. CHEST. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma in the left lung base. SOFT TISSUE NECK. There is reversal of the normal cervical lordosis which may indicate muscle spasm versus a positional phenomenon. There is no prevertebral soft tissue . The epiglottis is within normal limits. There is a 3 mm x 1 mm density identified on the lateral exam only, possibly within one of the piriform sinuses.",,images/image_1950.png 1. No acute cardiopulmonary abnormalities. 2. Low lung volumes causing bibasilar atelectasis and bronchovascular crowding . The trachea is midline. The cardio mediastinal silhouette is of normal size and contour. No evidence of focal infiltrate or effusion. Low lung volumes atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals degenerative changes of the thoracic spine.,,images/image_1951.png "No acute cardiopulmonary findings Scoliosis and focal eventration of the posterior left hemidiaphragm. No focal alveolar consolidation. Rotated position, considering technical factors heart size within normal limits. No definite pleural effusion seen, left bronchovascular crowding without typical findings of pulmonary edema. Exaggerated kyphosis with increased AP dimension of the thorax.",,images/image_1952.png "1. No acute cardiopulmonary process. 2. Bilateral scapula appear unremarkable. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality.",,images/image_1953.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. There has been a sternotomy. The heart is not enlarged. Some atherosclerotic changes of the aorta are seen. The skeletal structures are normal.,,images/image_1954.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_1955.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_1956.png No acute findings. Normal heart size. Clear lungs. No pneumothorax or pleural effusion.,,images/image_1957.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes in the spine.,,images/image_1958.png 1. Patchy right lower lobe airspace disease may be due to atelectasis or infiltrate. The heart and mediastinal contours are stable. There is minimal patchy right lower lobe airspace disease identified. No pleural effusion or pneumothorax.,,images/image_1959.png "No evidence of acute cardiopulmonary process. Negative examination of the chest. 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.",,images/image_1960.png Cardiomegaly with pulmonary edema superimposed on chronic interstitial lung changes. Increased interstitial lung changes with superimposed pulmonary edema. Cardiomegaly. Negative for effusion or pneumothorax. Degenerative changes of the thoracic spine.,,images/image_1961.png Streaky air space disease may represent infiltrate. . Heart size within normal limits. Streaky airspace disease is demonstrated on the lateral examination. No pneumothorax or pleural effusion.,,images/image_1962.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Mild blunting of right costophrenic . The lungs are otherwise grossly clear.,,images/image_1963.png No acute cardiopulmonary abnormalities. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,,images/image_1964.png 1. No active disease. 2. There are numerous small surgical clips seen overlying the upper thorax bilaterally and the lower cervical region of uncertain significance. The lungs are clear. There are multiple surgical seen near the apical regions and lower cervical region bilaterally. The heart and mediastinum are normal. There is a screw in the right shoulder. The soft tissues are normal.,,images/image_1965.png Patchy right middle lobe and lingular airspace disease compatible with multilobar pneumonia. . Patchy airspace disease is noted within the right middle lobe. Subtle opacities are present within the lingula as well. There is no pneumothorax or pleural effusion. The heart size is normal.,,images/image_1966.png "Bibasilar opacities, right greater than left, features suggest a combination of consolidation and atelectasis Streaky and patchy bibasilar opacities, triangular density projected over the heart on the lateral view. No definite pleural effusion seen, no typical findings of pulmonary edema. Considering differences in technical factors stable cardiomediastinal silhouette with normal heart size.",,images/image_1967.png "1. Negative for acute cardiopulmonary findings. No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. is intact.",,images/image_1968.png No acute cardiopulmonary abnormality. No there is an dextroscoliosis of the thoracic spine. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_1969.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_1970.png "No acute cardiopulmonary process. Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.",,images/image_1971.png "1. Stable chest with no acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. Mild congestion without edema. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Redemonstrated are endplate depressions of the vertebral bodies, compatible with cell changes.",,images/image_1972.png Right middle lobe and lower lobe pneumonia. Followup radiographs in 8-12 weeks after appropriate therapy are indicated to exclude an underlying abnormality. Heart size is upper limits of normal. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is right basilar air space opacity.,,images/image_1973.png "No acute cardiopulmonary abnormality.. Low lung volumes bilaterally. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_1974.png "There is no evidence of acute cardiopulmonary disease. . The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no of a pleural effusion. There is no evidence of pneumothorax. Multilevel flowing anterior thoracic spine osteophytes, which could represent changes of diffuse idiopathic skeletal hyperostosis (DISH).",,images/image_1975.png No acute cardiopulmonary abnormality. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Stable calcified granuloma in the left upper lung. No acute bony abnormality is identified.,,images/image_1976.png "No acute cardiopulmonary abnormality. . No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . intact. Mild degenerative change of the lower thoracic spine, anterior osteophytes.",,images/image_1977.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. heart size is normal. There is some tortuosity of the aorta. Degenerative changes in the thoracic spine,,images/image_1978.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.",,images/image_1979.png Cardiomegaly without superimposed acute disease noted. The heart size is moderately enlarged. There is evidence of previous aortic valve replacement. sternotomy are grossly intact. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There are chronically increased interstitial lung markings without superimposed focal airspace disease identified. There are degenerative changes of the spine.,,images/image_1980.png 1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,,images/image_1981.png No acute cardiopulmonary abnormality. Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality. There is incompletely evaluated lumbar levoscoliosis.,,images/image_1982.png Mildly low lung volumes with atelectasis or scarring in the lung bases. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. Lungs are mildly hypoinflated with minimal streaky atelectasis or scar in the lung bases. Lungs are otherwise grossly clear of focal airspace disease. There is a stable calcified granuloma in the posterior left midlung. There is no pneumothorax or pleural effusion. There are no acute bony findings.,,images/image_1983.png No radiographic evidence of acute cardiopulmonary disease. 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.,,images/image_1984.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and aeration of the lungs. No pleural effusion. There are gastroesophageal junction and epigastric postsurgical changes.",,images/image_1985.png "1. Marked cardiomegaly. 2. Increased interstitial markings in the lower lungs, edema versus chronic interstitial changes. The aortic , cardiac apex, and stomach are left-sided. The cardiomediastinal silhouette is significantly enlarged. Pulmonary vascular markings centrally are within normal limits and symmetric. Increased interstitial markings bilaterally at the lung bases. This may be related to chronic interstitial changes or edema. No focal airspace disease. No pleural effusion or pneumothorax. No acute bony abnormality.",,images/image_1986.png "1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. There is a right middle lobe nodule which is denser than adjacent is most calcified. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.",,images/image_1987.png "Mildly hyperexpanded lungs without acute focal infiltrate. Mild hyperinflation. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.",,images/image_1988.png "Chronic changes as described, no acute findings Stable flattening of the posterior diaphragm and scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation. Stable cardiomediastinal silhouette with normal heart size and aortic ectasia/tortuosity, stable mediastinal contours. No definite pleural effusion seen, no typical findings of pulmonary edema. Following spine ossifications and marginal osteophytes again noted.",,images/image_1989.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_1990.png 1. Mild stable cardiomegaly. 2. Small bilateral pleural effusions. The heart is again mildly enlarged. Mediastinal contours are stable. Changes of sternotomy and valvuloplasty are noted. Left subclavian ICD is unchanged in position. Lungs are mildly hypoinflated with blunted costophrenic suggesting small bilateral pleural effusions.,,images/image_1991.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. A tortuous, calcified thoracic aorta is present. The lungs are hyperexpanded, consistent with emphysema. There is no pleural effusion, pneumothorax, or focal airspace disease. The are unremarkable.",,images/image_1992.png "No acute cardiopulmonary findings. . Cardiomediastinal silhouette is within normal limits. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormalities. Degenerative changes of the thoracic spine.",,images/image_1993.png No active tuberculosis. Heart size within normal limits and cardiomediastinal contours are normal. Lungs are clear bilaterally. No focal consolidations. No pleural effusions or pneumothorax. Bony structures and soft tissues are unremarkable.,,images/image_1994.png "Chest. No acute cardiopulmonary finding. Right elbow and forearm. No acute traumatic finding. Left ankle. 1. No acute traumatic finding. 2. Midfoot degenerative changes and calcaneal enthesopathy. Chest. Heart size normal. Lungs clear. unremarkable. Limited technique. Right elbow and forearm. No acute fracture, dislocation or joint effusion. Soft tissues unremarkable. Left ankle. Soft tissue around ankle. There are midfoot degenerative changes and plantar calcaneal enthesophyte. Ankle mortise intact. No acute fracture or dislocation.",,images/image_1995.png "1. Right lower lobe infiltrate, suggestive of pneumonia Right lower lobe infiltrate. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal. There has been interval placement of a left chest , with its distal tip in the Left sided SVC",,images/image_1996.png No acute cardiopulmonary abnormality. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_1997.png Clear lungs. No acute cardiopulmonary abnormality. . Lungs are clear. Heart size normal. No pneumothorax.,,images/image_1998.png "Interval removal of stent without acute cardiopulmonary abnormality. Compared to prior examination, stent has been removed. Cardiomediastinal silhouette is stable and within normal limits. Stable mild atherosclerotic calcifications of the aortic are noted. There are mildly low lung volumes without focal consolidation, pneumothorax, or effusion identified. No acute bony abnormality seen.",,images/image_1999.png "Low lung volumes without acute cardiopulmonary abnormality. Low lung volumes bilaterally, with lungs otherwise grossly clear. No focal consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal silhouette is unremarkable. No acute osseous abnormalities identified.",,images/image_2000.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Stable foreign body over the left breast ( nipple piercing). Visualized osseous structures of the thorax are without acute abnormality.",,images/image_2001.png "No acute cardiopulmonary abnormality. Stable calcified hilar and granulomas. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_2002.png 1. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits.The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is eventration of the right hemidiaphragm. The descending thoracic aorta is tortuous.,,images/image_2003.png "1. No acute cardiopulmonary abnormality. 2. Prominent soft tissue density in the upper mediastinum. Recommend follow PA and lateral radiograph or CT thorax for further evaluation. Bilateral glenohumeral degenerative joint disease. Scattered degenerative changes of the thoracic spine. Stable mild heart enlargement.Prominence of soft tissue density in the upper mediastinum. It is increased from most recent prior exam on . However, it appears similar compared to exams performed in . No focal area of consolidation, pleural effusion, or pneumothorax. Focal opacity in the left upper lobe represents scarring or related to overlying rib opacity.",,images/image_2004.png No active disease. Both lungs are clear and expanded. An old calcified granuloma is present in the left upper lobe. Heart and mediastinum normal.,,images/image_2005.png "Negative for acute cardiopulmonary abnormality No focal consolidation, effusion, or pneumothorax. Normal heart size. Stable left subclavian chest catheter tip in mid SVC. Lungs are well expanded. Calcified granuloma posteriorly in the medial right lower lobe. Postsurgical changes of anterior lower cervical spine fusion. Thoracic spine demonstrates mild degenerative changes with some mild loss of T4 and T7 vertebral bodies.",,images/image_2006.png No acute pulmonary findings. Right chest tip low SVC. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Prosthetic right humeral head. Prior lower cervical spine surgery. deformity at the thoracolumbar junction with an acute kyphosis.,,images/image_2007.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal air space opacity. Cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.",,images/image_2008.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is no obvious lytic or destructive lesion. No displaced rib fracture is evident.,,images/image_2009.png No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_2010.png 1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lung volumes are low. There is a calcified granuloma in the right hilum. Minimal atelectasis or scarring in the left lower lobe. There is no effusion or pneumothorax.,,images/image_2011.png Negative chest radiographs. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_2012.png No acute cardiopulmonary abnormality. Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.,,images/image_2013.png Stable postop changes with stable mild cardiomegaly and normal lung vascularity. Status post midline sternotomy with intact . Stable mild cardiomegaly. Normal lung vascularity. The lungs are clear.,,images/image_2014.png 1. No acute cardiopulmonary findings. 2. Chronic changes of emphysema and left basilar scarring. The heart size is within normal limits. After cirrhotic calcification of the thoracic aorta. Hyperexpanded lungs with flattened diaphragms and increased retrosternal clear space suggestive of emphysema. Streaky left basilar opacities are favored to represent scarring. No pleural effusions or pneumothorax. Exaggerated thoracic kyphosis. Scattered calcified granulomas bilaterally. No acute bony abnormalities.,,images/image_2015.png Minimal small area scarring of the left base. There is a small area of scarring or atelectasis in the left base. Calcified granulomas seen in the posterior right lower lobe. Lungs are otherwise clear. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.,,images/image_2016.png Persistent bibasilar airspace disease and bilateral pleural fluid. Consolidation and costophrenic blunting persists in both lower lobes. Heart and pulmonary remain normal. No infiltrates.,,images/image_2017.png change. Hypoinflation with no visible active cardiopulmonary disease. Lung volumes remain low. No infiltrates. Heart and pulmonary are normal.,,images/image_2018.png Cardiomegaly with low lung volumes which are grossly clear. A lung volumes. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. cardiomegaly. Degenerative changes in the spine.,,images/image_2019.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Prominent left epicardial fat .,,images/image_2020.png "Multiple bilateral calcified granulomas most sequela of granulomatous process. No focal infiltrate or consolidation. . If one would like to discuss this case further, please . at . Thanks. Heart size normal. Mediastinum unremarkable. Pulmonary vascularity within normal limits. Lungs symmetrically aerated without focal infiltrate or consolidation. Multiple scattered calcified granulomas are present bilaterally. No focal volume loss evident. No pneumothorax or pleural effusion. Bony thorax unremarkable.",,images/image_2021.png No acute disease. PA and lateral views of the chest were obtained. The heart is normal in size. Mediastinal contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax.,,images/image_2022.png 1. No acute pulmonary disease. No evidence for apical mass. The lungs are clear. There is no pleural effusion or pneumothorax. There is no evidence for mass lung apices. The heart is normal. There are atherosclerotic changes of the aorta. The skeletal structures are unremarkable.,,images/image_2023.png "1. Wide mediastinal , consistent with history of aortic dissection. 2. Otherwise normal chest x-. The mediastinal silhouette is widened with overlying sternotomy . The heart size is normal. The lungs are clear without evidence of effusion, infiltrate or pneumothorax. Visualized bony structures are intact with no acute abnormalities.",,images/image_2024.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2025.png "Possible subtle increased opacity in right apex otherwise unremarkable appearance of lung Heart , mediastinum, , bony structures are unremarkable. Possible subtle increased opacity in right apex versus technique. Otherwise no significant interval change compared to prior study",,images/image_2026.png "Clear lungs, no acute cardiopulmonary abnormality. Heart size is normal. Mediastinal contour and pulmonary vascularity within normal limits. No focal airspace consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.",,images/image_2027.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact. Calcification in the right upper quadrant of the abdomen consistent with gallstone.,,images/image_2028.png No acute cardiopulmonary findings. Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion. There are degenerative changes of the midthoracic spine.,,images/image_2029.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_2030.png 1. Previously identified small right pneumothorax is not visualized on today's exam. 2. Minimal bibasilar atelectasis/airspace disease. The cardiomediastinal silhouette is normal in size and contour. There are a few opacities in the lung bases bilaterally. No definitive pneumothorax or pleural effusion. Displaced fracture of the mid one-third of the right clavicle.,,images/image_2031.png "No radiographic evidence of acute cardiopulmonary disease Heart , mediastinum, , bony structures and lung are unremarkable.",,images/image_2032.png No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No nodules or adenopathy is identified.,,images/image_2033.png 1. No acute cardiopulmonary abnormality. Clear lungs bilaterally. Normal cardiac contours. No pneumothorax or pleural effusion.,,images/image_2034.png No acute cardiopulmonary abnormality. . There are low lung volumes. The lungs are otherwise clear. Heart size is normal. No pneumothorax.,,images/image_2035.png No acute cardiopulmonary disease. The cardiac silhouette mediastinal contours are within normal limits. There is no definite focal infiltrate. There is no large pleural effusion. There is no pneumothorax.,,images/image_2036.png "No acute cardiopulmonary abnormality. Low lung volumes. Heart size and mediastinal contour within normal limits. No focal air space consolidation, pneumothorax, or pleural effusion. Mild thoracic spine degenerative change.",,images/image_2037.png "1. Right subclavian catheter, distal tip in the region of the subclavian vein at the level of clavicular head. 2. Low lung volumes, with left lower lung atelectasis. . Right subclavian catheter, distal tip posterior to the head of the clavicle, the level of the subclavian vein. Low lung volumes. No pleural effusion. Left lower lobe airspace disease, atelectasis. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . intact.",,images/image_2038.png "No acute cardiopulmonary abnormalities. . The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities, pleural effusion or pneumothorax. No acute bony abnormalities.",,images/image_2039.png Changes of chronic lung disease with no acute cardiopulmonary finding. Heart size within normal limits. Mild hyperinflation of the lungs. Mild pectus excavatum deformity. Stable left mid lung calcified granuloma. No focal airspace disease. No pneumothorax or effusions.,,images/image_2040.png "Normal chest radiograph. Heart size is normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures are intact.",,images/image_2041.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_2042.png 1. Soft tissue neck negative. 2. Chest. Heart failure with pulmonary alveolar edema and pleural effusion. Soft tissue neck. The airway is . No laryngeal edema. Laryngeal intact. Cervical spine intact. Chest. The heart is large. Diffuse parahilar and alveolar consolidations are present. Bilateral costophrenic blunting is present.,,images/image_2043.png 1. Left paraspinal/retrocrural adenopathy. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Low left paraspinal/retrocrural adenopathy is present. This appears unchanged.,,images/image_2044.png No acute cardiopulmonary process. . 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.,,images/image_2045.png Opacity representing left upper lobe pneumonia. Recommend followup radiographically until cleared to ensure that there is no underlying mass. There is a rounded dense opacity in the lateral left midlung zone probably the left upper lobe most suggestive of a rounded pneumonia. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_2046.png No acute cardiopulmonary abnormality. Heart size and mediastinal contours are stable. Stable calcification of the thoracic aorta. Pulmonary vasculature is within normal limits. There is no focal air space opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is demonstrated.,,images/image_2047.png No active disease. The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. Arthritic changes are seen throughout the spine and both .,,images/image_2048.png "Changes of chronic lung disease without acute cardiopulmonary abnormality identified. The lungs are hyperinflated with mildly coarsened interstitial markings consistent with chronic lung disease. No focal consolidation, pneumothorax, or effusion identified. The mediastinal silhouette is stable and within normal limits for size. There is redemonstration without significant change in right hilar calcified lymph . The bony structures of the thorax demonstrate degenerative changes of the right shoulder and a right humerus consistent with distal humeral amputation. No acute bony abnormality identified.",,images/image_2049.png "1. No acute cardiopulmonary abnormality. 2. Stable cardiomegaly, tortuous thoracic aorta and atherosclerotic calcification. . sternotomy and numerous mediastinal clips appear stable in position. There is aortic atherosclerotic calcification. The thoracic aorta is tortuous. Stable widening of the upper mediastinum. Stable cardiomegaly. Prominent mitral annular calcification demonstrated on the lateral view. No pneumothorax, pleural effusion or airspace consolidation. appear intact.",,images/image_2050.png "No acute related findings. Please note that nondisplaced fractures may not be demonstrated. No focal consolidation, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury demonstrated.",,images/image_2051.png "1. No acute cardiopulmonary process. 2. 9 mm left lower lobe pulmonary nodule not definitively calcified. Recommend comparison with prior images to document stability. If none are available consider nonemergent chest for further characterization. . Normal heart size and mediastinal contours. The lungs are free of any focal airspace disease. In the left lung base, there is a 9 mm nodule that not definitively calcified. No pneumothorax or pleural effusion. No acute bony abnormalities.",,images/image_2052.png No acute changes from prior imaging. Heart size upper limits of normal. Pulmonary vascular engorgement appears within limits of normal. No consolidating airspace disease is seen within the lungs. No pleural effusion or pneumothorax. Bridging syndesmophytes are noted throughout visualized thoracolumbar spine. This could indicate diffuse idiopathic skeletal hyperostosis. This is similar to prior imaging.,,images/image_2053.png 1. Right chest catheter tip at cavoatrial junction. 2. Grossly clear lungs. There is a right chest with catheter tip at the cavoatrial junction. Heart size is at the upper limits of normal. Lungs are grossly clear. No pleural effusion or pneumothorax. There are diffuse degenerative changes of the spine.,,images/image_2054.png No evidence of active 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.,,images/image_2055.png "1. No acute intrathoracic abnormality. sternotomy remain in . The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Moderate degenerative changes of the thoracic spine. No acute, displaced rib fractures identified.",,images/image_2056.png Clear lungs. Postsurgical changes of the right chest. Mild elevation of the right hemidiaphragm. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_2057.png Normal chest x-. The cardiomediastinal silhouette is normal. The lungs are clear. There is no pneumothorax or pneumomediastinum. Visualized bony structures are normal.,,images/image_2058.png Normal chest exam. Normal heart size. Clear lungs. No pneumothorax. No pleural effusion.,,images/image_2059.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures show arthritic changes.,,images/image_2060.png Hyperexpanded lungs without focal air space disease. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. Biapical scarring noted. No pleural effusions or pneumothoraces.,,images/image_2061.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_2062.png Low lung volumes with airspace disease within the right lung base. Followup radiographs following treatment is recommended to document resolution. Heart size within normal limits. There are low lung volumes with bronchovascular crowding. There is mild increased airspace opacity within the right lung base which may represent atelectasis or infiltrate.. No visualized pneumothorax or large pleural effusion. Multilevel degenerative disease of the spine.,,images/image_2063.png "No acute disease. 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, related to subpleural fat. The appearance is stable from multiple previous studies. The lungs are clear. There is no pleural effusion.",,images/image_2064.png "No acute cardiopulmonary abnormality. 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.",,images/image_2065.png "No acute cardiopulmonary abnormality. No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized of the chest are within normal limits.",,images/image_2066.png "Normal chest No evidence of tuberculosis Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_2067.png No acute abnormality. The heart is normal in size and contour. There is no mediastinal widening. No focal airspace disease. No large pleural effusion or pneumothorax. The are intact.,,images/image_2068.png change. Hypoinflation with no visible active cardiopulmonary disease. Lung volumes remain low. No infiltrates. Heart and pulmonary are normal.,,images/image_2069.png Hypoinflation with no visible active cardiopulmonary disease. Lung volumes are low. No focal infiltrates. Heart size normal. Mediastinum normal.,,images/image_2070.png No acute cardiopulmonary findings. Normal heart size. Clear lungs. No pneumothorax or large pleural effusion.,,images/image_2071.png "Clear lungs The lungs are grossly clear without focal pneumonic consolidation, large effusion or pneumothorax. Heart size is within normal limits.",,images/image_2072.png "1. Hyperexpansion without acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Hyperexpanded lungs. Calcified right upper lobe granuloma, unchanged. Heart size and pulmonary vascularity within normal limits. No displaced rib fractures.",,images/image_2073.png No acute cardiopulmonary abnormality. The lungs are hypoventilated. There is no focal airspace opacity. The cardiomediastinal silhouette is normal in size. There is no pneumothorax or large pleural effusion.,,images/image_2074.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. No focal airspace consolidation or pleural effusion.",,images/image_2075.png "No acute cardiopulmonary finding. The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. There are numerous calcified granuloma in the right perihilar region. There are multilevel degenerative changes in the thoracic spine.",,images/image_2076.png "Borderline cardiomegaly without heart failure. Apparent cardiomegaly at partially accentuated by low lung volumes. No focal consolidation, pneumothorax or large pleural effusion. Right base calcified granuloma. Stable right infrahilar nodular density (lateral view). Negative for acute bone abnormality.",,images/image_2077.png No acute radiographic cardiopulmonary process. 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. There is no pneumothorax. There is no pleural effusion. There is redemonstration of right rib deformities from old . of mild dextroscoliosis of the thoracic spine. There is no free intraperitoneal air under the diaphragm.,,images/image_2078.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine. Degenerative changes of the . Tortuous aorta.,,images/image_2079.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_2080.png 1. Evidence of previous granulomatous infection. 2. Bibasilar bandlike opacities. The appearance atelectasis/scar. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma is present in the right lung base. Bibasilar bandlike opacities are present. The appearance scarring or atelectasis.,,images/image_2081.png "No suspicious pulmonary mass or nodule identified. However, given the presence of small nodules on the chest CT scan and patient history of prostate cancer, recommend further evaluation with scan (unless already recently performed). There is a calcified left upper lobe granuloma. No suspicious pulmonary mass or nodule is identified. There is no focal airspace consolidation. No pleural effusion or pneumothorax. The lungs remain hyperexpanded. Stable cardiomediastinal silhouette. Calcified mediastinal and hilar lymph are consistent with prior granulomatous disease. There are minimal degenerative changes of the spine.",,images/image_2082.png 1. No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm. Surgical clips are seen the right upper quadrant.,,images/image_2083.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_2084.png "No acute cardiopulmonary abnormality.. 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 demonstrate healed, remote bilateral rib fractures without acute abnormality.",,images/image_2085.png No acute cardiopulmonary abnormality. Normal heart size. Clear lungs. Trachea is midline. No pneumothorax. No pleural effusion.,,images/image_2086.png No acute cardiopulmonary abnormality. Heart size is within normal limits. Tortuous aorta. Clear lungs. No pneumothorax. No pleural effusion. Atherosclerotic calcification within the aorta. Right lower lung granuloma.,,images/image_2087.png "Low lung volumes with mild, left basilar opacity, atelectasis versus infiltrate. . Cardiac silhouette is within normal limits in size. The lungs are hypoinflated with mild bronchovascular crowding. There is mild, opacity projected over the left lung base. This is partly due to overlying soft tissues, however, there is partial obscuration of the lateral left hemidiaphragm. The lungs are otherwise grossly clear. There is no pneumothorax or pleural effusion. There are no acute bony findings. There are degenerative endplate changes throughout the thoracic spine.",,images/image_2088.png "1. Moderate increase in size of the cardiac silhouette. Unclear whether this is secondary to cardiomegaly or pericardial effusion. 2. Pulmonary vascular congestion. 3. Widened mediastinum. Maybe secondary to prominent mediastinal fat or tortuous . However, adenopathy, or mass is not excluded. CT of the chest with contrast is recommended for further evaluation of these findings. There is widening of the mediastinum. There is moderate cardiomegaly identified. The central pulmonary appear enlarged. Correlate for pulmonary vascular congestion. No focal infiltrate. No large effusion or pneumothorax.",,images/image_2089.png No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications are present. The lungs are otherwise clear. Bony structures are intact. Prior cholecystectomy.,,images/image_2090.png Large left lower lobe opacity represents a large layering pleural effusion. Right lung is clear. Large left lower lobe opacity is present. There does not appear to be significant mediastinal shift. There is no pneumothorax. The cardiac silhouette is not definitively identified and not fully evaluated. The mediastinal contours are unremarkable.,,images/image_2091.png "Bibasilar opacities, right greater than left, features suggest a combination of consolidation and atelectasis Streaky and patchy bibasilar opacities, triangular density projected over the heart on the lateral view. No definite pleural effusion seen, no typical findings of pulmonary edema. Considering differences in technical factors stable cardiomediastinal silhouette with normal heart size.",,images/image_2092.png 1. No evidence of active disease. 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.,,images/image_2093.png "No acute cardiopulmonary disease. The heart, pulmonary 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.",,images/image_2094.png "1. No finding suggestive of active disease. No acute osseous abnormalities. Mild thoracic spine degenerative changes. Soft tissues are within normal limits. No focal area of consolidation, pleural effusion, or pneumothorax.",,images/image_2095.png "No acute cardiopulmonary abnormality. Levoscoliosis of the thoracic spine. Heart size and mediastinal contours appear within normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. There is levoscoliosis of the thoracic spine.",,images/image_2096.png "No acute abnormalities are seen. . The cardiac silhouette, mediastinum, and pulmonary vasculature are unremarkable. There is stable elevation of the left hemidiaphragm. Lungs are clear. No pleural fluid or pneumothorax is appreciated. Cholecystectomy clips are noted in the right upper quadrant.",,images/image_2097.png 1. No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_2098.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_2099.png "No radiographic evidence of acute cardiopulmonary disease Heart , mediastinum, , bony structures and lung are unremarkable. No significant interval change compared to prior study, no infiltrates noted.",,images/image_2100.png "No acute cardiopulmonary disease. The heart, pulmonary 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.",,images/image_2101.png "No acute disease. Left lower lobe nodule of uncertain identity. Chest CT may be of further . level Veriphy message sent. Lungs are free of infiltrates. However, in the left lower lobe there is a 1 cm diameter nodule that is not calcified. The right lung is clear. The heart, , and mediastinum are normal.",,images/image_2102.png "No acute cardiopulmonary finding. The heart is normal size with normal appearance the cardiomediastinal silhouette. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact with degenerative changes in thoracic spine.",,images/image_2103.png "Normal chest xray. PA and lateral views. The cardiomediastinal silhouette is normal. The lungs are clear. No effusions, consolidation or pneumothorax.",,images/image_2104.png "1. No acute abnormality of the chest. 2. deformities of T12 and L1, unchanged abdomen , abdomen , . 3. Fracture of right proximal humerus, incompletely evaluated. . Mild cardiomegaly. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is thoracic kyphosis. There is deformity of T12 and L1, unchanged abdomen , . Aortic calcifications are noted. Fracture of right proximal humerus, incompletely evaluated.",,images/image_2105.png "No acute cardiopulmonary abnormality. 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. A right humeral intramedullary is noted incidentally, without evidence of complicating features.",,images/image_2106.png "1. Borderline enlargement of cardiac silhouette, otherwise no acute cardiopulmonary abnormality. No evidence for active TB. Low lung volumes with redemonstrated bronchovascular crowding. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The cardiac silhouette size is borderline enlarged.",,images/image_2107.png 1. Cardiomegaly. 2. Minimal left midlung atelectasis. 3. Blunting of left costophrenic . This could indicate a small amount of pleural fluid versus pleural-parenchymal scarring. 2 images. The cardiac silhouette is enlarged. Thoracic aortic atherosclerotic calcifications are present. There are finding status post sternotomy and CABG. atelectasis or scar is noted within the left midlung. There is blunting of the left costophrenic . No pneumothorax.,,images/image_2108.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_2109.png "1. Interval enlargement of right middle lobe mass, highly suspicious for malignancy. Recommend CT of the chest/abdomen with intravenous contrast for further evaluation. 2. Otherwise clear lungs. Dr. notified of the critical results at on , by telephone and acknowledged receipt of these results. Lobulated right middle lobe mass measuring 4.5 x 6.8 cm, increased in size compared to prior study, most compatible with neoplasm. Otherwise, the lungs are clear without focal consolidation. No pneumothorax or pleural effusion. Cardiomediastinal silhouette within normal limits.",,images/image_2110.png Stable emphysematous lung changes. No acute abnormality seen. Normal heart size. Stable tortuous aorta. No pneumothorax or pleural effusion. No suspicious focal air space opacities. Levoscoliosis of the thoracolumbar spine. Hyperinflated lungs with flattened diaphragms are consistent with emphysematous lung changes. Prior granulomatous disease.,,images/image_2111.png "1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. There are two subcentimeter hyperdense nodular opacities are noted within the right lung. These may represent on end or alternatively, calcified granulomas. The lungs are clear without infiltrate. There is no effusion or pneumothorax.",,images/image_2112.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. No pleural effusions. Heart size normal. The cardiomediastinal silhouette is unremarkable.,,images/image_2113.png "No acute cardiopulmonary abnormalities. . The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.",,images/image_2114.png No acute cardiopulmonary abnormality. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified.,,images/image_2115.png Chronic changes without acute process Heart size is mildly enlarged. Tortuous aorta. Lungs are normally inflated and clear. Mild degenerative changes of the spine.,,images/image_2116.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_2117.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_2118.png No acute cardiopulmonary abnormalities are seen. END OF REPORT. and lateral views of the chest were obtained /. The lung volumes are low normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary are normal. The bony elements are not remarkable.,,images/image_2119.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax grossly unremarkable.",,images/image_2120.png No lobar pneumonia is present. Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications in the paratracheal region. Mild streaky scarring in the right upper lobe. No active pneumonia. Bony structures are intact.,,images/image_2121.png "1. Stable cardiomegaly with right mediastinal shift. 2. Stable interstitial markings and prominent bibasilar airspace opacities which represent atelectasis. Intact sternotomy . Stable cardiomegaly with grossly unchanged rightward mediastinal shift. Unchanged appearance of left perihilar calcified lymph and left basilar calcified granuloma. Relatively unchanged appearance of prominent interstitial markings with patchy bibasilar atelectasis. The negative for pneumothorax, focal infiltrate, or large pleural effusion. No acute bony abnormalities.",,images/image_2122.png "1. Concern for left subphrenic free air. Verification with abdominal decubitus views is recommended for further evaluation. 2. Interval increase in size of the moderate to large bilateral pleural effusions with bibasilar atelectasis/airspace disease. 3. Left central venous catheter in unchanged position. 4. Interval placement of feeding tube the courses beneath the diaphragm and out of the -of-view. 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 -of-view.",,images/image_2123.png "No acute findings. . 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.",,images/image_2124.png No active disease. Both lungs are clear and expanded with no infiltrates. Basilar focal atelectasis is present in the lingula. Heart size normal. Calcified right hilar are present,,images/image_2125.png "Low lung volumes without acute cardiopulmonary findings. Heart size is normal. Low lung volumes. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures grossly intact.",,images/image_2126.png " right pleural effusion. There is a right IJ central venous catheter with tip overlying the inferior SVC. Cardiac silhouette is normal size. Normal mediastinal contour and pulmonary vasculature. There is a small right pleural effusion. Otherwise, lungs are without focal airspace disease.",,images/image_2127.png "No acute cardiopulmonary abnormality identified. 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.",,images/image_2128.png "No acute disease. Left upper extremity PIC catheter tip within left subclavian vein. Findings communicated primordial. The heart is normal in size. The mediastinum is unremarkable. Left upper extremity PIC catheter tip overlies the distal aspect of the left clavicle within the subclavian vein. There is no pneumothorax. The lungs are mildly hyperinflated but clear. Deformity of the lateral left 6th rib, old injury.",,images/image_2129.png No acute cardiopulmonary abnormality Heart size is normal in cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally. No consolidations. No pleural effusion. No pneumothorax. and soft tissues are unremarkable. Lungs are hyperinflated.,,images/image_2130.png "Numerous bilateral pulmonary nodules with dominant nodule/mass in the left lower lung. Diagnostic considerations would include primary lung carcinoma with metastatic nodules versus secondary metastatic disease from known brain tumor. Suggest clinical correlation and further imaging examination. The heart is normal in size. The mediastinal contours are within normal limits. There are numerous bilateral pulmonary nodules of varying sizes. The largest is noted in the left lower lobe, posteriorly measuring approximately 7.0 cm. No acute infiltrate or pleural effusion are appreciated.",,images/image_2131.png No acute cardiopulmonary abnormality. Normal heart size and mediastinal contours. No focal airspace consolidation. Tracheostomy tip approximately 5 cm above the carina. No pleural effusion or pneumothorax.,,images/image_2132.png "1. Low lung volumes with subsequent bronchovascular crowding and bibasilar atelectasis. . 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.",,images/image_2133.png "No acute cardiopulmonary findings. The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are moderate degenerative changes in the thoracic spine. There are postsurgical clips in the right upper quadrant.",,images/image_2134.png "No acute cardiopulmonary findings. Cardiomediastinal silhouette is normal in size and contour. Pulmonary vasculature is normal in caliber. Lungs are clear of focal airspace disease, pneumothorax or pleural effusion. There are no acute bony findings.",,images/image_2135.png " bullet fragments, as described above. No evidence of acute parenchymal abnormality. The heart is normal in size. The mediastinum is stable. The lungs are grossly clear. opacities in the lung bases. There are fragments overlying the posterior left chest, right neck base and fragments in the left costophrenic . There is no pleural effusion or pneumothorax.",,images/image_2136.png "No acute cardiopulmonary abnormality. Surgical clips within the right upper quadrant. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_2137.png No active disease.. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2138.png "1. No acute pulmonary abnormality. 2. Abnormal appearance of the mediastinum as discussed below. The lungs and pleural spaces show no acute abnormality. Heart size within normal limits. There is tortuosity of the descending thoracic aorta, unchanged. There is right paratracheal thickening and bilateral hilar enlargement corresponding to lymphadenopathy and pulmonary arterial enlargement visualized on chest in . Radiographically, the findings are grossly stable.",,images/image_2139.png "1. Negative for acute cardiopulmonary findings. No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. is intact.",,images/image_2140.png No acute cardiopulmonary findings. There are low lung volumes with bronchovascular crowding. There is no focal consolidation. No visualized pneumothorax. Heart size is within normal limits. The cardiomediastinal contours is grossly normal in size and contour.,,images/image_2141.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Heart size upper limit of normal. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_2142.png "1. No acute radiographic cardiopulmonary process. 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.",,images/image_2143.png "1 cm nodule within the lung base, seen only on the lateral view. Consider imaging correlation with abdomen study, if available. . There is a 1 cm nodule within one of the lung bases, seen only on the lateral view. There is a calcified right hilar lymph node and right granuloma. Heart size is normal. No pneumothorax.",,images/image_2144.png "1. Mild central vascular prominence, congestion. Heart size at the upper limits of normal. The cardiac silhouette size is at the upper limits of normal. Central vascular markings are mildly prominent. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. No acute bony abnormality.",,images/image_2145.png "1. Clear lungs. 2. Mildly blunted right costophrenic without definite pleural effusion. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. Lungs are clear of focal airspace disease. There is no pneumothorax. There is mild blunting of the right costophrenic , without definite pleural effusion.",,images/image_2146.png 1. No evidence of active disease. 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.,,images/image_2147.png Mild stable cardiomegaly without acute disease. Possible right pleural effusion. The heart is enlarged. Changes of sternotomy and bypass graft are identified in the lungs are grossly clear. right pleural thickening versus pleural effusion is noted. There is no acute infiltrate. No pneumothorax is seen. Mild granulomatous sequela are noted.,,images/image_2148.png No acute cardiopulmonary abnormality. Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.,,images/image_2149.png "Stable cardiomegaly without acute cardiopulmonary abnormality. No stable cardiomegaly, without focal consolidation, pneumothorax, or pleural effusion. Stable right basilar calcified granuloma. No acute osseous abnormality identified.",,images/image_2150.png Slight cardiomegaly with no failure or pneumonia. The heart is slightly large. Pulmonary are normal. No infiltrates.,,images/image_2151.png "Negative for acute cardiopulmonary disease. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Heart size normal.",,images/image_2152.png Left lower lobe atelectasis otherwise no acute cardiopulmonary disease. Streaky opacity is noted within the left lung base which may represent focal area of atelectasis. Right lung is grossly clear. Cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. No large pleural effusion.,,images/image_2153.png No acute cardiopulmonary abnormality. Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.,,images/image_2154.png No acute cardiopulmonary process. . Cardiomediastinal contours are unchanged. There are stable fractures of several . Lungs are hyperexpanded but clear. No pneumothorax or pleural effusion. Degenerative changes are seen in the spine.,,images/image_2155.png No acute cardiopulmonary abnormalities. Heart size is normal. No pleural effusions. No pneumothorax. No focal air space opacities. Mild degenerative osteophytes are noted in the thoracic spine.,,images/image_2156.png No acute cardiopulmonary abnormality. Stable chronic appearing left basilar opacities. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures appear intact. Degenerative changes of the visualized thoracic spine.,,images/image_2157.png "No acute cardiopulmonary abnormality identified. 2 images. Calcified granuloma, right lung base. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",,images/image_2158.png No active disease. Lungs remain clear and expanded. Heart and mediastinum normal.,,images/image_2159.png "Small to moderate sized bilateral pleural effusions with adjacent infiltrate or atelectasis. There is bilateral lower lung airspace disease. There are small to moderate sized bilateral pleural effusions, left greater than right. There is no pneumothorax. Mediastinal silhouette normal. Calcified left hilar lymph .",,images/image_2160.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2161.png No acute pulmonary disease. There is a calcified granuloma in the right midlung zone. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. Surgical clips are present in the right upper quadrant.,,images/image_2162.png 1. No acute bony abnormalities. 2. No acute cardiopulmonary abnormalities. Normal cardiac contours. No pleural effusion or pneumothorax. No acute bony abnormalities. Clear lung bilaterally. No intervertebral disc narrowing or loss of vertebral body .,,images/image_2163.png "No acute cardiopulmonary disease. Evidence of previous granulomatous infection. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma in the left lung base.",,images/image_2164.png "No acute pulmonary findings. . There are broken 1st and 3rd-5 . Normal cardiomediastinal silhouette. Pulmonary vasculatures are within normal limits. Left-sided aortic . Central airways are . No focal consolidation, pleural effusion or pneumothorax. Left hemidiaphragm is mildly elevated. Interposition of the colon in the left upper quadrant.",,images/image_2165.png 1. No evidence of active disease. 2. Evidence of previous granulomatous infection. 3. Pectus carinatum. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. Pectus carinatum is noted. Calcified lymph and granuloma are noted. No pleural effusion or pneumothorax is seen. Mild deformity is noted in the lower thoracic spine.,,images/image_2166.png 1. Previously identified small right pneumothorax is not visualized on today's exam. 2. Minimal bibasilar atelectasis/airspace disease. The cardiomediastinal silhouette is normal in size and contour. There are a few opacities in the lung bases bilaterally. No definitive pneumothorax or pleural effusion. Displaced fracture of the mid one-third of the right clavicle.,,images/image_2167.png "No evidence of acute cardiopulmonary process. The 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 involving the left proximal humerus. Deformity of the left distal clavicle compatible with remote . No displaced rib fractures on this chest examination.",,images/image_2168.png 1. Chest. No acute cardiopulmonary findings. 2. Pelvis. No acute osseous findings. Chest. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Pelvis. There are numerous clips overlying the pelvis and lower abdomen. Nonobstructive bowel pattern. No pathologic calcifications. Hip joint spaces are symmetric and normal. Sacroiliac joints are unremarkable. No fractures or dislocations.,,images/image_2169.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are mildly hyperlucent but clear. There is denser lumbar scoliosis.,,images/image_2170.png "1. Suspected cardiomegaly, less pericardial effusion. Prior comparison studies would be helpful. 2. Low lung volumes. No evidence of focal airspace disease. . The cardiac silhouette is enlarged with no comparison studies. Findings are accentuated by low lung volumes and eventration of the anterior right hemidiaphragm, however, cardiomegaly or less , pericardial effusion is suspected. The lungs are hypoinflated with central bronchovascular crowding but no evidence of overt pulmonary edema. The lungs are grossly clear of focal airspace disease, pneumothorax, pleural effusion. There are no acute bony findings. There are degenerative changes of the thoracic spine. Patient appears morbidly obese.",,images/image_2171.png 1. Lingular airspace disease which in the setting of is concerning for pneumonia. The cardiomediastinal silhouette is within normal limits for size and contour. There is lingular airspace disease.. Osseous structures are within normal limits for patient age..,,images/image_2172.png "1. Low lung volume study with minimal bibasilar atelectasis. Stable chest. The heart is normal in size and contour. The aorta is calcified and tortuous. The lung volumes are low. There is elevation of the right hemidiaphragm. Minimal streaky opacities in the lung bases, subsegmental atelectasis. No pleural effusion or pneumothorax.",,images/image_2173.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_2174.png No acute preoperative findings. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_2175.png "No acute cardiopulmonary disease. Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.",,images/image_2176.png "No acute cardiopulmonary abnormalities. The trachea is midline. Cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.",,images/image_2177.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2178.png "No acute cardiopulmonary abnormality. Heart size is normal. Stable mediastinal contour. No focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. Mild thoracic spine degenerative change.",,images/image_2179.png No active disease. A calcified granuloma is present in the right costophrenic . Lungs are otherwise clear. Heart size normal.,,images/image_2180.png 1. Right pleural effusion with adjacent atelectasis. 2. No definite findings of pneumonia. 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.,,images/image_2181.png "Left lower lobe infiltrate. Heart size and mediastinal contours appear within normal limits. Patchy airspace opacities in the left lower lobe, compatible with infiltrate. No large pleural effusion. No pneumothorax. No acute bony abnormality.",,images/image_2182.png "1. No acute cardiopulmonary abnormality. 2. Stable bullous emphysematous changes. Cardiomediastinal silhouette are normal in size and contour. Again demonstrated are biapical bullous emphysematous changes. No focal consolidation, pneumothorax, or pleural effusion. Mild multilevel degenerative changes of the thoracic spine.",,images/image_2183.png "No evidence of active TB. There are no acute osseous abnormalities. There are surgical clips in the right upper abdomen, from cholecystectomy. Normal heart size. Normal hilar vascular markings. The lungs are grossly clear without focal area of consolidation, pleural effusion, pneumothorax.",,images/image_2184.png No acute cardiopulmonary findings. Low lung volumes. Heart size normal. No focal airspace consolidations. No pneumothorax or effusions.,,images/image_2185.png "No acute cardiopulmonary findings. Stable appearance of the cardiomediastinal silhouette. There is no pneumothorax, pleural effusion, or focal airspace consolidation.",,images/image_2186.png "No acute cardiopulmonary findings. Heart size and mediastinal contours are unremarkable. There is no pneumothorax, pleural effusion, focal airspace consolidation.",,images/image_2187.png No evidence of acute cardiopulmonary process. Stable appearance of the chest. The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. There are mild degenerative changes of the thoracic spine.,,images/image_2188.png "No acute cardiopulmonary abnormality. The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. No acute bony abnormality.",,images/image_2189.png "1. Emphysema without acute infiltrate. 2. Progressive deformity of midthoracic vertebral body, T9. The heart is normal in size. The mediastinum is stable. Aorta is tortuous. Calcified lymph are again identified. There is mild prominence of the right paratracheal soft tissues, stable in appearance from prior studies. There is no acute infiltrate or pleural effusion. Osteopenia and degenerative changes are identified. deformity of T9 appears worse than prior study.",,images/image_2190.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_2191.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2192.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified right hilar and mediastinal lymph . There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_2193.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_2194.png "No acute cardiopulmonary abnormality.. 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.",,images/image_2195.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_2196.png No change. No active disease. The parenchymal scar in the left lower lobe is unchanged in the interval. No infiltrates or masses in the lungs. Heart and mediastinum are normal.,,images/image_2197.png "Unremarkable radiographs of the chest. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.",,images/image_2198.png "No acute cardiopulmonary abnormality. Heart size and mediastinal contour within normal limits. Calcified granuloma in the left lung base. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",,images/image_2199.png No acute cardiopulmonary abnormality. 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 are intact.,,images/image_2200.png "1. Increased size of left pneumothorax, with partial collapse of the left upper and lower lobes. 2. Small left pleural effusion/hemothorax. There is increased size of left pneumothorax, with partial collapse of the left upper and lower lobes. This pneumothorax measures up to 3.5 cm in maximum width at the apex. There is no significant mediastinal shift. The right lung remains clear. Cardiomediastinal silhouette is within normal limits. There is a small left pleural effusion/hemothorax. No focal air space opacities. No free subdiaphragmatic air.",,images/image_2201.png No acute pulmonary abnormalities. Normal heart size and mediastinal contours. No focal airspace consolidation. Minimal blunting of the left costophrenic . No pneumothorax. Visualized bony structures are unremarkable in appearance.,,images/image_2202.png 1. Chest. No acute cardiopulmonary findings. 2. Pelvis. No acute osseous findings. Chest. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Pelvis. There are numerous clips overlying the pelvis and lower abdomen. Nonobstructive bowel pattern. No pathologic calcifications. Hip joint spaces are symmetric and normal. Sacroiliac joints are unremarkable. No fractures or dislocations.,,images/image_2203.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are hyperexpanded. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_2204.png "No evidence of acute cardiopulmonary process. Stable appearance of the chest. The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There is no focal air space opacity, pneumothorax, or effusion. There are large calcified mediastinal and right hilar granulomas. The bony structures of the thorax are intact with no evidence of acute abnormality.",,images/image_2205.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_2206.png "No acute cardiopulmonary abnormality. Calcified left coronary arteries noted. . Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Calcified left coronary arteries noted. Visualized osseous structures appear intact.",,images/image_2207.png No acute cardiopulmonary abnormality. The heart size of the limits of normal. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There is a calcified granuloma right midlung and posterior costophrenic sulcus.,,images/image_2208.png "Negative for acute cardiopulmonary disease. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.",,images/image_2209.png "No acute cardiopulmonary findings. . Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable.",,images/image_2210.png "No acute cardiopulmonary abnormality. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.",,images/image_2211.png No acute cardiopulmonary abnormality. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified.,,images/image_2212.png "No acute cardiopulmonary disease. Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.",,images/image_2213.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. The are unremarkable.,,images/image_2214.png No acute cardiopulmonary disease. No evidence of pneumonia. The lungs are clear. The heart and pulmonary are normal. Pleural spaces are clear. The mediastinal contours are normal. There is calcification of the thoracic aorta.,,images/image_2215.png "1. COPD. Basilar probable pulmonary fibrosis and scarring. 2. No acute cardiac or pulmonary disease process identified. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is bibasal interstitial opacity and left basal platelike opacity due to discoid atelectasis and/or scarring. There are emphysematous changes, particularly within the right upper lobe. No focal airspace consolidation or pleural effusion.",,images/image_2216.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_2217.png No active disease. Soft tissue and bony structures unremarkable. Heart size is upper limit of normal. Lung are clear. No effusion or pneumothorax. Calcified lymph stable from prior exam.,,images/image_2218.png Suspected left hilar mass with obstructive atelectasis. thorax for further characterization. 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.,,images/image_2219.png "No acute abnormality. Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.",,images/image_2220.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_2221.png 1. Focal opacity in the right midlung zone worrisome for pneumonitis. 2. Mild pulmonary vascular congestion. There is a focal area of opacity in the right midlung zone. This was not present on the recent prior study. There is prominence of the pulmonary markings throughout and there are small bilateral pleural effusions. The heart is not significantly enlarged. There is a prosthetic valve. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_2222.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_2223.png "Increased size of density in the left cardiophrenic . Primary differential considerations include increased size of prominent epicardial fat, pericardial mass, pleural mass or cardiac aneurysm. CT chest with contrast is recommended. These findings and recommendations were discussed . by Dr. telephone at p.m. /. Dr. <>technologist receipt of the results. The examination consists of frontal and lateral radiographs of the chest. The cardiac silhouette is not enlarged. There has been apparent interval increase in low density convexity at the left cardiophrenic . Calcified granuloma is again seen in the right upper lobe. There is no consolidation, pleural effusion or pneumothorax.",,images/image_2224.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_2225.png "1. Vague increased sclerotic focus overlying the posterior spine on lateral , from prior study. Although this may be artifact or a pulmonary density, a sclerotic focus within the thoracic cannot be excluded. Bone scan would be helpful to evaluate for metastatic disease to the bone. The lungs are clear. The heart and pulmonary appear normal. The pleural spaces are clear. There is minimal sclerotic change overlying the midthoracic spine the lateral view. Unclear whether this is a pulmonary finding or skeletal finding. Bone scan would be helpful to evaluate for potential metastatic disease. The mediastinal contours are normal.",,images/image_2226.png Normal chest. Heart and mediastinal contour normal. Pulmonary vascularity normal. Lungs clear. No pleural effusions or pneumothoraces.,,images/image_2227.png Nodular density noted on recent PA chest radiograph represents an artifact. No nodules noted within the lungs on a recent outside from . There are no airspace opacities to suggest pneumonia. There is a vague nodular like opacity in the right midlung measuring 1.2 cm projecting through the posterior 7th and 8th ribs. This may be artifact. Chest fluoroscopy would confirm this. Heart and pulmonary appear normal. There are calcified subcarinal and right hilar lymph . The pleural spaces are clear.,,images/image_2228.png "Minimal right basilar airspace disease, right middle lobe. Cardiomediastinal silhouette is within normal limits. No acute bony abnormality is identified. There is slightly increased opacity of the right base compared to the left which may minimal right basilar airspace disease, in the right middle lobe. The left lung is clear. No pneumothorax or effusion identified.",,images/image_2229.png No acute cardiopulmonary abnormalities. Normal heart size and mediastinal contours. No abnormal airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.,,images/image_2230.png 1. No evidence of active disease. 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.,,images/image_2231.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The are unremarkable.",,images/image_2232.png "No acute cardiopulmonary abnormality. The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. Mild degeneration of the thoracic spine without acute bony abnormality.",,images/image_2233.png No acute cardiopulmonary abnormality. . No pleural effusions. No pneumothorax. No focal areas of consolidation. Heart size within normal limits. Osseous structures intact.,,images/image_2234.png Low volumes with bronchovascular crowding. No acute abnormality. There are low volumes with bronchovascular crowding. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. No displaced fracture identified.,,images/image_2235.png 1. No acute cardiopulmonary findings. 2. Unchanged chronic appearance of the left lung. There is stable left costophrenic blunting. The patient has undergone prior left lobectomy. There are chronic appearing right basilar interstitial markings. Heart size normal. No visualized pneumothorax. There is stable appearing left upper and right upper lobe bullous disease.,,images/image_2236.png No acute cardiopulmonary abnormality. The trachea is midline. The cardiomediastinal silhouette is normal in contour and unchanged in comparison to prior exams. The lungs are clear with no evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.,,images/image_2237.png In view of the history findings are strongly suggestive of acute pneumonia with right-sided pleural effusion. PICC line catheter tip in the right atrium. Heart is not enlarged. Trachea and bronchi appear normal. Lungs are mildly under expanded. No pneumothorax. 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.,,images/image_2238.png "No acute radiographic cardiopulmonary process. No acute osseous abnormality. Scattered degenerative changes of the thoracic spine. Surgical clips overlying the right upper quadrant. Anterior cervical fusion . Tortuous and ectatic aorta. No focal area of consolidation, pleural effusion, or pneumothorax.",,images/image_2239.png No evidence of active disease The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_2240.png "1. Pulmonary hypoinflation. Otherwise, no acute cardiopulmonary process. 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.",,images/image_2241.png 1. No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,,images/image_2242.png "No acute cardiopulmonary abnormalities. . The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.",,images/image_2243.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. Old right-sided rib deformities are noted.,,images/image_2244.png Mild costophrenic blunting suggesting bilateral pleural effusions and/or thickening. No acute infiltrate. The heart is normal in size. The mediastinum is unremarkable. The costophrenic are blunted. The interstitial markings are slightly accentuated suggesting underlying chronic disease/emphysema. No focal consolidation is seen.,,images/image_2245.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_2246.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_2247.png 1. No acute cardiopulmonary abnormalities. 2. Low lung volumes causing bibasilar atelectasis and bronchovascular crowding . The trachea is midline. The cardio mediastinal silhouette is of normal size and contour. No evidence of focal infiltrate or effusion. Low lung volumes atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals degenerative changes of the thoracic spine.,,images/image_2248.png No acute cardiopulmonary findings. Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion. There are degenerative changes of the midthoracic spine.,,images/image_2249.png 1. Cardiomegaly without lung infiltrates. The heart size is enlarged. Tortuous aorta. Otherwise 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_2250.png "Possible subtle increased opacity in right apex otherwise unremarkable appearance of lung Heart , mediastinum, , bony structures are unremarkable. Possible subtle increased opacity in right apex versus technique. Otherwise no significant interval change compared to prior study",,images/image_2251.png "Chest radiograph. 1. No acute radiographic cardiopulmonary process. sternotomy are in and intact. Normal cardiomediastinal silhouette. The bilateral costophrenic are excluded from the image on the PA view. Lungs are clear without focal areas of consolidation, pleural effusion, or pneumothorax. are intact without acute osseous abnormality. Mild degenerative changes throughout the thoracic spine.",,images/image_2252.png "Left midlung pulmonary nodule. Comparison to a previous would be most helpful alternatively a noncontrast chest CT could be performed in the nonemergent setting for further characterization. No acute disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is an 8mm nodule identified within the left lateral midlung partially overlying the posterior left 7th rib. There are mild degenerative changes of the spine.",,images/image_2253.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_2254.png Senescent changes no acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Scoliosis and arthritic changes of the skeletal structures are noted. There is increased kyphosis of the thoracic spine similar to the prior study,,images/image_2255.png "Low lung volumes without acute cardiopulmonary abnormality. The lungs demonstrate low lung volumes but are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Mild streaky opacities in the left upper lobe on frontal projection are atelectatic or scar. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_2256.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Deformity of the right clavicle related to remote is again seen. Visualized upper abdomen grossly unremarkable.",,images/image_2257.png "Normal chest. Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_2258.png 1. No acute pulmonary disease. and lateral chest examination was obtained. calcified granuloma seen. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_2259.png 1. No acute cardiopulmonary abnormalities. No pneumothorax or pleural effusion. Clear lungs bilaterally. Normal cardiac contours. Multiple anterior endplate osteophyte formation along thoracic spine.,,images/image_2260.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary appear normal. Pleural spaces are clear. The mediastinal contours are normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.,,images/image_2261.png 1. Left base airspace disease. 2. Left venous catheter with tip in the right atrium. There is a left base opacity. The right lung is grossly clear. Heart size is normal. Left venous catheter with tip in the right atrium. There is no pneumothorax.,,images/image_2262.png 1. Right-sided chest in without demonstration of an acute cardiopulmonary abnormality. . A right-sided chest remains in with the distal tip at the level of the mid SVC. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pulmonary nodules or mass lesions identified. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.,,images/image_2263.png There is no evidence of acute cardiopulmonary disease. . Patient is slightly rotated. Normal heart size. There is no pulmonary edema. There is no focal consolidation. There are no of a pleural effusion. There is no evidence of pneumothorax.,,images/image_2264.png "No acute pulmonary disease. No focal airspace disease, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. There are prominent lateral osteophytes along the right aspect of the mid thoracic spine which are stable. No free subdiaphragmatic air.",,images/image_2265.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax.,,images/image_2266.png No acute process. Borderline heart size. Tortuous calcified aorta. No active pulmonary disease. Mild spondylosis.,,images/image_2267.png Bony structures appear intact. Minimal retrocardiac airspace disease. No pneumothorax or large pleural effusion. Borderline cardiomegaly. Minimal retrocardiac airspace disease. Bony structures appear intact.,,images/image_2268.png "1. Stable and adequately placed . 2. Prominent pulmonary vasculature, subpleural edema, and peribronchial cuffing suggestive of volume overload versus viral bronchiolitis. There is interval placement of a on the left chest with the catheter tip in the cavoatrial junction. The heart size is within normal limits. Lung volumes within normal limits. Slightly prominent pulmonary vascularity noted. Increased peribronchial cuffing. No large consolidation, effusion, or pneumothorax. There is subpleural edema outlining the right fissure.",,images/image_2269.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are slightly hypoinflated but clear. There is no pleural effusion.,,images/image_2270.png Hypoinflation with no visible active cardiopulmonary disease. Lung volumes are low. No infiltrates. Heart and mediastinum are normal.,,images/image_2271.png Chest 1. No acute cardiopulmonary findings. Abdomen 1. Nonspecific bowel pattern without evidence of obstruction. Chest. Mildly hyperexpanded lungs. The right lung base is excluded from view. No visualized consolidation. No pneumothorax. No large pleural effusions. Heart size is unremarkable. Abdomen. There are multiple air filled nondilated loops of small and large bowel. There is extensive stool seen throughout the descending colon. Supine examinations are limited for evaluation of pneumoperitoneum. There is bilateral hip degenerative change.,,images/image_2272.png Mild costophrenic blunting suggesting bilateral pleural effusions and/or thickening. No acute infiltrate. The heart is normal in size. The mediastinum is unremarkable. The costophrenic are blunted. The interstitial markings are slightly accentuated suggesting underlying chronic disease/emphysema. No focal consolidation is seen.,,images/image_2273.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_2274.png "1. Pulmonary hypoinflation. Otherwise, no acute intrathoracic abnormality. 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.",,images/image_2275.png "No acute pulmonary findings. . Normal cardiomediastinal silhouette. Left-sided aortic . Pulmonary vasculatures are within normal limits. Central airways are . No focal consolidation, pleural effusion or pneumothorax. Bony structure are grossly unremarkable.",,images/image_2276.png "1. No acute cardiopulmonary findings. 2. Age-indeterminate fracture of the right lateral 9th rib. If findings localize to this region, suspect acute fracture. 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 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.",,images/image_2277.png "1. No acute cardiopulmonary abnormality, findings compatible with emphysema. 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.",,images/image_2278.png 1. Small bilateral pleural effusions. Left PICC line and NG tube remain in . Heart size and vascularity appear within normal limits. The lungs are free of focal airspace disease. Small bilateral pleural effusions are present. No pneumothorax is noted.,,images/image_2279.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. The pleural spaces are clear. Mediastinal contours are normal.,,images/image_2280.png No active disease. Both lungs are clear and expanded with no infiltrates. Basilar focal atelectasis is present in the lingula. Heart size normal. Calcified right hilar are present,,images/image_2281.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_2282.png "No evidence of acute cardiopulmonary process. Interval CABG. The examination consists of frontal and lateral radiographs of the chest. There has been interval CABG. Surgical clips are again seen in the epigastric region. 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 are unremarkable.",,images/image_2283.png No acute abnormality. Normal heart size. Normal mediastinal silhouette. No pneumothorax or pleural effusion. No suspicious focal air space opacity.,,images/image_2284.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_2285.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_2286.png "1. Right middle lobe lung nodule. Corresponds to one of those seen on the previous scan. The other nodules seen on the chest CT scan are not identified. This may be due to having resolved or simply not being visible on the chest x-. A chest CT scan would be needed to be to determine whether these have resolved or not visible on the chest x-. 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. Osteopenia and deformities, degenerative changes and scoliosis are present in the thoracic spine. Calcified granuloma is present in the left upper lobe. On component of a scan /, several nodules were identified. A nodule is seen in the right middle lobe which corresponds with one of the nodules present on the previous CT scan.",,images/image_2287.png 1. No acute cardiopulmonary disease. 2. Acute anterior deformities at L1-L2. Please see CT of the lumbar spine for further details. The heart and mediastinum are unremarkable. There is a calcified granuloma within the left upper lobe. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There are acute mild anterior deformities identified at L1-L2. There is retropulsion of the posterior vertebral body of L1. A CT of the lumbar spine was already ordered at the time of this dictation.,,images/image_2288.png Stable chest. No acute cardiopulmonary abnormality. Heart size and mediastinal contours are unchanged. Stable right upper lobe scarring with pleural thickening. No consolidation. No visible pleural effusion or pneumothorax.,,images/image_2289.png "Chronic lung disease without superimposed acute disease identified. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is persistent stable appearing right apical scarring. There is persistent left basilar scarring. There are minimal degenerative changes of the spine.",,images/image_2290.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_2291.png "Minimal atelectasis left base, no acute abnormality. Lungs are clear. There is minimal atelectasis in the left base. No effusion or pneumothorax. Heart and mediastinal contours within normal limits. density foreign body present in the soft tissues overlying the left lateral chest wall. Visualized osseous structures intact.",,images/image_2292.png "No acute cardiopulmonary finding. The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. There are numerous calcified granuloma in the right perihilar region. There are multilevel degenerative changes in the thoracic spine.",,images/image_2293.png "1. No acute cardiopulmonary abnormality. 2. Mild age indeterminate anterior wedging at the T11 level. Heart size and mediastinal contours are within normal limits. Diffuse bilateral calcified sequelae of prior granulomatous infection. No pulmonary vascular congestion. No edema. No focal consolidation. There is no visible pleural effusion or pneumothorax. There is mild anterior wedging of a lower thoracic vertebral body, approximately T11 level.",,images/image_2294.png "No acute cardiopulmonary process. 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.",,images/image_2295.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. Pleural spaces are clear. Mediastinal contours are normal.,,images/image_2296.png No acute cardiopulmonary abnormalities. . Heart size is within normal limits. No focal consolidation. No pneumothorax or pleural effusion. No bony abnormalities.,,images/image_2297.png "No acute cardiopulmonary abnormalities. . The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",,images/image_2298.png "No acute findings 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.",,images/image_2299.png No acute cardiopulmonary abnormality. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified.,,images/image_2300.png 1. Question of left lower lobe pneumonia and/or pleural effusion. 2. Borderline heart size with mild central vascular congestive changes. There is opacity at posterior aspect of lower chest seen on lateral view which probably represents left lower lobe consolidation. There may also be small bilateral pleural effusion. Upper limits of normal heart size. Mild central vascular prominence. Old fracture deformities of multiple right ribs.,,images/image_2301.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_2302.png No acute abnormality seen. Normal heart size. Stable tortuous thoracic aorta. Prior granulomatous disease. Healed rib fractures appear stable. Focal opacity is noted in the left midlung overlying the 9th posterior rib which represents healing rib callus. No pneumothorax or pleural effusion.,,images/image_2303.png 1. Severe hyperinflation. 2. Stable left calcified hilar lymph . The heart size is normal and cardiomediastinal silhouette has normal contour. The left hilar calcified lymph appear stable. There is persistence of a left lower lobe calcified nodule representing a granuloma. The lungs are hyperinflated but otherwise clear bilaterally.,,images/image_2304.png "Question of posterior 10 rib fracture, correlate with tenderness. Lucency crosses the 10th left posterior rib. Visualized portions of the thoracic spine are unremarkable. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.",,images/image_2305.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_2306.png Continued slight cardiomegaly with no evidence for failure or pneumonia. Heart size remains slightly large. Aorta remains tortuous. Pulmonary remain normal. No infiltrates or masses in the lungs.,,images/image_2307.png Interstitial pulmonary edema. Cardiomegaly. Interstitial opacities consistent with edema in the lower lobes. No pneumothorax. No large pleural effusion.,,images/image_2308.png 1. No evidence of pneumothorax or pneumomediastinum. 2. Clear lungs. The cardiac and mediastinal silhouette is normal There is no evidence of pneumomediastinum or pneumothorax. Clear lungs There are no large pleural effusions No evidence of displaced fractures.,,images/image_2309.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.",,images/image_2310.png "1. No acute radiographic cardiopulmonary process. Heart size is upper limits of normal but stable. Mediastinal contours are within normal limits.. Chronically increased interstitial markings without focal airspace consolidation, pleural effusion, pneumothorax. Degenerative changes of the spine.",,images/image_2311.png Minimal perihilar opacity which could indicate an atypical pneumonia. The heart size is upper limits of normal. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is mild streaky perihilar opacity without confluent airspace opacity to suggest a bacterial pneumonia.,,images/image_2312.png No acute abnormality identified. 3 images. Heart size is normal. There is mild tortuosity of the thoracic aorta. There are costochondral calcifications. The lungs are clear of focal infiltrate. No pleural effusion or pneumothorax. Old left clavicle fracture noted.,,images/image_2313.png Clear lungs. Sequelae of old granulomatous disease. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_2314.png "1. Left basilar opacity represents atelectasis/scarring with associated elevated hemidiaphragm. 2. Stable cardiomegaly. 3. No airspace disease. 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. sternotomy are again noted. There is a large amount of distending the stomach, which incidentally was also seen on prior exam of 3 years ago. There is no pneumothorax.",,images/image_2315.png "1. Mildly prominent interstitial markings, which could represent interstitial edema. 2. Mild blunting of the posterior sulcus, which could represent a small effusion. sternotomy appear intact. Surgical clips overlying the mediastinum. Mitral valve replacement seen. Low lung volumes. The interstitial markings appear prominent, which may represent interstitial edema. There is mild blunting of the posterior sulcus on the lateral view, which could represent a small effusion. No pneumothorax. No acute bony abnormality.",,images/image_2316.png Ectatic aorta. No acute cardiopulmonary abnormality. Heart size is normal. Aorta is tortuous and ectatic. Cardiomediastinal contours are normal. Lungs are clear without evidence of fibrosis. Pleural effusions or pneumothorax. Endplate sclerotic changes are present in the thoracic spine.,,images/image_2317.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_2318.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2319.png No acute cardiopulmonary abnormalities. There is a left chest with tip in the mid SVC. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_2320.png "No acute cardiopulmonary disease. Cardio mediastinal silhouette, pulmonary vascular pattern are within normal limits. Mildly low lung volumes. No focal infiltrate, pleural effusion or pulmonary edema. No pneumothorax.",,images/image_2321.png "No acute cardiopulmonary abnormality. There are changes of prior midline sternotomy with surgical clips consistent with CABG, and stable mild cardiomegaly. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.",,images/image_2322.png No active pulmonary disease. The lungs are well-expanded and clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal contour is normal. No acute osseous lesions are identified.,,images/image_2323.png "No acute cardiopulmonary finding. Heart size normal. Tortuous aorta. Calcified hilar lymph sequela of prior granulomatous disease. Hyperinflated lungs. The otherwise lungs are clear. The bilateral apices are partially excluded from the -of-view. There is the interval fixation of the right humeral fracture, appears grossly intact. Osteopenia. Exaggerated kyphosis of the thoracic spine.",,images/image_2324.png "Left lower lobe and right perihilar airspace disease. In the appropriate clinical setting, this is compatible with infection/pneumonia and followup radiography is recommended following treatment to document resolution. If clinical findings are discordant, a is recommended. 2 images. Heart size is enlarged, stable. Thoracic aortic atherosclerotic calcifications are present. There is dense consolidation within the retrocardiac left lower lobe. There is also patchy airspace opacity within the perihilar right lung. No pleural effusion or pneumothorax.",,images/image_2325.png "No acute or active cardiac, pulmonary or pleural disease. Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. No focal airspace consolidation or pleural effusion.",,images/image_2326.png No acute cardiopulmonary abnormality. Stable appearing bilateral calcified lymph . The cardiac silhouette and mediastinal contours are within normal limits. No focal opacity. No large pleural effusion. There is no pneumothorax.,,images/image_2327.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_2328.png "Low lung volumes with streaky bibasilar opacities, subsegmental atelectasis over infiltrate. Low lung volumes. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Streaky bibasilar airspace opacities. No pneumothorax or pleural effusion. No acute osseous findings.",,images/image_2329.png No acute cardiopulmonary findings. Heart size is within normal limits. No focal airspace disease. No pneumothorax or effusion.,,images/image_2330.png 1. Left lower lobe opacities representing pneumonia. 2. Enlargement of the central pulmonary arteries raising the question of pulmonary hypertension. There are scattered opacities in the left lower lobe. Cardiac silhouette is within normal limits. There is prominence of the right and left hilum representing enlargement of the central pulmonary arteries. No pneumothorax or pleural effusion. No acute bone abnormality.,,images/image_2331.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_2332.png "Normal chest No evidence of tuberculosis Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_2333.png "Stable subsegmental bibasilar atelectasis. Cardiomegaly without heart failure. Nasogastric tube tip within the stomach body, stable. Low lung volumes. Stable enlarged cardiomediastinal silhouette. Atherosclerosis of the thoracic aorta. No focal consolidation, pneumothorax or large pleural effusion. Relative elevation of right hemidiaphragm. Stable obscuration of lateral left diaphragm.",,images/image_2334.png "No acute cardiopulmonary findings. . Cardiomediastinal silhouette is within normal limits. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormalities. Degenerative changes of the thoracic spine.",,images/image_2335.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. The pleural spaces are clear. Mediastinal contours are normal.,,images/image_2336.png "1. No acute cardiopulmonary abnormality. 2. Wedge-shaped fracture of T12. Heart size and mediastinal contour are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Again visualized is a wedge-shaped fracture of T12.",,images/image_2337.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. First rib fracture not well demonstrated on study..,,images/image_2338.png "No evidence of acute thoracic . The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.",,images/image_2339.png "Findings most suggestive of infectious or reactive small airways disease. No focal pneumonia. The cardiomediastinal silhouette is normal in size and contour. Streaky perihilar opacities. Peribronchial cuffing also noted. No focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_2340.png 1. No evidence of active disease. 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.,,images/image_2341.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. There is aortic vascular calcification. And there is a hyper left lung calcified granuloma. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. No pleural effusion. There are vascular and skeletal senescent changes.",,images/image_2342.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2343.png 1. No acute cardiopulmonary disease. and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. There is elevated right hemidiaphragm and evidence of right upper lobectomy. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_2344.png "Bibasilar patchy airspace disease with bilateral small pleural fluid collections. Patchy interstitial infiltrates have developed in both lower lobes. Both costophrenic are blunted. Aorta is somewhat tortuous, with the heart size is normal. Pulmonary are normal.",,images/image_2345.png "No acute cardiopulmonary findings Heart size within normal limits. Right hemidiaphragm eventration noted. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_2346.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_2347.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_2348.png No acute preoperative process. The cardiac contours are normal. scarring left base. The lungs are clear. Thoracic spondylosis.,,images/image_2349.png "No acute cardiopulmonary disease. Normal heart size. No focal air space consolidation, pneumothorax, pleural effusion, or pulmonary edema. Anterior osteophytes of the thoracic spine.",,images/image_2350.png "1. indeterminant small nodular opacities. May be granulomas or bone islands. However, is recommended given the history of malignancy. 2. Otherwise no acute cardiac or pulmonary disease process identified. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. The aorta is unfolded. There is left base streaky opacity due to scarring or discoid atelectasis. There is a midright lung small calcified granuloma. There are small nodular opacities projecting over the right base in the right costophrenic sulcus, posterior right 9th rib and the anterior T10 vertebral body. No focal airspace consolidation or pleural effusion.",,images/image_2351.png "1. Elevated right hemidiaphragm. 2. No evidence of active disease. Heart size, mediastinal and aortic contours are within normal limits. Normal pulmonary vasculature. The lungs are clear. No visible pneumothorax or large pleural effusion. Elevated right hemidiaphragm. Mild degenerative changes of the spine.",,images/image_2352.png No significant finding. The lungs are relatively clear with sulci. Heart size normal in LV contour. Slightly unfolded ascending and descending aorta. T-spine unremarkable.,,images/image_2353.png "Negative for acute abnormality. Discrete projectile not seen. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture. No discrete projectile visualized. Contrast within the bilateral renal collecting systems. Contrast also probably within the left colon.",,images/image_2354.png "1. Clear lungs. 2. Prominent right paratracheal opacities representing adenopathy. The heart size is within normal limits. Prominent right paratracheal soft tissues representing adenopathy. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.",,images/image_2355.png No evidence of active pulmonary pneumonia on today's exam. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_2356.png Hyperinflated lungs. No acute cardiopulmonary abnormality. . The lungs are clear and hyperinflated. Heart size is normal. No pneumothorax.,,images/image_2357.png Minimal patchy left basilar atelectasis or infiltrate. Heart size and mediastinal contours are within normal limits given AP projection. The right lung appears clear. There is minimal patchy atelectasis or early infiltrate in left lung base. No visible pleural effusion or pneumothorax. There is a partially visualized IVC on the lateral view. There are partially visualized surgical changes the cervical spine compatible with prior fusion procedure.,,images/image_2358.png No acute cardiopulmonary disease. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. Limbus vertebra noted within the partial visualized lumbar vertebral body.,,images/image_2359.png "Left mid lung opacity noted, most compatible with atelectasis versus infiltrate. Recommend clinical correlation. . Left midlung opacity noted, not visualized on prior. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.",,images/image_2360.png "1. No acute radiographic cardiopulmonary process. 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.",,images/image_2361.png COPD. No acute pulmonary disease. The lungs are clear. There is hyperinflation of the lungs. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_2362.png Right upper lobe subsegmental atelectasis. No evidence of heart failure. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. There is a vague right suprahilar density with elevation of the fissure most mild subsegmental atelectasis though superimposed infection cannot be entirely excluded. The remaining lungs are clear. The visualized osseous structures and upper abdomen are unremarkable.,,images/image_2363.png Opacification of the right middle and lower lobes. Mediastinal contours are normal. Opacity within the right middle and lower lobes. No displacement of the or fissure. No pneumothorax..,,images/image_2364.png 1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,,images/image_2365.png "No acute pulmonary disease. 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.",,images/image_2366.png "1. Interval central catheter exchange. No acute cardiopulmonary abnormality. 2. Stable cardiomegaly. . A right internal jugular this catheter has been exchanged for a large left internal jugular central venous catheter with the tip at the cavoatrial junction. No pneumothorax, pleural effusion or airspace consolidation. Stable thoracolumbar scoliosis. No acute bone findings. Stable cardiomegaly.",,images/image_2367.png "1. No acute cardiopulmonary disease. 2. scarring or atelectasis right midlung. 3. Mild cardiomegaly. . Mild cardiomegaly. Mediastinal normal width. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. scarring or atelectasis right midlung.",,images/image_2368.png No acute cardiopulmonary abnormalities. Normal heart size. Mild unfolding and atherosclerotic calcification of the aorta. No focal air space consolidation. No pneumothorax or pleural effusion. Visualized bony structures are unremarkable in appearance.,,images/image_2369.png "No acute cardiopulmonary abnormality.. 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.",,images/image_2370.png No acute cardiopulmonary abnormality Heart size is normal in cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally. No consolidations. No pleural effusion. No pneumothorax. and soft tissues are unremarkable. Lungs are hyperinflated.,,images/image_2371.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. The pleural spaces are clear. Mediastinal contours are normal.,,images/image_2372.png "No acute cardiopulmonary abnormality. Normal heart size mediastinal contours. No focal airspace consolidation. No pneumothorax or pleural effusion. Stable, mild dextro curvature of the spine.",,images/image_2373.png No evidence of active disease. There are several small calcified granulomas. The lungs are otherwise clear. No focal airspace consolidation. No suspicious pulmonary mass or nodule is identified. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are diffuse degenerative changes of the spine.,,images/image_2374.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_2375.png 1. No acute radiographic cardiopulmonary process. The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There is redemonstration of a calcified granuloma within the left upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_2376.png "No pneumothorax. Similar appearance. Minimal opacities at the posterior sulci. A few septal lines of the left lateral sulcus. Otherwise, The lungs are clear with granulomas and sulci. Heart size upper normal thin LV contour.Unfolded calcified aorta. T-spine small osteophytes.",,images/image_2377.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,,images/image_2378.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Right basilar calcified granuloma noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_2379.png Stable cardiomegaly with mild pulmonary interstitial edema. Unchanged cardiomegaly. Negative for pneumothorax or focal consolidation. No large effusion. Mildly prominent interstitial opacities.,,images/image_2380.png No acute cardiopulmonary abnormality. No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.,,images/image_2381.png Clear lungs with heart size upper limits of normal. Lungs are clear without focal airspace disease. Numerous calcifications are again noted. No pleural effusions or pneumothoraces. heart size is upper limits of normal.,,images/image_2382.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable. Negative for pneumoperitoneum.",,images/image_2383.png No acute disease. The heart is normal in size. The mediastinum is within normal limits. Aorta is tortuous. Right chest tip is visualized at the proximal right atrium. The lungs are grossly clear. No pneumothorax is seen. There are deformities of the left lateral 7th and 8th ribs possibly healing or old fractures.,,images/image_2384.png No acute findings. No evidence of pneumonia. Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are clear. Bony structures are intact.,,images/image_2385.png Emphysema without acute cardiopulmonary findings. Heart size is within normal limits. Emphysematous changes. Focal pleural thickening in the left apex is scarring. Atherosclerotic calcifications of the aortic . There is no focal infiltrate. No pneumothorax or pleural effusion.,,images/image_2386.png "No acute cardiopulmonary findings Heart size within normal limits. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.",,images/image_2387.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.",,images/image_2388.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.",,images/image_2389.png No acute cardiopulmonary abnormality. Normal and stable cardiomediastinal contours. No pneumothorax or pleural effusions. No focal lung consolidation.,,images/image_2390.png No acute cardiopulmonary process. 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.,,images/image_2391.png No acute cardiopulmonary findings. Heart size and mediastinal contour are within normal limits. There is no focal airspace consolidation or suspicious pulmonary opacity. No pneumothorax or large pleural effusion. Mild degenerative change of the thoracic spine.,,images/image_2392.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is normal in size and contour. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",,images/image_2393.png "Worsening masslike opacification of right apex, suggesting worsening malignancy or malignancy with postobstructive pneumonia. The cardiomediastinal silhouette is normal in size and contour. Masslike opacification of right apex. No pneumothorax or large pleural effusion. are grossly normal.",,images/image_2394.png Normal chest. Heart size normal. No pleural effusions or pneumothorax. Lungs are clear. Soft tissues and are unremarkable.,,images/image_2395.png "No acute cardiopulmonary abnormalities. 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 show no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.",,images/image_2396.png "1. Pulmonary vascular congestion. 2. Emphysema. 3. Bibasilar streaky airspace opacities. Borderline enlarged heart. Stable mediastinal contours. Aortic calcifications. Hyperinflated lungs with chronic appearing interstitial markings, compatible with emphysema. Bilateral streaky opacities. Increased vascularity compatible with pulmonary vascular congestion. No focal airspace disease. No acute bony abnormality.",,images/image_2397.png "Stable appearance of the chest. No acute findings. 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.",,images/image_2398.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_2399.png Negative chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_2400.png "1. Chest. Large nodule at the right lung base that probably represents a granuloma although not it is not densely calcified. A low KV P chest radiograph can be obtained for confirmation as a there are no comparison studies available in the . If the patient has an outside chest radiograph, comparison can be and the report addended. 2. Ribs. Normal. Critical result notification documented through Primordial. If there are questions regarding this interpretation, please . Chest. Heart size is normal. Pulmonary vasculature is normal. There is a 13 mm nodule in the right lower lobe that is relatively dense, but not obviously calcified on the corresponding rib series. There are probably right hilar calcified lymph . Lungs otherwise are clear. There is no pleural effusion. Left ribs. No fracture or focal bony destruction.",,images/image_2401.png No acute cardiopulmonary abnormality. Mediastinal contours are normal. Heart size is within normal limits. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_2402.png 1. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. Right hemidiaphragm remains elevated. No pleural effusion is seen. No pneumothorax is identified. No discrete nodules or adenopathy are noted. Degenerative changes are present in the spine. Right -a- has been inserted since the previous study. The tip projects over the lower superior .,,images/image_2403.png No acute cardiopulmonary abnormality. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified.,,images/image_2404.png "1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.",,images/image_2405.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_2406.png 1. Right pleural effusion with adjacent atelectasis. 2. No definite findings of pneumonia. 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.,,images/image_2407.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_2408.png "No evidence of acute cardiopulmonary process. Stable appearance of the chest. 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.",,images/image_2409.png right basilar airspace opacity. right basal airspace opacity. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The are intact.,,images/image_2410.png "1. Bibasilar airspace disease left greater than right. 2. Stable postsurgical changes with colonic interposition overlying the mediastinum. Redemonstration of colonic interposition overlying the mediastinum. There are increased bibasilar airspace opacities, left greater than right. No pneumothorax or large pleural effusion.",,images/image_2411.png "1. No acute cardiopulmonary abnormality. Low lung volumes. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Mild degenerate change of the thoracic spine. Stable cholecystectomy clips in the right upper quadrant.",,images/image_2412.png No radiographic evidence for thoracic metastases. Heart size and vascularity normal. Lungs clear. No effusions or pneumothorax. Limited degenerative change of the spine,,images/image_2413.png "No acute radiographic cardiopulmonary process. There are no acute osseous abnormalities. Soft tissues are within normal limits. There is stable enlargement of the heart. Calcific aorta. Stable bilateral calcified granulomas. The lungs are clear bilaterally without focal area of consolidation, pleural effusion, or pneumothorax.",,images/image_2414.png No acute pulmonary disease. There is some minimal biapical scarring. A calcified granuloma is present in the right middle lobe. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_2415.png "No acute cardiopulmonary disease. PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or lobar air space consolidation. right middle lobe collapse appears less distinct than on prior study.",,images/image_2416.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_2417.png Negative chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_2418.png No evidence of active disease. The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.,,images/image_2419.png "No acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. Mild bilateral acromioclavicular joint and thoracic spine degenerative changes are noted.",,images/image_2420.png "No acute cardiopulmonary findings Heart size borderline enlarged, mediastinal contours appear similar to the from , noted. Right hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_2421.png "No acute related findings. Please note that fractures may not be demonstrated and consider additional imaging if clinically indicated. No focal consolidation, pneumothorax or definite pleural effusion. Heart size within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury demonstrated.",,images/image_2422.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The are unremarkable.",,images/image_2423.png There is no radiographic evidence of acute cardiopulmonary disease. Normal cardiomediastinal silhouette. There is no focal consolidation. There are no of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.,,images/image_2424.png " right pleural effusion. There is a right IJ central venous catheter with tip overlying the inferior SVC. Cardiac silhouette is normal size. Normal mediastinal contour and pulmonary vasculature. There is a small right pleural effusion. Otherwise, lungs are without focal airspace disease.",,images/image_2425.png No evidence of active disease. Heart size and pulmonary vascularity appears normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Callus or granulomas identified. Left -A- remains in .,,images/image_2426.png " prominence of the mediastinal contour near the right hilum possibly representing the ascending aorta or mediastinal lymphadenopathy. CT chest with contrast may be helpful for further evaluation. The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac contour is within normal limits. Compared to prior exam, there is prominence of the mediastinal contour near the right hilum. This may represent the ascending aorta or mediastinal lymphadenopathy. CT chest with contrast may be helpful for further evaluation. There are mild degenerative changes of the thoracic spine.",,images/image_2427.png No acute cardiopulmonary abnormality. . No pleural effusions. No pneumothorax. No focal areas of consolidation. Heart size within normal limits. Osseous structures intact.,,images/image_2428.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_2429.png No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,,images/image_2430.png 1. No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified lymph and granuloma are noted. Mild degenerative changes are present in the spine.,,images/image_2431.png "No acute cardiopulmonary disease. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.",,images/image_2432.png No acute cardiopulmonary abnormalities. . Heart size is within normal limits. No focal consolidation. No pneumothorax or pleural effusion. No bony abnormalities.,,images/image_2433.png No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_2434.png Mild hypoinflation without acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. No focal consolidation is seen. Postsurgical/biopsy changes overlying the right breast.,,images/image_2435.png Diffuse interstitial lung disease with pleural effusion. Mediastinal contours are normal. Blunting of the left costophrenic . Increased interstitial opacities.. There is no pneumothorax or large pleural effusion.,,images/image_2436.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_2437.png 1. Hyperexpanded lungs with flattened hemidiaphragm suggesting COPD. 2. Borderline enlarged heart. 3. No acute cardiopulmonary abnormality. 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.,,images/image_2438.png "Negative for acute cardiopulmonary disease. Heart size normal. Stable cardiomediastinal silhouette. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures are in alignment without fracture.",,images/image_2439.png Negative chest Lungs are clear. Heart and mediastinum appear normal. No pleural effusion or pneumothorax.,,images/image_2440.png Normal chest. Heart size and vascularity normal. Lungs are clear. No effusions. No pneumothorax. Visualized osseous structures unremarkable.,,images/image_2441.png No acute cardiopulmonary abnormalities. Stable cardiomediastinal silhouette. Tortuous aorta. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The are intact.,,images/image_2442.png No acute cardiopulmonary abnormalities are seen. END OF REPORT. and lateral views of the chest were obtained /. The lung volumes are low normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary are normal. The bony elements are not remarkable.,,images/image_2443.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_2444.png Unremarkable chest study. . The and soft tissue appear normal. The cardiac silhouette and mediastinum size are normal. The aortic is on the left. The trachea is well seen and appears normal. The lungs are clear.,,images/image_2445.png Negative for acute abnormality. Heart size is normal. Cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally without pleural effusion or pneumothorax. No pulmonary nodules. Bony structures are intact.,,images/image_2446.png No acute cardiothoracic abnormality. Negative for cardiac enlargement. Negative for vascular congestion. Negative for focal confluent airspace disease. Negative for pneumothorax. A few scattered calcified granulomas are identified.,,images/image_2447.png Hyperexpanded lung compatible with COPD. No evidence of acute cardiopulmonary abnormality. . Calcified granulomas. Calcified hilar . No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Question large pulmonary arteries. Lung are hyperexpanded. Prominent substernal air space. Aortic calcifications. Degenerative changes thoracic spine.,,images/image_2448.png No acute abnormality identified. There are lower lung volumes. There is central bronchovascular crowding. Volume loss in the medial right upper lobe seen on is not as well-demonstrated on radiography. No lobar consolidation. No pleural effusion or pneumothorax.,,images/image_2449.png Normal chest. Heart and mediastinal contour normal. Pulmonary vascularity normal. Lungs clear. No pleural effusions or pneumothoraces.,,images/image_2450.png "No acute cardiopulmonary abnormalities. The trachea is midline. The cardiomediastinal silhouette is normal. Right lung calcified densities are unchanged from prior and indicate old granulomatous disease. Otherwise, the lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.",,images/image_2451.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Grossly unchanged appearance of calcified hilar lymph and scattered calcified granulomas. Stable degenerative changes in the spine.",,images/image_2452.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_2453.png "No acute cardiopulmonary findings Apical lordotic frontal view. Heart size within normal limits, mild aortic ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Chronic appearing contour irregularity of the distal left clavicle and widening may be posttraumatic or postsurgical, verterbroplasty noted at the thoracolumbar junction.",,images/image_2454.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_2455.png No evidence of active disease. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal.,,images/image_2456.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. No definite pneumothorax. No displaced fracture. Small rounded radiopaque density within the posterior superficial subcutaneous fat represents projectile fragment..,,images/image_2457.png "1. No acute cardiopulmonary abnormality. 2. No suspicious masses or nodules. 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. are unremarkable.",,images/image_2458.png bilateral effusions. Heart size within normal limits. Stable position of left subclavian central venous catheter. No focal airspace disease. No pneumothorax. Mild blunting of the costophrenic bilaterally.,,images/image_2459.png "Negative acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable.",,images/image_2460.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Mild granulomatous sequela are noted. The lungs are grossly clear.,,images/image_2461.png "Mild cardiomegaly. No pneumothorax, pleural effusion, or focal airspace disease. Mild cardiomegaly. Cardio mediastinal silhouette unremarkable. Bony structures appear intact.",,images/image_2462.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",,images/image_2463.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2464.png "Numerous bilateral pulmonary nodules with dominant nodule/mass in the left lower lung. Diagnostic considerations would include primary lung carcinoma with metastatic nodules versus secondary metastatic disease from known brain tumor. Suggest clinical correlation and further imaging examination. The heart is normal in size. The mediastinal contours are within normal limits. There are numerous bilateral pulmonary nodules of varying sizes. The largest is noted in the left lower lobe, posteriorly measuring approximately 7.0 cm. No acute infiltrate or pleural effusion are appreciated.",,images/image_2465.png "1. 8 mm left midlung nodule. since . Comparison to interval outside film would be helpful to assess the chronicity of this nodule. If old films are not available, or if this is , chest CT scan could be to better define this. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. In the left midlung zone, there has been development of a small lung nodule. This measures approximately 8 mm in diameter.",,images/image_2466.png 1. No evidence of active disease. 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.,,images/image_2467.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_2468.png "Hyperinflated lungs, air trapping versus inspiratory . Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. Right hilar calcification suggests a previous granulomatous process.",,images/image_2469.png "No acute cardiopulmonary disease. . The cardiomediastinal silhouette is normal size and configuration. The thoracic aorta is tortuous. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. There is no obvious displaced rib fracture. If there is concern for fracture consider rib series.",,images/image_2470.png Low lung volumes with grossly clear lungs. Heart size is within normal limits for AP technique. Low lung volumes with bronchovascular crowding. No focal infiltrate. No visible pneumothorax. No pleural effusion.,,images/image_2471.png "1. No acute cardiopulmonary abnormality. Several calcified granulomas in bilateral hilar regions. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal.",,images/image_2472.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes in the spine.,,images/image_2473.png "1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. right lower lung opacity represents combination of soft tissue overlay and minimal atelectasis. No focal airspace consolidation, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age.",,images/image_2474.png "Hyperinflated lungs, air trapping versus inspiratory . Hyperinflated lungs with mildly flattened posterior diaphragm. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits, no typical findings of pulmonary edema.",,images/image_2475.png Minimal patchy left basilar atelectasis or infiltrate. Heart size and mediastinal contours are within normal limits given AP projection. The right lung appears clear. There is minimal patchy atelectasis or early infiltrate in left lung base. No visible pleural effusion or pneumothorax. There is a partially visualized IVC on the lateral view. There are partially visualized surgical changes the cervical spine compatible with prior fusion procedure.,,images/image_2476.png "Mild cardiomegaly, with subsegmental atelectasis in the right lower lobe. There is mild cardiomegaly. The aorta is tortuous. There is opacities noted in the right lower lobe, subsegmental atelectasis. There is no pneumothorax or effusion. No displaced rib fractures. If there is high clinical concern, consider dedicated rib views for further evaluation.",,images/image_2477.png No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Mild prominence left hilar contour. Bony structures are intact.,,images/image_2478.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_2479.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma within the left midlung.",,images/image_2480.png "No acute cardiopulmonary disease. Normal cardiomediastinal silhouette. No airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No acute bony abnormality.",,images/image_2481.png COPD. No acute pulmonary disease. There is hyperinflation lungs due to small calcification is seen posteriorly in the right which may be pleural. 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.,,images/image_2482.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_2483.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.",,images/image_2484.png "1. Borderline enlarged heart without acute abnormality. Borderline enlarged heart. Pulmonary vasculature appears within normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. Possible right shoulder calcific tendinitis. Calcifications of the abdominal aorta are seen.",,images/image_2485.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_2486.png 1. Focal opacity in the right midlung zone worrisome for pneumonitis. 2. Mild pulmonary vascular congestion. There is a focal area of opacity in the right midlung zone. This was not present on the recent prior study. There is prominence of the pulmonary markings throughout and there are small bilateral pleural effusions. The heart is not significantly enlarged. There is a prosthetic valve. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_2487.png "Bibasilar airspace disease, left worse right. Bilateral pleural fluid. Consolidation and some atelectasis are present in the left lower lobe. Patchy interstitial infiltrates are also present in the right lower lobe. Bilateral costophrenic blunting is present. Heart and pulmonary are normal.",,images/image_2488.png 1. No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_2489.png "No significant change compared to prior. Bibasilar airspace disease may represent infection or mild edema. Stable enlarged cardiac silhouette. Persistent bilateral lower lobe airspace disease, not significantly compared to prior. No pleural effusion or pneumothorax. No acute bony abnormality.",,images/image_2490.png No acute cardiopulmonary abnormalities. Normal heart size and mediastinal contours. Low lung volumes. No focal airspace consolidation. No pneumothorax or pleural effusion. Visualized bony structures are unremarkable in appearance.,,images/image_2491.png "1. Lobulated contour of the right paratracheal stripe. This may represent a vascular structure or enlarged lymph node and could be evaluated further with chest CT. Otherwise, no acute intrathoracic abnormality. There is a lobulated contour to the right paratracheal stripe, possibly consistent with a vascular structure or lymph . The cardiomediastinal silhouette is otherwise within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.",,images/image_2492.png Stable blunting of the left costophrenic which may represent persistent left pleural effusion versus pleural scarring. Cardiomediastinal silhouette appears normal in size and contour. Right lung is clear. Stable blunting of costophrenic with improved aeration of the left base compared to prior exam. No visualized pneumothorax or focal consolidation. unremarkable.,,images/image_2493.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax.,,images/image_2494.png "1. Slight interval worsening of the diffusely increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and the left lung base. These findings are most consistent with slight interval worsening of the patient's known interstitial lung disease. 2. Stable, mild left-sided volume loss. . The cardiomediastinal silhouette is stable in appearance. No interval change in the diffuse increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and left lung base. These opacities appear slightly increased as compared to prior examination. Mild left-sided volume loss redemonstrated, unchanged. No pneumothorax or pleural effusion. The thoracic spine appears intact.",,images/image_2495.png No active cardiopulmonary disease. Both lungs are clear and expanded area heart and mediastinum are normal. Incidental note of bilateral breast implants.,,images/image_2496.png "No acute cardiopulmonary abnormality. No evidence of active tuberculosis. . No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. are intact.",,images/image_2497.png 1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. Calcified right hilar lymph are demonstrated. Atherosclerotic calcifications of the aortic . No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild to moderate degenerative changes of the thoracic spine.,,images/image_2498.png "No acute cardiopulmonary abnormality.. 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.",,images/image_2499.png "No acute cardiopulmonary abnormality. Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. and soft tissue are unremarkable.",,images/image_2500.png 1. No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,,images/image_2501.png No acute cardiopulmonary abnormality. 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 small calcified granulomata in the right lateral lung.,,images/image_2502.png No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,,images/image_2503.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2504.png No acute findings. Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.,,images/image_2505.png No acute cardiopulmonary disease. No evidence of pneumonia. The lungs are clear. The heart and pulmonary are normal. Pleural spaces are clear. The mediastinal contours are normal. There is calcification of the thoracic aorta.,,images/image_2506.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_2507.png No acute cardiopulmonary findings. Heart size within normal limits. No focal airspace consolidations. No pneumothorax or effusions.,,images/image_2508.png "Left lower lobe airspace disease consistent with pneumonia. Associated right pleural effusion. In the interval, consolidation and atelectasis have developed in the right lower lobe. Costophrenic blunted on the right. Left lung clear. Heart size normal.",,images/image_2509.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_2510.png "Chest radiograph. 1. No acute radiographic cardiopulmonary process. 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 are intact without acute osseous abnormality.",,images/image_2511.png 1. No evidence of active disease. 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.,,images/image_2512.png "No acute cardiopulmonary disease. The heart, pulmonary 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 slight wedge deformity of the mid to lower thoracic vertebral body unchanged from the comparison study.",,images/image_2513.png "CHEST. No acute cardiopulmonary disease. ABDOMEN. Normal bowel pattern. CHEST. The heart, pulmonary 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 minimal degenerative changes of the spine. There is flattening of the hemidiaphragms. ABDOMEN. There is a normal bowel pattern. There is an IVC identified. There are phleboliths in pelvis. There mild degenerative changes of the spine.",,images/image_2514.png "1. No focal air space consolidation. 2. Hyperexpanded lungs, suggestive of emphysema. Lungs are hyperexpanded. There is no focal airspace consolidation. No suspicious pulmonary mass or nodule is seen. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.",,images/image_2515.png "No acute cardiopulmonary findings. Specifically, no radiographic evidence of active tuberculosis. Cardiomediastinal silhouette and pulmonary vasculature are stable and within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.",,images/image_2516.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_2517.png This is since the previous study. 1. Clear lungs. 2. Apparent old rib fractures in the left anterior chest. Heart size and pulmonary vascularity appear within normal limits. The ascending aorta is prominent and descending thoracic aorta is is tortuous. Aorta appears unchanged as compared to the study. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules are identified. There is an oblong density projecting over the anterior left 7th rib. Appearance suggests an old rib fracture.,,images/image_2518.png "Vague opacity in the right midlung, this could reflect a small focus of atelectasis or infiltrate. Bibasilar airspace opacities, atelectasis. The heart is normal in size and contour. There is no mediastinal widening. Streaky bibasilar opacities, atelectasis. Vague opacity in the right midlung. Scattered calcified granulomas. No large pleural effusion or pneumothorax. The are intact.",,images/image_2519.png Cardiomegaly with central pulmonary vascular congestion and no acute cardiopulmonary findings. Stable marked cardiomegaly. Cardiac generator projects over the left mid hemithorax with a terminating in the right ventricle. No focal airspace disease. Mild central pulmonary vascular congestion. The heart has the same configuration as seen previously with a pericardial effusion on an abdominal CT in .,,images/image_2520.png 1. No acute radiographic cardiopulmonary process. The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There is redemonstration of a calcified granuloma within the left upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_2521.png No acute cardiopulmonary findings. There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits.,,images/image_2522.png Continued severe cardiomegaly and/or pericardial effusion. No acute pulmonary disease process identified. Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains markedly enlarged. There is aortic vascular calcification. No focal airspace consolidation or pleural effusion.,,images/image_2523.png No acute cardiopulmonary abnormalities. Normal heart size is prominent left ventricular contour. Unfolding of the thoracic aorta. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable appearance.,,images/image_2524.png "No acute cardiopulmonary abnormality.. 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.",,images/image_2525.png Right upper lobe airspace consolidation Please correlate clinically for pneumonia. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is airspace opacity in the mid right lung radiating from the right hilum to the pleura and bordered inferiorly by the fissures. The fissure is convex upward. There is right base patchy airspace opacity. This appears chronic and may be due to scarring. There is no significant pleural effusion.,,images/image_2526.png "No acute cardiopulmonary abnormality. . Cardiomediastinal silhouette is within normal limits. No focal consolidation. No pneumothorax or large pleural effusion. No acute bony abnormalities. Contrast is seen within the bilateral kidneys, from prior examination.",,images/image_2527.png "No acute cardiopulmonary process. Heart size is normal. There is tortuosity of the thoracic aorta, stable compared with prior. No focal airspace disease or effusion. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.",,images/image_2528.png "Multiple pulmonary nodules consistent with metastases. Chest, abdomen, and pelvis CT with contrast would be helpful for further evaluation. In the interval, the interval, there has been development of multiple nodules in both the upper and lower lobes bilaterally. The previously identified left lower lobe nodule has increased in size. Left hemidiaphragm is slightly elevated, possibly from splinting. The mediastinum remains normal. Heart size normal.",,images/image_2529.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Stable calcified granulomas. Bony thorax is unremarkable.",,images/image_2530.png change COPD with no acute findings. The lungs remain hyperexpanded. No infiltrates or masses. Heart and mediastinum are normal.,,images/image_2531.png "Emphysema with increased lung markings markings, possibly superimposed chronic lung disease/fibrosis. The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. There are emphysematous changes with increased interstitial markings, particularly in the periphery and lung bases. The lungs are clear of focal infiltrates. There is no pleural effusion.",,images/image_2532.png 1. Dextroscoliosis of the thoracic spine. 2.No evidence of acute bony abnormalities. Dextroscoliosis of the thoracic spine. Clear lungs bilaterally. No pneumothorax or pleural effusion. No acute bony abnormalities.,,images/image_2533.png "Large right pleural effusion with associated passive atelectasis of the right middle and lower lobes. Grossly clear left lung. 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. opacities are seen within the aerated right lung, subsegmental atelectasis. No focal consolidation or pneumothorax identified. No acute osseous abnormality. Cardio mediastinal silhouette is stable compared to prior examinations.",,images/image_2534.png Findings consistent with left base airspace disease. There is no acute osseous abnormality. Soft tissues are within normal limits. Borderline enlargement of the heart. Normal vascular markings. Left basilar retrocardiac opacity. No pneumothorax.,,images/image_2535.png 1. opacities at the lateral left base. The appearance atelectasis. Right central venous line has been removed. Heart size and pulmonary vascularity appear within normal limits. A few bandlike opacities are present at the lateral left base. The appearance scarring or atelectasis. No focal airspace disease is seen. No discrete nodules are identified. No pneumothorax or pleural effusion is seen.,,images/image_2536.png "No acute abnormality. Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.",,images/image_2537.png Stable appearance of the chest without acute abnormality. Lungs are clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable with ectasia of the aorta. Heart size is upper limits of normal. Degenerative changes in the spine.,,images/image_2538.png Stable chest radiograph with no acute or progressive abnormality. There is no suggestion of enlargement of the known right retrohilar pulmonary nodule or pulmonary nodularity. No interval change is found in the bony thorax. The heart size remains normal with an ectatic tortuous aorta. The pulmonary vasculature is not engorged. Lungs are free of infiltrate and there is no pleural effusion. The fullness to the right hilum is again noted but this is unchanged suggesting no progression of the retrohilar nodule on the CT scan. No pulmonary nodule is found.,,images/image_2539.png Emphysema and mild medial right atelectasis. No acute process. Left lower lobe calcified granuloma. Heart size normal. No pleural effusion or pneumothorax. Mild medial right atelectasis. Mild emphysema.,,images/image_2540.png "Persistent stable right basilar atelectasis. Low lung volumes and patient rotation. Given differences in technique, heart size within normal limits. Persistent right basilar opacity, atelectasis. No suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Mild degenerative change of the thoracic spine.",,images/image_2541.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. Clear lungs besides scattered calcified granulomas. No pneumothorax or pleural effusion. No acute bony abnormalities.,,images/image_2542.png Borderline cardiomegaly. Otherwise unremarkable exam. There is borderline cardiomegaly. Mediastinum and pulmonary vasculature are unremarkable. Lungs are clear. No pleural fluid or pneumothorax is appreciated.,,images/image_2543.png No acute cardiopulmonary abnormality. Heart size is normal and cardiomediastinal silhouette is normal. There are scattered calcified granulomas throughout both lung . Lungs are clear bilaterally otherwise. No bony or soft tissue abnormalities.,,images/image_2544.png "Cleared left lower lobe airspace disease with persistent right middle lobe airspace disease. Consolidation, atelectasis, and costophrenic blunting in the left lower lobe have cleared in the interval. A persistent patchy infiltrate is present in the right middle lobe. No infiltrates. Heart is slightly large. Pulmonary are normal. Aorta remains tortuous.",,images/image_2545.png "1. No acute cardiopulmonary process. The aortic , cardiac apex, and stomach are left-sided. Cardiomediastinal silhouette is within normal limits in overall size and appearance. Pulmonary vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. No acute bony abnormality.",,images/image_2546.png Low lung volumes without acute cardiopulmonary disease. There are low lung volumes. Cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no large pleural effusion. There is no pneumothorax.,,images/image_2547.png "No acute cardiopulmonary findings. . Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable.",,images/image_2548.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_2549.png No acute abnormality. . Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,,images/image_2550.png "1. Negative for acute cardiopulmonary findings. No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. is intact.",,images/image_2551.png No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_2552.png "No evidence of acute thoracic . chest radiograph is recommended if is not . The examination consists of frontal supine and lateral radiographs of the chest. Frontal view is lordotic in projection. The cardiomediastinal contours are within normal limits for supine film. No focal consolidation, pleural effusion, or pneumothorax identified. There is a calcified granuloma at the left lung base. The visualized osseous structures and upper abdomen are unremarkable.",,images/image_2553.png No acute cardiopulmonary abnormality. Lungs are clear without focal infiltrates. Calcified right upper lobe granuloma unchanged from prior. No pneumothorax or pleural effusion. Normal heart size. Normal pulmonary vascularity. Bony thorax intact.,,images/image_2554.png "1. Heart failure with pulmonary edema. Cardiomediastinal silhouette is within normal limits of size In appearance. Pulmonary vascularity is unremarkable. There are diffuse, bilateral interstitial opacities, with B lines demonstrated. Small amount of subpleural edema is demonstrated in the fissures. There is mild blunting of both posterior costophrenic sulci, which may reflect effusions. Negative for pneumothorax. Limited evaluation reveals the the grossly intact.",,images/image_2555.png 1. No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_2556.png No acute cardiopulmonary abnormalities are seen. END OF REPORT. and lateral views of the chest were obtained on 02/010/. The lung volumes are normal. The lungs are clear and there are no pleural effusions. There is stable mild tenting of the medial aspect of the right diaphragm. The mediastinum and pulmonary are normal. The bony elements are not remarkable.,,images/image_2557.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are mildly hypoinflated but clear.,,images/image_2558.png "1. No acute cardiopulmonary abnormality. Normal cardiac size, mediastinum, and central pulmonary vasculature. Grossly clear lungs, without focal airspace consolidation, pleural effusion, or pneumothorax. No evidence of displaced rib fractures. Normal thoracic vertebral body .",,images/image_2559.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_2560.png "Surgical changes of the right hemithorax and mild cardiomegaly without acute cardiopulmonary abnormality identified. . Cardiomediastinal silhouette is unchanged with mild cardiomegaly. There is relative elevation of the right hemidiaphragm consistent with history of right lower lobectomy, without focal consolidation, pneumothorax, or effusion identified. Irregularity of the right fifth and sixth ribs stable since at and postsurgical/post traumatic in . Left shoulder rotator bone anchor noted. No acute osseous abnormality identified.",,images/image_2561.png no radiographic evidence of tuberculosis or sarcoidosis. 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. are unchanged from previous exam and appear normal. Thoracic spine shows osteophyte formations at several levels.,,images/image_2562.png No acute findings Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_2563.png Normal chest exam. Normal heart. Clear lungs. Stable calcified granuloma left midlung. No pneumothorax. No pleural effusion. Midline trachea.,,images/image_2564.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.",,images/image_2565.png "No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality.",,images/image_2566.png "No acute findings. Left mid lung subsegmental atelectasis. There are opacities in the left lung, subsegmental atelectasis. opacities overlying the left lung base on the frontal reflect epicardial fat and overlying breast tissue. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. There are diffuse degenerative changes of the spine.",,images/image_2567.png 1. No acute pulmonary disease. Single view of chest was obtained in AP projection. Limited study secondary to body habitus. The cardiomediastinal silhouette is not enlarged. Lungs demonstrate no focal infiltrates. There is no effusion or pneumothorax.,,images/image_2568.png No acute cardiopulmonary abnormality. This radiograph was available for my interpretation at hours /. There are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_2569.png "Stable exam with known right aortic . Stable appearance of the right aortic . Normal heart size. No pneumothorax, pleural effusion or suspicious focal airspace opacity.",,images/image_2570.png "Limited quality exam shows no definite acute findings. 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.",,images/image_2571.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Right chest wall surgical clips, compatible with prior lumpectomy. Negative for acute bone abnormality.",,images/image_2572.png No acute cardiopulmonary abnormality. Calcified left lower lobe granuloma. No focal areas of consolidation. No pleural effusions. No pneumothorax. Degenerative changes noted of the thoracic spine.,,images/image_2573.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_2574.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_2575.png "No acute cardiopulmonary disease. . 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. There is levoscoliosis of the thoracic spine.",,images/image_2576.png "Negative for acute cardiopulmonary disease. No fractures identified. No pneumothorax, pleural effusion , or focal airspace disease. Heart size within normal limits. Cardiomediastinal silhouette is clear. Bony structures appear intact.",,images/image_2577.png No acute cardiopulmonary abnormalities. No pneumothorax. Heart size is normal. No large pleural effusions. No focal airspace consolidation.,,images/image_2578.png "Low lung volumes, otherwise clear. The cardiomediastinal silhouette is normal in size and contour. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_2579.png 1. Chest. No active disease. No evidence for cardiopulmonary injury. 2. Left ankle. Soft tissue edema with no visible bony injury. Chest. Both lungs clear and expanded. Heart and mediastinum normal. Ankle. Soft tissue is present around the malleoli. intact. Mortise radiographically stable.,,images/image_2580.png 1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_2581.png "Low lung volumes bilaterally with central bronchovascular crowding without focal cardiopulmonary disease. . Low lung volumes bilaterally with central bronchovascular crowding without focal consolidation, pleural effusion, or pneumothoraces.. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the thoracic spine..",,images/image_2582.png No acute disease. The heart is normal in size. The mediastinum is within normal limits. Pectus deformity is noted. Left IJ dual-lumen catheter is visualized without pneumothorax. The lungs are clear.,,images/image_2583.png "Stable exam without acute abnormality. Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity. Prior granulomatous disease appears stable.",,images/image_2584.png "1. Pulmonary hypoinflation with bronchovascular crowding and minimal bibasilar subsegmental atelectasis. The cardiomediastinal silhouette is within normal limits for appearance. There are low lung volumes with bronchovascular crowding and scattered opacities in the bilateral lung bases. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. No acute, displaced rib fractures identified.",,images/image_2585.png 1. Scarring in the left midlung. 2. Cardiomegaly with especially enlarged left atrium with postoperative changes of mitral valve surgery. There has been interval sternotomy with mitral valve surgery. There is a small amount of scarring in the left midlung. No focal consolidation. No pleural effusions or pneumothoraces. there is continued cardiomegaly with especially enlarged left atrium.,,images/image_2586.png "1. 7mm non calcified nodule, in appearance, recommend CT chest without contrast. Lateral view, over the lingula, there is a 7mm diameter uncalcified nodule of uncertain origin. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Mild tortuosity aorta is redemonstrated.",,images/image_2587.png "Chest. Resolving pulmonary interstitial edema and pulmonary venous hypertension. In the interval, bibasilar interstitial infiltrates and pulmonary venous engorgement have resolved. Heart size is now normal. No infiltrates.",,images/image_2588.png 1. No acute radiographic cardiopulmonary process. Three images are available for review. The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_2589.png 1. No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_2590.png 1. Technically limited exam. 2. No acute cardiopulmonary abnormalities. . The lateral view is nondiagnostic due to patient positioning. Normal heart size and mediastinal contours. No focal airspace consolidation. No pneumothorax or large pleural effusion. Visualized osseous structures are unremarkable in appearance.,,images/image_2591.png "No acute cardiopulmonary finding. The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion or pneumothorax. The bony structures are normal.",,images/image_2592.png No acute cardiopulmonary abnormalities. Chronic bilateral emphysematous changes. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact. Stable splenic artery embolism coils.,,images/image_2593.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_2594.png 1. No evidence of active disease. 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.,,images/image_2595.png No active disease. The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. Arthritic changes are seen throughout the spine and both .,,images/image_2596.png 1. No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules or adenopathy are noted.,,images/image_2597.png "Mild cardiomegaly, no acute pulmonary findings Heart size mildly enlarged, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_2598.png "1. of left base atelectasis. Otherwise, clear. Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. No pleural effusion or pneumothorax is seen. Scattered of left base atelectasis are noted. Left -a- is in with the tip projecting over the caval atrial junction.",,images/image_2599.png No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,,images/image_2600.png "1. 6 mm left lung nodular opacity. Recommend comparison with prior images. If prior images are not available than further evaluation with CT chest is recommended. Old chest film from / from was reviewed and the questionable nodule was not seen. Heart size, aortic and mediastinal contours are within normal limits. The lungs are clear. No visible pneumothorax or large pleural effusion. 6 mm nodular opacity overlies the left anterior 5th rib on the frontal view. No focal bony abnormality identified.",,images/image_2601.png No radiographic evidence of acute cardiopulmonary disease. The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The are unremarkable.,,images/image_2602.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_2603.png "1. No acute cardiopulmonary abnormalities. The cardiomediastinal contours are stable and normal. Mid sternotomy again noted. Mildly low lung volumes. No significant pulmonary edema, focal lung consolidation, pleural effusions or pneumothorax seen.",,images/image_2604.png "1. Interstitial pulmonary edema. 2. Cardiomegaly. There are midline sternotomy and mediastinal clips consistent with prior CABG. The heart is enlarged with unfolding of the aorta. There is prominence of the interstitial markings with fluid in the fissures consistent with interstitial edema. There is no focal airspace opacity, large pleural effusion, or pneumothorax. There multilevel degenerative spine changes.",,images/image_2605.png No acute cardiopulmonary abnormality. There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Osseous structures are intact.,,images/image_2606.png "No acute cardiopulmonary abnormality. 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.",,images/image_2607.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_2608.png "1. Chest. No active disease. 2. Right foot. Negative. Two-view chest. Both lungs are clear and expanded. Heart and mediastinum normal. Right foot. Hindfoot, midfoot, forefoot are intact with no fractures or bone destruction.",,images/image_2609.png "1. Pulmonary hypoinflation. Otherwise, no acute intrathoracic abnormality. 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.",,images/image_2610.png Unremarkable examination of the chest. Heart size normal. Prominent epicardial fat. Lungs are clear. No pleural effusion or pneumothorax.,,images/image_2611.png pulmonary edema and left basilar atelectasis/airspace disease. Central vascular prominence and diffuse bilateral interstitial and alveolar opacities. Left basilar airspace opacities. No pneumothorax. Heart size large. unremarkable. No large pleural effusion.,,images/image_2612.png "No acute cardiopulmonary abnormality. 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.",,images/image_2613.png "1. Minimal atelectasis in the right midlung zone versus pleural scarring in the right fissure. 2. Minimal blunting of the posterior right costophrenic , consistent with a small pleural effusion and/or pleural scarring. 3. Cardiomegaly. 4. No abnormalities as compared to prior study of earlier the same Again observed is a curvilinear density in the right midlung zone which may represent some pulmonary scarring or thickening of the right fissure. There is minimal blunting of the right posterior costophrenic , consistent with a small effusion and/or pleural scarring. The lung parenchyma is otherwise clear. There is mild cardiomegaly. There are degenerative changes and a mild dextroscoliosis in the thoracic spine.",,images/image_2614.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_2615.png No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits. There is rounded calcified density within the left lower lobe most consistent with granuloma. Remaining lungs are clear without evidence of focal opacification. No pneumothorax or large pleural effusion. No acute bone abnormality.,,images/image_2616.png Hyperinflation consistent with COPD. No acute pulmonary disease identified. The lungs are clear. There is hyperinflation of the lungs. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. mild arthritic changes of the spine are present.,,images/image_2617.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_2618.png "No acute cardiopulmonary abnormality. Aorta is ectatic. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. Age-indeterminate anterior wedging deformity of lower thoracic vertebra.",,images/image_2619.png Low lung volumes with right base airspace disease. Heart size upper limits of normal. Low lung volumes with mild bronchovascular crowding and right basilar airspace disease. No pneumothorax or effusions.,,images/image_2620.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. Heart size is normal. Cardiac and mediastinal silhouette is grossly unremarkable.,,images/image_2621.png "No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Acromioclavicular arthritis is present, severe.",,images/image_2622.png The right lower lobe pneumonia There is airspace disease in the right lower lobe seen behind the right hemidiaphragm on PA view. This is also well seen on lateral view. Remainder of the lungs appear clear. The heart and pulmonary appear normal. Mediastinal contours are normal.,,images/image_2623.png No acute cardiopulmonary abnormality. . There is minimal scarring in the lung apices. The lungs are otherwise clear. Heart size is normal. No pneumothorax. There is dextrocurvature within the spine.,,images/image_2624.png No acute cardiopulmonary abnormality. . No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.,,images/image_2625.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_2626.png "No acute cardiopulmonary abnormality.. 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.",,images/image_2627.png Mildly displaced fracture of the mid right clavicle. No acute pulmonary findings. Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. Elevated right diaphragm. The lungs are clear. degenerative spondylosis. There appears to be a mildly displaced fracture of the mid right clavicle.,,images/image_2628.png No acute cardiopulmonary findings. Low lung volumes. Heart size normal. No focal airspace consolidations. No pneumothorax or effusions.,,images/image_2629.png "Low lung volumes, no acute cardiopulmonary findings. Lung volumes are mildly low. The cardiomediastinal silhouette is within normal limits for size contour. No consolidation. No pleural effusion or pneumothorax. Mild degenerative disc change at the thoracic spine, no deformity.",,images/image_2630.png Hyperexpanded but clear lungs. Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.,,images/image_2631.png No evidence of active disease. There are scattered calcified granulomas. No focal infiltrate. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.,,images/image_2632.png "No acute cardiopulmonary abnormality.. 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 demonstrate stable, mild multilevel thoracolumbar degenerative disc disease without acute abnormality. Upper abdominal midline surgical sutures are likewise stable.",,images/image_2633.png "1. No focal airspace consolidation. 2. Mildly hyperexpanded lungs, suggestive of obstructive lung disease. Lungs are mildly hyperexpanded. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are diffuse degenerative changes of the spine.",,images/image_2634.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not enlarged. There are calcified mediastinal lymph . The skeletal structures are normal.,,images/image_2635.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. Heart size is normal. Cardiac and mediastinal silhouette is grossly unremarkable.,,images/image_2636.png No acute preoperative process. The cardiac contours are normal. scarring left base. The lungs are clear. Thoracic spondylosis.,,images/image_2637.png "No acute cardiopulmonary findings Heart size near top normal limits, mild aortic ectasia size tortuosity. Mediastinal calcifications and dense nodule in the lingula suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_2638.png Normal chest exam. Normal heart. Clear lungs. Stable calcified granuloma left midlung. No pneumothorax. No pleural effusion. Midline trachea.,,images/image_2639.png "1. Stable AICD with intact replacement. 2. No acute radiographic cardiopulmonary process. . There is redemonstration of an AICD with the left chest wall with stable intact placement. Surgical cervical is redemonstrated. Cardiac and mediastinal appear normal. opacity in the left upper lobe, atelectasis or scarring. No visible pneumothorax or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact.",,images/image_2640.png 1. No acute cardiopulmonary abnormality. Mild dextroscoliosis of the lower thoracic spine. Cardiomediastinal silhouette is within normal in size and appearance. Pulmonary vascular is unremarkable. Lungs are expanded and clear airspace disease. Negative for pneumothorax or pleural effusion. Limited evaluation of the to be grossly intact,,images/image_2641.png Findings of chronic obstructive pulmonary disease. Borderline heart size. The lungs are hyperexpanded and hyperlucent compatible with chronic obstructive pulmonary disease. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Aortic vascular calcifications. Normal pulmonary vascularity. Bone demineralization.,,images/image_2642.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. There are calcified granulomas. Heart size is normal. No pneumothorax. There are endplate changes in the spine.,,images/image_2643.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There are calcifications in the aortic . There is a calcified granuloma at the left lower lung. There is no pneumothorax or large pleural effusion.",,images/image_2644.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. External monitor leads 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.",,images/image_2645.png "No acute findings 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.",,images/image_2646.png "Mild streakiness, subsegmental atelectasis versus early infiltrate right lower lobe. There is mild streakiness in the right base. No focal infiltrate or effusion. No pneumothorax. Calcified granulomatous disease noted. Heart and mediastinal contours within normal limits. Osseous structures intact.",,images/image_2647.png "No acute findings 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.",,images/image_2648.png "Cardiac projects over the right ventricle, without evidence of acute complication. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is a single cardiac projecting over the right ventricle. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_2649.png "1. Large left hydropneumothorax, with complete collapse of the left lung. 2. Airspace and interstitial opacity within the right upper and lower lobes. Possible apical cavitation. Tuberculosis should be excluded clinically. 4 images. There is a large hydropneumothorax within the left chest. There is essentially complete collapse of the left lung. Within the right lung, there are increased interstitial opacities within the medial right lung base and right upper lobe, with patchy airspace opacity within the right lung apex. At the right lung apex, there is a more focal ovoid lucency which measures approximately 1.3 cm. This could indicate cavitation. Left-sided cardiomediastinal contours are obscured by collapse of the left lung. No convincing acute bony findings.",,images/image_2650.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_2651.png "No acute cardiopulmonary findings. . Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable.",,images/image_2652.png "No acute cardiopulmonary abnormality. 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.",,images/image_2653.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_2654.png Clear lungs. Spinal stimulator in . 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.,,images/image_2655.png Unremarkable examination of the chest. Degenerative changes of the thoracic spine. Heart size normal. Lungs are clear. No pneumothorax or pleural effusion. Low lung volumes.,,images/image_2656.png "Chronic asymmetric elevation of the right hemidiaphragm with mildly increased right basilar airspace disease, atelectasis versus infiltrate. . 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.",,images/image_2657.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Calcific granulomas are present in the right upper lobe. The are unremarkable.",,images/image_2658.png No acute cardiopulmonary abnormalities. Large calcified granuloma in the right lower lobe is unchanged. No pneumothorax. Heart size is normal. No large pleural effusions. No focal airspace opacification.,,images/image_2659.png change. Hypoinflation with no visible active cardiopulmonary disease. Lung volumes are low. No focal infiltrates. Pulmonary are normal.,,images/image_2660.png 1. Cardiomegaly and mild vascular prominence. 2. No evidence of acute disease. 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.,,images/image_2661.png "Left upper lobe opacities, cannot exclude mass lesions. Recommend CT chest for further evaluation. There is an irregular opacity projecting over the left apex. Additionally there is a more inferior left upper lobe opacity measuring approximately 6 mm in diameter. No pneumothorax. No pleural effusions. Heart size is normal limits. Degenerative changes thoracic spine.",,images/image_2662.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. Both clavicles appear within normal limits on this limited radiographic evaluation.",,images/image_2663.png "No acute cardiopulmonary findings. . Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable.",,images/image_2664.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_2665.png "Cardiomegaly without acute cardiopulmonary abnormality. Cardiomegaly. No focal consolidation, effusion, or pneumothorax. Mild unfolding of the thoracic aorta. Bony thorax and soft tissues grossly unremarkable.",,images/image_2666.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Mild emphysematous changes are noted. The lungs are otherwise clear.,,images/image_2667.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_2668.png "1. Right basilar opacity with associated blunting of costophrenic on lateral view may represent small pleural effusion, atelectasis, and/or consolidation. 2. Interface at the left hemidiaphragm may represent artifact however further evaluation with right lateral decubitus films would better evaluate. There is right basilar opacity with associated blunting of the costophrenic seen on lateral view. In addition, there is a interface along the left hemidiaphragm. This may represent attenuation artifact however further evaluation with right lateral decubitus views would better evaluate. There is no pneumothorax. The lungs are clear. Cardiac silhouette and mediastinal contours are within normal limits.",,images/image_2669.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Lungs are hyperexpanded. Minimal scarring in both lower lobes. Heart size and pulmonary vascularity within normal limits. Stable mild tortuosity of the descending thoracic aorta.,,images/image_2670.png "No acute cardiopulmonary abnormality. Lungs are hyperexpanded bilaterally, with no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_2671.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and aeration of the lungs. No pleural effusion.",,images/image_2672.png No acute pulmonary findings. Borderline cardiomegaly. Midline sternotomy . Enlarged pulmonary arteries. Clear lungs. Inferior .,,images/image_2673.png 1. Stable appearance of the chest with moderate hiatal hernia. No acute pulmonary disease. The heart and mediastinal contours are unchanged. There is a moderate hiatal hernia. The lungs are clear without focal infiltrate. No effusion or pneumothorax.,,images/image_2674.png No acute cardiopulmonary abnormality. Stable deformities of the upper thoracic segments. The cardiac silhouette mediastinal contours are within normal limits. The lungs are clear bilaterally. No focal opacities. There is no large pleural effusion. No pneumothorax. There is deformities involving multiple vertebral bodies of the thoracic spine which appear stable compared to the previous exam.,,images/image_2675.png No acute cardiopulmonary abnormality. . No focal areas of consolidation. Heart size normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.,,images/image_2676.png Normal chest film. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,,images/image_2677.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. The patient was shielded.",,images/image_2678.png No acute cardiopulmonary findings. Normal heart size. The lungs are clear without pneumothorax or large pleural effusion. The trachea is midline and .,,images/image_2679.png Unremarkable examination of the chest. Degenerative changes of the thoracic spine. Heart size normal. Lungs are clear. No pneumothorax or pleural effusion. Low lung volumes.,,images/image_2680.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_2681.png "1. Suspected mild patchy right upper lobe pneumonia, for which clinical correlation is recommended. Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. Interval development of mild patchy airspace opacities within the posterior aspect of the right upper lobe, concerning for underlying pneumonia. Stable mild background chronic interstitial changes. No evidence of associated pleural effusion or pneumothorax. Multilevel midthoracic degenerative changes, with prominent anterolateral marginal osteophytes.",,images/image_2682.png lungs without focal consolidation. Lungs are without focal airspace disease. No pleural effusions or pneumothoraces. heart size is normal status post sternotomy. Degenerative changes in the thoracic spine. incidental note is of previous left rotator repair.,,images/image_2683.png "No acute abnormality seen. Normal heart size. Mild tortuosity of the aorta. No pneumothorax, pleural effusion or suspicious airspace opacity. Mild levoscoliosis of the lumbar spine.",,images/image_2684.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_2685.png Right upper lobe pneumonia. There is a right upper lobe opacity. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. Osseous structures and soft tissues are normal.,,images/image_2686.png "1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is surgical clips projected over the left lung apex, as well as, over the right upper quadrant of the abdomen.",,images/image_2687.png "No acute cardiopulmonary abnormality. 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.",,images/image_2688.png "No acute cardiopulmonary findings. Cardiac silhouette is normal in size. Normal mediastinal contour and pulmonary vasculature. The lungs are without focal airspace consolidation, large pleural effusion, or pneumothoraces.",,images/image_2689.png No acute disease. The heart is normal in size. The mediastinum is stable. sternotomy changes are again noted. The lungs are clear of focal infiltrates. There is no pleural effusion.,,images/image_2690.png "No acute cardiopulmonary disease. PA and lateral views the chest were obtained. Heart size is upper limits normal or mildly enlarged. The thoracic aorta is mildly tortuous. Pulmonary are within normal limits. No pneumothorax, pleural effusion, or focal air space consolidation.",,images/image_2691.png "No acute cardiopulmonary abnormality.. 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.",,images/image_2692.png "No acute cardiopulmonary abnormality.. 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 demonstrate healed, remote bilateral rib fractures without acute abnormality.",,images/image_2693.png "No acute cardiopulmonary disease. The heart, pulmonary 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 mild biapical pleural thickening which is smooth. There is evidence of previous anterior cervical spine fusion. There are degenerative changes of the spine.",,images/image_2694.png 1. No acute cardiopulmonary disease. and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. There is elevated right hemidiaphragm and evidence of right upper lobectomy. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_2695.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. The patient is obese.",,images/image_2696.png "1. Stable cardiomegaly without acute cardio pulmonary process. Heart size is enlarged but stable. Stable sequela prior granulomatous disease. Stable sternotomy with fracture of the superior-most sternotomy .. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.",,images/image_2697.png No acute cardiopulmonary abnormality. There are no focal areas of consolidation. No pleural effusions. No pneumothorax. Heart size within normal limits. Osseous structures intact.,,images/image_2698.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lung volumes are low with bronchovascular crowding. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_2699.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette is within normal limits. Calcified right lower lobe granuloma. No focal airspace consolidation.. No visualized pneumothorax or large pleural effusion. No acute bony abnormalities.,,images/image_2700.png No acute cardiopulmonary abnormality. Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.,,images/image_2701.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2702.png No acute cardiopulmonary abnormalities. No visualized rib fractures. No pneumothorax. Heart size is normal. No large pleural effusions. No focal airspace opacities. No definite visualized rib fractures.,,images/image_2703.png 1. Evidence of previous granulomatous infection. 2. Bibasilar bandlike opacities. The appearance atelectasis/scar. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma is present in the right lung base. Bibasilar bandlike opacities are present. The appearance scarring or atelectasis.,,images/image_2704.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_2705.png 1. Cardiomegaly without radiographic evidence of heart failure. 2. No acute cardiopulmonary abnormality. There is moderate cardiomegaly. No interstitial edema or pleural effusion. No focal airspace consolidation. No pneumothorax. There is mild degenerative disc disease of the thoracic spine.,,images/image_2706.png "1. Clear lungs. No radiographic evidence of active TB. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. No cavitary lesions. are grossly unremarkable.",,images/image_2707.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_2708.png "1. No focal air space consolidation. 2. Nodular opacity at the left apex may be exaggerated by overlapping bone silhouettes. chest may provide further evaluation, if warranted. The cardiomediastinal silhouette is normal in size and contour. Aortic atherosclerosis. Hyperexpanded lungs. right perihilar/midlung density. Streaky bibasilar opacities, as well. Left upper lobe nodular opacity (anterior first rib interspace) may be exaggerated by overlapping bone silhouettes. Grossly similar midthoracic vertebral fracture.",,images/image_2709.png "1. Unchanged cardiomegaly. 2. Interstitial prominence. Maybe due to technical factors. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains moderately enlarged, exaggerated by epicardial fat pads. Interstitium is prominent. No focal airspace consolidation or pleural effusion. There is spine spondylosis.",,images/image_2710.png "No acute pulmonary disease. No focal airspace disease, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.",,images/image_2711.png "1. Borderline cardiomegaly. 2. Age-indeterminate, chronic, deformity in the midthoracic spine. There are T-spine osteophytes. There calcified costochondral cartilages. There is loss of disc 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.",,images/image_2712.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_2713.png 1. No evidence of active disease. 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.,,images/image_2714.png There is no radiographic evidence of acute cardiopulmonary disease. Normal cardiomediastinal silhouette. There is no focal consolidation. There are no of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.,,images/image_2715.png "No evidence of acute cardiopulmonary disease or significant interval change. The examination consists of frontal and lateral radiographs of the chest. Sternotomy 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.",,images/image_2716.png No acute cardiopulmonary abnormality. There is a prominent calcified head to the right anterior first rib. The aorta is tortuous. There are T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_2717.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_2718.png "No acute cardiopulmonary finding. The heart and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, pneumothorax. The osseous structures are intact.",,images/image_2719.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are present within the spine.",,images/image_2720.png Right lower lobe airspace disease with bilateral pleural effusions. Within the right lower lobes there are airspace opacities representing consolidation and atelectasis with blunting of the bilateral costophrenic . The cardiomediastinal silhouette is within normal limits. Bibasilar subsegmental atelectasis. No acute osseous abnormality.,,images/image_2721.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. Surgical clips overlying the left breast soft tissues. Multilevel degenerative changes of the thoracic spine. No acute bony abnormalities.",,images/image_2722.png Limited exam secondary to artifact within the upper abdomen (this does not represent free intra-abdominal ). Recommend repeat chest x-. 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.,,images/image_2723.png "Low lung volumes without acute cardiopulmonary findings. Heart size is normal. Low lung volumes. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures grossly intact.",,images/image_2724.png "No acute cardiopulmonary abnormality. Low lung volumes. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact. Left humeral head bone anchors.",,images/image_2725.png "1. No acute cardiopulmonary process. 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.",,images/image_2726.png No acute cardiopulmonary abnormality. 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.,,images/image_2727.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_2728.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Reduced lung volumes with basilar atelectasis. No focal airspace consolidation or pleural effusion.",,images/image_2729.png No acute cardiopulmonary abnormality. Clear lungs. Normal heart. No pneumothorax. No pleural effusion. Old right rib fractures.,,images/image_2730.png "No acute findings Heart size within normal limits, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Chronic appearing contour deformity of the right posterolateral 7th rib again noted suggestive of old injury.",,images/image_2731.png "No acute cardiopulmonary abnormality. Stable calcified superior mediastinal lymph . Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_2732.png No acute cardiopulmonary findings. Heart size within normal limits. Mild left upper lobe atelectasis or scarring. No pneumothorax or pleural effusion. Tortuous aorta. Hiatal hernia.,,images/image_2733.png "Emphysema with increased lung markings markings, possibly superimposed chronic lung disease/fibrosis. The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. There are emphysematous changes with increased interstitial markings, particularly in the periphery and lung bases. The lungs are clear of focal infiltrates. There is no pleural effusion.",,images/image_2734.png Normal chest film. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,,images/image_2735.png "1. Cardiomegaly with diffuse interstitial opacities. Findings may be secondary to pulmonary edema. Atypical infection is another consideration. There is mild cardiomegaly. Aorta is heavily calcified and tortuous, consistent with atherosclerotic disease. There are diffuse increased interstitial opacities identified. This may be secondary to edema, or alternatively atypical infection. No large effusion or visualized pneumothorax. Osteopenia of the spine is identified.",,images/image_2736.png No acute abnormality. Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,,images/image_2737.png ". patchy right lower lobe infiltrate consistent with pneumonia. Lung volumes are low. In the interval, a patchy infiltrate has developed in the right lower lobe. Heart and pulmonary are normal.",,images/image_2738.png "Cardiomegaly with elevated right hemidiaphragms and no acute findings. Patient is rotated. Mild cardiomegaly. Low lung volumes with elevated hemidiaphragms, greater on the right. This is identified on a thoracic study from as well. No pneumothorax. No large pleural effusion. No focal infiltrate.",,images/image_2739.png "No acute cardiopulmonary abnormality. No focal consolidation, suspicious pulmonary opacity or definite pleural effusion. Heart size and pulmonary vascularity within normal limits. Stable mediastinal contour. Calcified hilar lymph . Visualized osseous structures unremarkable.",,images/image_2740.png of COPD and interstitial lung disease. No definite pneumonia. There does appear to be progression of changes since . There your regular interstitial changes and possibly fibrosis in the left mid and lower lung zone and region of the right middle lobe. Hyperinflation is present. No focal consolidation is seen. There is no evidence for pleural effusion. The heart is not enlarged. Mediastinum is normal. There are arthritic changes of the spine.,,images/image_2741.png "1. Stable cardiomegaly without acute cardio pulmonary process. Heart size is enlarged but stable. Stable sequela prior granulomatous disease. Stable sternotomy with fracture of the superior-most sternotomy .. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.",,images/image_2742.png Normal chest exam. Normal heart. Clear lungs. No pneumothorax. No pleural effusion.,,images/image_2743.png Stable cardiomegaly with prominent perihilar opacities which may represent scarring or edema. Cardiomegaly is noted. No pleural effusions. No pneumothorax. There is perihilar prominence and interstitial opacification.,,images/image_2744.png No acute cardiopulmonary abnormalities. The heart is normal in size and contour. There is no mediastinal widening. No focal air space disease. Prominent hilar . No large pleural effusion or pneumothorax. The are intact.,,images/image_2745.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_2746.png No acute cardiopulmonary disease. Critical result notification documented through Primordial. The heart size is mildly enlarged. The patient is post aortic valve replacement. The sternotomy are intact. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There mild degenerative changes of the spine.,,images/image_2747.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_2748.png No acute findings. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_2749.png Clear lungs. Lungs are overall hyperexpanded with flattening of the diaphragms. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. degenerative changes within the spine. There are expansile changes within the right clavicle which were seen on the previous /CT. Findings are consistent with changes of multiple myeloma.,,images/image_2750.png No evidence of active disease. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits. Right paratracheal density is stable from prior radiographs and may reflect tortuous vasculature. There is aortic atherosclerotic vascular calcification. There are mild degenerative changes of the spine. Surgical clips are noted in the region of the left breast. There is mild diaphragm eventration.,,images/image_2751.png "No acute cardiopulmonary abnormality.. Cardiomediastinal silhouette stable and unremarkable. Stable eventration of the right hemidiaphragm. There is redemonstration without significant interval change of mild subsegmental atelectasis of the left base. Pneumonia seen on CT examination dated , (not seen on prior chest x-) is not seen either on chest x-.",,images/image_2752.png "1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size is upper limits of normal, pulmonary vascularity within normal limits. .",,images/image_2753.png "Cardiomegaly with bibasilar airspace disease and bilateral pleural effusions, right greater than left. . Low lung volumes bilaterally with bibasilar airspace opacities, right greater than left. There is blunting of the bilateral costophrenic sulci. Cardiac device overlies left chest, leads intact, tips overlying right atrium and right ventricle. No pneumothorax. Cardiomegaly. Degenerative changes of the spine.",,images/image_2754.png Right lower lobe infiltrate. In the appropriate clinical setting this appearance is compatible with pneumonia. Consider followup PA and lateral chest x- in 4-6 weeks to ensure resolution and exclude an underlying mass. Postop changes of CABG with mild cardiomegaly. There is an infiltrate in the right lower lobe. Thoracic spondylosis.,,images/image_2755.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are well-inflated and grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. There is a -A- terminating in the superior . There are surgical clips in the left breast and axilla.",,images/image_2756.png "No radiographic evidence of acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. No suspicious pulmonary nodules or masses. Bony thorax and soft tissues grossly unremarkable.",,images/image_2757.png "No acute cardiopulmonary abnormality. 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.",,images/image_2758.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Mild spondylosis.,,images/image_2759.png 1. Low volume study without acute process. 2. Mild cardiomegaly. Heart size is mildly enlarged. Tortuous aorta. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.,,images/image_2760.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. No change in the small calcified right upper lobe nodule. Heart and mediastinum normal.,,images/image_2761.png "Low lung volumes, otherwise clear. The cardiomediastinal silhouette is normal in size and contour. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_2762.png Mild cardiomegaly with of early failure. Similar mild cardiomegaly. Of the pulmonary vascularity is prominent. No focal consolidations or effusions. No pneumothorax. No acute bony abnormality.,,images/image_2763.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. No pleural effusion.",,images/image_2764.png Interval development of large right-sided pleural effusion. deformity noted at the upper thoracic vertebral body relates to deformity described on previous CT scan. There has been interval development of a large right-sided pleural effusion. The left lung is clear. There is no pneumothorax. Heart size mediastinal contours are within normal limits. deformity is noted at the upper thoracic vertebral body.,,images/image_2765.png "No acute cardiopulmonary abnormalities. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_2766.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2767.png "1. Left perihilar nodular opacity redemonstrated, appears dense, may be granulomatous, if desired one may consider CT for further characterization. 2. No acute cardiopulmonary abnormality. Redemonstrated azygos lobe. 3. No fracture visible. If clinical concern persists, consider dedicated rib series. Redemonstration of azygos lobe. Redemonstrated left perihilar nodular opacity, similar in size from previous examination. Dense appearing, may be granulomatous. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. . Limited exam, for evaluation of fractures. However, no evidence for displaced rib fracture.",,images/image_2768.png No acute cardiopulmonary abnormality. 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.,,images/image_2769.png 1. No evidence of active disease. 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.,,images/image_2770.png "No acute cardiopulmonary abnormality. Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",,images/image_2771.png Emphysema without superimposed pneumonia. 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.,,images/image_2772.png "Negative for acute cardiopulmonary findings. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. No displaced rib fracture.",,images/image_2773.png No acute cardiopulmonary abnormality. Normal heart size mediastinal contours. No focal airspace consolidation. No hyperexpansion of the lungs. No pleural effusion or pneumothorax.,,images/image_2774.png "No acute cardiopulmonary abnormality. Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. and soft tissue are unremarkable.",,images/image_2775.png "No acute cardiopulmonary abnormality. Chronic changes consistent with emphysema. The lungs are hyperexpanded, with increased AP diameter of the chest. The cardiomediastinal silhouette is stable and normal. There is no pneumothorax or large pleural effusion.",,images/image_2776.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_2777.png No acute cardiopulmonary abnormality. . No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.,,images/image_2778.png No radiographic evidence of acute cardiopulmonary abnormality. The heart size is normal. The mediastinal contour is within normal limits. There are no focal infiltrates. There is prominent epipericardial fat. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Right 7th and 8th rib deformities are noted. There is no visible free intraperitoneal air under the diaphragm.,,images/image_2779.png No acute cardiopulmonary abnormality. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_2780.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,,images/image_2781.png "No acute cardiopulmonary abnormality. Normal heart size and mediastinal contour. Atherosclerotic calcification of the aortic . No abnormal airspace consolidation. No pleural effusion or pneumothorax. Stable biapical lucency and apical scarring, consistent with emphysema. Visualized osseous structures are unremarkable.",,images/image_2782.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. A tortuous, calcified thoracic aorta is present. The lungs are hyperexpanded, consistent with emphysema. There is no pleural effusion, pneumothorax, or focal airspace disease. The are unremarkable.",,images/image_2783.png Stable blunting of the left costophrenic which may represent persistent left pleural effusion versus pleural scarring. Cardiomediastinal silhouette appears normal in size and contour. Right lung is clear. Stable blunting of costophrenic with improved aeration of the left base compared to prior exam. No visualized pneumothorax or focal consolidation. unremarkable.,,images/image_2784.png "1. Left lower lobe, superior segment, airspace consolidation, radiographic appearance most typical for pneumonia. Based on patient's age, a followup chest x- to document resolution is recommended. 2. left parapneumonic pleural effusion. There is mild mentally without pulmonary edema. Tortuous thoracic aorta, unchanged. Stable positioning of the dual- cardiac device. No visible pneumothorax. There is a small left pleural effusion. Focal airspace consolidation is visualized in the superior segment of the left lower lobe, appreciated on lateral projection. Increased retrosternal clear space suggesting chronic obstructive pulmonary disease.",,images/image_2785.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_2786.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2787.png "Bibasilar airspace opacities, right greater than left. These findings are concerning for pneumonia. Bibasilar airspace opacities, right greater than left. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The are intact.",,images/image_2788.png No acute cardiopulmonary finding. Stable elevation of the right hemidiaphragm. Stable cardiomediastinal silhouette. No focal airspace disease. No pneumothorax or large effusion.,,images/image_2789.png There is no evidence of acute cardiopulmonary disease. . Patient is slightly rotated. Normal heart size. There is no pulmonary edema. There is no focal consolidation. There are no of a pleural effusion. There is no evidence of pneumothorax.,,images/image_2790.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_2791.png Cardiomegaly and hiatal hernia without an acute abnormality identified. The heart size is mildly enlarged. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a moderate sized hiatal hernia. There mild degenerative changes of the spine.,,images/image_2792.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .,,images/image_2793.png "Negative. No significant change from . The cardiomediastinal silhouette is normal in size and contour. Aortic atherosclerosis. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_2794.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. opacities in right mid lung. The lungs are otherwise grossly clear.,,images/image_2795.png Interval increase in size and number of innumerable bilateral pulmonary nodules consistent with worsening metastatic disease. The heart is normal in size. The mediastinum is stable. Left-sided chest is again visualized with tip at cavoatrial junction. There is no pneumothorax. Numerous bilateral pulmonary nodules have increased in size and number compared to prior study. The dominant nodule/mass in the left midlung is also mildly increased. There is no pleural effusion.,,images/image_2796.png "Negative for acute cardiopulmonary abnormality. The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable.",,images/image_2797.png No acute cardiopulmonary abnormality. The heart size is normal. There is normal cardiomediastinal silhouette. Lungs are clear bilaterally. Thoracic spine shows anterior osteophyte formation.,,images/image_2798.png "Mildly hyperinflated, clear lungs. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is bilateral hyperinflation, without focal consolidation, pneumothorax, or pleural effusion. Visualized osseous structures appear intact.",,images/image_2799.png Right hemidiaphragm elevation. No acute cardiopulmonary process. Heart size and pulmonary vascularity normal. The stomach contour normal. There is right hemidiaphragm elevation. Lungs are clear. Degenerative changes in the thoracic spine.,,images/image_2800.png "2.1 cm nodular density in the anterior costophrenic on the lateral view, which could represent overlapping shadows or actual pulmonary nodule. Recommend followup with chest CT. Heart size is normal. Prior calcified granulomatous disease. On the lateral view in the anterior costophrenic , there is a 2.1 x 2 cm nodular density which seems to be present previously but is more nodular in appearance on this examination. No pleural effusion or pneumothorax. Endplate degenerative changes of the thoracolumbar spine and mild scoliosis are unchanged.",,images/image_2801.png "No evidence of acute thoracic . The examination consists of supine and crosstable lateral radiographs of the chest. External monitor leads 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.",,images/image_2802.png "No acute cardiopulmonary process. Coronary artery stents visualized. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.",,images/image_2803.png Cardiomegaly and pulmonary vascular congestion. 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.,,images/image_2804.png No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits. There is rounded calcified density within the left lower lobe most consistent with granuloma. Remaining lungs are clear without evidence of focal opacification. No pneumothorax or large pleural effusion. No acute bone abnormality.,,images/image_2805.png Emphysema. Recommend rib series to to establish that circular densities overlying ribs are in the ribs. There is hyperexpansion. The heart size is normal. There is no pleural effusion or pneumothorax. Two circular densities overlying the right ribs which were not present in the CT. No focal infiltrates,,images/image_2806.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_2807.png "Stable exam with known right aortic . Stable appearance of the right aortic . Normal heart size. No pneumothorax, pleural effusion or suspicious focal airspace opacity.",,images/image_2808.png "1. No evidence of active cardiopulmonary disease. 2. Posttraumatic changes compatible with prior gunshot wound. Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Elevated left hemidiaphragm with scarring at the left costophrenic . There is a bullet fragment overlying the left T7 vertebra. Retained bullet fragments noted within the left upper and lower lobes. No focal consolidation, visible pneumothorax or large pleural effusion. Mild degenerative changes of the thoracic spine.",,images/image_2809.png "Mildly hypoinflated, grossly clear lungs. . Cardiac silhouette is within normal limits in size for AP technique. Lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax, or pleural effusion. Pulmonary vasculature is normal in caliber. There are no acute bony findings.",,images/image_2810.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_2811.png "Hyperexpanded lungs. Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Biapical fibronodular thickening/scarring. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_2812.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_2813.png No significant change in right pneumothorax or pleural fluid. Mediastinal contours are normal. No significant change in pneumothorax or right pleural fluid..,,images/image_2814.png No acute disease AP and lateral views of the chest were obtained. The heart is normal size. Mediastinum is unremarkable. Lungs are hypoinflated but clear. No focal consolidation is seen.,,images/image_2815.png "No acute cardiothoracic abnormality. Normal heart size. Normal mediastinal contour. No pneumothorax, airspace consolidation, or pleural effusion. No chest . No acute bony abnormality.",,images/image_2816.png Clear lungs. No acute cardiopulmonary abnormality. . Lungs are clear. No focal airspace consolidation or pleural effusion. Heart size is normal. No pneumothorax. Calcified lymph .,,images/image_2817.png 1. Ill-defined opacity in the lingula. Increased since the previous study. May represent increased atelectasis or scarring. The heart size size and pulmonary vascularity appear within normal limits. Ill-defined opacity is again noted in the region of the lingula. This is increased since the previous study. The remainder of the lungs appear clear. Mild deformity is noted in the mid-thoracic spine. No pneumothorax or pleural effusion is seen.,,images/image_2818.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_2819.png "1. No radiographic evidence of acute thoracic . Chest. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable. Thoracic spine. The examination consists of frontal, lateral and swimmers lateral radiographs of the thoracic spine. There is no evidence of fracture or malalignment. The vertebral body and disc spaces are maintained. Sternum. The examination consists of 2 oblique and one lateral radiograph of the sternum. No displaced fracture demonstrated.",,images/image_2820.png Stable left thoracotomy changes with left-sided volume loss. No acute interval change. The heart is borderline in size. The mediastinum is stable with changes of sternotomy and bypass graft. Aorta is atherosclerotic. There are postsurgical changes of the left hemithorax with mild left-sided volume loss as evidenced by diaphragm elevation. Left post thoracotomy rib changes are noted. The right lung is clear. There is no pleural effusion.,,images/image_2821.png "No acute cardiopulmonary process. If there is concern for soft tissue bone or bony abnormality of the thorax, . Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.",,images/image_2822.png Hyperexpanded but clear lungs. Lungs are overall hyperexpanded consistent with obstructive lung disease. Lungs are clear without focal consolidation. No suspicious pulmonary nodules or masses are noted. No pleural effusions or pneumothoraces. heart size is upper limits of normal.,,images/image_2823.png No acute cardiopulmonary findings. . There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits.,,images/image_2824.png No evidence of active disease. 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.,,images/image_2825.png Stable right-sided chronic lung scarring otherwise no acute cardiopulmonary disease. Stable appearing right-sided the opacities. There is persistent elevation of the right hemidiaphragm. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax.,,images/image_2826.png "1. No focal airspace consolidation. 2. Mildly hyperexpanded lungs, suggestive of emphysema. The lungs are mildly hyperexpanded. There is no focal airspace consolidation. No suspicious pulmonary mass or nodule is identified. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.",,images/image_2827.png "1. No acute cardiopulmonary abnormalities. 2. Vague left upper lobe nodular density as described above. Further imaging may be helpful. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Vague nodular density right upper lobe overlying the right anterior 2nd and posterior 6th ribs. This could represent healing fracture or superimposed structures. Bony thorax is unremarkable.",,images/image_2828.png "No acute cardiopulmonary disease Lungs are clear. No focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Osseous structures intact.",,images/image_2829.png Small bilateral pleural effusions. The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. Small bilateral pleural effusions are seen.,,images/image_2830.png No acute cardiopulmonary disease The lungs appear clear. The heart and pulmonary are normal. Pleural spaces are clear. The mediastinal contours are normal.,,images/image_2831.png "1. No acute cardiopulmonary disease. No evidence of pulmonary nodules. 2. A single nonsclerotic mid thoracic vertebral fracture is present. Without a comparison study, the age of this fracture is unknown. Metastatic disease is possible, however given the nonsclerotic appearance, is not . 3. Healed left clavicle and left anterior rib fractures. The lungs appear clear. The heart and pulmonary appear normal. The pleural spaces are clear. These 't contours appear normal. There is a fracture of the midthoracic vertebral body. This vertebral body does not appear sclerotic. The age of this fracture is unknown. There are healed fractures of several left anterior ribs. There is a healed left clavicle fracture.",,images/image_2832.png 1. Overall stable appearance of the chest suggesting pulmonary fibrosis. Sequelae of old granulomatous disease. Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. Prominent interstitial markings are again noted which are predominantly lower lobe and peripheral suggesting pulmonary fibrosis. This appearance is overall not significantly . No pleural effusions or pneumothoraces. heart and mediastinum are stable with atherosclerotic vascular disease. Degenerative changes in the thoracic spine.,,images/image_2833.png "Negative. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute abnormality.",,images/image_2834.png No acute cardiopulmonary abnormality. Normal heart. Clear lungs. Trachea midline. Scoliosis of lower thoracic spine. Degenerative changes of thoracic spine.,,images/image_2835.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. A single cardiac defibrillator projects over the right ventricle, in stable position. There are sternotomy and surgical clips from prior CABG.",,images/image_2836.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2837.png "Normal chest Heart size normal. Lungs clear. normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_2838.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_2839.png Negative preoperative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_2840.png No acute cardiopulmonary disease. The cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no pneumothorax. There is no large pleural effusion.,,images/image_2841.png "2 cm noncalcified nodule in the right lower lobe would benefit from a . there is a rounded opacity in the right lower zone measuring 2.0 cm which is to be in the posterobasal segment. There is of uncertain etiology but would benefit from followup at some concern for neoplasm. A is recommended. No airspace disease, effusion or cavitary nodule. Normal heart size and mediastinum. Visualized of the chest are within normal limits.",,images/image_2842.png "1. Right basilar opacities favored to represent atelectasis. 2. Stigmata of cell disease. 3. Cholelithiasis. Mild cardiomegaly. Hypoinflation of the lungs. Right basilar opacity may represent atelectasis. Lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Sclerosis of the humeral bilateral, from prior AVN. Sclerotic vertebral body endplates with central depression. Calcifications in the right hemiabdomen may represent calcified gallstones.",,images/image_2843.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_2844.png "Cardiomegaly without acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Hyperinflated lungs. Cardiomegaly. Bony thorax and soft tissues grossly unremarkable",,images/image_2845.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear.,,images/image_2846.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2847.png No acute cardiopulmonary abnormality. Mediastinal contours are normal. Heart size is upper limits of normal. Lungs are clear. There is no pneumothorax or large pleural effusion. No bony abnormality.,,images/image_2848.png "Stable exam with no acute abnormality seen. Stable cardiomediastinal silhouette with tortuous thoracic aorta. No pneumothorax, pleural effusion or suspicious focal air space opacity. Stable right lung base scarring.",,images/image_2849.png No active disease. Mediport catheter seen on the right with the tip in the mid SVC. The lungs appear to be clear. No pleural effusion is seen. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_2850.png No evidence of acute cardiopulmonary disease. 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.,,images/image_2851.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are mildly hyperlucent but clear. There is denser lumbar scoliosis.,,images/image_2852.png 1. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits.The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is eventration of the right hemidiaphragm. The descending thoracic aorta is tortuous.,,images/image_2853.png Moderate hiatal hernia. No definite pneumonia. Lungs are relatively clear. Heart size normal. Unfolded aorta. Moderate hiatal hernia. T-spine osteophytes and DISH.,,images/image_2854.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,,images/image_2855.png No acute cardiopulmonary abnormality. 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.,,images/image_2856.png 1. Cardiomegaly. 2. Minimal left midlung atelectasis. 3. Blunting of left costophrenic . This could indicate a small amount of pleural fluid versus pleural-parenchymal scarring. 2 images. The cardiac silhouette is enlarged. Thoracic aortic atherosclerotic calcifications are present. There are finding status post sternotomy and CABG. atelectasis or scar is noted within the left midlung. There is blunting of the left costophrenic . No pneumothorax.,,images/image_2857.png 1. No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_2858.png "1. Bibasilar airspace disease, greater on the right, either atelectasis or infiltrate. 2. Platelike right midlung atelectasis. . There is mild cardiomegaly. The thoracic aorta is tortuous. Lung volumes are low with asymmetric elevation of the right hemidiaphragm. There is platelike atelectasis in the right midlung along with bibasilar airspace disease, either atelectasis or infiltrate. No pneumothorax.",,images/image_2859.png 1. Elevated left hemidiaphragm. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The descending thoracic aorta is tortuous. Central venous catheter is again noted. The lungs are free of focal airspace disease. The left hemidiaphragm remains elevated. No pneumothorax or pleural effusion is seen.,,images/image_2860.png Stable position of the left-sided hemodialysis catheter otherwise no acute cardiopulmonary disease. A left-sided hemodialysis catheter is in with its distal tip at the right atrium. The cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no pneumothorax. No large pleural effusion.,,images/image_2861.png "Lung hyperexpansion. No focal air space disease. The lungs are hyperexpanded. Cardiomediastinal silhouette is within normal limits. No pleural effusion, focal airspace opacities or pneumothorax. No free subdiaphragmatic air.",,images/image_2862.png "Mild cardiomegaly without acute cardiopulmonary abnormality. No active infectious/tuberculous process. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Mild cardiomegaly without acute cardiac abnormality. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_2863.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_2864.png "No acute cardiopulmonary abnormality. . No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. intact.",,images/image_2865.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.",,images/image_2866.png "Negative for acute cardiopulmonary disease. No pulmonary nodules identified. Heart size is normal. Cardiomediastinal silhouette stable. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Emphysema.",,images/image_2867.png 1. No acute cardiopulmonary process. 2. Age-indeterminate wedging of several midthoracic vertebral bodies. 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.,,images/image_2868.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable",,images/image_2869.png "Low lung volumes with crowding. Mild left base atelectasis. PA and lateral views the chest were obtained. There are low lung volumes on the frontal view, which accentuates heart size and lung markings. The heart size is upper limits normal or mildly enlarged. Mediastinum normal width. The pulmonary vasculature is within normal limits. There is left lung base atelectasis on frontal secondary to low volumes. No pneumothorax, pleural effusion, or focal air space consolidation.",,images/image_2870.png "Negative for acute cardiopulmonary disease. No fractures identified. No pneumothorax, pleural effusion , or focal airspace disease. Heart size within normal limits. Cardiomediastinal silhouette is clear. Bony structures appear intact.",,images/image_2871.png "1. No acute cardiopulmonary abnormalities. 2. Emphysema and chronic bony abnormalities are unchanged from prior exams. . The trachea is midline. The cardiomediastinal silhouette is normal. The superior thoracic spine is again noted, unchanged from prior. Lucent pulmonary parenchyma is consistent appearance with emphysema and appears unchanged from prior examinations. No evidence of pneumothorax. No focal airspace disease or pleural effusion. Vague density in the medial right lung apex most representing overlying shadows of bony structures, which is stable.",,images/image_2872.png "1. Low lung volumes with mild crowding. PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Mild nodular prominence of the right hilum, without significant change. Lung volumes are decreased, with crowding. There is no pneumothorax, pleural effusion, or focal air space consolidation.",,images/image_2873.png "Negative for acute abnormality. Discrete projectile not seen. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture. No discrete projectile visualized. Contrast within the bilateral renal collecting systems. Contrast also probably within the left colon.",,images/image_2874.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_2875.png "1. No acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vasculature are within normal limits. Scattered granulomas and bilateral perihilar calcified lymph . Stable lingular scarring. No focal consolidation, large pleural effusion or pneumothorax is identified. No bony abnormality.",,images/image_2876.png "Minimal right basilar airspace disease, right middle lobe. Cardiomediastinal silhouette is within normal limits. No acute bony abnormality is identified. There is slightly increased opacity of the right base compared to the left which may minimal right basilar airspace disease, in the right middle lobe. The left lung is clear. No pneumothorax or effusion identified.",,images/image_2877.png No acute cardiopulmonary findings. sternotomy appear intact. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is within normal limits. There is no focal lung opacity. Clips overlie the right upper quadrant.,,images/image_2878.png "1. atelectasis in the right lung base. Elevated right hemidiaphragm. No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. Elevated right hemidiaphragm. atelectasis in the right lung base. No focal pulmonary consolidation, pleural effusion or pneumothorax. No acute bony abnormality. Degenerative changes of the thoracic spine.",,images/image_2879.png "1. No acute cardiopulmonary process. 2. Large hiatal hernia. The cardiomediastinal silhouette is within normal limits. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality. Large hiatal hernia.",,images/image_2880.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2881.png "Low lung volumes, no acute cardiopulmonary disease. Low lung volumes. normal heart size. No pneumothorax. No large effusion. No focal infiltrate.",,images/image_2882.png Clear lungs. No acute cardiopulmonary abnormality. . Lungs are clear. Heart size is normal. No pneumothorax. There are surgical clips seen within the upper abdomen.,,images/image_2883.png "1. No acute radiographic cardiopulmonary process. There are no acute osseous abnormalities. Soft tissue structures are within normal limits. Normal heart size and hilar vascular markings. The lungs are clear without focal area of consolidation, pleural effusion, pneumothorax.",,images/image_2884.png "Emphysema with no acute cardiopulmonary findings. Mild hyperexpansion of the lungs. Numerous bilateral rib deformities. No focal airspace disease. Heart size is normal. No pneumothorax or effusion. Large, flowing anterior endplate osteophytes of the thoracic spine.",,images/image_2885.png No acute disease. The heart is top normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but grossly clear. Significant degenerative changes of the are again noted bilaterally.,,images/image_2886.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are mild degenerative endplate changes in the thoracic spine. There are no acute bony findings.",,images/image_2887.png 1. No evidence of active disease. 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.,,images/image_2888.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion.",,images/image_2889.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_2890.png No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_2891.png "1. No focal air space consolidation. 2. Hyperexpanded lungs, suggestive of emphysema. Lungs are hyperexpanded. There is no focal airspace consolidation. No suspicious pulmonary mass or nodule is seen. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.",,images/image_2892.png 1. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No non-calcified nodules are identified.,,images/image_2893.png No acute cardiopulmonary abnormality. . Postsurgical changes noted overlying the left axilla. No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.,,images/image_2894.png "No acute cardiopulmonary abnormality. . 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.",,images/image_2895.png Persistent cardiomegaly. Right midlung scar. No visible acute failure or pneumonia. The heart is large. Lung volumes are . opacity persists in the right midlung. No focal infiltrates.,,images/image_2896.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. There is right greater than left biapical bullous emphysema. No focal consolidation, pleural effusion, or pneumothorax identified. There are degenerative changes of the thoracic spine.",,images/image_2897.png Normal chest x-. The cardiomediastinal silhouette is normal. The lungs are clear. There is no pneumothorax or pneumomediastinum. Visualized bony structures are normal.,,images/image_2898.png "Low lung volumes without evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. there are diminished lung volumes with hypoventilatory changes. The cardiac silhouette is not enlarged. There is mild tortuosity of the thoracic aorta. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Surgical clips are seen in the upper abdomen. No acute osseous abnormalities demonstrated.",,images/image_2899.png "1. No acute cardiopulmonary disease. Clear lungs. Low lung volumes. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. Mild left lingular platelike atelectasis. are grossly unremarkable.",,images/image_2900.png 1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_2901.png "No acute disease. 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, related to subpleural fat. The appearance is stable from multiple previous studies. The lungs are clear. There is no pleural effusion.",,images/image_2902.png Large right pleural effusion and patchy left lower lobe airspace disease. Right costophrenic is blunted. In the left lower lobe a patchy infiltrate is present. The pulmonary are normal.,,images/image_2903.png "No acute cardiopulmonary abnormality.. 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.",,images/image_2904.png Stable blunting of right costophrenic with small pleural effusion versus thickening and associated healed right rib deformities. The heart is normal in size. The mediastinum is Stable. Calcified AP lymph are seen. A small right-sided pleural effusion versus thickening. Right inferior rib deformities.,,images/image_2905.png No acute cardiopulmonary disease. The lungs appear clear. There are no suspicious pulmonary nodules or masses. The heart and pulmonary appear normal. Mediastinal contours appear normal. There's no pneumothorax.,,images/image_2906.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Multiple calcified granulomas identified bilaterally. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_2907.png "No acute cardiopulmonary abnormality. . Stable right upper lobe calcified granuloma. No pneumothorax, pleural effusion or airspace consolidation. Normal heart size and pulmonary vasculature. are grossly intact. No thoracic fractures.",,images/image_2908.png "1. No acute radiographic cardiopulmonary process. No acute osseous abnormality. Mild degenerative changes of the thoracic spine. Stable normal cardiomediastinal silhouette and hilar contours. Prominence of superior mediastinal, superimposed structures. No focal area of consolidation, pleural effusion, or pneumothorax. Mild bibasilar atelectasis.",,images/image_2909.png "1. No acute cardiopulmonary abnormality, findings compatible with emphysema. 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.",,images/image_2910.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2911.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are mild degenerative endplate changes in the thoracic spine. There are no acute bony findings.",,images/image_2912.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_2913.png No acute cardiopulmonary findings. Three images submitted. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_2914.png "Cardiomegaly with pulmonary interstitial edema and bilateral pleural effusions. . Heart is enlarged. There is prominence of the central pulmonary vasculature. Mild diffuse interstitial opacities bilaterally, predominantly in the bases, with no focal consolidation, pleural effusion, or pneumothoraces. and soft tissues are unremarkable.",,images/image_2915.png No active disease. Lungs are clear. A calcified small granuloma is present in the left lower lobe. Heart size normal. Mediastinum normal.,,images/image_2916.png "No acute cardiopulmonary abnormalities. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_2917.png No acute cardiopulmonary finding. Lungs are clear. Heart size normal. Scattered thoracic spine spurring.,,images/image_2918.png Clear lungs. deformities within the midthoracic spine. . The lungs are clear. Heart size is normal. No pneumothorax. There is a left chest with tip projecting over the lower SVC. There is deformity within the midthoracic spine.,,images/image_2919.png 1. Limited chest radiograph examination without demonstration of an acute intrathoracic abnormality. This examination is somewhat limited secondary to obscuration of the bilateral posterior costophrenic sulci on the lateral view. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. The thoracic spine appears intact.,,images/image_2920.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Stable left lower lobe calcified granuloma. Remote left clavicle fracture.",,images/image_2921.png 1. No evidence of active disease. Changes of renal osteodystrophy are noted. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,,images/image_2922.png "Right middle lobe airspace disease may reflect atelectasis or pneumonia. . 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.",,images/image_2923.png "Chest. No acute cardiopulmonary finding. Right elbow and forearm. No acute traumatic finding. Left ankle. 1. No acute traumatic finding. 2. Midfoot degenerative changes and calcaneal enthesopathy. Chest. Heart size normal. Lungs clear. unremarkable. Limited technique. Right elbow and forearm. No acute fracture, dislocation or joint effusion. Soft tissues unremarkable. Left ankle. Soft tissue around ankle. There are midfoot degenerative changes and plantar calcaneal enthesophyte. Ankle mortise intact. No acute fracture or dislocation.",,images/image_2924.png No acute cardiopulmonary abnormalities. Stable chronic lung disease. . Heart size is unchanged. Aortic calcification is noted. No pneumothorax. No large pleural effusions. There are unchanged opacities throughout the lungs which represent scarring. Lungs are hyperexpanded.,,images/image_2925.png No acute cardiopulmonary process. The cardiomediastinal silhouette is normal in size and appearance. The lung are clear. There are no soft tissue or bony abnormalities. There is no pneumothorax or pleural effusion.,,images/image_2926.png "No acute pulmonary disease. Lung volumes are decreased from , and there is resultant bronchovascular crowding. No evidence of focal airspace disease. No definite pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits given the low lung volumes. No free subdiaphragmatic air. Grossly stable mild degenerative changes of the right lower thoracic spine.",,images/image_2927.png "No acute abnormality. Sternotomy noted. Suture material overlies the left upper lobe. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion or pneumothorax. Scarring left costophrenic , unchanged. Calcified granulomas noted.",,images/image_2928.png "No evidence of acute cardiopulmonary process. The 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.",,images/image_2929.png "Right midlung and left basilar airspace densities. The most recent study is not available for comparison. Recommend further evaluation with . Heart size and mediastinal contour normal. There is a 2.5 cm vague nodular density in the right mid lung, probably within the middle lobe given the opacification on the lateral view. There is a subtle left retrocardiac density also noted, with obscuration of aortic contour. No pleural effusions or pneumothorax.",,images/image_2930.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_2931.png "Normal chest. Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_2932.png "Obscured right heart with streaky right medial basilar airspace opacities, possibly due to airspace disease versus atelectasis. Otherwise, no acute cardiopulmonary abnormalities. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. The right heart appears obscured and there are streaky right medial basilar airspace opacities, possibly due to airspace disease or atelectasis. Otherwise, no focal consolidation, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_2933.png 1. Stable tortuosity of the thoracic aorta. The presence of an underlying aneurysm cannot be excluded. 2. Clear lungs The lungs appear clear. The thoracic aorta remains tortuous. The presence of an aortic aneurysm cannot be excluded on this study . A there are calcified mediastinal and hilar lymph suggesting prior histoplasmosis infection. The pleural spaces are clear.,,images/image_2934.png No acute cardiopulmonary disease. Retrolisthesis of two lower thoracic vertebral bodies. 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. is minimal retrolisthesis of two lower thoracic vertebral bodies.,,images/image_2935.png No acute cardiopulmonary abnormality. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_2936.png Vague area of focal airspace disease within the right midlung. There is raises concern for pneumonia. Recommend followup after appropriate treatment to document complete resolution. The heart is normal in size and contour. There is a vague area of airspace disease identified within the right midlung on the PA view. This is not well-demonstrated on the lateral view. There is no pneumothorax or effusion.,,images/image_2937.png "Cardiomegaly without acute cardiopulmonary abnormality. Cardiomegaly. No focal consolidation, effusion, or pneumothorax. Mild unfolding of the thoracic aorta. Bony thorax and soft tissues grossly unremarkable.",,images/image_2938.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion. foreign body in the posterior soft tissues appear stable.",,images/image_2939.png Unremarkable chest study. . The and soft tissue appear normal. The cardiac silhouette and mediastinum size are normal. The aortic is on the left. The trachea is well seen and appears normal. The lungs are clear.,,images/image_2940.png "No acute radiographic cardiopulmonary process. 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..",,images/image_2941.png "Mild streakiness, subsegmental atelectasis versus early infiltrate right lower lobe. There is mild streakiness in the right base. No focal infiltrate or effusion. No pneumothorax. Calcified granulomatous disease noted. Heart and mediastinal contours within normal limits. Osseous structures intact.",,images/image_2942.png "Stable normal cardiac size and contour, unremarkable mediastinal silhouette. Normal pulmonary and interstitium. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease. Stable normal cardiac size and contour, unremarkable mediastinal silhouette. Normal pulmonary and interstitium. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease.",,images/image_2943.png "1. No acute cardiopulmonary abnormality. 2. Stable bilateral emphysematous and lower lobe fibrotic changes. 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, nipple . Contour abnormality of the posterior aspect of the right 7th rib again noted, stable.",,images/image_2944.png No acute cardiopulmonary abnormality. . There is minimal scarring in the lung apices. The lungs are otherwise clear. Heart size is normal. No pneumothorax. There is dextrocurvature within the spine.,,images/image_2945.png Right upper lobe pneumonia. Right upper lobe airspace disease consistent with pneumonia given patient's history. The lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_2946.png "No acute cardiopulmonary abnormality.. 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.",,images/image_2947.png "No acute cardiopulmonary abnormality identified. 2 images. Calcified granuloma, right lung base. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",,images/image_2948.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax. Calcified granuloma within the right lung base.,,images/image_2949.png "1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.",,images/image_2950.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2951.png "Borderline heart size. Otherwise, no acute cardiopulmonary abnormality. The heart size is upper limits of normal. Mediastinal contour appears normal and pulmonary vascularity is within normal limits. Otherwise, no focal consolidation, large pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_2952.png Right lung base airspace disease and left base atelectasis. Normal heart size and mediastinal contour. Right lung base airspace disease on frontal . opacities in the left lung base consistent with atelectasis. No pneumothorax. No pleural effusion. Mild wedge deformity of T12.,,images/image_2953.png No evidence of active disease. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal.,,images/image_2954.png "1. Low lung volume study with minimal bibasilar atelectasis. Stable chest. The heart is normal in size and contour. The aorta is calcified and tortuous. The lung volumes are low. There is elevation of the right hemidiaphragm. Minimal streaky opacities in the lung bases, subsegmental atelectasis. No pleural effusion or pneumothorax.",,images/image_2955.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is an interim cervical spinal fusion partly evaluated.",,images/image_2956.png "1. Cardiomegaly without acute cardiopulmonary abnormality. The heart is enlarged. The mediastinum is unremarkable. Atherosclerotic calcifications present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are noted within the spine.",,images/image_2957.png "No acute cardiopulmonary disease. . 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.",,images/image_2958.png "Increased size of density in the left cardiophrenic . Primary differential considerations include increased size of prominent epicardial fat, pericardial mass, pleural mass or cardiac aneurysm. CT chest with contrast is recommended. These findings and recommendations were discussed . by Dr. telephone at p.m. /. Dr. <>technologist receipt of the results. The examination consists of frontal and lateral radiographs of the chest. The cardiac silhouette is not enlarged. There has been apparent interval increase in low density convexity at the left cardiophrenic . Calcified granuloma is again seen in the right upper lobe. There is no consolidation, pleural effusion or pneumothorax.",,images/image_2959.png "1. 7mm non calcified nodule, in appearance, recommend CT chest without contrast. Lateral view, over the lingula, there is a 7mm diameter uncalcified nodule of uncertain origin. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Mild tortuosity aorta is redemonstrated.",,images/image_2960.png "No acute cardiopulmonary abnormality identified. 2 images. Calcified granuloma left upper lobe. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",,images/image_2961.png 1. No acute cardiopulmonary abnormality. Mild dextroscoliosis of the lower thoracic spine. Cardiomediastinal silhouette is within normal in size and appearance. Pulmonary vascular is unremarkable. Lungs are expanded and clear airspace disease. Negative for pneumothorax or pleural effusion. Limited evaluation of the to be grossly intact,,images/image_2962.png COPD. No acute pulmonary disease. There is hyperinflation of the lungs appear to be clear. There is no pleural effusion or The heart is normal. There are atherosclerotic changes of the aorta. The skeletal structures are normal.,,images/image_2963.png "Unremarkable examination. Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, pneumothorax. No acute bony abnormality. No lymphadenopathy.",,images/image_2964.png "1. Mild stable cardiomegaly and central vascular congestion. 2. Low lung volumes with elevated left hemidiaphragm and basilar subsegmental atelectasis. 3. Extensive bilateral shoulder degenerative changes with subluxation/dislocation left shoulder, possibly chronic. Suggest clinical correlation. The heart is again mildly enlarged. Mediastinal contours are stable. Patient is somewhat rotated. The lungs are hypoinflated with elevated left hemidiaphragm. opacities compatible with atelectasis. No large effusion is seen. There is no focal consolidation. Pulmonary vascularity is mildly accentuated. There are bilateral degenerative changes of the with probable chronic dislocation of the left humerus. Correlate clinically.",,images/image_2965.png Emphysema without acute disease. The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. Emphysematous changes are identified. There is no acute infiltrate or effusion.,,images/image_2966.png "No acute cardiopulmonary disease. No evidence for metastatic disease by radiographic evaluation. The heart, pulmonary 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.",,images/image_2967.png "Question left atrial enlargement, appreciated on lateral view. Clear lungs. Rotated with low lung volumes. Question left atrial enlargement, appreciated on lateral view. There is no focal consolidation. There are no of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.",,images/image_2968.png "Normal chest. Heart is normal in size. No focal consolidation, pleural effusion or pneumothorax. No acute or destructive bone abnormality.",,images/image_2969.png No acute disease. The heart is normal in size. The mediastinum is stable. Granulomatous sequela are noted. The previously visualized nodular density in the right upper lobe is not well-seen on today's study. There is no acute infiltrate or pleural effusion.,,images/image_2970.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_2971.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_2972.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion. The heart is normal. There are atherosclerotic changes of the aorta. Senescent changes of the spine are seen.,,images/image_2973.png No radiographic evidence of active cardiopulmonary disease. The cardiomediastinal silhouette is within normal limits. The lungs are well expanded without consolidation or edema. No pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.,,images/image_2974.png No acute cardiopulmonary abnormality. There is a single calcified granuloma in the right lung base. The lungs are otherwise grossly clear bilaterally. There is no pneumothorax or pleural effusion. Cardiac and mediastinal silhouettes are normal. There are cholecystectomy clips in the right upper quadrant of the abdomen. Small T-spine osteophytes are noted.,,images/image_2975.png "No acute cardiopulmonary abnormality. . 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.",,images/image_2976.png "Right midlung and left basilar airspace densities. The most recent study is not available for comparison. Recommend further evaluation with . Heart size and mediastinal contour normal. There is a 2.5 cm vague nodular density in the right mid lung, probably within the middle lobe given the opacification on the lateral view. There is a subtle left retrocardiac density also noted, with obscuration of aortic contour. No pleural effusions or pneumothorax.",,images/image_2977.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_2978.png "Stable mild cardiomegaly without acute cardiopulmonary abnormality. Stable mild cardiomegaly. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures intact. Right humeral head bone anchor.",,images/image_2979.png 1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,,images/image_2980.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_2981.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_2982.png "Stable marked cardiomegaly. No acute cardiopulmonary abnormalities. There is stable marked cardiomegaly and mediastinal contour. Pulmonary vascularity is within normal limits. The left chest pacemaker is unchanged from comparison exam with fractured proximal lateral and both tips overlying the right ventricle. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_2983.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable with normal sized heart. Degenerative changes in the spine.,,images/image_2984.png 1. Bilateral lower lobe bronchitis. Normal cardiac contours. No pleural effusion or pneumothorax. Bilateral lower lobe bronchial thickening consistent with bronchitis.,,images/image_2985.png "Cardiomegaly and pulmonary venous hypertension. The heart is large, and the pulmonary are engorged. No infiltrates.",,images/image_2986.png "No acute cardiopulmonary abnormality. 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.",,images/image_2987.png No radiographic evidence of acute cardiopulmonary disease. The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The are unremarkable.,,images/image_2988.png "No radiographic evidence of acute cardiopulmonary disease Heart , mediastinum, , bony structures and lung are unremarkable.",,images/image_2989.png 1. Low volume study without definite acute process. 2. Mild cardiomegaly. Heart size appears enlarged. Mediastinal contours are within normal limits. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Osseous structures are within normal limits for patient age.,,images/image_2990.png Clear lungs. Spinal stimulator in . 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.,,images/image_2991.png "Bibasilar airspace opacities, right greater than left. These findings are concerning for pneumonia. Bibasilar airspace opacities, right greater than left. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The are intact.",,images/image_2992.png "1. Bilateral pulmonary nodules suggesting pulmonary metastases 2. Right internal jugular central catheter, the distal tip in the right atrium. There are bilateral pulmonary nodules whose appearances suggest metastatic disease to lungs. In the right lung, there is a 1.9 x 2.1 cm nodule overlying the posterior right 6th rib. There is a 1.0 x 1.2 cm nodule above this in the interspace between the posterior 5th and 6th ribs on the right. There is a 1.0 x 1.1 cm nodule projecting through the left 9th and 10th interspaces on the PA view. If not already performed, contrast-enhanced would be suited to evaluate these findings. There are no focal airspace opacities to suggest pneumonia. To the stomach contours appear grossly clear. Heart size and pulmonary appear normal. There are left-sided axillary clips. There is a right internal jugular central catheter, the distal tip in right atrium.",,images/image_2993.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_2994.png No acute cardiopulmonary disease The lungs appear clear. Scattered calcified granulomas are stable as are calcified mediastinal lymph . The heart and pulmonary are normal. Mediastinal contours are normal. Pleural spaces are clear.,,images/image_2995.png "Lung lines without evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. A total of 3 images were obtained. The cardiomediastinal contours are within normal limits allowing for low lung volumes and patient rotation. There is atelectasis. No consolidation, pleural effusion or pneumothorax. Calcified right infrahilar lymph again seen. Partially visualized lower cervical spine fusion .",,images/image_2996.png "Persistent stable right basilar atelectasis. Low lung volumes and patient rotation. Given differences in technique, heart size within normal limits. Persistent right basilar opacity, atelectasis. No suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Mild degenerative change of the thoracic spine.",,images/image_2997.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_2998.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_2999.png Limited study but no evidence for acute pulmonary disease. This study is limited by the patient body habitus. Lungs appear to be clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_3000.png 1. Low lung volumes. 2. opacities. Right base appears to represent atelectasis. Left base could be atelectasis or pneumonia. Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. There has been interval development of bibasilar opacities. The appearance of the right base opacity atelectasis. The left base opacities could represent early pneumonia or areas of atelectasis. No pneumothorax or pleural effusion is seen.,,images/image_3001.png No acute disease. The heart is normal in size. The mediastinum is within normal limits. The study is somewhat limited. No focal consolidation is seen.,,images/image_3002.png "1. No acute cardiopulmonary process. 2. Stable right middle lobe bronchiectasis, postinfectious/postinflammatory. . Normal heart size and mediastinal contours. There are reticular opacities in the medial right middle lobe with tubular airway ectasia which obscures the right heart . This was present previously and is most compatible with bronchiectasis. There is no focal airspace disease. No pneumothorax or pleural effusion. Unremarkable .",,images/image_3003.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality.",,images/image_3004.png 1. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma are present. Degenerative changes are present in the spine.,,images/image_3005.png 1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_3006.png "Mild pulmonary vascular congestion, with bilateral effusions. Constellation findings is most compatible with congestive heart failure. PA and lateral views. stable postoperative changes with midline sternotomy and myocardial revascularization. Cardiac size remains mildly enlarged but stable. There is mild vascular congestion. Small bilateral pleural effusions are present, which are .",,images/image_3007.png "Low lung volumes, otherwise clear. The cardiomediastinal silhouette is normal in size and contour. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_3008.png 1. No acute pulmonary disease. and lateral chest examination was obtained. One AP view is expiratory and was repeated. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no focal infiltrates. There is no effusion or pneumothorax.,,images/image_3009.png No acute pulmonary disease. The lungs are clear. A calcified granuloma is seen in the left midlung zone. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_3010.png 1. Stable cardiomegaly without acute disease. The heart is again enlarged. Aorta is tortuous. The lungs are hypoinflated but clear. No pleural effusion or pneumothorax is seen.,,images/image_3011.png 1. Pulmonary emphysema. 2. Large bilateral pulmonary arteries suggestive of pulmonary arterial hypertension. 3. No suspicious nodules or are identified. The heart is not enlarged. The bilateral pulmonary arteries appear enlarged. The lungs are hyperexpanded the hemidiaphragms are flattened. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_3012.png Subtle medial left basilar opacity could represent early pneumonia. There is a subtle left medial base opacity. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. No pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.,,images/image_3013.png "1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.",,images/image_3014.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. scarring is noted in the lingula. The lungs are clear.,,images/image_3015.png "Multiple nodules in both the left and right lungs consistent with neoplasm. Further workup could be initiated with contrasted CT of the chest, abdomen, and pelvis. Dr. I discussed the findings and further workup suggestions by telephone approximately hours , . 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 and mediastinum appear normal. Heart size normal.",,images/image_3016.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. Lungs are clear. There is no pneumothorax or pleural effusion. Degenerative changes are seen in the spine.,,images/image_3017.png No acute cardiopulmonary abnormality. 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. Stable left mid lung granuloma.,,images/image_3018.png "1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. Calcified lymph are identified in the left infrahilar region. No pneumothorax. No pleural effusion. No acute, displaced rib fractures identified.",,images/image_3019.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. There has been a sternotomy. The heart is not enlarged. Some atherosclerotic changes of the aorta are seen. The skeletal structures are normal.,,images/image_3020.png "Low lung volumes with minimal left basilar atelectasis versus scarring. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are unchanged. There are diminished lung volumes with central bronchovascular crowding. Minimal atelectasis versus scarring seen in the left lung base. Right lung is clear. No focal consolidation, pleural effusion, or pneumothorax identified. There are degenerative changes of the thoracic spine.",,images/image_3021.png "No acute cardiopulmonary abnormalities. Patchy subsegmental atelectasis is seen bibasilar region, no evidence of pneumothorax or pleural effusion is present. The cardiomediastinal silhouette is unremarkable. Old fractures seen the left 9th rib.",,images/image_3022.png Postoperative changes of left upper lobectomy. No acute findings. There are stable postoperative changes of left thoracotomy and left upper lobectomy. The lungs are clear. No focal airspace consolidation. No suspicious pulmonary mass or nodule is seen. There is no pleural effusion or pneumothorax. Stable elevation of the left hemidiaphragm. Normal heart size and mediastinal contour.,,images/image_3023.png "Low lung volumes without acute cardiopulmonary abnormality. Low lung volumes noted. The heart size is within normal limits. Pulmonary vasculature is unremarkable. No focal consolidations, effusions, or pneumothoraces.",,images/image_3024.png "Stable cardiomegaly without heart failure. Stable cardiomegaly, at partially accentuated by low lung volumes. Stable sternotomy , several of which are interrupted, and mediastinal clips. No focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.",,images/image_3025.png 1. No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules or adenopathy are noted.,,images/image_3026.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and aeration of the lungs. No pleural effusion.",,images/image_3027.png "No acute cardiopulmonary process. Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.",,images/image_3028.png Right upper lobe pneumonia. Heart size is stable. There is focal airspace consolidation in the lateral aspect of the right upper lobe. There is no pneumothorax or effusion. No acute bony abnormalities.,,images/image_3029.png 1. Hypoinflation without acute parenchymal infiltrate. 2. Mild mediastinal prominence related to superimposed and mediastinal fat. The heart is normal in size. The mediastinal contours are within normal limits. There is mild prominence of the superior mediastinum which is somewhat lucent and reflects mediastinal and vascular structures. No focal consolidation is seen. There is no pleural effusion.,,images/image_3030.png There is no evidence of acute cardiopulmonary disease. . The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no of a large pleural effusion. There is no evidence of pneumothorax.,,images/image_3031.png "No acute cardiopulmonary abnormalities. The trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. There is hiatal hernia.",,images/image_3032.png Findings of COPD. No acute findings. Lungs are hyperexpanded. Bullae are present in the upper lobes. No focal infiltrates. Heart size normal.,,images/image_3033.png Mild left-sided scarring/subsegmental atelectasis. No definite infiltrate. 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 reflect mild subsegmental atelectasis. There is no focal infiltrate or pleural effusion.,,images/image_3034.png "1. Chest. No active disease. 2. Left knee. Advanced degenerative joint disease. Chest. Lungs are clear and expanded. Heart normal. Left knee. No change marked narrowing, large osteophyte formation, multiple synovial osteochondromas.",,images/image_3035.png Moderate hiatal hernia. No definite pneumonia. Lungs are relatively clear. Heart size normal. Unfolded aorta. Moderate hiatal hernia. T-spine osteophytes and DISH.,,images/image_3036.png 1. Low volume study without definite acute process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.,,images/image_3037.png "1. No focal airspace consolidation. 2. Prominent bilateral interstitial opacities, stable from prior radiographs. The tracheostomy tube tip is 5 cm above the carina. There are prominent diffuse bilateral interstitial opacities, stable from prior radiographs. There is no focal airspace consolidation. No pleural effusion. No pneumothorax. Heart size is within normal limits. There are mild degenerative changes of the spine.",,images/image_3038.png Stable appearance of the chest without acute abnormality noted. 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.,,images/image_3039.png "1. Round opacity measuring 2 cm in diameter within the posterior mediastinum. Recommend further evaluation of this nodule with chest CT with IV contrast. Lungs are clear bilaterally, with no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. Calcified densities within the right paratracheal region and left perihilar region, may represent calcified granulomas. There is a round opacity measuring 2 cm in diameter within the posterior mediastinum. are unremarkable.",,images/image_3040.png Borderline cardiomegaly and mild chronic changes. No acute infiltrate. 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 are blunted.,,images/image_3041.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_3042.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Mild hyperinflation is noted. There are granulomatous sequela. No acute infiltrate or significant pleural effusion are noted. The costophrenic are excluded.,,images/image_3043.png 1. Upper limits of normal in size heart and mild tortuosity of the aortic . No acute pulmonary process. The heart size is upper limits of normal. Aorta is tortuous. The lungs are clear without focal infiltrate. No pleural effusion or pneumothorax.,,images/image_3044.png "1. No acute cardiopulmonary process. 2., Mild, age-indeterminate wedge deformity of a midthoracic vertebral body. The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous and calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Degenerative endplate changes of the thoracic spine with an age-indeterminate, mild wedge deformity of a midthoracic vertebral body.",,images/image_3045.png Cardiomegaly. Clear lungs. . Cardiomegaly with unfolded aorta. There is no pulmonary edema. There is no focal consolidation. There are no of a large pleural effusion. There is no evidence of pneumothorax.,,images/image_3046.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_3047.png No acute cardiopulmonary finding. Lungs are clear. Heart size normal. Scattered thoracic spine spurring.,,images/image_3048.png No acute abnormality. The heart is normal in size and contour. There is no mediastinal widening. No focal airspace disease. No large pleural effusion or pneumothorax. The are intact.,,images/image_3049.png No acute cardiopulmonary findings. Heart size is normal. No focal consolidations. There is a 6 mm calcified granuloma at the medial right lung base. No pneumothorax or pleural effusion.,,images/image_3050.png No acute cardiopulmonary abnormality. Stable deformities of the upper thoracic segments. The cardiac silhouette mediastinal contours are within normal limits. The lungs are clear bilaterally. No focal opacities. There is no large pleural effusion. No pneumothorax. There is deformities involving multiple vertebral bodies of the thoracic spine which appear stable compared to the previous exam.,,images/image_3051.png "Stable cardiomegaly. Improved aeration of lung bases with persistent left basilar effusion. Prominent interstitium, possibly due to mild volume overload. . Stable cardiomegaly and mediastinal contour. Increased interstitial lung markings are seen, possibly due to volume overload. There is improved aeration of the lung bases with small residual left basilar effusion. No focal consolidation or pneumothorax. Stable tunneled dialysis catheter. Visualized osseous structures appear intact.",,images/image_3052.png "No acute cardiopulmonary process. Cardiomediastinal silhouette is within normal limits in overall size and appearance. Aortic , cardiac apex, and stomach are left-sided. Central vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. Dextro-convex scoliotic curvature of the thoracic spine. No acute bony abnormality.",,images/image_3053.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. The patient was shielded.",,images/image_3054.png Stable cardiomegaly and of interstitial edema with small but increasing right pleural effusion. There is stable cardiomegaly. Right pleural effusion is slightly increased in size. Pulmonary vasculature is persistently enlarged. Prominent interstitium is stable. No focal infiltrate. No pneumothorax. Visualized osseous structures intact.,,images/image_3055.png "1.There is a left basilar airspace opacity, which is concerning for pneumonia. 2. Right basilar atelectasis. There is a left basilar airspace opacity. Right basilar atelectasis. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The are intact.",,images/image_3056.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Minimal right basilar subsegmental atelectasis noted. Cardio mediastinal silhouette is unremarkable. Tortuosity of the thoracic aorta noted. Scattered calcified granulomas are seen without evidence of active granulomatous/tuberculous process. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_3057.png "Low lung volumes. No acute pulmonary disease. There are low lung volumes with bronchovascular crowding as a result. No pleural effusion, pneumothorax or focal airspace disease. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.",,images/image_3058.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_3059.png "Low lung volumes with bronchovascular crowding, no acute cardiopulmonary finding. Low lung volumes with bronchovascular crowding. Sequela of prior granulomatous disease. Otherwise lungs clear. Heart size normal. Stable severe L1 deformity.",,images/image_3060.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3061.png "Emphysema. Large right upper lobe . Biapical scarring. The lungs are hyperexpanded. There is a large rounded lucency in the right upper lung, large emphysematous . There are biapical opacities, scarring. No focal airspace consolidation to suggest pneumonia. There is no pleural effusion. No pneumothorax. Normal heart size. There are minimal degenerative changes of the spine.",,images/image_3062.png "No acute cardiopulmonary disease. Lungs are clear. No focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Osseous structures intact.",,images/image_3063.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_3064.png Heart size upper limits normal. Lungs are clear. No evidence of active tuberculosis. No change from prior exam. The outside x- is normal except for slight cardiomegaly.,,images/image_3065.png "1. No acute cardiopulmonary abnormality. Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascularity is unremarkable. Morgagni hernia, stable. Lungs are expanded and clear of air space disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals diffuse demineralization with stable anterior wedging at the lower thoracic levels.",,images/image_3066.png No pulmonary nodules. Negative chest. Heart size within normal limits. Trachea is midline. The lung volumes are is somewhat low. Both lungs are otherwise clear bilaterally. No pleural effusion. No pulmonary nodules visualized.,,images/image_3067.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3068.png Stable cardiomegaly without overt pulmonary edema. Stable cardiomegaly with vascular prominence without overt edema. No focal airspace disease. No large pleural effusion or pneumothorax. The are intact.,,images/image_3069.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_3070.png "Negative for acute cardiopulmonary disease. No pulmonary nodules identified. Heart size is normal. Cardiomediastinal silhouette stable. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Emphysema.",,images/image_3071.png No acute cardiopulmonary abnormality. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified.,,images/image_3072.png No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Levoscoliosis of the thoracolumbar spine is present.,,images/image_3073.png Subtle medial left basilar opacity could represent early pneumonia. There is a subtle left medial base opacity. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. No pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.,,images/image_3074.png "1. No focal airspace consolidation. 2. Emphysema. 3. Stable biapical opacities, possibly scarring. Heart size is at the upper limits of normal. There is aortic atherosclerotic vascular calcification. The lungs remain hyperexpanded. There are biapical opacities, stable from the prior study. No focal airspace consolidation. No significant pleural effusion. No pneumothorax. There are mild degenerative changes of the spine.",,images/image_3075.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. Lung volumes are low normal. There are no acute bony findings.",,images/image_3076.png "No acute cardiopulmonary findings Heart size near top normal limits, mild aortic ectasia size tortuosity. Mediastinal calcifications and dense nodule in the lingula suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_3077.png Persistent and biapical opacities. No acute pulmonary disease identified. There is a large calcified granuloma in the right apex. Mild patchy opacities are seen in the upper lung zones bilaterally similar to prior studies. The heart and mediastinum are normal. Scoliosis and arthritic changes of the spine are present.,,images/image_3078.png "1. No acute cardiopulmonary abnormality. 2. Lucent lesion with thin sclerotic margin in the right humeral head. Considering the associated degenerative changes, a large geode is most . If further imaging is desired, dedicated views of the shoulder may be helpful for further characterization. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. There is a stable the electronic device any left anterior chest wall. There are advanced degenerative changes in the bilaterally. There is a 38 mm lucency in the right humeral head with geographic 1A margins.",,images/image_3079.png "No acute findings. . The postoperative cardiomediastinal silhouette is stable and upper limits of normal in size. There are sternotomy and surgical clips compatible with prior CABG. There is at one left-sided coronary artery stent. Pulmonary vasculature is normal in caliber. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_3080.png 1. Cardiomegaly and mild vascular prominence. 2. No evidence of acute disease. 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.,,images/image_3081.png No acute disease. The heart is normal in size. The mediastinum is stable. Calcified right paratracheal lymph are seen. Aorta is atherosclerotic. The lungs are mildly hypoinflated without focal consolidation. There is no pleural effusion.,,images/image_3082.png 1. Stable cardiomegaly without evidence for acute pulmonary process. Heart is mildly enlarged but stable. Pulmonary vascularity is normal. The patient is status post valve replacement. sternotomy intact. No focal airspace disease or effusion. Residuals of prior granulomatous infection. Degenerative change of the spine. No pneumothorax.,,images/image_3083.png "Mild cardiomegaly, no acute pulmonary findings Heart size mildly enlarged, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_3084.png "1. Right basal acute airspace disease. Please correlate clinically for pneumonia. 2. Chronic interstitial pattern, may reflect COPD. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Right-sided aortic . Normal mediastinal contour, pulmonary and vasculature, central airways and aeration of the lungs. There is right basal patchy opacity and bibasal atelectasis or scarring. There is no pleural effusion or pneumothorax. Right apical calcified granuloma noted.",,images/image_3085.png 7 nodular density at the left costophrenic . Recommend CT scan for further evaluation. There is a 7 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.,,images/image_3086.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Bony structures are intact.,,images/image_3087.png No acute cardiopulmonary findings. Heart size within normal limits. No focal airspace disease. Stable 4 mm lateral left midlung calcified granuloma. No pneumothorax or pleural effusion.,,images/image_3088.png "No acute cardiopulmonary abnormalities. No active pulmonary disease. The trachea is midline. Cardiomediastinal silhouette is normal. There is a calcified density in the left mid lung, most a calcified granuloma. Lungs are otherwise clear, without evidence of acute infiltrate or effusion. Specifically, there is no evidence of tuberculous disease. There is no pneumothorax. The bony structures show no acute abnormalities.",,images/image_3089.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3090.png 1. No evidence of active disease. 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.,,images/image_3091.png 1. opacities in the lingula. The appearance scarring or atelectasis. since the earlier study. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. There has been interval development of some bandlike opacities in left base. These appear to be located in the lingula. The remainder of the lungs appear clear. No pneumothorax or pleural effusion is seen.,,images/image_3092.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. The lungs are hyperinflated but clear. No pneumothorax or pleural effusion. No acute bony abnormalities.,,images/image_3093.png "No acute cardiopulmonary disease. PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or focal air space consolidation.",,images/image_3094.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_3095.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_3096.png 1. Malpositioned right PICC line tip. Now located in left innominate vein. 2. ill-defined focal opacities. These may represent small areas of pneumonia. Heart size and pulmonary vascularity appear within normal limits. Right PICC line is in . 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.,,images/image_3097.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_3098.png "Interval improvement in aeration of lung bases and pleural effusions. Residual small left effusion and questionable small right pleural effusion. Normal cardiomediastinal silhouette. Interval improvement in lung volumes bilaterally. Improved aeration of the right and left lung bases. Bilateral small pleural effusions and left base atelectatic change, with interval improvement. Visualized of the chest are within normal limits.",,images/image_3099.png "Bibasilar opacities, right greater than left, features suggest a combination of consolidation and atelectasis Streaky and patchy bibasilar opacities, triangular density projected over the heart on the lateral view. No definite pleural effusion seen, no typical findings of pulmonary edema. Considering differences in technical factors stable cardiomediastinal silhouette with normal heart size.",,images/image_3100.png No acute cardiopulmonary abnormalities. Normal cardiac contour. Clear lung bilaterally. No pleural effusion or pneumothorax. Degenerative seen throughout cervical spine.,,images/image_3101.png "1. No acute cardiopulmonary abnormality. 2. Chronic changes consistent with emphysema. The lungs are hyperexpanded, with flattened diaphragms. The cardiomediastinal silhouette is normal in size and stable from prior exam. There is mild tortuosity of the thoracic aorta. There is no pneumothorax or large pleural effusion. There are degenerative changes of the thoracic spine.",,images/image_3102.png "No acute cardiopulmonary abnormality. Heart size and mediastinal contour within normal limits. Calcified granuloma in the left lung base. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",,images/image_3103.png "No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality.",,images/image_3104.png No acute cardiopulmonary abnormalities. No pneumothorax. No large pleural effusions. Heart size is normal. No acute focal space opacities.,,images/image_3105.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_3106.png No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,,images/image_3107.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_3108.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Subtle increased opacity of right mid hemithorax related to superimposed soft tissues. The lungs are otherwise clear. There is no pleural effusion or pneumothorax.,,images/image_3109.png "No acute cardiopulmonary disease. . 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.",,images/image_3110.png No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits. Lungs are clear without focal consolidation. No visualized pneumothorax or large pleural effusion. No acute bone abnormality.,,images/image_3111.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_3112.png "Mild interstitial prominence, chronic though could reflect early pulmonary edema. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. is not diffuse interstitial prominence, which has chronic appearance. Cannot exclude early pulmonary edema. Two airspace consolidation or effusion. are osteopenic. No visible pneumothorax.",,images/image_3113.png "No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. Atherosclerotic calcifications about the aortic . No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Dextroconvex scoliotic curvature of the thoracic spine.",,images/image_3114.png No acute cardiopulmonary disease The lungs are clear. There is hyperexpansion of the lungs suggesting underlying emphysema. The heart and pulmonary appear normal. Pleural spaces are clear. Mediastinal contours are normal.,,images/image_3115.png "Right middle lobe airspace disease may reflect atelectasis or pneumonia. . 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.",,images/image_3116.png Clear lungs. Lungs are overall hyperexpanded with flattening of the diaphragms. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. degenerative changes within the spine. There are expansile changes within the right clavicle which were seen on the previous /CT. Findings are consistent with changes of multiple myeloma.,,images/image_3117.png " scarring or pleural plaque in the left upper lobe with partial resection of the posterior fourth rib. No acute findings. Heart size is normal. Tortuous aorta. Irregular 1.2 cm opacity in the left upper lung is identified both on PA and lateral views and represents chronic scarring. She has a partial resection of the posterior fourth rib. No pneumothorax. No pleural effusion. No focal infiltrate. Anterior wedging of multiple vertebral bodies including T6, T8, T11 and T12.",,images/image_3118.png "1. Stable and adequately placed . 2. Prominent pulmonary vasculature, subpleural edema, and peribronchial cuffing suggestive of volume overload versus viral bronchiolitis. There is interval placement of a on the left chest with the catheter tip in the cavoatrial junction. The heart size is within normal limits. Lung volumes within normal limits. Slightly prominent pulmonary vascularity noted. Increased peribronchial cuffing. No large consolidation, effusion, or pneumothorax. There is subpleural edema outlining the right fissure.",,images/image_3119.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures show arthritic changes.,,images/image_3120.png "1. Negative for acute cardiopulmonary disease. 2. 1.4 cm right lower lobe nodule, calcified granulomas disease. If patient high for pulmonary malignancy, consider cross-sectional imaging to verify. No pneumothorax, pleural effusion, or focal airspace disease. There is a discrete 1.4 cm nodule within the anterior segment of the right lower lobe. The additional nodular opacities consistent with chronic granulomatous disease. Heart size normal. Cardiomediastinal silhouette is clear. Bony structures appear intact. Right unilateral nipple ring.",,images/image_3121.png "No acute cardiopulmonary abnormalities. The trachea is midline. The cardiomediastinal silhouette is normal. There are small round calcific density nodules consistent with prior granulomatous disease bilaterally. Otherwise, the lungs are clear without evidence of acute infiltrate or effusion. There are no masses seen. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",,images/image_3122.png No acute disease. The heart is normal in size. The mediastinum is stable with aortic tortuosity. Lungs are clear with no pleural effusion or pneumothorax. No displaced rib fractures are noted. There are multilevel degenerative changes of the thoracic spine.,,images/image_3123.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_3124.png "No evidence of acute cardiopulmonary process. Unremarkable examination of the chest. The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There is no focal air space opacity, pneumothorax, or effusion. The bony structures of the thorax are intact with no evidence of acute abnormality. .",,images/image_3125.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. No pleural effusion.",,images/image_3126.png "1. Increased left hilar fullness. This may represent superimposed , adenopathy cannot be excluded on this exam. If there is clinical concern, suggest reference to prior exam or CT chest. 2. Large hiatal hernia, increased in size from prior exam. The heart is normal in size. Mild fullness of the left hilum, small interval change from prior exam. Lucencies throughout the chest representing emphysematous change. Scattered bilateral calcified granulomas. No pneumothorax. Large hiatal hernia, increased from prior exam.",,images/image_3127.png Hyperexpanded but clear lungs. Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.,,images/image_3128.png No acute abnormality. . Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. Calcified right upper lobe pulmonary granuloma and calcified right hilar lymph . The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,,images/image_3129.png "1. Minimal left basilar atelectasis or scar. 2. No acute, displaced rib fractures demonstrated. . The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is minimal atelectasis or scar in the left lung base. The lungs are otherwise grossly clear. There is a small calcified granuloma in the left upper lobe. There is no pneumothorax or pleural effusion. No acute, displaced rib fractures are demonstrated.",,images/image_3130.png 1. Right upper lobe pneumonia. 2. Rounded nodular opacity in the peripheral left upper lung which may represent further sequela infectious process versus other pathology including metastatic disease in a patient with thyroid cancer. Follow up to resolution recommended. 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.,,images/image_3131.png "No acute findings Stable cardiomediastinal silhouette with normal heart size, mediastinal calcifications suggest a previous granulomatous process. Apical irregularities also present on the previous exam suggestive of scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_3132.png "No acute findings Considering differences in technical factors stable cardiomegaly and stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema.",,images/image_3133.png 1. No acute radiographic cardiopulmonary process. 2. Mild hyperinflation. Limited exam as the left costophrenic is excluded from the PA view. The heart size is normal. The mediastinal contour is within normal limits. Mild lung hyperinflation. The lungs are free of any focal infiltrates. There is large calcified granuloma within the medial right lung base. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Mild multilevel degenerative changes seen within the thoracic spine. No visible acute fracture. There is no visible free intraperitoneal air under the diaphragm.,,images/image_3134.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_3135.png No acute cardiopulmonary abnormality. Heart size is within normal limits. Trachea is midline. The lung volumes are slightly on the low side. Lungs are otherwise clear without pleural effusion or pneumothorax. No focal consolidations. No bony or soft tissue abnormalities.,,images/image_3136.png Minimal bibasilar focal atelectasis. Cardiac silhouette and pulmonary vascularity are normal. There is mild bibasilar focal atelectasis. No evidence of pleural effusion or pneumothorax. Minimal atherosclerotic changes are present in the thoracic aorta.,,images/image_3137.png No acute cardiopulmonary abnormality. Normal heart. Calcified right hilar granulomas. No focal infiltrate. Midline trachea.,,images/image_3138.png 1. No acute cardiopulmonary disease. The heart and mediastinal contours are stable. The lungs are clear without focal infiltrate. There is no pleural effusion or pneumothorax.,,images/image_3139.png 1. No acute cardiopulmonary abnormalities. Normal cardiomediastinal contours. No pneumothorax or pleural effusions. No focal lung consolidation.,,images/image_3140.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Stable aortic tortuosity. Cardiomediastinal silhouette is otherwise unremarkable. Scoliosis and degenerative changes of the thoracic spine. Stent visualized in the right upper quadrant, biliary stent.",,images/image_3141.png No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,,images/image_3142.png "Negative for acute cardiopulmonary disease. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.",,images/image_3143.png No acute cardiopulmonary process. Heart size and mediastinal contour normal. Lungs are clear except for residuals of prior granulomatous infection. No pleural effusions or pneumothoraces.,,images/image_3144.png "No focal lung consolidation. COPD. The lungs are hyperexpanded, consistent with COPD. Mild cardiomegaly. No focal lung consolidation. No pneumothorax or pleural effusion. Pulmonary vascularity is within normal limits. Mild degenerative changes of the thoracic spine. Aortic calcifications consistent with atherosclerotic disease.",,images/image_3145.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. No pleural effusion.",,images/image_3146.png "Chest: No acute cardiopulmonary finding. Left knee: Minimal degenerative changes, however no acute bony abnormality. Chest: The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. Left knee: There is no fracture-dislocation. There are degenerative changes with medial compartment osteophytes. There is no suprapatellar effusion. There is a .",,images/image_3147.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3148.png No acute cardiopulmonary abnormality. 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 are intact.,,images/image_3149.png No acute abnormality. Heart size is normal. The lungs are grossly clear. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are stable. Normal pulmonary vascularity. No overt edema.,,images/image_3150.png No focal infiltrate. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_3151.png "No acute cardiopulmonary findings. Heart size and mediastinal contours are within normal limits. There is no pneumothorax, pleural effusion, focal airspace consolidation.",,images/image_3152.png No acute changes from prior imaging. Heart size upper limits of normal. Pulmonary vascular engorgement appears within limits of normal. No consolidating airspace disease is seen within the lungs. No pleural effusion or pneumothorax. Bridging syndesmophytes are noted throughout visualized thoracolumbar spine. This could indicate diffuse idiopathic skeletal hyperostosis. This is similar to prior imaging.,,images/image_3153.png 1. Hyperexpanded lungs. The pattern suggests emphysema. 2. No evidence of acute disease. The lungs appear hyperexpanded suggesting emphysema. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. Calcified granuloma is identified. No pneumothorax or pleural effusion is seen.,,images/image_3154.png Cardiomegaly and mild interstitial pulmonary edema. Moderate cardiomegaly. Bibasilar and perihilar interstitial opacities. No pneumothorax. No pleural effusions.,,images/image_3155.png "Buckling deformity of the anterior cortex of the body. Fracture is possible, if high energy was localized to this region. Correlate with focal tenderness. chest, if warranted. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Biapical fibronodular pleural thickening/scarring. There is a like deformity of the anterior cortex of the body (lateral view). Negative for retrosternal density. Prior cholecystectomy. Critical result notification documented through Primordial.",,images/image_3156.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_3157.png No acute cardiopulmonary process. If patient's symptoms persist recommend repeat study chest in one . PA and lateral views were obtained. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_3158.png No acute findings. Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are clear. Bony structures are intact.,,images/image_3159.png "No acute findings 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.",,images/image_3160.png No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,,images/image_3161.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. No pleural effusion.",,images/image_3162.png "No acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. Mild bilateral acromioclavicular joint and thoracic spine degenerative changes are noted.",,images/image_3163.png "No evidence of acute cardiopulmonary process. Stable appearance of the chest. 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.",,images/image_3164.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_3165.png Low lung volumes without acute cardiopulmonary disease. There are low lung volumes. The cardiac silhouette and mediastinal contours are within normal limits. There is tortuosity of the thoracic aorta. No pneumothorax. No large pleural effusion.,,images/image_3166.png 1. No active disease. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. No significant hilar process to suggest adenopathy. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_3167.png "1. Stable cardiomegaly without acute cardiopulmonary abnormality. The heart is enlarged, stable compared to the previous exam. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The are unremarkable.",,images/image_3168.png "1. No acute findings. 2. Bibasilar subsegmental atelectasis or scarring. 3. Emphysema. The lungs remain hyperexpanded. There are persistent bilateral lower lobe opacities, subsegmental atelectasis and scarring. No focal infiltrate is identified. There is no pleural effusion or pneumothorax. Normal heart size. There are minimal degenerative changes of the spine.",,images/image_3169.png No acute process. The cardiac contours are normal. Cardiac valve replacement. The lungs are clear. Thoracic spondylosis.,,images/image_3170.png 1. No acute cardiopulmonary disease. The heart and mediastinum are stable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,,images/image_3171.png "COPD with almost completely resolved right apical pleural air collection. Both lungs remain hyperexpanded. No focal infiltrates. A small pleural or collection is present in the right apex. However, it has decreased considerably since the previous examination. Heart size remains normal.",,images/image_3172.png Decreasing bilateral hilar adenopathy. Continued clear lungs. The mediastinal and hilar lymph are less prominent than previously. Heart size remains normal. Lungs are clear.,,images/image_3173.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .,,images/image_3174.png Cardiomegaly with mild bibasilar infiltrates versus atelectasis. Heart size is enlarged. The aorta is unfolded. Otherwise the mediastinal contour is normal. There are streaky bibasilar opacities. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_3175.png No acute cardiopulmonary abnormalities. Normal heart size and mediastinal contours. Low lung volumes. No focal airspace consolidation. No pneumothorax or pleural effusion. Visualized bony structures are unremarkable in appearance.,,images/image_3176.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_3177.png "No acute cardiopulmonary abnormality. 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.",,images/image_3178.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissue is unremarkable.",,images/image_3179.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3180.png No radiographic evidence of acute cardiopulmonary disease. The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The are unremarkable.,,images/image_3181.png No acute disease. The heart is top normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but grossly clear. Significant degenerative changes of the are again noted bilaterally.,,images/image_3182.png "1. No acute cardiopulmonary findings. 2. Extensive fibrotic changes of the right lung, similar to the previous exam. The cardiomediastinal silhouette is stable in appearance. There are extensive fibrotic changes in the right lung with rightward shift of the trachea, similar to the previous exam. The left lung is well-aerated without focal airspace consolidation, pleural effusions or pneumothorax. There is left apical pleural-parenchymal scarring. No acute bony findings.",,images/image_3183.png "1. No acute radiographic cardiopulmonary process. Surgical at the distal left clavicle. No acute osseous abnormality. Soft tissue structures are within normal limits. Stable normal cardio mediastinal silhouettes and hilar structures. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. .",,images/image_3184.png No acute cardiopulmonary abnormality. There are sternotomy and mediastinal surgical clips secondary to a CABG procedure. Small T-spine osteophytes. 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 cholecystectomy clips. There is eventration of right hemidiaphragm.,,images/image_3185.png 1. No evidence of active disease. 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 . The tip is in the upper right atrium.,,images/image_3186.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_3187.png No acute cardiopulmonary findings. Heart size is within normal limits. 8mm calcified granuloma in the right base. No focal airspace consolidations. No pneumothorax or effusion.,,images/image_3188.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine. spinal stimulator is in with tip overlying the T9 vertebral body.,,images/image_3189.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The are unremarkable.",,images/image_3190.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3191.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3192.png "No acute cardiopulmonary disease. . The cardiomediastinal silhouette is normal size and configuration. Tortuous aorta with atherosclerotic calcification. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. There are multiple overlying leads at the level of the left lower chest, with overlying or clothing there is this is thought to account for mild increased density the left lung base on AP view, with correlate on lateral view. Degenerative spine.",,images/image_3193.png 1. No evidence of active disease. 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.,,images/image_3194.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_3195.png "Stable cardiomegaly. Clear lungs. . Stable cardiomegaly and mediastinal contour. Lungs are clear without focal consolidation, large pleural effusion, or pneumothorax. Left basilar airspace opacity secondary to epicardial fat and overlying soft tissues. DISH of the thoracic spine is noted. Otherwise, visualized osseous structures are unremarkable.",,images/image_3196.png 1. Question small amount of free intraperitoneal air on the right. This is to be postprocedural due to the recent abdominal surgery. 2. Left basilar airspace opacity atelectasis versus pneumonitis. There is patchy opacity in the left base concerning for atelectasis versus pneumonitis. There is a curvilinear lucency that appears to be in the right hemidiaphragm and a small amount of free intraperitoneal air may be present. There is a small left pleural effusion. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_3197.png "1. No acute cardiopulmonary finding. 2. Mild to moderate T10 vertebral body anterior deformity, from . Slight interval increase in loss of T11. Unchanged severe L1 deformity. If further imaging characterization is needed, recommend MRI. Findings will be conveyed to the ordering physician the Primordial communication . Cardiomediastinal contour stable and within normal limits. Changes of prior CABG again noted. Normal pulmonary vascularity. Streaky bibasilar opacities decreased from previous, possibly subsegmental atelectasis and/or scar. No pneumothorax or pleural effusion demonstrated. Redemonstrated severe L1 fracture. Slight interval increase in loss of T11 and there is mild to moderate anterior loss of T10. Degenerative changes of the spine. Abdominal aortic stent.",,images/image_3198.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3199.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3200.png "1. 1 nodular density seen on the PA view only projecting in the right midlung. Recommend noncontrasted enhanced for evaluation of this nodule. Does this patient have known factors for malignancy? 2. Somewhat indistinct pulmonary interstitium possibly reflecting underlying pulmonary sarcoidosis There are no focal airspace opacities within the lungs. There is a 1 cm nodular density projecting in the right midlung between the third and fourth right anterior ribs which does not appear to be present on the prior . To the pulmonary interstitium is not clear, making it the vasculature somewhat indistinct in the mid and lower lungs. This may reflect parenchymal nodules. nodules were identified on the prior chest CT. Mediastinal contours appear grossly normal. There are small calcified left hilar lymph . The heart and pulmonary otherwise appear normal. Pleural spaces appear clear.",,images/image_3201.png "1. Moderate right-sided pleural effusion. 2. No cavitary lung changes to suggest active tuberculosis. The airspace opacities in right upper lobe seen on chest are not visualized on this study which could be due to difference in technique and patient rotation. 3. Cardiomegaly with prominent aorta which may be accentuated due to AP view. 4. Left humerus fracture. . 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.",,images/image_3202.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3203.png "No acute radiographic cardiopulmonary process. There are no acute osseous abnormalities. Soft tissues are within normal limits. There is stable enlargement of the heart. Calcific aorta. Stable bilateral calcified granulomas. The lungs are clear bilaterally without focal area of consolidation, pleural effusion, or pneumothorax.",,images/image_3204.png "No radiographic evidence of acute cardiopulmonary disease Heart , mediastinum, , bony structures are unremarkable. Stable increased lung volumes consistent with chronic lung disease. No infiltrates noted.",,images/image_3205.png No acute cardiopulmonary findings. Lungs are clear. Heart is normal size. Trachea is midline. No pneumothorax. No large pleural effusion.,,images/image_3206.png Small bilateral pleural effusions. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Small pleural effusion is identified.,,images/image_3207.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,,images/image_3208.png "No acute cardiopulmonary abnormality. 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.",,images/image_3209.png 1. lucency under the right hemidiaphragm may represent free intraperitoneal air. Left lateral decubitus film may be helpful. 2. Clear lungs. The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. No pneumothorax or pleural effusion. lucency under the right hemidiaphragm may represent a focus of free air.,,images/image_3210.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_3211.png No acute disease. The heart is normal in size. The mediastinum is stable. The lungs are clear.,,images/image_3212.png 1. Mild hypoinflation without acute disease. 2. Retrocardiac density compatible with hiatal hernia. The heart is top normal in size. The mediastinum is stable. Surgical clips again seen overlying the superior mediastinum.There is an retrocardiac density compatible hiatal hernia. The lungs are mildly hypoinflated. No acute infiltrate or pleural effusion are seen.,,images/image_3213.png Heart size is normal lungs are clear. No edema or effusions. Heart size is normal lungs are clear. No edema or effusions.,,images/image_3214.png 1. Very low lung volumes without definite acute cardiopulmonary finding. . There are very low lung volumes with associated central bronchovascular crowding. There is elevation of the left hemidiaphragm. There are -filled loops of mildly dilated colon in the left upper quadrant. The bowel pattern is not well evaluated secondary to incomplete imaging of the abdomen. There is no pneumothorax or definite pleural effusion. The streaky opacities in the lung bases may represent atelectasis. No definite infectious infiltrate is seen. There is scoliosis and exaggeration of the thoracic kyphosis.,,images/image_3215.png "1. bilateral lower lobe opacities. The appearance subsegmental atelectasis. 2. Pneumoperitoneum, postoperative secondary to recent laparoscopic surgery. There are 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.",,images/image_3216.png "Negative for acute cardiopulmonary findings. Heart size and cardiomediastinal silhouette are normal. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures are grossly intact.",,images/image_3217.png 1. right-sided chest tube tip projects outside the thoracic cavity. No residual pneumothorax. 2. Small residual pneumoperitoneum consistent with known colonic perforation. . right-sided chest tube tip now projects outside the thoracic cavity. No definite residual pneumothorax. Stable cardiomediastinal silhouette. There are low lung volumes. No large pleural effusion. No focal airspace consolidation. Small amount of subdiaphragmatic free air.,,images/image_3218.png No acute abnormality. Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Again noted is tortuosity and unfolding of the thoracic aorta. Aortic vascular calcifications. Normal pulmonary vascularity. Bone demineralization.,,images/image_3219.png 1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,,images/image_3220.png Patchy right middle lobe and lingular airspace disease compatible with multilobar pneumonia. . Patchy airspace disease is noted within the right middle lobe. Subtle opacities are present within the lingula as well. There is no pneumothorax or pleural effusion. The heart size is normal.,,images/image_3221.png "1. No acute cardiopulmonary disease. PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Degenerative spine.",,images/image_3222.png "Chest: No acute cardiopulmonary finding. Left knee: Minimal degenerative changes, however no acute bony abnormality. Chest: The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. Left knee: There is no fracture-dislocation. There are degenerative changes with medial compartment osteophytes. There is no suprapatellar effusion. There is a .",,images/image_3223.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3224.png 1. Pathologic fractures seen at T5 and L2. 2. Left venous catheter in SVC. Left chest wall Mediport placement with venous catheter tip in superior . Normal cardiac contours. No pneumothorax or pleural effusions. Clear lungs bilaterally. fracture seen at T5 and L2 with areas of sclerosis throughout the thoracic and lumbar spine.,,images/image_3225.png 1. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma are present. Degenerative changes are present in the spine.,,images/image_3226.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. The pleural spaces are clear. Mediastinal contours are normal.,,images/image_3227.png "1. No acute radiographic cardiopulmonary process. Heart size upper limits of normal but stable. Tortuous aorta. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..",,images/image_3228.png 1. No acute cardiopulmonary findings. 2. Chronic changes of emphysema and left basilar scarring. The heart size is within normal limits. After cirrhotic calcification of the thoracic aorta. Hyperexpanded lungs with flattened diaphragms and increased retrosternal clear space suggestive of emphysema. Streaky left basilar opacities are favored to represent scarring. No pleural effusions or pneumothorax. Exaggerated thoracic kyphosis. Scattered calcified granulomas bilaterally. No acute bony abnormalities.,,images/image_3229.png "1. Stable right basilar scarring and right pleural thickening Again noted and is blunting of the right pleural space, a effusion or scarring. Opacity in the right lung base also appears unchanged, scarring. Heart size appears normal, improved from prior study. There is no vascular congestion or edema. There's no pneumothorax.",,images/image_3230.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax. Calcified left hilar node.,,images/image_3231.png Opacity representing left upper lobe pneumonia. Recommend followup radiographically until cleared to ensure that there is no underlying mass. There is a rounded dense opacity in the lateral left midlung zone probably the left upper lobe most suggestive of a rounded pneumonia. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_3232.png "No acute cardiopulmonary abnormality.. 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.",,images/image_3233.png 1. Bilateral airspace disease. 2. Stable enlarged heart and prominent mediastinal contours. No acute osseous abnormality. Degenerative changes throughout the thoracic spine. Soft tissue structures are within normal limits. There is stable enlargement of the heart. Stable prominent mediastinal contours. Central vascular congestion. Mildly low lung volumes bilaterally. Bibasilar and left perihilar airspace opacities. bilateral pleural effusions. No pneumothorax.,,images/image_3234.png "No acute cardiopulmonary abnormality. Low lung volumes with bibasilar subsegmental atelectasis. No focal consolidations, pleural effusions, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the thoracic spine.",,images/image_3235.png 1. No evidence of active disease. 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.,,images/image_3236.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3237.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3238.png 1. No evidence of active disease. 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.,,images/image_3239.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. The pleural spaces are clear. The mediastinal contours are normal.,,images/image_3240.png 1. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma is identified.,,images/image_3241.png No acute preoperative findings. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_3242.png "No acute cardiopulmonary finding. The heart size is normal. The cardiomediastinal silhouette is stable in appearance. The lungs are clear without focal airspace opacity, pneumothorax, or pleural effusion. The are normal in appearance.",,images/image_3243.png "No acute cardiopulmonary abnormality.. Specifically, no evidence of active tuberculous process. 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.",,images/image_3244.png No active disease. Lungs are clear. No focal infiltrate. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.,,images/image_3245.png "1. No acute thoracic abnormality. 2. Cardiomegaly with marked tortuosity of the thoracic aorta. 3. Probable large hiatal hernia. 4. Limited evaluation of the thoracic spine secondary to osteopenia, age-indeterminate fracture deformities. The lungs and pleural spaces show no acute abnormality. Heart size is enlarged, pulmonary vascularity within normal limits. Marked tortuosity of the thoracic aorta. There are advanced degenerative changes of the glenohumeral joints bilaterally with bone-on-bone articulation, remodeling of the glenoid, and extensive subchondral cystic change. No displaced rib fractures are visualized. Diffuse osteopenia of the thoracic spine with a mid thoracic and several lower thoracic deformities, age-indeterminate. There is an air-fluid level in the middle mediastinum, most secondary to a large hiatal hernia.",,images/image_3246.png "Multiple bilateral calcified granulomas most sequela of granulomatous process. No focal infiltrate or consolidation. . If one would like to discuss this case further, please . at . Thanks. Heart size normal. Mediastinum unremarkable. Pulmonary vascularity within normal limits. Lungs symmetrically aerated without focal infiltrate or consolidation. Multiple scattered calcified granulomas are present bilaterally. No focal volume loss evident. No pneumothorax or pleural effusion. Bony thorax unremarkable.",,images/image_3247.png No acute cardiopulmonary abnormality. 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.,,images/image_3248.png Hyperexpanded but clear lungs. Lungs are overall hyperexpanded consistent with obstructive lung disease. Lungs are clear without focal consolidation. No suspicious pulmonary nodules or masses are noted. No pleural effusions or pneumothoraces. heart size is upper limits of normal.,,images/image_3249.png "No acute cardiopulmonary findings. The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is mild tortuosity of the descending thoracic aorta. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. There are mild degenerative endplate changes in the thoracic spine.",,images/image_3250.png No acute disease. The heart is top normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3251.png "No acute pulmonary findings. . Normal cardiomediastinal silhouette. Left-sided aortic . Pulmonary vasculatures are within normal limits. Central airways are . No focal consolidation, pleural effusion or pneumothorax. Bony structure are grossly unremarkable.",,images/image_3252.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Tortuosity of the thoracic aorta. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_3253.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_3254.png "No focal lung consolidation. No acute osseous abnormality. The soft tissues are within normal limits. Normal appearing cardiomediastinal silhouette and hilar contours. Left lower lobe density representing atelectasis. No focal area of consolidation, pleural effusion, pneumothorax.",,images/image_3255.png "1. Chest. No active disease. 2. Left and right . Bilateral degenerative joint disease, left worse than right. Chest. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left and right . Osteophytes are present at the acromioclavicular joints bilaterally and also on the humeral necks. The right glenohumeral joint is normal, but the left is narrowed. No fractures or bone destruction.",,images/image_3256.png "1. No acute cardiopulmonary abnormalities. . The trachea is midline. The heart size is normal. opacities are seen in the left lower lobe and left costodiaphragmatic , which could represent scarring or atelectasis. There is no pneumothorax. No acute bony abnormalities.",,images/image_3257.png "No acute cardiopulmonary process. If there is concern for soft tissue bone or bony abnormality of the thorax, . Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.",,images/image_3258.png 1. No acute pulmonary process. 2. Large hiatal hernia. . Aortic atherosclerotic calcifications. Large hiatal hernia. No pleural effusion or pneumothorax. No focal opacity. Cardiomediastinal silhouette is stable in size and appearance.,,images/image_3259.png "Cardiomegaly with bibasilar airspace disease and bilateral pleural effusions, right greater than left. . Low lung volumes bilaterally with bibasilar airspace opacities, right greater than left. There is blunting of the bilateral costophrenic sulci. Cardiac device overlies left chest, leads intact, tips overlying right atrium and right ventricle. No pneumothorax. Cardiomegaly. Degenerative changes of the spine.",,images/image_3260.png "1. Clear lungs. 2. Prominent right paratracheal opacities representing adenopathy. The heart size is within normal limits. Prominent right paratracheal soft tissues representing adenopathy. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.",,images/image_3261.png Clear lungs. Sequelae of old granulomatous disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_3262.png "1. Cardiomegaly, vascular congestion and probable mild interstitial edema. 2. Bibasilar airspace disease, bilateral pleural effusions, right greater than left. There is stable cardiomegaly with pulmonary vascular congestion and probable mild interstitial edema. There are bilateral pleural effusions with bibasilar airspace disease, right greater than left. There is no pneumothorax. There are no acute bony findings.",,images/image_3263.png "1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.",,images/image_3264.png Findings of COPD with right costophrenic focal atelectasis. The lungs are . opacities are present in the right costophrenic . No focal infiltrates. Heart size normal.,,images/image_3265.png "1. Low lung volume study, no acute pulmonary process. The heart and mediastinum are unremarkable. There is mild calcification of the aortic , consistent with atherosclerosis. The lung volumes are low, with bronchovascular crowding. The lungs are clear without infiltrate. There is no effusion or pneumothorax. Moderate degenerative changes of the spine.",,images/image_3266.png "No acute cardiopulmonary abnormality. Crowded bronchovascular markings in the hilar and perihilar region, right lower lung zones. Low lung volumes. No noncalcified pulmonary nodules seen. No pleural effusion or pneumothorax. No small heart size. There is a right diaphragmatic hump. The soft tissues seen in the left cardiophrenic , could represent an ectatic descending aorta or hiatal hernia. Visualized of the chest are within normal limits. Degenerative changes demonstrated within the visualized thoracic spine.",,images/image_3267.png "No acute cardiopulmonary abnormality. Given differences in patient rotation, heart size and mediastinal contours are grossly unchanged. Lungs appear clear without focal consolidation. No visible pleural effusion or pneumothorax. Stable degenerative changes of the thoracic spine with scattered deformities. Stable postsurgical changes of the left shoulder and marked degenerative changes of the right shoulder.",,images/image_3268.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_3269.png No acute process. The cardiac contours are normal. Atherosclerotic aorta. The lungs are clear. Thoracic spondylosis.,,images/image_3270.png "No acute findings Stable cardiomediastinal silhouette with normal heart size, mediastinal calcifications suggest a previous granulomatous process. Apical irregularities also present on the previous exam suggestive of scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_3271.png Bibasilar airspace disease left greater than right with small effusions. The cardiac silhouette is enlarged. There are bibasilar airspace opacities left greater than right with small right pleural effusion. No visualized pneumothorax.,,images/image_3272.png No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes within the spine.,,images/image_3273.png "No acute process. The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax.",,images/image_3274.png "No acute cardiopulmonary abnormality. Levoscoliosis of the thoracic spine. Heart size and mediastinal contours appear within normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. There is levoscoliosis of the thoracic spine.",,images/image_3275.png "Mild stable cardiomegaly with mild central pulmonary vascular congestion and interstitial accentuation, edema. The heart is mild enlarged. Central pulmonary vascularity is again accentuated. There are also mild increased interstitial markings without focal consolidation or pleural effusion.",,images/image_3276.png "Hyperinflated lungs, air trapping versus inspiratory . Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. Right hilar calcification suggests a previous granulomatous process.",,images/image_3277.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3278.png No acute cardiopulmonary abnormalities. No large pleural effusions. No pneumothorax. No focal airspace opacities. Heart size is normal.,,images/image_3279.png "No acute cardiopulmonary disease. PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or focal air space consolidation. Degenerative spine.",,images/image_3280.png "Low lung volumes, otherwise no acute cardiopulmonary abnormality. Normal heart size and mediastinal contours. Low lung volumes. No focal airspace consolidation. No pneumothorax or pleural effusion.",,images/image_3281.png 1. Heart size upper limits of normal. 2. Small left pleural effusion with associated airspace disease. Lungs are clear. blunting of the left costophrenic consistent with a small left pleural effusion and associated airspace disease. The right lung is clear. Sequelae of old granulomatous disease. Heart size is upper limits of normal. Degenerative changes in the spine.,,images/image_3282.png "No acute cardiopulmonary findings. The heart is mildly enlarged. Lung volumes are low. There is no focal consolidation, pneumothorax, or large pleural effusion. Bony structures are within normal limits. There is no free air under the diaphragm. There is a mild amount of seen in the transverse colon.",,images/image_3283.png "Prominent interstitial markings in the central lungs and bases which may be secondary to low lung volumes with bronchovascular crowding, differential considerations include interstitial infiltrates of inflammatory or infectious etiology and mild pulmonary edema. Clinical correlation is recommended. Mild hypoventilation with bronchovascular crowding and prominent central and basilar interstitial markings. No focal alveolar consolidation, no pleural effusion demonstrated. Considering technical factors heart size within normal limits.",,images/image_3284.png "Stable chest without acute cardiopulmonary abnormality. 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.",,images/image_3285.png "1. Cardiomegaly and small bilateral pleural effusions 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, primary differential diagnosis includes infection and aspiration, clinical correlation recommended Moderate-to-marked enlargement of the cardiac silhouette, mediastinal contours appear similar to prior. Mild bilateral posterior sulcus blunting, interstitial and alveolar opacities greatest in the central lungs and bases with indistinct vascular margination.",,images/image_3286.png Low lung volumes with bibasilar streaky opacities most representing subsegmental atelectasis. There are low lung volumes with bibasilar opacities representing subsegmental atelectasis. The cardio the cardiac silhouette is of the of normal. There is no pneumothorax or pleural effusion.,,images/image_3287.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_3288.png "No acute cardiopulmonary abnormality. . 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.",,images/image_3289.png 1. No acute radiographic cardiopulmonary process. Heart size is upper limits of normal and stable. They're multiple radiopaque densities overlying the patient.. The lungs are normally inflated and clear. Degenerative changes of the spinal.,,images/image_3290.png "1. No active disease. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. There are increased lucencies in the bilateral apices along with horizontal oblique scarring in the left upper lobe. This could suggest emphysematous bullae. are grossly unremarkable.",,images/image_3291.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_3292.png "Postsurgical changes of CABG without acute cardiopulmonary abnormality. Intact sternotomy and CABG markers. Calcified granulomas. Heart size is normal. No focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. T-spine degenerative changes.",,images/image_3293.png No acute cardiopulmonary findings. Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,,images/image_3294.png "Chest radiograph. Stable emphysematous changes without acute cardiopulmonary abnormality. Normal cardiomediastinal silhouettes. Mild hyperexpansion of the lungs. Stable appearance of scarring at lung bases. Prominent bilateral interstitial opacities are chronic in . No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",,images/image_3295.png "No acute cardiopulmonary abnormality. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is at the upper limits of normal. Calcified granuloma in the right lower lobe is stable in appearance compared to the previous examinations.",,images/image_3296.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a small stable foreign body noted over the left chest. There are vascular calcifications over the aortic . There are mild degenerative changes of the spine.",,images/image_3297.png "Stable cardiomegaly without acute cardiopulmonary abnormality. Compared to prior examination from , there has been extubation and removal of central line and enteric tube. Stable cardiomegaly and mild thoracolumbar dextroscoliosis. Left basilar opacity represents chronic fibrosis/scar. No focal consolidation, pneumothorax, or effusion. No acute osseous abnormality.",,images/image_3298.png No acute cardiopulmonary abnormality seen on chest x-. No pneumothorax. The trachea is midline. 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 abnormalities.,,images/image_3299.png Low lung volumes without acute cardiopulmonary disease. Low lung volumes with bronchovascular crowding at the bases. No focal opacity. No pneumothorax. No large pleural effusion. Cardiac silhouette mediastinal contours within normal limits.,,images/image_3300.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3301.png Bihilar prominence may be secondary mild lymphoid enlargement. Followup chest x- versus further imaging may be indicated. Correlation with prior films would be helpful if available. The heart is normal in size. There is bihilar prominence. The lungs are clear.,,images/image_3302.png "No acute cardiopulmonary abnormality. There are low lung volumes. The lungs are otherwise clear. No focal airspace consolidation or pleural effusion. Calcific density in the right lung apex, compatible with calcified granuloma.",,images/image_3303.png "Emphysema without acute cardiopulmonary findings. Stable left chest cardiac generator with 2 distal leads in right atrium and right ventricle. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Emphysema. Stable calcified granulomas. Bony structures appear intact.",,images/image_3304.png No acute cardiopulmonary findings. Heart size is normal. Lungs are clear. Low lung volumes. There is no pneumothorax or large pleural effusion.,,images/image_3305.png No acute cardiopulmonary disease. The lungs appear clear. Lung volumes are low. The heart and pulmonary appear normal. Pleural spaces are clear.,,images/image_3306.png No acute abnormality demonstrated. 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.,,images/image_3307.png 1. Decreased lung volumes. Bibasilar airspace opacities seen on lateral be atelectasis or possibly pneumonia. and lateral chest examination was obtained. There is enlarged heart silhouette. Decreased lung volumes. Lungs demonstrate bibasilar airspace opacities better visualized on lateral view. There is no effusion or pneumothorax. Degenerative changes of the bilateral .,,images/image_3308.png No acute cardiopulmonary process. Heart size and vascularity normal. External contour normal. Lungs clear. No pleural effusions or pneumothoraces.,,images/image_3309.png "Hyperinflated lungs, air trapping versus inspiratory . Hyperinflated lungs with mildly flattened posterior diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. No pneumothorax.",,images/image_3310.png "1. Probable residual left pneumothorax. 2. Stable streaky left basilar airspace disease, possibly atelectasis. There are persistent low lung volumes. There is stable streaky left lower lobe airspace disease. Probable residual left pneumothorax. No large pleural effusion. Stable cardiomediastinal contour. Left-sided rib fractures are better appreciated on the chest comparison.",,images/image_3311.png "No acute cardiopulmonary abnormality. 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.",,images/image_3312.png Patchy right lower lobe infiltrate as well as probable left basilar infiltrate versus atelectasis. The heart is normal in size. The mediastinum is unremarkable. There is patchy infiltrate within normal right lower lobe. Mild opacities in the retrocardiac region. No large effusions or pneumothorax.,,images/image_3313.png No acute abnormality identified. Heart size is normal. There are densely calcified mediastinal and right hilar lymph which suggest prior histoplasmosis exposure. No consolidating airspace disease is seen within the lungs. No pleural effusion or pneumothorax. No convincing acute bony findings.,,images/image_3314.png Negative for acute cardiopulmonary process. Negative for cardiac enlargement or vascular congestion. Minimal subsegmental atelectasis at the left base otherwise negative for focal confluent airspace disease. The visualized bony structures are intact. There are minimal degenerative disc changes of the mid/lower thoracic spine. No pneumothorax.,,images/image_3315.png 1. Retained contrast in the distal esophagus. 2. Unchanged right hilar mass. There is a moderate amount of retained contrast within the distal esophagus. There is no evidence of aspiration. A 3.0 cm nodule is present within the right hilum. No moderate to large pleural effusion or pneumothorax is identified. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is normal.,,images/image_3316.png No acute cardiopulmonary abnormality. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_3317.png "Left base focal atelectasis, no infiltrates that would suggest active tuberculosis. The trachea is midline. Cardiomediastinal silhouette is normal. The there are opacities in the left lower lobe of the lung, which are most dependent atelectasis. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.",,images/image_3318.png No visible active cardiopulmonary disease. Lumbar and are low. No infiltrates. Heart size normal. A large hiatal hernia is present. An age-indeterminate fracture is present in the lower thoracic vertebra. Scoliosis is present in the thoracic and thoracolumbar spine.,,images/image_3319.png "No acute cardiopulmonary abnormality. Low lung volumes. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact. Left humeral head bone anchors.",,images/image_3320.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Small T-spine osteophytes.,,images/image_3321.png "Mild cardiomegaly. Mild cardiomegaly. Normal pulmonary vascularity. Tortuosity of the descending aorta. No focal infiltrate, pneumothorax or pleural effusion.",,images/image_3322.png "No acute cardiopulmonary abnormality. Heart size and mediastinal contour within normal limits. Calcified granuloma right midlung. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes in the thoracic spine.",,images/image_3323.png Normal chest The cardiomediastinal silhouette is normal. No focal airspace consolidation. No pneumothorax or pleural effusion.,,images/image_3324.png "No acute cardiopulmonary findings. Cardiomediastinal silhouette is normal in size and contour. Pulmonary vasculature is normal in caliber. Lungs are clear of focal airspace disease, pneumothorax or pleural effusion. There are no acute bony findings.",,images/image_3325.png 1. No acute posttraumatic finding. 2. Mild right basilar airspace consolidation may represent atelectasis versus infiltrate. 3. Changes of chronic lung disease. Stable appearance of the cardiomediastinal silhouette. The aorta is calcified and tortuous. There is dextroscoliosis of the thoracolumbar spine. Multiple thoracic deformities appear unchanged. There is no displaced rib fracture identified. There is no pneumothorax or large pleural effusion. Stable changes of chronic lung disease with flattening of the left hemidiaphragm. There is mild right basilar airspace disease which may represent atelectasis versus infiltrate.,,images/image_3326.png No acute cardiopulmonary disease. The cardiac silhouette mediastinal contours are within normal limits. There is no definite focal infiltrate. There is no large pleural effusion. There is no pneumothorax.,,images/image_3327.png "1. No radiographic evidence of acute thoracic . Chest. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable. Thoracic spine. The examination consists of frontal, lateral and swimmers lateral radiographs of the thoracic spine. There is no evidence of fracture or malalignment. The vertebral body and disc spaces are maintained. Sternum. The examination consists of 2 oblique and one lateral radiograph of the sternum. No displaced fracture demonstrated.",,images/image_3328.png No acute cardiopulmonary abnormality. Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.,,images/image_3329.png No acute process. The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.,,images/image_3330.png "No acute cardiopulmonary abnormality. Surgical clips within the right upper quadrant. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_3331.png "No acute cardiopulmonary abnormality. 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.",,images/image_3332.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3333.png "1. Concern for left subphrenic free air. Verification with abdominal decubitus views is recommended for further evaluation. 2. Interval increase in size of the moderate to large bilateral pleural effusions with bibasilar atelectasis/airspace disease. 3. Left central venous catheter in unchanged position. 4. Interval placement of feeding tube the courses beneath the diaphragm and out of the -of-view. 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 -of-view.",,images/image_3334.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3335.png "Chest: No acute cardiopulmonary finding. Left knee: Minimal degenerative changes, however no acute bony abnormality. Chest: The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. Left knee: There is no fracture-dislocation. There are degenerative changes with medial compartment osteophytes. There is no suprapatellar effusion. There is a .",,images/image_3336.png "1. Unremarkable examination of the chest.. sternotomy 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. and soft tissues are unremarkable.",,images/image_3337.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. There are severe arthritic changes of the with mild arthritic changes of the thoracic spine.,,images/image_3338.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. The pleural spaces are clear. Mediastinal contours are normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.,,images/image_3339.png "1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Lower lung volumes on the AP projection. Heart size is upper limits of normal, pulmonary vascularity within normal limits. Implantable cardiac are visualized on the lateral projection in the region of the expected location of the mitral valve . sternotomy noted.",,images/image_3340.png "No acute cardiothoracic abnormality. Normal heart size. Normal mediastinal contour. No pneumothorax, airspace consolidation, or pleural effusion. No chest . No acute bony abnormality.",,images/image_3341.png "1. Right and left atrial enlargement with cardiomegaly. No acute pulmonary abnormality demonstrated. . 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. 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.",,images/image_3342.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is stable irregularity of the posterior left 6th rib which represents an old fracture..",,images/image_3343.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size of the cardiac silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. No pleural effusion.",,images/image_3344.png "No acute cardiopulmonary abnormality. Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",,images/image_3345.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3346.png Bibasilar pneumonia. Consolidation is developing in the left lower lobe. A patchy infiltrate is also present in the right lower lobe. Heart size is normal.,,images/image_3347.png No acute cardiopulmonary findings. The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.,,images/image_3348.png "Stable normal cardiac size and contour, unremarkable mediastinal silhouette. Normal pulmonary and interstitium. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease. Stable normal cardiac size and contour, unremarkable mediastinal silhouette. Normal pulmonary and interstitium. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease.",,images/image_3349.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Limited lateral view, given overlapping silhouettes. Negative for acute displaced rib fracture.",,images/image_3350.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3351.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures short thready changes of the spine.,,images/image_3352.png "Interval development of bilateral upper lobe consolidation, right greater than left, representing pneumonia.. Followup imaging to document resolution is recommended. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. A wedge-shaped opacity has developed in the right upper lobe. There is also patchy opacification identified in the left upper lobe. No acute bony abnormality.",,images/image_3353.png "No active or acute cardiopulmonary disease. Normal cardiac size and contour, unremarkable mediastinal silhouette. Normal pulmonary . Lungs clear, no airspace disease, pleural effusion, or pneumothorax.",,images/image_3354.png Lung volumes with streaky left basilar opacity consistent with subsegmental atelectasis. There are T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There are low lung volumes.,,images/image_3355.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3356.png No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits. Lungs are clear without areas of focal consolidation. No pneumothorax or large pleural effusion.,,images/image_3357.png "Normal chest No evidence of tuberculosis Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_3358.png "No acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, large pleural effusion, or pneumothorax is identified. Minimal thoracic spondylosis.",,images/image_3359.png Low lung volumes without acute cardiopulmonary disease. Cardiac silhouette and mediastinal contours are within normal limits. There are low lung volumes. There is no focal opacities. No pneumothorax. No large pleural effusion.,,images/image_3360.png 1. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. A few bandlike opacities are present on the lateral view which appear to represent small areas of scarring. Surgical clips are present in the right upper quadrant of the abdomen. Degenerative changes are present in the spine.,,images/image_3361.png No acute disease. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_3362.png "No acute cardiopulmonary finding. The heart and cardiomediastinal silhouette are normal in size and shape. There is no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",,images/image_3363.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_3364.png COPD and small left basilar scar. There is hyperinflation of the lungs. A small area scarring is seen in the left cardiophrenic 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.,,images/image_3365.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3366.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures short thready changes of the spine.,,images/image_3367.png "No acute cardiopulmonary abnormality. 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.",,images/image_3368.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_3369.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_3370.png "Hyperinflated lungs, air trapping versus inspiratory . Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits, the typical findings of pulmonary edema. Mild spine dextrocurvature noted.",,images/image_3371.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Atherosclerotic calcifications of the aortic are noted. The lungs are clear.,,images/image_3372.png "Chest radiograph. 1. No acute radiographic cardiopulmonary process. 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 are intact without acute osseous abnormality.",,images/image_3373.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are degenerative changes of the spine.",,images/image_3374.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. The patient was shielded.",,images/image_3375.png "Hyperexpanded lungs, suggesting chronic obstructive pulmonary disease. No acute pulmonary process. Heart size and vascularity normal. Lungs are hyperexpanded but clear. Mediastinal contour normal. No pleural effusions or pneumothoraces.",,images/image_3376.png "No acute findings Stable enlargement of the cardiac silhouette, stable mediastinal and hilar contours, surgical clips and CABG markers. Stable 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.",,images/image_3377.png No evidence of thoracic injury. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,,images/image_3378.png "No acute cardiopulmonary abnormality. Stable calcified superior mediastinal lymph . Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_3379.png "1. No acute cardiopulmonary abnormality. 2. Mild cardiomegaly, stable. There are no focal areas of consolidation. No suspicious bony opacities. Heart size slightly enlarged. No pleural effusions. There is no evidence of pneumothorax. Degenerative changes of the thoracic spine.",,images/image_3380.png Stable chest radiograph with no acute or progressive abnormality. There is no suggestion of enlargement of the known right retrohilar pulmonary nodule or pulmonary nodularity. No interval change is found in the bony thorax. The heart size remains normal with an ectatic tortuous aorta. The pulmonary vasculature is not engorged. Lungs are free of infiltrate and there is no pleural effusion. The fullness to the right hilum is again noted but this is unchanged suggesting no progression of the retrohilar nodule on the CT scan. No pulmonary nodule is found.,,images/image_3381.png "No acute cardiopulmonary abnormality. 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.",,images/image_3382.png 1. No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. are grossly intact.,,images/image_3383.png Emphysema without superimposed pneumonia. 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.,,images/image_3384.png "Hyperinflated lungs, air trapping versus inspiratory . Hyperinflated lungs with mildly flattened posterior diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. No pneumothorax.",,images/image_3385.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mild spine curvature noted.",,images/image_3386.png "1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Stable right lower lobe calcified granulomas. Thin lingular scar, unchanged. Heart size and pulmonary vascularity within normal limits. Surgical clips are visualized in the right upper quadrant.",,images/image_3387.png "Clear lungs. No acute cardiopulmonary findings. Heart size is upper limits of normal. Mediastinal contours and pulmonary vascularity are within normal limits. There is no focal infiltrate or suspicious pulmonary opacity. No pneumothorax or pleural effusion. There is a lucency along the peripheral right lung base, secondary to a skin fold. No acute bony findings.",,images/image_3388.png "1. Cardiomegaly, question small bilateral pleural effusions 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, differential diagnosis includes infectious and inflammatory processes. Stable enlargement of the cardiac silhouette, lateral view interlobar fissural thickening. Interstitial opacities greatest in the central lungs and bases.",,images/image_3389.png "No radiographic evidence of acute cardiopulmonary disease Stable postsurgical changes. Heart , mediastinum and lung are unremarkable. Stable calcified small granuloma in left base.",,images/image_3390.png Interval increase in size and number of innumerable bilateral pulmonary nodules consistent with worsening metastatic disease. The heart is normal in size. The mediastinum is stable. Left-sided chest is again visualized with tip at cavoatrial junction. There is no pneumothorax. Numerous bilateral pulmonary nodules have increased in size and number compared to prior study. The dominant nodule/mass in the left midlung is also mildly increased. There is no pleural effusion.,,images/image_3391.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum unremarkable. No change in the mediastinal surgical clips.,,images/image_3392.png "7 mm right upper lobe lung nodule. Recommend followup characterization with . 2 images. There is a poorly defined lung nodule in the right upper lobe measuring approximately 7 mm and partially superimposed upon anterior right second rib. Otherwise, the lungs are clear. No pleural effusion or pneumothorax. Heart size is normal. Critical result notification documented through Primordial.",,images/image_3393.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. opacity in left midlung. The lungs are clear.,,images/image_3394.png 1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are hyperexpanded. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,,images/image_3395.png No active disease. Lungs remain clear and expanded. Heart and mediastinum normal.,,images/image_3396.png No radiographic evidence of acute cardiopulmonary disease. The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The are unremarkable.,,images/image_3397.png "No acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.",,images/image_3398.png No acute cardiopulmonary abnormality. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_3399.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_3400.png "1. Left midlung opacity, not well seen on prior exam, may represent focus of airspace disease. 2. Stable left base opacities, scarring or atelectasis. 2. Postsurgical changes as above. . Right-sided internal jugular central venous catheter with tip approximating the right atrium. Postsurgical changes of the mediastinum including sternotomy . Left base opacities again noted, stable. There is a left lung opacity, not well appreciated on prior. There is no evidence of pneumothorax. Low lung volumes. Degenerative changes thoracic spine.",,images/image_3401.png "No acute cardiopulmonary process. Heart size is normal. There is tortuosity of the thoracic aorta, stable compared with prior. No focal airspace disease or effusion. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.",,images/image_3402.png No acute cardiopulmonary findings. The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic blunting to suggest large pleural effusion. Bony structures are within normal limits.,,images/image_3403.png "No acute cardiopulmonary disease. Cardiac silhouette and mediastinal contours are within normal limits. Nodular opacity overlying the upper lungs bilaterally may represent overlying telemetry , correlate clinically. Otherwise, lungs are clear. No large pleural effusion no pneumothorax.",,images/image_3404.png Negative for acute cardiopulmonary process. Negative for cardiac enlargement or vascular congestion. Minimal subsegmental atelectasis at the left base otherwise negative for focal confluent airspace disease. The visualized bony structures are intact. There are minimal degenerative disc changes of the mid/lower thoracic spine. No pneumothorax.,,images/image_3405.png "No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present. Small T-spine osteophytes. There is biapical pleural thickening, unchanged from prior. Mildly hyperexpanded lungs.",,images/image_3406.png "No acute cardiopulmonary abnormalities. The trachea is midline. The heart is slightly large. There are low lung volumes causing bronchovascular crowding. Otherwise the lungs appear clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.",,images/image_3407.png No evidence of active disease. There are scattered calcified granulomas. The lungs are otherwise clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour. Right humeral internal fixation is noted.,,images/image_3408.png "1. No acute pulmonary infiltrate or effusion. There is no pneumothorax. 2. Prominent bilateral , right greater than left. This appears slightly increased from the prior studies. Findings could be related to hilar lymph or enlarged pulmonary arteries. If clinically indicated, further evaluation with contrast-enhanced CT of the thorax could be performed. The cardiac silhouette and upper mediastinum are within normal limits. There is no pulmonary venous congestion. There is prominence of the pulmonary arteries, right greater than left. There is no acute air space infiltrate, pleural effusion or pneumothorax.",,images/image_3409.png "No acute cardiopulmonary finding. The heart and cardiomediastinal silhouette or normal in size and contour. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",,images/image_3410.png Cardiomegaly without acute disease. Heart size is mildly enlarged. The pulmonary 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. There are extensive vascular calcifications. There is a left midlung calcified granuloma.,,images/image_3411.png "No acute cardiopulmonary abnormality. The cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. There is mild midthoracic dextroscoliosis, with the otherwise grossly intact.",,images/image_3412.png "1. Chest. No active disease. 2. Left and right knees negative. Chest. Lungs are clear and expanded. Heart size normal. A calcified pleural plaque in the right subpulmonic area has not since the abdomen CT. Left and right knees. , spaces, and soft tissues are normal.",,images/image_3413.png No acute cardiopulmonary findings. Heart size normal. No focal airspace disease. No pneumothorax or effusions. No bony abnormalities.,,images/image_3414.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",,images/image_3415.png Low lung volumes with increased lung markings particularly in the left perihilar region related to history of bronchitis. No acute infiltrate. The heart is normal in size. The mediastinum is Within normal limits the lungs are hypoinflated. There is mild increase in perihilar markings related to patient's history bronchitis. No acute infiltrate or pleural effusion are seen.,,images/image_3416.png Possible lower posterior lateral left rib fractures as described above. If further concern for rib fractures dedicated rib films would better evaluate. Otherwise no acute cardiopulmonary disease. Within the posterior lateral 8th rib there is a deformity along the cortex with associated oblique lucency. In addition within the posterior lateral 9th rib there appears to be a obliquely oriented lucency with cortical disruption. Findings are concerning for possible left rib fractures. Otherwise the cardiomediastinal silhouette is within normal limits. The lungs are clear bilaterally. Multiple small punctate radiopaque foreign bodies are seen within the subcutaneous tissues and are present on previous CT scan from .,,images/image_3417.png Normal chest film. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,,images/image_3418.png 1. Probable small bilateral pleural effusions. 2. Possible lower thoracic deformity not well characterized on today's study. The lungs are clear. There appear to be small bilateral pleural effusions. The heart is not grossly enlarged. There are atherosclerotic changes of the aorta. Increased kyphosis is seen in the may be a thoracic deformity that is not well-characterized. Arthritic changes are seen.,,images/image_3419.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Sternotomy sutures and coronary bypass clips remain intact.,,images/image_3420.png Streaky right lower lobe infiltrate versus atelectasis. The heart size is normal. Tortuous aorta. Otherwise the mediastinal contour is within normal limits. Low lung volumes. Mild elevation of the right hemidiaphragm. There is streaky opacity within the right lower lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_3421.png 1. Findings consistent with emphysema with interstitial thickening. This could be due to edema superimposed on emphysema or pneumonitis or fibrosis. chest if warranted clinically given recent onset of dyspnea. . The cardiomediastinal silhouette is within normal limits for appearance. The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. Mild increased lung markings due to chronic changes. No focal pulmonary consolidation. No pneumothorax. No pleural effusion. Moderate degenerative changes of the thoracic spine. Calcified left perihilar granuloma redemonstrated.,,images/image_3422.png "No acute cardiopulmonary findings. There are mildly diminished lung volumes. Cardiac silhouette is normal in size. Normal mediastinal contour and pulmonary vasculature. The lungs are without focal airspace consolidation, large pleural effusion, or pneumothoraces.",,images/image_3423.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_3424.png Cardiomegaly and increased interstitial opacities represent interstitial edema. Cardiomegaly. Mediastinal contours are normal limits. Increased interstitial opacities. No pneumothorax or large pleural effusion. No acute osseous abnormality.,,images/image_3425.png "No acute findings. Stable cardiac enlargement. Enlarged cardiac contour, stable. Calcified vasculature. Sequelae of prior granulomatous disease. No confluent consolidation, pleural effusion, or overt pulmonary edema. Mild thoracic spondylosis.",,images/image_3426.png No acute cardiopulmonary abnormality. Normal heart size and mediastinal contours. Minimal blunting of the costophrenic . No focal airspace consolidation. No pneumothorax or pleural effusion.,,images/image_3427.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3428.png 1. No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_3429.png Normal chest. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,,images/image_3430.png "No acute cardiopulmonary findings Heart size within normal limits. Right hemidiaphragm eventration noted. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_3431.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The right chest tip is visualized in the mid SVC. There is no pneumothorax. The lungs are clear.,,images/image_3432.png "1. No evidence of acute cardiopulmonary process. 2. 8mm nodule in the left lung base, calcified granuloma. The cardiac and mediastinal contours are within normal limits. The lungs are well-inflated and clear. There is an 8mm nodule in the left lower lobe, calcified granuloma. There is no pneumothorax or effusion. Bony structures of the thorax are intact with minimal early degenerative change.",,images/image_3433.png Mild stable cardiomegaly without acute disease. Possible right pleural effusion. The heart is enlarged. Changes of sternotomy and bypass graft are identified in the lungs are grossly clear. right pleural thickening versus pleural effusion is noted. There is no acute infiltrate. No pneumothorax is seen. Mild granulomatous sequela are noted.,,images/image_3434.png Mild opacities compatible with residual atelectasis/scarring. The heart is normal in size. The mediastinum is stable. The previously visualized bilateral pneumothoraces have resolved. Right chest wall surgical have been removed. There is improved aeration in the lung bases with mild residual opacities compatible with scarring or atelectasis.,,images/image_3435.png No evidence of acute cardiopulmonary disease. 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.,,images/image_3436.png "No acute abnormalities. The trachea is midline. Cardio mediastinal silhouette is normal in contour with overlying sternotomy . The lungs are clear without acute infiltrate, effusion or pneumothorax. The visualized bony structures reveal no fractures or dislocations.",,images/image_3437.png "Left upper lobe pneumonia. Followup radiographs after appropriate therapy in 8-12 weeks are indicated to exclude an underlying abnormality. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is a region of left upper lobe perihilar opacity identified.",,images/image_3438.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. closure device demonstrated projecting over the right heart. There are no acute bony findings.",,images/image_3439.png "Lung lines without evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. A total of 3 images were obtained. The cardiomediastinal contours are within normal limits allowing for low lung volumes and patient rotation. There is atelectasis. No consolidation, pleural effusion or pneumothorax. Calcified right infrahilar lymph again seen. Partially visualized lower cervical spine fusion .",,images/image_3440.png Right foot 1. No evidence of the bony erosions or osseous infection. Chest radiograph 1. No acute cardiopulmonary abnormalities. No pneumothorax or pleural effusion. Normal cardiac contours. Clear lungs bilaterally. Redemonstration of transmetatarsal amputation. No evidence of acute fracture-dislocations. No evidence of any bony erosions or osseous infections.,,images/image_3441.png No acute cardiopulmonary disease. The heart size is upper limits of normal. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.,,images/image_3442.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_3443.png " right upper lobe mass, suspicious for neoplasm. CT of chest abdomen and head would be helpful for further evaluation. In the interval, a 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe. In addition, on the PA view, an 8 mm opacity is adjacent to the left of the heart. This opacity cannot be well identified on the lateral view. It may be artifactual, but another mass on the left cannot be excluded. Mediastinum is normal with no evidence for adenopathy. Heart size normal. Note of an unchanged hiatal hernia.",,images/image_3444.png "No acute cardiopulmonary abnormalities. The trachea is midline. The cardiomediastinal silhouette is normal. There are small round calcific density nodules consistent with prior granulomatous disease bilaterally. Otherwise, the lungs are clear without evidence of acute infiltrate or effusion. There are no masses seen. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",,images/image_3445.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion.",,images/image_3446.png "Borderline heart size, no acute pulmonary findings Heart size borderline enlarged. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense nodule in the right lower lobe suggests a previous granulomatous process.",,images/image_3447.png "Findings concerning for interstitial edema or infection. Heart size is mildly enlarged. There are diffusely increased interstitial opacities bilaterally. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.",,images/image_3448.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_3449.png No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. there are residuals of prior granulomatous infection. Lungs otherwise clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,,images/image_3450.png "Stable cardiomegaly without acute cardiopulmonary abnormality. No stable cardiomegaly, without focal consolidation, pneumothorax, or pleural effusion. Stable right basilar calcified granuloma. No acute osseous abnormality identified.",,images/image_3451.png 1. No evidence of active disease. 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.,,images/image_3452.png " right upper lobe mass, suspicious for neoplasm. CT of chest abdomen and head would be helpful for further evaluation. In the interval, a 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe. In addition, on the PA view, an 8 mm opacity is adjacent to the left of the heart. This opacity cannot be well identified on the lateral view. It may be artifactual, but another mass on the left cannot be excluded. Mediastinum is normal with no evidence for adenopathy. Heart size normal. Note of an unchanged hiatal hernia.",,images/image_3453.png 1. Hyperexpanded lungs consistent with emphysema. 2. No evidence of acute disease. The heart size and pulmonary vascularity appear within normal limits. There has been clearing of left base airspace opacities. The lungs now appear clear. No pneumothorax or pleural effusion is seen. The lungs appear hyperexpanded consistent with emphysema.,,images/image_3454.png No acute cardiopulmonary findings. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.,,images/image_3455.png "No Acute cardiopulmonary disease. The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The Heart and mediastinum are normal size and shape. and soft tissues are unremarkable.",,images/image_3456.png 1. No evidence of active disease. 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.,,images/image_3457.png 1. No evidence of pneumonia or aspiration 2. Suture material along left apex suggesting prior lung surgery The lungs appear clear. No evidence of focal pneumonia. The heart and pulmonary are normal. There is suture material at the left apex suggesting prior lung surgery. In the pleural spaces are clear. Mediastinal contours appear normal.,,images/image_3458.png No acute cardiopulmonary abnormalities. Normal heart size mediastinal contours. No focal airspace opacity. No pneumothorax or pleural effusion. Visualized are unremarkable in appearance.,,images/image_3459.png "No acute cardiopulmonary abnormality. Heart size is normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact.",,images/image_3460.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_3461.png No acute cardiopulmonary abnormalities. Heart size is normal. No pneumothorax. No large pleural effusions. No focal airspace opacities.,,images/image_3462.png No acute cardiopulmonary disease The lungs appear clear. There are no suspicious appearing pulmonary nodules or masses. There is no evidence of pneumonia. The heart pulmonary appear normal. Pleural spaces are clear. Mediastinal contours are normal.,,images/image_3463.png "No acute cardiopulmonary disease. Normal cardiomediastinal silhouette. No airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No acute bony abnormality.",,images/image_3464.png "Stable appearance of the chest. No acute cardiopulmonary findings. 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.",,images/image_3465.png "1. No acute thoracic abnormality. 2. Cardiomegaly with marked tortuosity of the thoracic aorta. 3. Probable large hiatal hernia. 4. Limited evaluation of the thoracic spine secondary to osteopenia, age-indeterminate fracture deformities. The lungs and pleural spaces show no acute abnormality. Heart size is enlarged, pulmonary vascularity within normal limits. Marked tortuosity of the thoracic aorta. There are advanced degenerative changes of the glenohumeral joints bilaterally with bone-on-bone articulation, remodeling of the glenoid, and extensive subchondral cystic change. No displaced rib fractures are visualized. Diffuse osteopenia of the thoracic spine with a mid thoracic and several lower thoracic deformities, age-indeterminate. There is an air-fluid level in the middle mediastinum, most secondary to a large hiatal hernia.",,images/image_3466.png No focal lung infiltrates. The lungs are clear. The cardiomediastinal silhouette is within normal limits. A right-sided Mediport catheter is noted. No pleural effusion is identified.,,images/image_3467.png "No acute cardiopulmonary abnormality. Heart size is normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact.",,images/image_3468.png "Mild blunted right costophrenic which could be due to effusion or scarring. The heart and mediastinum are normal. The lungs are clear. There is mild blunting of the right costophrenic . There is no infiltrate, mass or pneumothorax. The right internal jugular catheter has been removed.",,images/image_3469.png Stable appearance of the chest without acute abnormality noted. 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.,,images/image_3470.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are degenerative changes of the spine.",,images/image_3471.png 1. No acute pulmonary disease. 2. Possible old injury or developmental anomaly partially T12-L1. The lungs are clear. There are calcified left hilar lymph . The heart and mediastinum are normal. The skeletal structures are notable for an old apparent fracture at T12-L1 or congenital fusion unchanged from the prior study.,,images/image_3472.png No acute cardiopulmonary abnormality. Normal heart. Clear lungs. No pneumothorax. No pleural effusion.,,images/image_3473.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_3474.png sternotomy and mediastinal postsurgical changes. Stable cardiomegaly. Crowded bronchovascular and interstitial markings related to low lung volumes and technique. Grossly stable appearance of the lungs compared to prior exam without overt edema or gross airspace consolidation. sternotomy and mediastinal postsurgical changes. Stable cardiomegaly. Crowded bronchovascular and interstitial markings related to low lung volumes and technique. Grossly stable appearance of the lungs compared to prior exam without overt edema or gross airspace consolidation.,,images/image_3475.png No acute cardiopulmonary abnormality. Clear lungs. Normal heart. No pneumothorax. No pleural effusion. Old right rib fractures.,,images/image_3476.png "1. Multiple bilateral pulmonary nodules, concerning for metastatic disease. 2. Prominent left hilum. After correlation with the scan performed today, findings reflect enlargement of the left pulmonary artery. There are multiple bilateral pulmonary nodules. For example, there is a 12 mm left lower lobe nodule, seen on the frontal view. There is no pleural effusion or pneumothorax. Heart size is within normal limits. The left hilar contour is prominent. There are diffuse degenerative changes of the spine.",,images/image_3477.png No acute cardiopulmonary findings. The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.,,images/image_3478.png No acute cardiopulmonary abnormality. Heart size and mediastinal contours are stable. Pulmonary vasculature is unremarkable. No focal consolidation. No visible pleural effusion or pneumothorax. No displaced rib fractures are seen. There are mild degenerative changes along the thoracic spine.,,images/image_3479.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette is grossly unremarkable. There is motion artifact on the lateral radiograph.,,images/image_3480.png "Stable bilateral interstitial opacities, could represent scarring or infiltrate. CT may be helpful to further characterize. Stable heart size. Diffuse bilateral interstitial opacities. No pneumothorax. No effusions. No acute bony abnormalities.",,images/image_3481.png 1. Heart size upper limits of normal with clear lungs. 2. Age-indeterminate deformity of an upper lumbar spine vertebral body. Elevated right hemidiaphragm. Clear lungs. No pleural effusions or pneumothoraces. heart size is upper limits of normal with tortuosity and ectasia of the aorta. Generative changes within the spine. In the upper lumbar spine there is an age-indeterminate wedge of a vertebral body.,,images/image_3482.png No active disease.. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3483.png "1. Left central venous catheter fracture at the level of the overlap of the clavicle and first rib. Distal catheter tip may be within the azygos vein. 2. Similar-appearing left midlung scarring. There is 1.9 cm interruption of the tunneled left central venous catheter, at the level of the overlap of the clavicle and first rib. Catheter tip may be within the proximal SVC or azygos vein. Normal heart size. left perihilar and midlung densities. No pneumothorax or large pleural effusion.",,images/image_3484.png Normal chest x-. The cardiomediastinal silhouette is normal. The lungs are clear. There is no pneumothorax or pneumomediastinum. Visualized bony structures are normal.,,images/image_3485.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_3486.png "No acute cardiopulmonary abnormality. Redemonstration of the left basilar patchy atelectasis, unchanged from last exam. Lungs are otherwise clear. No evidence of pneumothorax or pleural effusions present. There is a focal calcified nodules in the left upper lung, stable in appearance from of . The cardiomediastinal silhouette is unremarkable. No suspicion bony destruction identified.",,images/image_3487.png No acute cardiopulmonary findings. Heart size normal. No focal airspace disease. No pneumothorax or effusions. No bony abnormalities.,,images/image_3488.png No active disease. No evidence for heart failure. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3489.png "1. Concern for left subphrenic free air. Verification with abdominal decubitus views is recommended for further evaluation. 2. Interval increase in size of the moderate to large bilateral pleural effusions with bibasilar atelectasis/airspace disease. 3. Left central venous catheter in unchanged position. 4. Interval placement of feeding tube the courses beneath the diaphragm and out of the -of-view. 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 -of-view.",,images/image_3490.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures show several old rib fractures unchanged in the prior study on the left.,,images/image_3491.png "Hyperinflated lungs, air trapping versus inspiratory . Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. Scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_3492.png "1. Patchy left lower lobe airspace disease, concerning for pneumonia. 2. Right upper lobe opacity, favoring scarring and/or granulomas. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is ill-defined airspace opacity in the posterior left lower lobe. There is focal opacity in the right upper lobe which suggests scar and/or granulomatous calcification. There is no pneumothorax or pleural effusion.",,images/image_3493.png "No acute cardiopulmonary abnormality. Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. and soft tissue are unremarkable.",,images/image_3494.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. Old right-sided rib deformities are noted.,,images/image_3495.png "No acute cardiopulmonary abnormality. Heart size and mediastinal contours appear within normal limits. Eventration of the right hemidiaphragm. No focal lung consolidation, pleural effusion or pneumothorax. No acute bony abnormality.",,images/image_3496.png 1. No interval change in the appearance of the opacities in the bilateral lower lobes. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No interval change in the appearance of the opacities in the bilateral lower lobes. No pneumothorax. No pleural effusion. The thoracic spine appears intact.,,images/image_3497.png Probable left midlung and left basilar atelectasis. Cardiomegaly. The heart size is moderately enlarged. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. Again noted is and left midlung airspace opacity atelectasis. There is left basilar opacity atelectasis as well. There is improved right midlung opacity. There are mild degenerative changes of the spine. sternotomy are intact. Extensive atherosclerotic disease.,,images/image_3498.png "No acute cardiopulmonary abnormality. . Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable.",,images/image_3499.png "No acute cardiopulmonary abnormality. . 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.",,images/image_3500.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_3501.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_3502.png No acute abnormality. Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,,images/image_3503.png "1. No acute cardiopulmonary disease. PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Mildly tortuous thoracic aorta. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Mild elevation right hemidiaphragm.",,images/image_3504.png No evidence of active disease. The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.,,images/image_3505.png Hyperexpanded but clear lungs. Overall hyperexpanded lungs with flattening of the diaphragms consistent with obstructive lung disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_3506.png 1. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No non-calcified nodules are identified.,,images/image_3507.png "Generalized low lung lungs with eventration of the left hemidiaphragm. Question concomitant left basilar opacity, may represent atelectasis or infiltrate. Eventration of the left diaphragm is noted. Question left basilar atelectasis versus infiltrate. No evidence of pneumothorax. Generalized lung volumes. No definite pleural effusions. Heart size within normal limits. Osseous structures intact.",,images/image_3508.png Mild cardiomegaly. Basilar atelectasis. Frontal and lateral views of the chest with overlying external cardiac monitor leads show reduced lung volumes with bronchovascular crowding of basilar atelectasis. No definite focal airspace consolidation or pleural effusion. The cardiac silhouette appears mildly enlarged.,,images/image_3509.png Normal chest exam. Normal heart. Clear lungs. No pneumothorax. No pleural effusion.,,images/image_3510.png 1. Decreased lung volumes. Bibasilar airspace opacities seen on lateral be atelectasis or possibly pneumonia. and lateral chest examination was obtained. There is enlarged heart silhouette. Decreased lung volumes. Lungs demonstrate bibasilar airspace opacities better visualized on lateral view. There is no effusion or pneumothorax. Degenerative changes of the bilateral .,,images/image_3511.png "No acute cardiopulmonary abnormalities. . The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pleural effusion or pneumothorax. The visualized bony structures reveal no acute abnormalities.",,images/image_3512.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_3513.png "Developing heart failure with pulmonary venous engorgement and bibasilar pulmonary interstitial edema. The heart is large. In the interval, pulmonary venous engorgement has developed. Also, bibasilar interstitial infiltrates are present.",,images/image_3514.png "No acute cardiopulmonary abnormality. Heart size and mediastinal contour within normal limits. Calcified granuloma right midlung. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes in the thoracic spine.",,images/image_3515.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_3516.png 1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate increased interstitial markings probably COPD. There is calcified hilar lymph . There is no effusion or pneumothorax.,,images/image_3517.png No acute cardiopulmonary disease Lungs appear clear. Heart and pulmonary appear normal. Pleural spaces are clear. Mediastinal contours are normal. No pneumothorax.,,images/image_3518.png "Circumscribed structure in the AP could represent lymphadenopathy, mass, pulmonary arterial abnormality as aneurysm, or enlargement of the left atrial appendage. As prior chest x- are not available online at this should be considered. Normal heart size. There is a round density in the AP . study performed in is not available for review at this time. Lungs are hyperinflated with flattened diaphragms. Calcified right lower lobe granuloma. No focal airspace consolidation, pneumothorax, or pleural effusion. No pulmonary edema. No acute bony abnormality.",,images/image_3519.png Negative for acute cardiopulmonary disease. Heart size borderline enlarged. Stable cardiomediastinal silhouette. No pneumothorax or large pleural effusion. No focal airspace disease. Low lung volumes. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Mild degenerative disease of the thoracic spine.,,images/image_3520.png Normal chest film. The lungs are clear. The cardiomediastinal silhouette is within normal limits. There is ectasia of the thoracic aorta. No pleural effusion is identified.,,images/image_3521.png No acute findings. Hyperaerated lungs with flattened hemidiaphragms. Normal heart size. Increased retrosternal airspace. No focal infiltrate. No pneumothorax or pleural effusion.,,images/image_3522.png "Unremarkable radiographs of the chest. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.",,images/image_3523.png No acute abnormality. . Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,,images/image_3524.png "No acute disease. Vague right upper/mid lung nodular densities versus scarring and superimposed structures. CT may be warranted given patient's history. The heart is normal in size. The mediastinum is stable. Mild biapical scarring is identified. There is a nodular density in the right midlung which is stable from prior studies and noted to represent a granuloma on of . However, additional foci in the right upper lung are questioned. There is no acute infiltrate or pleural effusion.",,images/image_3525.png "No acute cardiopulmonary abnormality.. 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.",,images/image_3526.png "1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures identified.",,images/image_3527.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3528.png "No acute cardiopulmonary abnormality.. 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.",,images/image_3529.png 1. No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_3530.png No evidence of active disease. 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.,,images/image_3531.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3532.png "No acute findings 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.",,images/image_3533.png "No radiographic evidence of acute cardiopulmonary disease Heart , mediastinum, , bony structures and lung are unremarkable.",,images/image_3534.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. Low lung volumes on the AP view with bronchovascular crowding and bibasilar atelectasis. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.",,images/image_3535.png "No acute findings Heart size within normal limits, stable mediastinal and hilar contours. Left hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_3536.png "No acute cardiopulmonary disease. The heart, pulmonary 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.",,images/image_3537.png No active disease. The lungs are clear. No pleural effusion is seen. The heart and mediastinum are normal. Arthritic changes of the spine are present.,,images/image_3538.png Left retrocardiac airspace disease could reflect atelectasis and possible scarring. Small left pleural effusion. Left retrocardiac airspace disease with blunted posterior costophrenic on lateral view suggesting small pleural effusion. Normal heart size. Right PICC is unchanged with tip at the caval atrial junction.,,images/image_3539.png Low lung volumes with bronchovascular crowding otherwise lungs are clear. The cardiac silhouette and mediastinal contours are within normal limits. There are low lung volumes with bronchovascular crowding. Otherwise the lungs are clear. There is no pneumothorax. No large pleural effusion.,,images/image_3540.png "No acute cardiopulmonary findings. The heart is normal in size. The aorta is tortuous and ectatic. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",,images/image_3541.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_3542.png "1. Persistent mild right upper lobe infiltrate, similar to slightly improved from . 2. Left lung grossly clear. Stable cardiomediastinal silhouette. Mild patchy right upper lobe opacities, similar to slightly improved from . Left lung clear. No pleural effusion or pneumothorax.",,images/image_3543.png No acute disease. The heart is normal in size. The mediastinum is stable. Lungs are mildly hypoinflated. Increased opacities on lateral projection reflect bronchovascular crowding. There is no acute infiltrate or pleural effusion.,,images/image_3544.png No acute cardiopulmonary abnormalities. Stable cardiomegaly. Calcified tortuous aorta. No focal air space disease. Stable chronic lung changes. No large pleural effusion or pneumothorax. Diffuse degenerative changes of the thoracic spine.,,images/image_3545.png 1. Stable appearance of the chest. No acute pulmonary disease. There are stable sternotomy . The heart and mediastinal contours are unchanged. The lungs are clear without focal infiltrate. There is no effusion or pneumothorax.,,images/image_3546.png "Chronic changes with no acute cardiopulmonary disease. Normal heart size and pulmonary vascularity. There are changes of chronic lung disease noticed by hyperinflated lungs and streaky opacities compatible with scar. Interval placement of the chest with the tip in the superior . No focal infiltrate, pneumothorax or pleural effusion is identified.",,images/image_3547.png "No acute findings Heart size within normal limits, stable mediastinal contours with aortic ectasia/tortuosity. Left hilar and left lower lobe calcifications indicate a previous granulomatous process. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.",,images/image_3548.png "Low lung volumes, otherwise no acute cardiopulmonary abnormality. Stable heart size and mediastinal contours. No focal airspace consolidation. Stable calcified granuloma in the right upper lobe. This low lung volumes. No focal airspace disease.",,images/image_3549.png "1. No acute cardiopulmonary abnormality. Several calcified granulomas in bilateral hilar regions. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal.",,images/image_3550.png No acute preoperative findings Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_3551.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3552.png No active disease.. No visible cardiopulmonary injuries. change. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3553.png Stable chronic lung changes without acute cardiopulmonary abnormality. Cardiomediastinal silhouette is within normal limits of size and appearance. Lungs are hyperlucent and hyperexpanded. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals no acute abnormality.,,images/image_3554.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a small stable foreign body noted over the left chest. There are vascular calcifications over the aortic . There are mild degenerative changes of the spine.",,images/image_3555.png "1. Left pleural effusion with adjacent atelectasis. right effusion is also present. 2. Cardiomegaly without overt edema. Cardiac silhouette is enlarged but unchanged. There is left-sided central line with a lumen. Poly vasculature is within normal limits. Mediastinum is normal. Bibasilar opacity, left greater than right is appreciated. No pneumothorax.",,images/image_3556.png "1. No evidence of active cardiopulmonary disease. Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Atherosclerotic calcifications identified within the aortic . The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusion. Flowing thoracic spine osteophytes noted.",,images/image_3557.png 1. No evidence of active disease. 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.,,images/image_3558.png "1. Low lung volumes with patchy bilateral scarring versus atelectasis. 2. Otherwise, no acute or pulmonary abnormality. Normal heart size mediastinal contours. Subsegmental atelectasis versus scarring in the right midlung and left lower lobe. No focal airspace disease. No pleural effusion or pneumothorax. Low lung volumes. Visualized bony structures are unremarkable in appearance.",,images/image_3559.png No acute cardiopulmonary abnormality seen on chest x-. No pneumothorax. The trachea is midline. 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 abnormalities.,,images/image_3560.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_3561.png "No acute cardiopulmonary finding. The heart size is normal with stable appearance of the cardiomediastinal silhouette. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. There are stable calcified right peritracheal lymph . The osseous structures are intact.",,images/image_3562.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Scattered calcified granulomas noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine without acute abnormality.",,images/image_3563.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Multiple punctate round over the abdomen on the lateral view. These may reside within, or outside of the patient.",,images/image_3564.png No acute process. The cardiac contours are normal. Prominent pulmonary arteries. The lungs are clear. Thoracic spondylosis.,,images/image_3565.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_3566.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_3567.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Note of placement of a retention in the lower cervical spine.,,images/image_3568.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. Mild tortuosity of the descending thoracic aorta. sternotomy noted. Inferior sternotomy is disrupted.,,images/image_3569.png No acute cardiopulmonary abnormality. . Calcified mediastinal . No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.,,images/image_3570.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_3571.png Emphysema. Recommend rib series to to establish that circular densities overlying ribs are in the ribs. There is hyperexpansion. The heart size is normal. There is no pleural effusion or pneumothorax. Two circular densities overlying the right ribs which were not present in the CT. No focal infiltrates,,images/image_3572.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.",,images/image_3573.png No acute cardiopulmonary findings. Heart size is normal. The lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_3574.png 1. No evidence of active disease. 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.,,images/image_3575.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_3576.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. There has been sternotomy. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_3577.png No evidence of active disease The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3578.png 1. Streaky bibasilar opacities; the appearance subsegmental atelectasis. 2. Enlarged cardiac silhouette. 3. Mildly elevated right hemidiaphragm. There is a right PICC with tip overlying the right brachiocephalic vein. The cardiac silhouette is enlarged. No overt pulmonary edema. There are streaky bibasilar opacities. No large pleural effusion. The right hemidiaphragm is elevated. No pneumothorax is identified. There are degenerative changes of the spine. Bilateral surgical clips are noted.,,images/image_3579.png "No acute cardiopulmonary abnormalities. The trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. Tubular densities overlying the heart are coronary artery stents. There are small round calcific densities in the bilateral lobes which are unchanged from prior exam and 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.",,images/image_3580.png Emphysema. No acute pulmonary findings. Borderline cardiac enlargement. Enlarged calcified thoracic aorta. Emphysema. No acute pulmonary abnormality. Mild spondylosis.,,images/image_3581.png Cardiomegaly without superimposed acute disease identified. Heart size is mildly enlarged. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma in the right lung base. There are mild degenerative changes of the spine. There are some chronic increased interstitial markings noted.,,images/image_3582.png "Right upper lobe cavity, consistent with prior tuberculous infection. There is increased right upper lobe opacities compared to the prior study. This could represent reactivation of tuberculosis or other infection. There is stable cavity in the right apex, related to prior tuberculosis infection. There is increased opacity in the left upper lobe, peripherally. There is pulmonary hyperexpansion. There is no large effusion or pneumothorax.",,images/image_3583.png airspace opacity in the left upper lung which may represent streaky atelectasis or resolving pneumonia. There is a airspace opacity in the left upper lung. Heart size within normal limits. Mild calcification of the aortic . No pneumothorax or pleural effusions.,,images/image_3584.png "No acute cardiothoracic disease or significant interval change. The examination consists of frontal and lateral radiographs of the chest. sternotomy are again seen. The cardiomediastinal contours are grossly unchanged. Right lung calcified granulomata are again seen. There is no consolidation, pleural effusion or pneumothorax.",,images/image_3585.png Clear lungs. No acute cardiopulmonary abnormality. . Lungs are clear. Heart size normal. No pneumothorax.,,images/image_3586.png Findings of COPD with right costophrenic focal atelectasis. The lungs are . opacities are present in the right costophrenic . No focal infiltrates. Heart size normal.,,images/image_3587.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.",,images/image_3588.png There is no radiographic evidence of acute cardiopulmonary disease. Normal cardiomediastinal silhouette. There is no focal consolidation. There are no of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen. Mild degenerative changes of the spine.,,images/image_3589.png 1. Cardiomegaly. Cardiomegaly. No pneumothorax or pleural effusion. Clear lung bilaterally.,,images/image_3590.png "Findings most suggestive of infectious or reactive small airways disease. No focal pneumonia. The cardiomediastinal silhouette is normal in size and contour. Streaky perihilar opacities. Peribronchial cuffing also noted. No focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_3591.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.",,images/image_3592.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_3593.png "No acute cardiopulmonary disease. No evidence for metastatic disease by radiographic evaluation. The heart, pulmonary 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.",,images/image_3594.png Continued hypoinflation with right middle lobe focal atelectasis. Lung volumes remain . opacity is present in the right middle lobe. No focal infiltrates. Heart size normal.,,images/image_3595.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_3596.png "No acute visualized cardiopulmonary abnormality. The heart and mediastinal silhouettes are within normal limits. The lungs are clear without focal airspace opacity, large effusion, or pneumothorax. The are grossly intact. Interval removal of right PICC. Persistent elevation of the left hemidiaphragm.",,images/image_3597.png "No acute findings. Please note that fractures may not be demonstrated and consider additional imaging as clinically indicated. No focal consolidation, pneumothorax or definite pleural effusion. Nodular density projected over the left base with no lateral view correlate secondary to soft tissue overlay. Heart size and pulmonary vascularity within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury demonstrated.",,images/image_3598.png No acute cardiopulmonary abnormalities. There is a left chest with tip in the mid SVC. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_3599.png 1.Severe arthritic changes in both hips left worse than right. 2. Possible COPD but no acute pulmonary disease. 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 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 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 . The skeletal structures appear normal.,,images/image_3600.png "Lingular nodule measuring 2.2 x 1.6 cm. Recommend to further evaluate. The above findings and recommendations were discussed with at p.m. , telephone. Mild cardiomegaly. Pulmonary vasculature is within normal limits. Costophrenic are . There is increased kyphotic curvature of the thoracic spine. Within the heart , there is a small area of oval-shaped density measuring 2.2 x 1.6 cm without correction for magnification. There is a calcified lymph node in the right hilum. No pneumothorax.",,images/image_3601.png Cardiomegaly. Clear lungs. . Cardiomegaly with unfolded aorta. There is no pulmonary edema. There is no focal consolidation. There are no of a large pleural effusion. There is no evidence of pneumothorax.,,images/image_3602.png No acute preoperative findings. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_3603.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3604.png Minimal left costophrenic airspace disease and/or pleural effusion. Minimal left costophrenic airspace disease and/or pleural effusion. Lungs are otherwise clear. No pneumothorax. Heart and mediastinum are stable with normal sized heart. There is tortuosity and ectasia of the aorta. Degenerative changes in the spine.,,images/image_3605.png "No acute cardiopulmonary abnormality. No radiographic evidence of metastatic disease in the chest. 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.",,images/image_3606.png "1. No acute cardiopulmonary disease. No evidence of pulmonary nodules. 2. A single nonsclerotic mid thoracic vertebral fracture is present. Without a comparison study, the age of this fracture is unknown. Metastatic disease is possible, however given the nonsclerotic appearance, is not . 3. Healed left clavicle and left anterior rib fractures. The lungs appear clear. The heart and pulmonary appear normal. The pleural spaces are clear. These 't contours appear normal. There is a fracture of the midthoracic vertebral body. This vertebral body does not appear sclerotic. The age of this fracture is unknown. There are healed fractures of several left anterior ribs. There is a healed left clavicle fracture.",,images/image_3607.png "1. No acute cardiopulmonary disease. PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Mildly tortuous thoracic aorta. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Mild elevation right hemidiaphragm.",,images/image_3608.png "Low lung volumes with right basilar atelectasis. Otherwise, no acute cardiopulmonary disease. There extremely low lung volumes. there is right basilar opacity. There is no pneumothorax. There is no large pleural effusion. Cardiac silhouette and mediastinal contours are within normal limits.",,images/image_3609.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_3610.png "Clear lungs. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. Thoracic aorta is mildly ectatic, stable. Old right clavicular fracture is again noted.",,images/image_3611.png "1. No acute cardiopulmonary abnormality. 2. No evidence of tuberculosis. Stable obscuration of the left cardiac , representing left pleural thickening. Stable nodular opacity within the left midlung. The lungs are clear bilaterally with no focal consolidation, pleural effusions, or pneumothoraces. Cardiomediastinal silhouette is stable. are unremarkable.",,images/image_3612.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_3613.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but grossly clear.,,images/image_3614.png Stable retrocardiac airspace opacity. Stable cardiomediastinal silhouette with tortuous aorta. Prior granulomatous disease. No pneumothorax or pleural effusion. Stable retrocardiac airspace opacity.,,images/image_3615.png "Mild stable cardiomegaly with mild central pulmonary vascular congestion and interstitial accentuation, edema. The heart is mild enlarged. Central pulmonary vascularity is again accentuated. There are also mild increased interstitial markings without focal consolidation or pleural effusion.",,images/image_3616.png "1. No acute cardiopulmonary abnormality.. 2. Abnormal configuration of the heart and mediastinum suggestive of right aortic versus dextrocardia. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal suggests possible right versus dextrocardia. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_3617.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3618.png "1. Right lower lobe opacity may represent focal infiltrate versus atelectasis. 2. Low lung volumes. . The trachea is midline. The cardiomediastinal silhouette is normal. There are low lung volumes, causing bibasilar atelectasis and bronchovascular crowding. Pulmonary opacity seen in the right lung base, may indicate focal infiltrate. There is no pleural effusion or pneumothorax. The visualized bony structures reveal no acute abnormalities.",,images/image_3619.png No acute cardiopulmonary abnormality. . There is minimal scarring within the left lung base. The lungs are otherwise clear. Heart size is normal. No pneumothorax.,,images/image_3620.png "No acute findings. Stable cardiomediastinal silhouette with mild cardiomegaly and aortic ectasia and tortuosity. No alveolar consolidation, no findings of pleural effusion. Chronic appearing bilateral rib contour deformities compatible with old fractures. No pneumothorax.",,images/image_3621.png "No evidence of acute cardiopulmonary process. The 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. There are multilevel degenerative changes of the thoracic spine.",,images/image_3622.png "No acute cardiopulmonary abnormality.. 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.",,images/image_3623.png "Stable cardiomegaly without heart failure. Stable cardiomegaly, at partially accentuated by low lung volumes. Stable sternotomy , several of which are interrupted, and mediastinal clips. No focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.",,images/image_3624.png "No acute cardiopulmonary abnormality. . Diffuse bilateral coarse interstitial markings are unchanged. No focal consolidation, pleural effusion, pneumothoraces. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the shoulder. Soft tissues are unremarkable..",,images/image_3625.png No acute cardiopulmonary abnormality. . No focal areas of consolidation. Heart size normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.,,images/image_3626.png "1. Irregular density in the left upper lung on PA , artifact related to superimposed vascular bony structures. Chest fluoroscopy or would confirm this 2. Otherwise, no acute cardiopulmonary disease. Density in the left upper lung on PA represents superimposed bony and vascular structures. There is calcification of the first rib costicartilage junction which contributes to this appearance. The lungs otherwise appear clear. The heart and pulmonary appear normal. In the pleural spaces are clear. The mediastinal contour is normal. There are degenerative changes of thoracic spine. There is an electronic cardiac device overlying the left chest wall with intact distal leads in the right heart.",,images/image_3627.png "1. No focal airspace consolidation. 2. Emphysema. 3. Stable biapical opacities, possibly scarring. Heart size is at the upper limits of normal. There is aortic atherosclerotic vascular calcification. The lungs remain hyperexpanded. There are biapical opacities, stable from the prior study. No focal airspace consolidation. No significant pleural effusion. No pneumothorax. There are mild degenerative changes of the spine.",,images/image_3628.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_3629.png Hyperexpanded but clear lungs. Overall hyperexpanded lungs with flattening of the diaphragms consistent with obstructive lung disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_3630.png sternotomy and mediastinal postsurgical changes. Stable cardiomegaly. Crowded bronchovascular and interstitial markings related to low lung volumes and technique. Grossly stable appearance of the lungs compared to prior exam without overt edema or gross airspace consolidation. sternotomy and mediastinal postsurgical changes. Stable cardiomegaly. Crowded bronchovascular and interstitial markings related to low lung volumes and technique. Grossly stable appearance of the lungs compared to prior exam without overt edema or gross airspace consolidation.,,images/image_3631.png "No acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Minimal streaky atelectasis the left lung base. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Thoracic spondylosis.",,images/image_3632.png "1. Marked cardiomegaly. 2. Increased interstitial markings in the lower lungs, edema versus chronic interstitial changes. The aortic , cardiac apex, and stomach are left-sided. The cardiomediastinal silhouette is significantly enlarged. Pulmonary vascular markings centrally are within normal limits and symmetric. Increased interstitial markings bilaterally at the lung bases. This may be related to chronic interstitial changes or edema. No focal airspace disease. No pleural effusion or pneumothorax. No acute bony abnormality.",,images/image_3633.png "1. 6 mm left lung nodular opacity. Recommend comparison with prior images. If prior images are not available than further evaluation with CT chest is recommended. Old chest film from / from was reviewed and the questionable nodule was not seen. Heart size, aortic and mediastinal contours are within normal limits. The lungs are clear. No visible pneumothorax or large pleural effusion. 6 mm nodular opacity overlies the left anterior 5th rib on the frontal view. No focal bony abnormality identified.",,images/image_3634.png "Changes of chronic lung disease without acute cardiopulmonary abnormality. There is minimal hyperexpansion and hyperlucency of the lungs suggestive of chronic lung disease, without focal consolidation, pneumothorax, or effusion identified. opacity in the left subsegmental atelectasis. Cardiomediastinal silhouette is grossly stable and within normal limits, with mild tortuosity and atherosclerosis of the thoracic aorta. Multilevel degenerative disc disease of the thoracolumbar spine noted without acute bony abnormality.",,images/image_3635.png No lobar pneumonia is present. Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications in the paratracheal region. Mild streaky scarring in the right upper lobe. No active pneumonia. Bony structures are intact.,,images/image_3636.png Bibasilar airspace disease. There is bibasilar airspace disease. Cardiac silhouette is within normal limits and stable. There is blunting of the right costophrenic unchanged scarring. No pneumothorax.,,images/image_3637.png 1. Continued innumerable bilateral small lung nodules. No change. Heart size and pulmonary vascularity appear within normal limits. Innumerable bilateral lung nodules are present. These are seen diffusely throughout both lungs. No superimposed focal airspace disease is seen. No pleural effusion or pneumothorax is identified. Scoliosis is present.,,images/image_3638.png No acute cardiopulmonary abnormality. Normal heart size. Clear lungs. No pneumothorax. No pleural effusion. There is opacity at the base of the mediastinum which is a hiatal hernia.,,images/image_3639.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are present within the spine.",,images/image_3640.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but clear.,,images/image_3641.png "No acute abnormality. Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.",,images/image_3642.png "Apparent scarring within the lingula, otherwise unremarkable. Apparent scarring within the lingula. Lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.",,images/image_3643.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3644.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_3645.png Moderate-to-severe cardiomegaly with probable pulmonary artery hypertension. Persistent left basilar opacity without significant effusion. The heart size is moderate to severely enlarged. There is prominence of the central pulmonary suggesting pulmonary artery hypertension. There has been removal of the right-sided PICC line. There is persistent left basilar airspace opacity with left costophrenic blunting which is not evident on the lateral exam. There are mild degenerative changes of the spine. There is no pneumothorax.,,images/image_3646.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_3647.png After further review with staff radiologist there is a right upper lobe focal opacity reflecting pneumonia. The cardiac silhouette mediastinal contours are within normal limits. There is no pneumothorax. There is no large pleural effusion. There is no focal opacity.,,images/image_3648.png "No acute cardiopulmonary abnormality. Redemonstration of the left basilar patchy atelectasis, unchanged from last exam. Lungs are otherwise clear. No evidence of pneumothorax or pleural effusions present. There is a focal calcified nodules in the left upper lung, stable in appearance from of . The cardiomediastinal silhouette is unremarkable. No suspicion bony destruction identified.",,images/image_3649.png No acute cardiopulmonary abnormality. . No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures appear intact.,,images/image_3650.png "1. Cardiomegaly and small left pleural effusion versus pleural thickening 2. Streaky and patchy bibasilar opacities may be compatible with atelectasis versus consolidation, aspiration, clinical correlation recommended Heart size moderately enlarged. Mild left costophrenic blunting. Streaky and patchy bibasilar opacities, left greater than right. Right hemidiaphragm eventration noted. No typical findings of pulmonary edema.",,images/image_3651.png "Clear lungs, no focal airspace consolidation. The cardiomediastinal silhouette is normal in size and contour. Negative for effusion, pneumothorax, or focal airspace consolidation. The lungs are normally aerated.",,images/image_3652.png "No acute cardiopulmonary disease. Cardiac silhouette, pulmonary vascular pattern within normal limits. No focal infiltrate, pneumothorax or pulmonary edema. No pleural effusion. Osseous structures within normal limits.",,images/image_3653.png "Moderate congestive cardiac failure. Moderate bilateral interstitial edema, with cardiomegaly and bilateral effusion consistent with moderate cardiac failure. A large calcified right mediastinal adenopathy, chronic fungal. No pneumothorax.",,images/image_3654.png "No acute cardiopulmonary abnormality. 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.",,images/image_3655.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_3656.png "No acute findings Heart size within normal limits, stable mediastinal and hilar contours, right chest tip in the low SVC. Monitoring device artifacts. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_3657.png "Small right upper lobe nodule, stable. Otherwise, no acute disease. The heart is normal in size. The mediastinum is unremarkable. Small nodule in the right upper lung is stable. The lungs are otherwise clear.",,images/image_3658.png "Emphysema. The lungs are mildly hyperinflated, with upper lobe areas of lung lucency suggesting obstructive pulmonary disease and emphysema. No superimposed focal airspace consolidation is seen. No pleural effusion or pneumothorax. Heart size is normal.",,images/image_3659.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3660.png Stable chest. No acute cardiopulmonary abnormality. Heart size and mediastinal contours are unchanged. Stable right upper lobe scarring with pleural thickening. No consolidation. No visible pleural effusion or pneumothorax.,,images/image_3661.png 1. Moderate right pleural effusion. Moderate sized right loculated pleural effusion with right lower lobe atelectasis. Normal cardiac contour with atherosclerotic changes throughout the aorta. Clear left lung .,,images/image_3662.png "1. Bullous emphysema and interstitial fibrosis. 2. Probably scarring in the left apex, although difficult to exclude a cavitary lesion. 3. Opacities in the bilateral upper lobes could represent scarring, however the absence of comparison exam, recommend short interval followup radiograph or CT thorax to document resolution. There are diffuse bilateral interstitial and alveolar opacities consistent with chronic obstructive lung disease and bullous emphysema. There are irregular opacities in the left lung apex, that could represent a cavitary lesion in the left lung apex.There are streaky opacities in the right upper lobe, scarring. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.",,images/image_3663.png No acute cardiopulmonary findings. 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.,,images/image_3664.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_3665.png "No acute abnormality. No pulmonary nodule identified. . Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. No pulmonary nodules identified.",,images/image_3666.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_3667.png "No cardiopulmonary abnormality. Normal cardiomediastinal contours. Hyperexpansion of the lungs with flattening of the diaphragm. No focal lung consolidation, pneumothorax or pleural effusions.",,images/image_3668.png No radiographic evidence of acute cardiopulmonary disease. The lungs are clear without evidence of focal airspace disease. There are calcified granulomas in the left lower lobe. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The are unremarkable.,,images/image_3669.png "Cardiomegaly and increased interstitial opacities which may be compatible with mild pulmonary edema, differential diagnosis includes infection, inflammation, aspiration Stable enlargement of the cardiac silhouette, stable mediastinal contours. Increased interstitial markings in the central lungs and bases, right greater than left. 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.",,images/image_3670.png Right lower lobe pneumonia. The heart size is within normal limits. Trachea is midline. No pleural effusions or pneumothorax. Cardiomediastinal contours are normal. There is focal consolidation in the posterior segment of the right lower lobe. No bony or soft tissue abnormalities.,,images/image_3671.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.",,images/image_3672.png "1. Clear lungs. 2. Stable hiatal hernia. 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. are grossly unremarkable.",,images/image_3673.png "1. Asymmetric left suprahilar opacity, consider focal airspace disease or adenopathy. Correlate clinically as to or symptoms of infection. Recommend followup radiograph to document resolution. PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is asymmetric opacity to left suprahilar chest. No discrete correlate is seen on lateral view. Findings may reflect focal airspace disease or adenopathy. No pleural effusion. No pneumothorax.",,images/image_3674.png "2 cm noncalcified nodule in the right lower lobe would benefit from a . there is a rounded opacity in the right lower zone measuring 2.0 cm which is to be in the posterobasal segment. There is of uncertain etiology but would benefit from followup at some concern for neoplasm. A is recommended. No airspace disease, effusion or cavitary nodule. Normal heart size and mediastinum. Visualized of the chest are within normal limits.",,images/image_3675.png "1. Focal atelectasis to the left lung, posterior to the heart. Calcified lymph in both . amount of focal atelectasis posterior to the left heart. The trachea is midline. Negative for pneumothorax, pleural effusion or large focal airspace consolidation. The heart size is normal.",,images/image_3676.png No acute cardiopulmonary abnormalities. Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. The visualized osseous structures are unremarkable in appearance.,,images/image_3677.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3678.png "Chest. No acute cardiopulmonary abnormality. Ribs. No displaced rib fractures, or obvious nondisplaced rib fractures. Chest. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. Ribs. There are no displaced rib fractures, or obvious nondisplaced rib fractures. Soft tissues appear normal.",,images/image_3679.png "Cardiomegaly with surgical changes of CABG, with numerous broken sternotomy and a sternotomy fragment noted in the posterior left pleural space. There has been interval performance of CABG with multiple sternotomy , surgical clips, and CABG markers. All of the sternotomy are broken, and a fragment at a sternotomy appears to within the left posterior pleural space. Stable cardiomegaly and central pulmonary vascular prominence. No focal consolidation, pneumothorax, or effusion. Relative elevation of the left hemidiaphragm noted. No acute bony abnormality.",,images/image_3680.png "Cardiomegaly with small bilateral pleural effusions and left basilar atelectasis. There is mild cardiomegaly. Mediastinal contours appear within normal limits. There are small bilateral pleural effusions, left greater than right with left basilar opacities. No pneumothorax. Mild degenerative changes of the thoracic spine.",,images/image_3681.png Emphysema and scarring without acute disease The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated with opacities compatible with pleural-parenchymal scarring. There is no acute infiltrate or effusion.,,images/image_3682.png "No acute cardiopulmonary process, specifically no evidence of active tuberculosis. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality..",,images/image_3683.png "Bibasilar atelectasis. No pneumonia. . There are opacities within both lung bases, representing atelectasis. Heart size is upper limits of normal. No pneumothorax. No pneumothorax.",,images/image_3684.png No acute cardiopulmonary abnormalities. Normal cardiac contour. Clear lung bilaterally. No pleural effusion or pneumothorax. Degenerative seen throughout cervical spine.,,images/image_3685.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Prior cholecystectomy,,images/image_3686.png 1. Right upper lobe pneumonia. 2. Rounded nodular opacity in the peripheral left upper lung which may represent further sequela infectious process versus other pathology including metastatic disease in a patient with thyroid cancer. Follow up to resolution recommended. 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.,,images/image_3687.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. heart size is normal. There is some tortuosity of the aorta. Degenerative changes in the thoracic spine,,images/image_3688.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. opacity in left midlung. The lungs are clear.,,images/image_3689.png Bilateral small pleural effusions and associated atelectasis. Stable right upper mediastinal opacity consistent with goiter. Low lung volumes. Stable ectasia of the thoracic aorta. Stable right upper mediastinal Bilateral small pleural effusions and bibasilar airspace opacities. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax. Stable wedging of the anterior thoracic vertebral bodies.,,images/image_3690.png No acute infiltrate. The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated with blunted costophrenic . No focal consolidation is seen.,,images/image_3691.png No evidence of acute cardiopulmonary disease. The The cardiac silhouette and pulmonary vascularity are normal. Atherosclerotic changes are present in the thoracic aorta. The lungs are clear with no evidence of pleural effusion or pneumothorax . Deformity of multiple left anterior ribs are present from previous fractures. Lumbar scoliosis is noted.,,images/image_3692.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_3693.png Congestive heart failure with basilar pulmonary interstitial edema and bilateral pleural fluid. Heart is large. Pulmonary are engorged. Bibasilar interstitial infiltrates and bilateral costophrenic blunting are present.,,images/image_3694.png "No acute cardiopulmonary process. Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.",,images/image_3695.png Severe cardiomegaly. Limited mediastinal evaluation given body habitus and lordotic projection. Recommend for further evaluation of mediastinum given T/Spine injury noted on C/Spine imaging. Critical result notification documented through Primordial. Lordotic projection and large body habitus. Limited mediastinal evaluation. Severe cardiomegaly. No visualized pneumothorax. No large effusion or airspace disease. No fracture.,,images/image_3696.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_3697.png 1. Elevated left hemidiaphragm. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The descending thoracic aorta is tortuous. Central venous catheter is again noted. The lungs are free of focal airspace disease. The left hemidiaphragm remains elevated. No pneumothorax or pleural effusion is seen.,,images/image_3698.png "1. Scattered of subsegmental atelectasis, most notably in the right middle lobe. 2. Mildly enlarged cardiac silhouette; cardiomegaly versus pericardial effusion. The cardiac silhouette is mildly enlarged. There are scattered bilateral opacities, most notably in the right middle lobe, of subsegmental atelectasis. No pleural effusion. No pneumothorax is identified. There are diffuse degenerative changes of the spine.",,images/image_3699.png "Acute obliquely oriented lucency through the right 12th posterior rib, concerning for acute fracture. Recommend correlation with side of tenderness. No other fractures are identified. If there is high clinical concern, recommend further evaluation with dedicated views of the right ribs. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. There is an obliquely oriented lucency through the posterior right 12th rib.",,images/image_3700.png "Stable appearance of the chest, see above. Stable borderline enlarged cardiac contour. Calcified mediastinal lymph . Prominent right paratracheal stripe. Emphysema. No active pulmonary disease. Mild spondylosis.",,images/image_3701.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Aortic calcifications and tortuosity. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings. Degenerative changes of the thoracic spine.,,images/image_3702.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified mediastinal lymph . There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_3703.png "No acute pulmonary disease. There is mild opacification over both , secondary to soft tissue attenuation. There are no focal air space opacities. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Trachea is midline. No free subdiaphragmatic air.",,images/image_3704.png No evidence of active disease. Heart size and pulmonary vascularity appears normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Callus or granulomas identified. Left -A- remains in .,,images/image_3705.png "Nodular densities projecting over right 5th and 6th ribs may healing rib fracture; recommended to rule-out underlying pulmonary nodule. level Veriphy message was sent . regarding possible lung nodules at hours /. Heart size and mediastinal contour within normal limits. Aortic atherosclerotic calcifications. Emphysematous changes. Nodular densities projecting over right anterior fifth and six ribs. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",,images/image_3706.png Stable right-sided chronic lung scarring otherwise no acute cardiopulmonary disease. Stable appearing right-sided the opacities. There is persistent elevation of the right hemidiaphragm. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax.,,images/image_3707.png "No acute cardiopulmonary abnormality. 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.",,images/image_3708.png "No acute cardiopulmonary abnormality. Interval removal of left-sided chest tube. Small residual left apical pneumothorax has increased slightly in size the prior exam, now measuring approximately 0.9 cm from the thoracic apex. Stable cardiomediastinal silhouette. No focal airspace consolidation. No pleural effusion.",,images/image_3709.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_3710.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_3711.png "No acute cardiopulmonary abnormality. Limited lateral projection. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Healed distal left clavicular fracture noted.",,images/image_3712.png "1. Suspected fractures of the left anterior 6th and 7th ribs, of uncertain acuity. Correlate with tenderness. 2. Low lung volumes with mild basilar atelectasis, left greater than right. . The lungs are hypoinflated with mild basilar bronchovascular crowding/atelectasis. There is a fracture of the left anterior 7th rib and the left anterior 6th rib, of uncertain acuity. Correlate with tenderness. There is mild atelectasis in the left lung base. There is corticated deformity of the right anterior 7th rib, remote fracture. There is no evidence of pneumothorax or large pleural effusion.",,images/image_3713.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable .,,images/image_3714.png "Mild cardiomegaly without acute cardiopulmonary abnormality. No active infectious/tuberculous process. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Mild cardiomegaly without acute cardiac abnormality. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_3715.png Hypoinflation with bibasilar focal atelectasis. Lung volumes remain . opacities are present in both lower lobes. Old rib fractures and pleural thickening are present on the right. Heart and pulmonary are normal.,,images/image_3716.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_3717.png "No acute cardiopulmonary abnormality. 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 calcifications projecting of the left midlung, unchanged from prior, this is is sequela of prior granulomatous disease. There are small T-spine osteophytes.",,images/image_3718.png "No acute cardiopulmonary abnormality.. 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.",,images/image_3719.png No acute process. Normal heart size. Clear lungs. Multilevel degenerative disc disease with mild dextrocurvature near the thoracolumbar junction.,,images/image_3720.png No acute pulmonary disease. No gross evidence for rib fracture. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. The mediastinum is normal. Arthritic changes of the skeletal structures are noted.,,images/image_3721.png "Negative for acute abnormality. Left ventricular enlargement. Tortuous thoracic aorta. Stable , including elongation of the left ventricle and tortuous thoracic aorta. Subcarinal calcified lymph . lung volumes. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_3722.png No acute abnormality. Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,,images/image_3723.png COPD. There is hyperinflation of the lungs but they are clear. The heart and mediastinum are normal. The skeletal structures are normal. There are bilateral breast prostheses.,,images/image_3724.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.",,images/image_3725.png Mild stable cardiomegaly. The heart is borderline size. Aorta is atherosclerotic. The mediastinum is stable. The lungs are clear.,,images/image_3726.png No acute abnormality. The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no of pleural effusion. There is no evidence of pneumothorax.,,images/image_3727.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3728.png "No acute cardiopulmonary disease. The heart, pulmonary 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.",,images/image_3729.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified mediastinal lymph . There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_3730.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .,,images/image_3731.png Right middle lobe opacity which may represent a focal area of consolidation or atelectasis. Right middle lobe opacity is present. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. No large pleural effusion.,,images/image_3732.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3733.png Scarring at the lateral costophrenic . Otherwise no significant radiographic abnormality. Blunting of the costophrenic represents scarring. No pleural effusion is identified on the lateral view. There is no focal consolidation. No pneumothorax is present. The cardiomediastinal silhouette is within normal limits are in the pulmonary vasculature is normal.,,images/image_3734.png "No acute cardiopulmonary abnormality. . Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Stable tortuosity of the thoracic aorta. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality identified.",,images/image_3735.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. Atherosclerotic calcifications of the aortic are again seen. 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.",,images/image_3736.png "No acute cardiopulmonary abnormality. 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.",,images/image_3737.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion.",,images/image_3738.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_3739.png No acute disease. The heart is normal in size. The mediastinum is stable. Lungs are mildly hypoinflated. Increased opacities on lateral projection reflect bronchovascular crowding. There is no acute infiltrate or pleural effusion.,,images/image_3740.png Bilateral opacities most prominent in the lower lobes representing airspace disease or edema. There are bilateral opacities most prominent in the lower lobes bilaterally. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The are unremarkable. There is an embolization overlying left upper quadrant.,,images/image_3741.png Normal chest. The cardiomediastinal silhouette is normal in size and appearance. No pleural effusion or pneumothorax. Lungs are clear.,,images/image_3742.png Hyperinflated but clear lungs. Lungs are hyperinflated but clear. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. Calcified mediastinal identified.,,images/image_3743.png "1. Right subclavian catheter, distal tip in the region of the subclavian vein at the level of clavicular head. 2. Low lung volumes, with left lower lung atelectasis. . Right subclavian catheter, distal tip posterior to the head of the clavicle, the level of the subclavian vein. Low lung volumes. No pleural effusion. Left lower lobe airspace disease, atelectasis. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . intact.",,images/image_3744.png "Findings concerning for interstitial edema or infection. Heart size is mildly enlarged. There are diffusely increased interstitial opacities bilaterally. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.",,images/image_3745.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. No change in the small calcified right upper lobe nodule. Heart and mediastinum normal.,,images/image_3746.png "Central pulmonary vascular congestion without edema, consolidation. bilateral pleural effusions. Compared to prior chest radiograph from , there has been removal of right-sided tunneled dialysis catheter. The cardiomediastinal silhouette is stable and within normal limits for size and contour. Mildly increased atherosclerotic calcifications of the thoracic aorta. 1.0 cm nodular opacity in the left midlung is stable compared to prior examination from . No nodules, focal consolidation, or pneumothorax identified. There are bilateral pleural effusions posteriorly. There is mild central pulmonary vascular congestion without pulmonary edema. No acute bony abnormality.",,images/image_3747.png No acute cardiopulmonary process Heart size and mediastinal contour are normal. Mild tortuosity of the aorta. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,,images/image_3748.png "No acute cardiopulmonary findings. Specifically, no radiographic evidence of active tuberculosis. Cardiomediastinal silhouette and pulmonary vasculature are stable and within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.",,images/image_3749.png "No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. VP shunt tubing is identified. The bony structures, as visualized, appear unremarkable.",,images/image_3750.png No significant finding. The lungs are relatively clear with sulci. Heart size normal in LV contour. Slightly unfolded ascending and descending aorta. T-spine unremarkable.,,images/image_3751.png change. Hypoinflation with no visible active cardiopulmonary disease. Lung volumes are low. No focal infiltrates. Heart size normal.,,images/image_3752.png Right lower lobe airspace disease. . Low lung volumes. Elevation of the right hemidiaphragm. Patchy opacities right base again noted. Left lung clear. Heart size top normal. Aortic calcification. Granulomas. No evidence of pneumothorax. Blunting of the bilateral costophrenic . Degenerative changes of the thoracic spine.,,images/image_3753.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is stable from prior exam. There is no pneumothorax or large pleural effusion. Mediastinal surgical clips are again noted.",,images/image_3754.png Emphysema without acute disease. The heart is normal in size. The mediastinum is unremarkable. Emphysematous changes are identified. The lungs are otherwise grossly clear.,,images/image_3755.png 1. No evidence of active cardiopulmonary disease. 2. No suspicious pulmonary nodules or masses. Heart size and mediastinal contours are within normal limits. No focal airspace consolidation. No suspicious pulmonary nodules or masses. No evidence of pleural effusion or pneumothorax. No evidence of acute osseous abnormality.,,images/image_3756.png "No acute radiographic cardiopulmonary process. . Cardiac and mediastinal 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. There is a mild dextro scoliotic curvature of the midthoracic spine.",,images/image_3757.png "No acute cardiopulmonary process. There are low lung volumes. The cardiac silhouette, upper mediastinum pulmonary vasculature are within normal limits. There is no acute pulmonary consolidation, pleural effusion or pneumothorax.",,images/image_3758.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_3759.png "No acute cardiopulmonary disease. Normal heart size. No focal air space consolidation, pneumothorax, pleural effusion, or pulmonary edema. No focal bony abnormality.",,images/image_3760.png "Cardiomegaly which appears from with probable mild pulmonary edema. . There has been interval increase in size of the cardiac silhouette from . The cardiac fluid is now mildly enlarged. Pulmonary vasculature is increased with mildly increased interstitial markings and fissural thickening, suggesting mild pulmonary edema. There is no focal airspace disease, pneumothorax, or large pleural effusion. Descending thoracic aorta is tortuous. There are no acute bony findings.",,images/image_3761.png "1. Small left pleural effusion. Normal heart size and mediastinal contours. Calcified aortic . opacities in the left lung base, atelectasis. The lateral view shows a left pleural effusion. No focal airspace consolidation. No pneumothorax. Stable bilateral apical pleural capping.",,images/image_3762.png 1. lucency under the right hemidiaphragm may represent free intraperitoneal air. Left lateral decubitus film may be helpful. 2. Clear lungs. The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. No pneumothorax or pleural effusion. lucency under the right hemidiaphragm may represent a focus of free air.,,images/image_3763.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3764.png "Unchanged appearance of the chest with interstitial prominence the differential of which is but could include interstitial edema, infectious process or interstitial disease. Unchanged cardiomegaly. There is continued interstitial prominence bilaterally. Unchanged vascular appearance. There is patchy retrocardiac opacity. Negative for pneumothorax.",,images/image_3765.png 1. Left lower lobe air space opacities without significant change. and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Lungs demonstrate left lower lobe air space opacity with atelectasis without significant change. There is no effusion or pneumothorax.,,images/image_3766.png Negative chest x-. No evidence of pneumonia. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Thoracic spondylosis.,,images/image_3767.png change. Hypoinflation with no visible active cardiopulmonary disease. Lung volumes remain low. No infiltrates. Heart and pulmonary remain normal.,,images/image_3768.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_3769.png No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_3770.png "1. No acute radiographic cardiopulmonary process. Surgical at the distal left clavicle. No acute osseous abnormality. Soft tissue structures are within normal limits. Stable normal cardio mediastinal silhouettes and hilar structures. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. .",,images/image_3771.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_3772.png No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules or adenopathy identified.,,images/image_3773.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3774.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_3775.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_3776.png "Chronic lung disease without acute findings. Chronic increased interstitial markings without evidence of focal infiltrate. Bilateral apical pleural thickening. No pneumothorax. No pleural effusion. Stable heart size. Marked degenerative change of the , status post remote right humerus fracture. deformity of a midthoracic vertebral body, also chronic.",,images/image_3777.png "1. Low lung volumes with patchy bilateral scarring versus atelectasis. 2. Otherwise, no acute or pulmonary abnormality. Normal heart size mediastinal contours. Subsegmental atelectasis versus scarring in the right midlung and left lower lobe. No focal airspace disease. No pleural effusion or pneumothorax. Low lung volumes. Visualized bony structures are unremarkable in appearance.",,images/image_3778.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is stable mild deformity of the lower thoracic vertebral body.",,images/image_3779.png "No acute cardiopulmonary abnormality. 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. The visualized bony structures reveal no acute abnormalities.",,images/image_3780.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_3781.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. There are low lung volumes with left basilar subsegmental atelectasis. No focal airspace consolidation, effusions or pneumothorax. No acute bony abnormalities.",,images/image_3782.png "Cardiomegaly without heart failure. Minimal left basilar scarring/atelectasis. Enlarged cardiomediastinal silhouette. Low lung volumes. Relative elevation of right hemidiaphragm. left base density. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_3783.png "Probable mild cardiomegaly, without evidence of acute failure. No focal airspace disease. . The cardiac silhouette is mildly enlarged and appears mildly increased in size from the study. There is normal caliber pulmonary vasculature. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There is no evidence of pulmonary edema.",,images/image_3784.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.",,images/image_3785.png "No acute cardiopulmonary abnormality. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures grossly intact.",,images/image_3786.png Cardiomegaly and pulmonary venous hypertension The heart is large. Pulmonary are engorged. No infiltrates. Aorta is somewhat tortuous. Degenerative disc disease is present in the thoracic spine.,,images/image_3787.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3788.png Borderline cardiomegaly without acute disease. The heart is top normal in size. The mediastinum is stable. The lungs are clear.,,images/image_3789.png 1. Left base airspace disease. 2. Left venous catheter with tip in the right atrium. There is a left base opacity. The right lung is grossly clear. Heart size is normal. Left venous catheter with tip in the right atrium. There is no pneumothorax.,,images/image_3790.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_3791.png 1. Small left basilar parenchymal scarring and/or effusion. 2. Postsurgical changes of the mediastinum. 3. Otherwise unremarkable chest radiograph. Postsurgical changes are noted in the mediastinum. There is tortuosity and/or ectasia of the thoracic and upper abdominal aorta. No consolidative airspace opacities. Blunting of the lateral and posterior left costophrenic sulcus may represent residual postsurgical effusion or pleural-parenchymal scarring. No demonstrable pneumothorax. Cardiomediastinal silhouette within normal limits. Multilevel anterior osteophytes of the thoracic spine.,,images/image_3792.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_3793.png Right middle lobe infiltrate consistent with pneumonia. A patchy infiltrate has developed in the right middle lobe. Left lung is clear. Heart size normal. Aorta tortuous.,,images/image_3794.png "1. densities in left base may be compatible with scarring or subsegmental atelectasis 2. Abnormal opacity in the right base due at in part to atelectasis with right hemidiaphragm eventration, question small right pleural effusion Atrial septal occluder artifact. Rotated frontal position, overall heart size within normal limits, no typical findings of pulmonary edema. densities in the left base, small focal opacity in the right base with focal posterior right hemidiaphragm elevation and obscured right costophrenic . Biapical pleuroparenchymal irregularities most compatible with scarring, chronic appearing right 5th rib contour deformity. No pneumothorax seen.",,images/image_3795.png "1. Emphysema. 2. No acute cardiopulmonary abnormality. Heart size and mediastinal contours appear within normal limits. Hyperinflated lungs with flattening of diaphragms, compatible with emphysema. No focal consolidation, pleural effusion or pneumothorax. No acute bony abnormality.",,images/image_3796.png Bandlike opacities in the right base. Appearance suggests atelectasis. The heart size and pulmonary vascularity appear within normal units. No pleural effusion or pneumothorax is seen. Bandlike opacities are present in the right base consistent with areas of atelectasis. Remainder of the lungs appear clear.,,images/image_3797.png 1. Fracture deformity proximal right humerus. 2. No pulmonary consolidation. Fracture deformity proximal right humerus. Hyperinflation lungs. No pulmonary consolidation. opacity left base compatible atelectasis or scarring. The cardiomediastinal silhouette appears unremarkable. Mild atherosclerotic calcification aorta. Prior chest surgery. Costophrenic clear. Visualized spine vertebrae appear normal in and alignment.,,images/image_3798.png "No acute cardiopulmonary abnormality.. 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.",,images/image_3799.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3800.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3801.png "No evidence of acute cardiopulmonary process. The 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.",,images/image_3802.png 1. No acute cardiopulmonary disease. The heart is upper limits of normal in size. Mild tortuosity of the thoracic aorta. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,,images/image_3803.png 1. Limited chest radiograph examination without demonstration of an acute intrathoracic abnormality. This examination is somewhat limited secondary to obscuration of the bilateral posterior costophrenic sulci on the lateral view. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. The thoracic spine appears intact.,,images/image_3804.png No acute cardiopulmonary abnormality. Normal heart size mediastinal contours. No focal airspace consolidation. No hyperexpansion of the lungs. No pleural effusion or pneumothorax.,,images/image_3805.png 1. Cardiomegaly with mild vascular prominence. No change. Cardiomegaly is present. This is unchanged. There is mild prominence of the pulmonary vascularity which is unchanged. No focal airspace disease is seen. No pleural effusion or pneumothorax is identified.,,images/image_3806.png Clear lungs with no suspicious pulmonary nodules or masses. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_3807.png "Chronic changes with no acute cardiopulmonary disease. Normal heart size and pulmonary vascularity. There are changes of chronic lung disease noticed by hyperinflated lungs and streaky opacities compatible with scar. Interval placement of the chest with the tip in the superior . No focal infiltrate, pneumothorax or pleural effusion is identified.",,images/image_3808.png "1. Low lung volumes. No acute pulmonary findings. 2. Fractured sternotomy , without evidence of complication. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but clear of focal airspace disease, pneumothorax, or pleural effusion. There are multiple sternotomy and surgical clips compatible with prior CABG. The most caudal sternotomy is fractured. There are no acute bony findings.",,images/image_3809.png "No acute cardiopulmonary abnormality. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures intact.",,images/image_3810.png "1. No acute cardiopulmonary findings. 2. Age-indeterminate fracture of the right lateral 9th rib. If findings localize to this region, suspect acute fracture. 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 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.",,images/image_3811.png 1. Right-sided small pleural effusion. 2. Right base /fluid level. Atypical location for a hiatal hernia. Cannot exclude a right lower lobe cavity. Correlation scan recommended. Does not appear to be a hydropneumothorax or empyema. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. The right costophrenic sulcus is blunted. There is an the right base /fluid level. The left lung is clear.,,images/image_3812.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There are calcified granulomas at the right perihilar regions appear stable. There are significant degenerative osteophytes of the thoracic spine also appear stable.",,images/image_3813.png "No acute abnormality. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Calcified right hilar lymph noted.",,images/image_3814.png "1. Chronic changes without acute process The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Chronic appearing interstitial marking. Right upper lobe granuloma, stable The lungs are normally inflated and clear. Degenerative changes of the spine.",,images/image_3815.png COPD and old granulomatous disease. The lungs are clear. There is hyperinflation. Calcification is seen over the anterior mediastinum a calcified lymph node at is not identified on the PA projection. The heart is normal. Arthritic changes the spine are seen.,,images/image_3816.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3817.png No active disease. The lungs are clear. No pleural effusion or pneumothorax is identified. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.,,images/image_3818.png No acute disease. The heart is top normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3819.png "Few small nodular opacities in the left upper lung. These small nodules are relatively dense, suggestive of chronic granulomatous disease. Comparison with an chest radiograph would be helpful to establish stability. There are a few small nodular opacities in the left lung, seen on the frontal view overlying the left 6th posterior rib. Lungs otherwise appear clear. No focal airspace consolidation. No overt pulmonary edema. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. Calcified mediastinal and hilar lymph are consistent with prior granulomatous disease. There are mild degenerative changes of the spine.",,images/image_3820.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Lungs are mildly hyperexpanded. Heart size and pulmonary vascularity within normal limits.,,images/image_3821.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_3822.png "There is no evidence of acute cardiopulmonary disease. . Normal heart size. Aortic atherosclerotic calcifications. Right IJ central venous catheter tip in region of mid SVC. There are 2 AICD leads, one tip in expected region of right atrium and one tip in expected region of right ventricle. There is no pulmonary edema. There is no focal consolidation. There are no of a large pleural effusion. There is no evidence of pneumothorax.",,images/image_3823.png "Normal chest No evidence of tuberculosis Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_3824.png Emphysema without acute disease. The heart is normal in size. The mediastinum is unremarkable. Mild emphysematous changes without focal consolidation. There is no pleural effusion. lingular scarring or atelectasis noted.,,images/image_3825.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_3826.png "Vague nodular opacity in the right lobe, which could represent focal infiltrate or nodule. Recommend followup to resolution. Heart size and mediastinal contours appear within normal limits. There is a vague 1.6 cm nodular opacity in the right upper lobe between the anterior second and third ribs, which could represent focal infiltrate or lung nodule. No pleural effusion. No pneumothorax. No acute bony abnormality.",,images/image_3827.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_3828.png 1. No acute pulmonary abnormality. 2. right apical nodule. Further evaluation chest should be considered to exclude the possibility of pulmonary malignancy. 3.Chronic findings as discussed below. The lungs and pleural spaces show no acute abnormality. There is a 10 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 densities throughout the chest from prior gunshot wound. Chronic blunting of the costophrenic . Healed right 10th and left 9th posterolateral rib fracture.,,images/image_3829.png "No acute cardiopulmonary abnormality.. 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.",,images/image_3830.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_3831.png 1. No acute intrathoracic abnormality. sternotomy remain in . The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine.,,images/image_3832.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_3833.png No acute cardiopulmonary findings. Heart size is normal. Lungs are clear. Low lung volumes. There is no pneumothorax or large pleural effusion.,,images/image_3834.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax large pleural effusion.",,images/image_3835.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Small T-spine osteophytes.,,images/image_3836.png "Right upper lobe lung nodules. Recommend . Cardiomediastinal silhouettes are within normal limits. There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_3837.png "No acute cardiopulmonary abnormality. Mediastinal contours are normal. Unchanged opacity in the left lung base, scarring. Lungs are clear. There is no pneumothorax or large pleural effusion.",,images/image_3838.png Negative for acute abnormality. Heart size is normal. Cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally without pleural effusion or pneumothorax. No pulmonary nodules. Bony structures are intact.,,images/image_3839.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_3840.png No acute cardiopulmonary findings. Stable mild rightward curvature of the thoracic spine. Heart size is normal. No focal airspace disease. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_3841.png "Cardiomegaly, no acute pulmonary findings Heart size mildly enlarged with enlarged right atrium. No focal alveolar consolidation, no definite pleural effusion seen. No pneumothorax.",,images/image_3842.png Hypoinflation with no visible active cardiopulmonary disease. Lung volumes are low. No infiltrates. Heart and mediastinum are normal.,,images/image_3843.png No evidence of acute cardiopulmonary process. Cardiac silhouette within normal limits. No edema or airspace consolidation. No pneumothorax. No pleural effusion.,,images/image_3844.png 1. No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.,,images/image_3845.png "1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures identified.",,images/image_3846.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Small calcified left upper lung granuloma is noted. The lungs are clear.,,images/image_3847.png Left base airspace disease and nodular opacity in the right midlung. Heart size within normal limits. There is focal left lateral base airspace disease. There is a 6 mm nodular opacity in the right midlung. No pneumothorax. No pleural effusion. No displaced rib fractures. There is an apparent deformity of the right humeral surgical neck. This is not seen on the comparison. Correlate clinically with history of fracture.,,images/image_3848.png right basilar airspace opacity. right basal airspace opacity. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The are intact.,,images/image_3849.png "1. Chest. No active disease. 2. Right foot. Negative. Two-view chest. Both lungs are clear and expanded. Heart and mediastinum normal. Right foot. Hindfoot, midfoot, forefoot are intact with no fractures or bone destruction.",,images/image_3850.png change COPD. Chronic right middle lobe scar and atelectasis. Pulmonary arterial hypertension. Lungs remain hyperexpanded. No change in the right middle lobe opacification. No infiltrates or masses. Pulmonary arteries are prominent centrally.,,images/image_3851.png Normal chest. Heart size and vascularity normal. Lungs are clear. No effusions. No pneumothorax. Visualized osseous structures unremarkable.,,images/image_3852.png No acute abnormality. AP view was obtained due to patient condition. Low volume lungs. No focal lung consolidation. The heart is not enlarged. No pleural effusion.,,images/image_3853.png "No acute cardiopulmonary abnormality. Normal heart size. Density surrounding superior mediastinum reflex combination of vascular, osseous common pleural structures. No focal airspace consolidation. Moderate degenerative disc disease with osteophyte formation bridging.",,images/image_3854.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_3855.png Continued severe cardiomegaly and/or pericardial effusion. No acute pulmonary disease process identified. Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains markedly enlarged. There is aortic vascular calcification. No focal airspace consolidation or pleural effusion.,,images/image_3856.png "No acute cardiopulmonary abnormalities. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_3857.png "No acute cardiopulmonary abnormality. Small hiatal hernia noted. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. There is a rounded lucency seen above the diaphragm on lateral view, suggestive of small hiatal hernia. Visualized osseous structures appear intact. Degenerative changes of the thoracic spine seen.",,images/image_3858.png Chronic lung disease with no acute cardiopulmonary abnormality. Mild cardiomegaly. Changes of chronic lung disease. No pneumothorax or pleural effusion. Accentuated thoracic kyphosis.,,images/image_3859.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. scarring and emphysematous changes noted. The lungs are grossly clear.,,images/image_3860.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable. Negative for pneumoperitoneum.",,images/image_3861.png 1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,,images/image_3862.png "1. Left PICC tip at cavoatrial junction. 2. No acute cardiopulmonary abnormality. There is a left-sided PICC with tip at the caval atrial junction. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Stable short segment catheter tubing overlying the left , to reside within anterior chest soft tissues on recent chest CT. Stable remote posttraumatic changes of multiple right ribs.",,images/image_3863.png "No acute cardiopulmonary finding. The heart size and cardiopulmonary silhouette is normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. The obstruction are intact with mild degenerative change in the thoracic spine.",,images/image_3864.png No acute findings Stable cardiomediastinal silhouette with borderline heart size and aortic ectasia/tortuosity. Stable hyperinflation without focal alveolar consolidation. No definite pleural effusion seen. No typical findings of pulmonary edema. Healed left rib fractures again noted.,,images/image_3865.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3866.png No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. A few bandlike opacities are present which are to represent small areas of scarring or atelectasis. There is eventration of the right hemidiaphragm. Calcified granuloma is present in the left lung.,,images/image_3867.png "1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lungs are hyperexpanded without focal airspace consolidation, pleural effusion, or pneumothorax.. Degenerative endplate changes of the spine..",,images/image_3868.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax.,,images/image_3869.png "No acute cardiopulmonary finding. The heart size and cardiomediastinal silhouette are normal. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact with mild degenerative changes in thoracic spine.",,images/image_3870.png No acute cardiopulmonary findings. . Heart size is normal. No focal airspace consolidations. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_3871.png No acute pulmonary findings. Cardiac and mediastinal contours are within normal limits. Right lung base granuloma. The lungs are otherwise clear. Thoracic spondylosis.,,images/image_3872.png No radiographic evidence of acute cardiopulmonary disease. The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The are unremarkable.,,images/image_3873.png "No acute cardiopulmonary abnormality. The heart size is at the upper limits of normal. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild chronic degenerative changes are present within the thoracic spine..",,images/image_3874.png "1. Low lung volumes. No acute pulmonary findings. 2. Fractured sternotomy , without evidence of complication. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but clear of focal airspace disease, pneumothorax, or pleural effusion. There are multiple sternotomy and surgical clips compatible with prior CABG. The most caudal sternotomy is fractured. There are no acute bony findings.",,images/image_3875.png No acute cardiopulmonary disease The lungs appear clear. The heart and pulmonary are normal. Mediastinal contours are normal. Surgical clips are identified in the mediastinum. Pleural spaces are clear. Soft tissue previously noted along the right lateral chest wall has resolved.,,images/image_3876.png "No acute cardiopulmonary abnormality.. 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.",,images/image_3877.png "Hypoinflation with elevated left hemidiaphragm and possible left basilar infiltrate versus atelectasis. Followup evaluation is suggested in 2 to 4 weeks. IMPRESSION: Exam: CHEST 2V FRONTAL/LATERAL Date: , PM Comparison: CT chest History: Shortness of breath FINDINGS: The heart is mildly enlarged. The lungs are hypoinflated with mildly elevated left hemidiaphragm. There is patchy opacity in the left lung base which may be secondary to atelectasis and/or possible infiltrate. Increased markings are noted throughout and were present on prior CT. The study is limited secondary to moderate motion. Underlying emphysematous changes are identified. IMPRESSION: Hypoinflation with elevated left hemidiaphragm and possible left basilar infiltrate versus atelectasis. Followup evaluation is suggested in 2 to 4 weeks. The heart is mildly enlarged. The lungs are hypoinflated with mildly elevated left hemidiaphragm. There is patchy opacity in the left lung base which may be secondary to atelectasis and/or possible infiltrate. Increased markings are noted throughout and were present on prior CT. The study is limited secondary to moderate motion. Underlying emphysematous changes are identified.",,images/image_3878.png 1. Stable postop changes with mild cardiomegaly. 2. Small bilateral pleural effusions. Changes post bilateral thoracotomy and sternotomy. Intact . Stable position of the epicardial . Mild cardiomegaly. The lungs are clear. Bilateral small pleural effusions.,,images/image_3879.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. Pleural spaces are clear. Mediastinal contours are normal. There is stable lucency in the right mid clavicle dating back to .,,images/image_3880.png No acute cardiopulmonary abnormality. Normal cardiomediastinal contours. Lungs are clear bilaterally. No pneumothorax or pleural effusion.,,images/image_3881.png 1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. Calcified right hilar lymph are demonstrated. Atherosclerotic calcifications of the aortic . No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild to moderate degenerative changes of the thoracic spine.,,images/image_3882.png "Cardiomegaly and increased interstitial opacities which may be compatible with mild pulmonary edema, differential diagnosis includes infection, inflammation, aspiration Stable enlargement of the cardiac silhouette, stable mediastinal contours. Increased interstitial markings in the central lungs and bases, right greater than left. 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.",,images/image_3883.png "1. Pulmonary hypoinflation. Otherwise, no acute cardiopulmonary process. 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.",,images/image_3884.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,,images/image_3885.png "No acute cardiopulmonary abnormality. Calcified left coronary arteries noted. . Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Calcified left coronary arteries noted. Visualized osseous structures appear intact.",,images/image_3886.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_3887.png No evidence of active disease. Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Surgical clips are present in the abdomen.,,images/image_3888.png No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_3889.png "1. Low lung volumes with patchy bilateral scarring versus atelectasis. 2. Otherwise, no acute or pulmonary abnormality. Normal heart size mediastinal contours. Subsegmental atelectasis versus scarring in the right midlung and left lower lobe. No focal airspace disease. No pleural effusion or pneumothorax. Low lung volumes. Visualized bony structures are unremarkable in appearance.",,images/image_3890.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_3891.png 1. No evidence of active disease. 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.,,images/image_3892.png No lobar pneumonia Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_3893.png No evidence of acute cardiopulmonary process. Stable appearance of the chest. The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. There are mild degenerative changes of the thoracic spine.,,images/image_3894.png Postoperative chest. Hypoinflation with no visible active cardiopulmonary disease. Lung volumes are low. No infiltrates in the lungs. No pleural air collections. Sternotomy sutures and bypass graft markers are present. Heart size normal.,,images/image_3895.png "Right upper lobe lung nodules. Recommend . Cardiomediastinal silhouettes are within normal limits. There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_3896.png Clear lungs. Sequelae of old granulomatous disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_3897.png No evidence of active disease. 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.,,images/image_3898.png 1. Stable moderate cardiomegaly with prominent central pulmonary vasculature. 2. Improved left basilar atelectasis or infiltrate. Stable moderate cardiomegaly. Mediastinal contours are unchanged. Stable prominence of the central pulmonary vasculature with coarse central interstitial markings. Decreased left basilar airspace disease. No visible pleural effusion or pneumothorax.,,images/image_3899.png No acute cardiopulmonary findings. Stable mild rightward curvature of the thoracic spine. Heart size is normal. No focal airspace disease. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_3900.png No acute disease. The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aortic are present. The lungs are clear.,,images/image_3901.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_3902.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_3903.png "1. Clear lungs. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. are grossly unremarkable.",,images/image_3904.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact. Stable calcified granuloma in the left lung.,,images/image_3905.png No acute process. The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.,,images/image_3906.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Right apical pleural retraction. Hyperexpansion, flattening of diaphragms, and increased AP diameter consistent with history of COPD. Degenerative disease of the thoracic spine is present.",,images/image_3907.png "No acute cardiopulmonary findings. The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is mild tortuosity of the descending thoracic aorta. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. There are mild degenerative endplate changes in the thoracic spine.",,images/image_3908.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Low lung volumes. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_3909.png Stable chest with stable position right chest pacemaker and leads overlie the right atrium and right ventricle. No pneumothorax identified. . 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.,,images/image_3910.png "Interval improvement in aeration of lung bases and pleural effusions. Residual small left effusion and questionable small right pleural effusion. Normal cardiomediastinal silhouette. Interval improvement in lung volumes bilaterally. Improved aeration of the right and left lung bases. Bilateral small pleural effusions and left base atelectatic change, with interval improvement. Visualized of the chest are within normal limits.",,images/image_3911.png "Chest. 1. No acute cardiopulmonary abnormality. Abdomen. 1. No acute intra-abdominal process. Negative for obstruction. 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 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 over the abdomen or pelvis. 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.",,images/image_3912.png "No acute cardiopulmonary abnormality. 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.",,images/image_3913.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_3914.png "No evidence of acute cardiopulmonary process. The 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. Multilevel degenerative changes are seen throughout the thoracic spine. anchors over the left humeral head. There is mild bilateral acromioclavicular joint osteoarthritis. Visualized upper abdomen is grossly unremarkable in appearance.",,images/image_3915.png "1. Posterior basilar opacity representing subsegmental atelectasis. The lungs are otherwise clear. Heart size is upper limits of normal. Aorta is tortuous. There is elevation of the left hemidiaphragm. There is a posterior basilar opacity seen on lateral representing subsegmental atelectasis, visualized on lateral view. No large pleural effusion or pneumothorax is identified. Scoliosis of the spine.",,images/image_3916.png No acute cardiopulmonary abnormalities. The patient is rotated. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. No focal airspace opacities. Mild degenerative changes of the thoracic spine.,,images/image_3917.png "1. Cardiomegaly and central vascular congestion with perihilar opacities, possibly edema. 2. Large right pleural effusion. The cardiac silhouette is mildly enlarged. Mediastinal contours are within normal limits. The pulmonary vasculaturity is increased. There is large right-sided pleural effusion and probable underlying associated compressive atelectasis. Mild perihilar opacities, edema. No pneumothorax is seen.",,images/image_3918.png "1. Low lung volume study with minimal subsegmental atelectasis in the lung bases. No acute pulmonary process. The heart and mediastinum are unremarkable. There is tortuosity of the aorta, compatible with atherosclerosis. Low lung volumes. Minimal opacities within the lung bases, subsegmental atelectasis. The lungs are clear without infiltrate. There is no effusion or pneumothorax.",,images/image_3919.png "1. Interval improvement in consolidative left base opacity. Multifocal scattered bibasilar patchy and pulmonary opacities again noted, most consistent with atelectasis/infiltrate. 2. Stable enlarged cardiomediastinal silhouette. Stable pulmonary vascular congestion. . Bilateral patchy pulmonary opacities noted. Interval improvement in left base consolidative opacity. Pulmonary vascular congestion again noted. Stable enlarged cardiomediastinal silhouette. Stable left . No evidence of pneumothorax. No large pleural effusions.",,images/image_3920.png No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_3921.png "No acute cardiopulmonary abnormality. Heart size and mediastinal contour within normal limits. Atherosclerotic calcification within the aorta. Calcified granulomas in bilateral and overlying the T9 vertebral body(lateral view). No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes of thoracic spine. No acute osseous abnormality.",,images/image_3922.png "No acute findings Heart size near top normal limits for technique. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense left lower lobe nodule suggests a previous granulomatous process.",,images/image_3923.png "No acute cardiopulmonary abnormality. Heart size normal. Mild tortuosity of the thoracic aorta. There is no focal consolidation, pneumothorax, or pleural effusion identified. A bullet is noted in the soft tissues of the inferior right chest wall. No acute bony abnormality.",,images/image_3924.png No acute pulmonary disease. Multiple thoracic deformities due to osteoporosis. Lungs appear to be clear other than a calcified granuloma on left. Heart is not enlarged. There are atherosclerotic changes of the aorta. There is increased kyphosis of the thoracic spine and there are multiple deformities. A stimulator is seen.,,images/image_3925.png No acute cardiopulmonary findings. Heart size is within normal limits. Low lung volumes. No focal airspace consolidations. No pneumothorax or pleural effusion.,,images/image_3926.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_3927.png 1. Left lower lobe air space opacities without significant change. and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Lungs demonstrate left lower lobe air space opacity with atelectasis without significant change. There is no effusion or pneumothorax.,,images/image_3928.png "No acute cardiopulmonary abnormality.. Cardiomediastinal silhouette is within normal limits for size, with redemonstration of tortuous and atherosclerotic calcified thoracic aorta. No focal consolidation, effusion, or pneumothorax identified. Eventration of the right hemidiaphragm is stable compared to prior examination. Multilevel degenerative disc disease and thoracolumbar spine again noted without acute osseous abnormality.",,images/image_3929.png "1. Left perihilar nodular opacity redemonstrated, appears dense, may be granulomatous, if desired one may consider CT for further characterization. 2. No acute cardiopulmonary abnormality. Redemonstrated azygos lobe. 3. No fracture visible. If clinical concern persists, consider dedicated rib series. Redemonstration of azygos lobe. Redemonstrated left perihilar nodular opacity, similar in size from previous examination. Dense appearing, may be granulomatous. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. . Limited exam, for evaluation of fractures. However, no evidence for displaced rib fracture.",,images/image_3930.png "No acute cardiopulmonary findings. Stable appearance of the cardiomediastinal silhouette. There is no pneumothorax, pleural effusion, or focal airspace consolidation.",,images/image_3931.png 1. Cardiomegaly without failure 2. Ectatic aorta Heart size is enlarged. Cardiomediastinal contours are unchanged since previous exam. There is blunting of the right costophrenic old pleural scar. Lungs are otherwise clear bilaterally. A left upper lobe granuloma appears unchanged. There is kyphosis of the thoracic spine with anterior osteophyte formations. Aortic ectasia is seen in the ascending aorta and the .,,images/image_3932.png "1. Chest. Large nodule at the right lung base that probably represents a granuloma although not it is not densely calcified. A low KV P chest radiograph can be obtained for confirmation as a there are no comparison studies available in the . If the patient has an outside chest radiograph, comparison can be and the report addended. 2. Ribs. Normal. Critical result notification documented through Primordial. If there are questions regarding this interpretation, please . Chest. Heart size is normal. Pulmonary vasculature is normal. There is a 13 mm nodule in the right lower lobe that is relatively dense, but not obviously calcified on the corresponding rib series. There are probably right hilar calcified lymph . Lungs otherwise are clear. There is no pleural effusion. Left ribs. No fracture or focal bony destruction.",,images/image_3933.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable. Calcified left hilar .",,images/image_3934.png "No evidence of acute thoracic . chest radiograph is recommended if is not . The examination consists of frontal supine and lateral radiographs of the chest. Frontal view is lordotic in projection. The cardiomediastinal contours are within normal limits for supine film. No focal consolidation, pleural effusion, or pneumothorax identified. There is a calcified granuloma at the left lung base. The visualized osseous structures and upper abdomen are unremarkable.",,images/image_3935.png "No acute cardiopulmonary findings. The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are moderate degenerative changes in the thoracic spine. There are postsurgical clips in the right upper quadrant.",,images/image_3936.png "No acute cardiopulmonary abnormality. 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. Mild degenerative changes of the thoracic spine.",,images/image_3937.png "No acute findings. Stable cardiac enlargement. Enlarged cardiac contour, stable. Calcified vasculature. Sequelae of prior granulomatous disease. No confluent consolidation, pleural effusion, or overt pulmonary edema. Mild thoracic spondylosis.",,images/image_3938.png There is no evidence of acute cardiopulmonary disease. No radiographic evidence for active tuberculosis a . The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no of a large pleural effusion. There is no evidence of pneumothorax.,,images/image_3939.png "No acute cardiopulmonary findings. The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",,images/image_3940.png "1. Minimal left basilar atelectasis or scar. 2. No acute, displaced rib fractures demonstrated. . The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is minimal atelectasis or scar in the left lung base. The lungs are otherwise grossly clear. There is a small calcified granuloma in the left upper lobe. There is no pneumothorax or pleural effusion. No acute, displaced rib fractures are demonstrated.",,images/image_3941.png Stable chest. No evidence for recurrence or metastasis. No change in the appearance of the left upper lobectomy. Left parahilar scar is unchanged. No infiltrates or masses in the lungs. Heart size remains normal.,,images/image_3942.png "1. Bibasilar airspace disease, greater on the right, either atelectasis or infiltrate. 2. Platelike right midlung atelectasis. . There is mild cardiomegaly. The thoracic aorta is tortuous. Lung volumes are low with asymmetric elevation of the right hemidiaphragm. There is platelike atelectasis in the right midlung along with bibasilar airspace disease, either atelectasis or infiltrate. No pneumothorax.",,images/image_3943.png "No acute abnormality. Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.",,images/image_3944.png Vague area of focal airspace disease within the right midlung. There is raises concern for pneumonia. Recommend followup after appropriate treatment to document complete resolution. The heart is normal in size and contour. There is a vague area of airspace disease identified within the right midlung on the PA view. This is not well-demonstrated on the lateral view. There is no pneumothorax or effusion.,,images/image_3945.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_3946.png airspace disease within the superior segment of the right lower lobe with moderate layering right pleural effusion with air fluid level. Follow up to resolution or cross sectional imaging of the chest recommended to rule out malignancy. There is a moderate layering right pleural effusion with air fluid level noted. airspace opacity at the superior segment of the right lower lobe. No visualized pneumothorax. The right lateral heart is obscured. The left lung is clear without focal consolidation. No visualized pneumothorax. No acute bone abnormality.,,images/image_3947.png "No acute cardiopulmonary abnormalities. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact. and curvilinear densities over the breast shadows compatible with piercings.",,images/image_3948.png Possible right lower lobe pneumonia. Cardiomegaly Heart size is moderately enlarged. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is suspected right lower lobe airspace opacity demonstrated on the lateral study. There is a fracture of superior sternotomy unchanged.,,images/image_3949.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_3950.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_3951.png Negative chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_3952.png "No acute findings. . The postoperative cardiomediastinal silhouette is stable and upper limits of normal in size. There are sternotomy and surgical clips compatible with prior CABG. There is at one left-sided coronary artery stent. Pulmonary vasculature is normal in caliber. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_3953.png 1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,,images/image_3954.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal. Surgical clips are in the epigastrium of the abdomen.,,images/image_3955.png Normal chest exam. Normal heart size. Clear lungs without pneumothorax or pleural effusion.,,images/image_3956.png "Round density within the anterior segment of the right upper lobe. This may represent pulmonary nodule. The primordial was employed to notify the referring physicians of this critical finding. . 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 lung nodule.",,images/image_3957.png "1. No acute cardiopulmonary abnormalities. 2. An ovoid opacity in the left retrocardiac area, could be projectional or solid mass, further study is recommended. . There is an ovoid opacity 3.5 cm in the retrocardiac area on AP view, not well-seen on the lateral view, a dedicated scan is recommended. No pneumothorax or pleural effusion present. The heart is normal in size. No hilar lymphadenopathy. No destructive bony lesions.",,images/image_3958.png Scarring at the lateral costophrenic . Otherwise no significant radiographic abnormality. Blunting of the costophrenic represents scarring. No pleural effusion is identified on the lateral view. There is no focal consolidation. No pneumothorax is present. The cardiomediastinal silhouette is within normal limits are in the pulmonary vasculature is normal.,,images/image_3959.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_3960.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_3961.png "No acute cardiopulmonary disease. . 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.",,images/image_3962.png "No acute cardiopulmonary abnormality identified. 2 images. Calcified granuloma left upper lobe. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",,images/image_3963.png No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. foreign body is noted in the soft tissues of the left chest wall.,,images/image_3964.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3965.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is at the upper limits of normal in size but stable from prior exam. There is tortuosity of the thoracic aorta, stable. There is no pneumothorax or large pleural effusion.",,images/image_3966.png "1. No focal airspace consolidation. 2. Emphysema. 3. Stable biapical opacities, possibly scarring. Heart size is at the upper limits of normal. There is aortic atherosclerotic vascular calcification. The lungs remain hyperexpanded. There are biapical opacities, stable from the prior study. No focal airspace consolidation. No significant pleural effusion. No pneumothorax. There are mild degenerative changes of the spine.",,images/image_3967.png "No acute findings 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.",,images/image_3968.png "1. Patchy left lower lobe airspace disease, possibly atelectasis or pneumonia. 2. Right mid lung subsegmental atelectasis. There are low lung volumes with bronchovascular crowding. There is patchy left lower lobe airspace disease. There are opacities in the right mid lung, subsegmental atelectasis. No significant pleural effusion. No pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification.",,images/image_3969.png "Negative. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_3970.png No acute cardiopulmonary abnormality. Low lung volumes. Normal heart size. The trachea is midline. Lungs are clear. No pneumothorax. No pleural effusion.,,images/image_3971.png "1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.",,images/image_3972.png "No acute or active cardiac or pulmonary disease process. Cannot exclude small pleural effusions. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and aeration of the lungs. The inferior posterior sulcus is excluded.",,images/image_3973.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Scattered granulomatous changes. Mild unfolding of the thoracic aorta. Bony thorax is unremarkable",,images/image_3974.png Old granulomatous disease. No acute pulmonary disease. There is a calcified granuloma in the left upper lobe. Lungs otherwise are believed to be clear. The heart is normal. There are calcified left hilar and mediastinal lymph . The skeletal structures show some senescent changes.,,images/image_3975.png "Right apical cavitary lesion consistent with history of tuberculosis without active infectious process identified. Irregularity within the right apex is consistent with patient's known cavitary lesion as a sequela of prior tuberculosis. No evidence of active infection. No focal consolidations, pneumothorax, or effusions identified. Paramediastinal silhouette is stable and within normal limits and no acute bony abnormality is identified.",,images/image_3976.png Stable appearance of the chest without focal air space disease. Mildly low lung volumes. Lungs are clear without focal air space disease. Persistent mild elevation right hemidiaphragm. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_3977.png "No acute cardiopulmonary findings. Cardiac silhouette is normal in size. Normal mediastinal contour and pulmonary vasculature. The lungs are without focal airspace consolidation, large pleural effusion, or pneumothoraces.",,images/image_3978.png No acute cardiopulmonary abnormality. Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.,,images/image_3979.png "1. Clear lungs. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. are grossly unremarkable. There is evidence of granulomatous disease.",,images/image_3980.png "At 2 right lung pulmonary nodules concerning for
metastatic disease Two nodules are noted in the right measuring 13 mm and one measuring 16 mm in diameter. The smaller one appears to be within the right upper lobe and the large appears to be within the left lower lobe. No focal consolidation and no other pulmonary nodules are identified. However, if a full evaluation for lung nodules is desired consider for further evaluation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.",,images/image_3981.png bilateral effusions. Heart size within normal limits. Stable position of left subclavian central venous catheter. No focal airspace disease. No pneumothorax. Mild blunting of the costophrenic bilaterally.,,images/image_3982.png No radiographic evidence of acute cardiopulmonary disease. 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.,,images/image_3983.png Negative chest. . Heart size is normal. No focal consolidations. No pneumothorax or pleural effusion.,,images/image_3984.png "No Acute cardiopulmonary disease. The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The Heart and mediastinum are normal size and shape. and soft tissues are unremarkable.",,images/image_3985.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. There is evidence of previous granulomatous disease. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. No pleural effusion.",,images/image_3986.png change. Hypoinflation with no visible active cardiopulmonary disease. Lung volumes are low. No focal infiltrates. Pulmonary are normal.,,images/image_3987.png "Negative. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_3988.png "Developing left upper lobe consolidation and focal atelectasis, consistent with pneumonitis. In the interval, consolidation has developed in the left upper lobe. Also, anterior segment opacity is present. Right lung remains clear. Heart size is normal.",,images/image_3989.png No evidence of active disease. The lungs hyperexpanded suggesting emphysema. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Osteopenia and degenerative changes are present in the spine.,,images/image_3990.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_3991.png "1. No acute cardiopulmonary abnormality. No active disease. Minimal right sided perihilar atelectasis. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal.",,images/image_3992.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_3993.png Mild opacities compatible with residual atelectasis/scarring. The heart is normal in size. The mediastinum is stable. The previously visualized bilateral pneumothoraces have resolved. Right chest wall surgical have been removed. There is improved aeration in the lung bases with mild residual opacities compatible with scarring or atelectasis.,,images/image_3994.png "1. Right upper lobe opacity which appears improved as compared to previous scan. The heart size and pulmonary vascularity appear within normal limits. Left -a- is in . No pleural effusion or pneumothorax is seen. Right upper lobe area of dense opacity is seen in the medial right apex. On a previous outside scan (), the right upper lobe was consolidated. Comparison to the from that exam shows this opacity to have decreased. No films were available, however, for direct comparison.",,images/image_3995.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_3996.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_3997.png No acute disease. The heart is normal in size. The mediastinum is stable. The lungs are clear.,,images/image_3998.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_3999.png "Chronic emphysematous lung disease with mild bibasilar, right greater than left airspace disease/atelectasis. Hyperexpansion of the lungs with hyperlucency and flattening of hemidiaphragms suggestive of chronic emphysematous lung disease. Heart size within normal limits. Bibasilar, right greater than left atelectasis/airspace disease noted. No pneumothorax or large pleural effusion. No acute bony abnormality.",,images/image_4000.png "Stable changes of COPD. There is interstitial thickening bilaterally, more prominent in the bases. The cardiomediastinal silhouette is normal in size and appearance. There is hyperexpansion. No infiltrates. Two bullae are seen in the right upper lung. Small calcified granuloma stable from prior exam.",,images/image_4001.png "No acute cardiopulmonary abnormalities. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact. and curvilinear densities over the breast shadows compatible with piercings.",,images/image_4002.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. The pleural spaces are clear. The mediastinal contours are normal.,,images/image_4003.png "Patchy, right lower lobe airspace disease. This represents pneumonia. Recommend followup radiographs to ensure resolution. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is patchy airspace disease in the right lower lobe. The lungs are otherwise grossly clear. There is no pneumothorax or pleural effusion.",,images/image_4004.png "Normal chest No evidence of tuberculosis Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4005.png "1. Marked bullous emphysematous changes and traction bronchiectasis, again most notable involving the bilateral upper lobes. Stable suspected superimposed left upper lobe aspergilloma - as more readily demonstrated on the previous CT chest study from . 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 ) a large left upper lobe , reflecting a superimposed aspergilloma-as more readily demonstrated on the previous CT chest study from . No areas of alveolar airspace consolidation are identified. No evidence of pleural effusion or pneumothorax.",,images/image_4006.png "1. Unremarkable chest radiograph. 2. Unchanged degenerative joint disease of the thoracic spine. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. Osseous structures are grossly unremarkable. Unchanged degenerative changes to the thoracic spine.",,images/image_4007.png "Negative for acute abnormality. Right thorax volume loss with some degree of left-to-right mediastinal shift. Relative hyperlucency of left lung, compensatory hyperinflation. Diminutive right hilar silhouette, compatible with absence of right pulmonary artery, as noted on prior CT. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.",,images/image_4008.png "Stable exam with no acute abnormality seen. Stable cardiomediastinal silhouette with tortuous thoracic aorta. No pneumothorax, pleural effusion or suspicious focal air space opacity. Stable right lung base scarring.",,images/image_4009.png "No acute abnormality. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild levocurvature of thoracic spine. A 9 mm pulmonary nodule is noted partially overlying the posterior 6th right rib on the frontal view.",,images/image_4010.png No acute abnormality. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,,images/image_4011.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact. Calcification in the right upper quadrant of the abdomen consistent with gallstone.,,images/image_4012.png 1. No active disease. 2. There are numerous small surgical clips seen overlying the upper thorax bilaterally and the lower cervical region of uncertain significance. The lungs are clear. There are multiple surgical seen near the apical regions and lower cervical region bilaterally. The heart and mediastinum are normal. There is a screw in the right shoulder. The soft tissues are normal.,,images/image_4013.png "No acute visualized cardiopulmonary abnormality. The heart and mediastinal silhouettes are within normal limits. The lungs are clear without focal airspace opacity, large effusion, or pneumothorax. The are grossly intact. Degenerative T-spine osteophytes.",,images/image_4014.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_4015.png Mild hyperexpansion. No acute process. Flattening of the bilateral hemidiaphragms. Lungs are clear. Soft tissues and bony structures unremarkable. No pneumothorax or effusion.,,images/image_4016.png "1. No acute radiographic cardiopulmonary process. No acute osseous abnormality. Scattered degenerative changes of the thoracic spine. Soft tissues are within normal limits. Normal heart size. Stable elevation right hemidiaphragm compared to exam on . Bilateral hilar lymph . No focal area of consolidation, pleural effusion, pneumothorax. Bibasilar atelectasis.",,images/image_4017.png Opacification of the right middle and lower lobes. Mediastinal contours are normal. Opacity within the right middle and lower lobes. No displacement of the or fissure. No pneumothorax..,,images/image_4018.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4019.png 1. large hiatal hernia. 2. Left base atelectasis. [,images/image_4020.png 1. No acute radiographic cardiopulmonary process. Three images are available for review. The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_4021.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_4022.png No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,,images/image_4023.png "1. No active cardiopulmonary disease. 2. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation. This is related to the muscular dystrophy and decreased shoulder muscles support. 3. postoperative changes from the spinal placement. PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is within limits. Postoperative changes from spinal rods are demonstrated. There is elevation of the left hemidiaphragm. Multiple colonic loops are demonstrated in the left upper quadrant. The lungs are clear bilaterally. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation.",,images/image_4024.png No active disease. Lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.,,images/image_4025.png "No acute cardiopulmonary abnormality. . No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. are intact.",,images/image_4026.png "No acute cardiopulmonary abnormalities. Heart size and mediastinal contour are within normal limits. Pulmonary vascularity is normal. No focal consolidation, large pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_4027.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There are calcified granulomas within the left lower lobe. There is no pneumothorax or effusion.",,images/image_4028.png No acute abnormality. Stable chest. Stable position of right central venous catheter. Interval removal of nasogastric tube. Heart size is normal. Persistent prominent interstitial markings of the right upper lobe. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Normal pulmonary vascularity.,,images/image_4029.png Small left pleural effusion with left basilar atelectasis. The heart size and mediastinal contours appear within normal limits. There are streaky left basilar opacities and blunting of the left costophrenic sulcus secondary to a small effusion. No pneumothorax. No acute bony abnormalities.,,images/image_4030.png COPD. No acute abnormality. The lungs are hyperaerated suggestive of chronic obstructive pulmonary disease. No focal lung consolidation. No pleural effusion. No definite pneumothorax. Heart is not enlarged. Postsurgical changes with mediastinal clips and .,,images/image_4031.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Calcified granuloma, right base. Normal .",,images/image_4032.png Stable appearance of the chest. No or acute finding on today's study. Normal heart size. Left chest tip mid SVC. Right axillary surgical clips. Stable pleural based nodule left mid chest. No acute pulmonary findings.,,images/image_4033.png "No acute cardiopulmonary disease. . 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.",,images/image_4034.png Hypoinflation with lingular focal atelectasis. Lung volumes are . opacities are present in the angulate. No focal infiltrates. Heart size normal.,,images/image_4035.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_4036.png No active disease. Lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.,,images/image_4037.png No acute cardiopulmonary abnormalities. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,,images/image_4038.png Minimal bibasilar focal atelectasis. Cardiac silhouette and pulmonary vascularity are normal. There is mild bibasilar focal atelectasis. No evidence of pleural effusion or pneumothorax. Minimal atherosclerotic changes are present in the thoracic aorta.,,images/image_4039.png "1. Low lung volumes with mild crowding. PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Mild nodular prominence of the right hilum, without significant change. Lung volumes are decreased, with crowding. There is no pneumothorax, pleural effusion, or focal air space consolidation.",,images/image_4040.png "Small to moderate right apical pneumothorax. 2 images. Heart size upper limits of normal. Mediastinal contours are maintained. The patient is mildly rotated. There is a small to moderate sized right apical pneumothorax which measures approximately 2.0 cm. No focal airspace consolidation is seen. Left chest is clear. No definite displaced bony injury is seen. Results called . p.m. , .",,images/image_4041.png No acute cardiopulmonary abnormalities. No pneumothorax. No large pleural effusions. Heart size is normal. No acute focal space opacities.,,images/image_4042.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_4043.png change. No active cardiopulmonary disease. Heart size remains slightly large. Pulmonary are normal. Aorta tortuous.,,images/image_4044.png Nodular density noted on recent PA chest radiograph represents an artifact. No nodules noted within the lungs on a recent outside from . There are no airspace opacities to suggest pneumonia. There is a vague nodular like opacity in the right midlung measuring 1.2 cm projecting through the posterior 7th and 8th ribs. This may be artifact. Chest fluoroscopy would confirm this. Heart and pulmonary appear normal. There are calcified subcarinal and right hilar lymph . The pleural spaces are clear.,,images/image_4045.png "Negative for acute cardiopulmonary abnormality. The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Degenerative changes of the thoracic spine.",,images/image_4046.png "1. No acute radiographic cardiopulmonary process. No acute osseous abnormality. Soft tissues are within normal limits. Borderline enlargement of the heart. Normal hilar vasculature. No focal area of consolidation, pleural effusion, or pneumothorax.",,images/image_4047.png No acute abnormality. Normal heart size. Normal mediastinal silhouette. No pneumothorax or pleural effusion. No suspicious focal air space opacity.,,images/image_4048.png 1. No acute findings. 2. Stable midthoracic vertebral body fractures. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. No acute bony abnormalities. There are stable anterior wedge deformities of 2 midthoracic vertebral bodies.,,images/image_4049.png Hyperinflation consistent with COPD. No acute pulmonary disease identified. The lungs are clear. There is hyperinflation of the lungs. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. mild arthritic changes of the spine are present.,,images/image_4050.png "No acute cardiopulmonary abnormality. No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized of the chest are within normal limits.",,images/image_4051.png No acute cardiopulmonary abnormality. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Stable calcified granuloma in the left upper lung. No acute bony abnormality is identified.,,images/image_4052.png opacity in left lung base represents atelectasis or scarring. There is S-shaped thoracolumbar scoliosis. There are T-spine osteophytes. opacity in the left lower lobe 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 .,,images/image_4053.png "1. Evidence of prior granulomatous disease, stable. No acute abnormality. The heart and mediastinum are unremarkable. Again identified are numerous calcified mediastinal lymph as well as large calcifications within the left upper and left lower lobes. These appear similar to the patient's previous chest CT and are the sequela of prior granulomatous disease. The lungs are otherwise clear without infiltrate. There is no effusion or pneumothorax.",,images/image_4054.png "1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lungs are hyperexpanded without focal airspace consolidation, pleural effusion, or pneumothorax.. Degenerative endplate changes of the spine..",,images/image_4055.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,,images/image_4056.png "Stable chest without acute cardiopulmonary abnormality. 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.",,images/image_4057.png "No acute findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_4058.png "Stable appearance of the chest There is a stable closure device projected over the heart. The heart and mediastinum are otherwise normal. There is stable scarring of left mid lung. The lungs are otherwise clear. There is no infiltrate, effusion, mass or pneumothorax.",,images/image_4059.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_4060.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_4061.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. There are low lung volumes with left basilar subsegmental atelectasis. No focal airspace consolidation, effusions or pneumothorax. No acute bony abnormalities.",,images/image_4062.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. There is aortic vascular calcification. And there is a hyper left lung calcified granuloma. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. No pleural effusion. There are vascular and skeletal senescent changes.",,images/image_4063.png "Heart size normal. Stable mediastinal silhouette. No lobar consolidation, large pleural effusion or pneumothorax. Mild increased reticular interstitial opacity. Increased interstitial opacities non-specific. Question edema or atypical infection?",,images/image_4064.png No acute radiographic cardiopulmonary process. The heart size is normal. The mediastinal contour is within normal limits. There are multiple calcified granulomas within the left lower lobe. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_4065.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4066.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_4067.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Prominent left epicardial fat .,,images/image_4068.png No acute preoperative findings Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_4069.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Degenerative disease is seen in the thoracic spine and left .",,images/image_4070.png "Stable, nonenlarged cardiomediastinal silhouette. Left upper lobe calcified granuloma noted. Epigastric and right upper quadrant postsurgical changes. Interval increased bilateral interstitial opacities, with probable left lower lobe infiltrate. Stable, nonenlarged cardiomediastinal silhouette. Left upper lobe calcified granuloma noted. Epigastric and right upper quadrant postsurgical changes. Interval increased bilateral interstitial opacities, with probable left lower lobe infiltrate.",,images/image_4071.png No acute cardiopulmonary disease. Heart size is mildly enlarged. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.,,images/image_4072.png " onset right basal chest infection onset right basal atelectasis with airspace disease and effusion suggestive of the chest infection. Stable cardiomegaly and features of CABG. Interval removal of left PICC line, no pneumothorax.",,images/image_4073.png "Negative. No significant change from . The cardiomediastinal silhouette is normal in size and contour. Aortic atherosclerosis. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_4074.png "Postsurgical and postradiation changes on the left with no acute abnormality. 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. deviation towards the left. Right lung is hyperexpanded. The right lung is clear. Heart size and vascularity within normal limits.",,images/image_4075.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is stable irregularity of the posterior left 6th rib which represents an old fracture..",,images/image_4076.png Prominent transverse aorta. Otherwise clear. The heart size and pulmonary vascularity appear within normal limits. The thoracic aorta is prominent with calcification within the aorta. Azygos lobe is noted. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes noted in the spine.,,images/image_4077.png "Low lung volumes. No acute pulmonary disease. Calcified granuloma is noted in the left upper lobe. There are low lung volumes, with bronchovascular crowding as a result. Heart size is within normal limits. Normal mediastinal contours. No pleural effusion, pneumothorax or focal airspace disease. No free subdiaphragmatic air. The osseous structures are grossly intact.",,images/image_4078.png "1. Clear lungs. Cardiac And Mediastinal Contours Are Unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. are grossly unremarkable. There are some minimal degenerative changes of the thoracic spine. Evidence of chronic granulomatous disease.",,images/image_4079.png No acute cardiopulmonary abnormalities. . Cardiomediastinal silhouette is within normal limits. No focal consolidation. No pneumothorax or pleural effusion. No acute bony abnormalities.,,images/image_4080.png No active disease. A calcified granuloma is present in the right costophrenic . Lungs are otherwise clear. Heart size normal.,,images/image_4081.png "Normal exam Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity.",,images/image_4082.png No active disease. The lungs are clear. No pleural effusion is seen. The heart and mediastinum are normal. Arthritic changes of the spine are present.,,images/image_4083.png No acute cardiopulmonary abnormality. Lungs are clear. No pneumothorax or pleural effusion. Normal heart and mediastinal contours. Normal pulmonary vasculature. Bony thorax intact.,,images/image_4084.png "1. No acute cardiopulmonary finding. 2. Emphysema and atherosclerosis. The heart size and cardiomediastinal silhouette are normal. The aorta is tortuous and atherosclerotic. The lungs are hyperexpanded with flattening of hemidiaphragms and increased retrosternal airspace. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.",,images/image_4085.png Normal chest x-. The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no of a pleural effusion. There is no evidence of pneumothorax.,,images/image_4086.png "Chronic lung disease, with no acute cardiopulmonary findings. Heart size within normal limits. No focal airspace opacities. No pneumothorax. No effusions. Mild degenerative changes of the thoracic spine. No deformities. Emphysematous changes.",,images/image_4087.png Right lower lobe infiltrate. In the appropriate clinical setting this appearance is compatible with pneumonia. Consider followup PA and lateral chest x- in 4-6 weeks to ensure resolution and exclude an underlying mass. Postop changes of CABG with mild cardiomegaly. There is an infiltrate in the right lower lobe. Thoracic spondylosis.,,images/image_4088.png No acute cardiopulmonary disease. Clear lungs. Heart and pulmonary appear normal. Pleural spaces are clear. Mediastinal contours are normal.,,images/image_4089.png "No acute cardiopulmonary abnormality identified. 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.",,images/image_4090.png "No acute radiographic cardiopulmonary process. 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.",,images/image_4091.png "1. No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. Pulmonary vascular is unremarkable lungs are expanded and clear of airspace disease. Negative for pneumothorax, pneumomediastinum, or pleural effusion. Limited evaluation reveals the to be grossly intact. Prominent rib cartilage of the anterior lower ribs seen on lateral view.",,images/image_4092.png "No acute cardiopulmonary disease. . 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.",,images/image_4093.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Negative for focal consolidation, pneumothorax or large pleural effusion. Middle lobe calcified granulomas. Normal .",,images/image_4094.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. No large pleural effusions. Heart size normal. Cardiomediastinal silhouette is unremarkable.,,images/image_4095.png No acute disease. The heart is normal in size. The mediastinum is within normal limits. The study is somewhat limited. No focal consolidation is seen.,,images/image_4096.png "No acute cardiopulmonary findings. The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. Surgical clips overlying the left breast soft tissues. Multilevel degenerative changes of the thoracic spine. No acute bony abnormalities.",,images/image_4097.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. There is right greater than left biapical bullous emphysema. No focal consolidation, pleural effusion, or pneumothorax identified. There are degenerative changes of the thoracic spine.",,images/image_4098.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_4099.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear. Bilateral breast prostheses are noted.,,images/image_4100.png No acute cardiopulmonary abnormality. Normal heart size and mediastinal contours. No focal air space opacities. No pleural effusion. Visualized osseous structures are unremarkable.,,images/image_4101.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4102.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_4103.png No evidence of active disease. There are scattered calcified granulomas. The lungs are otherwise clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour. Right humeral internal fixation is noted.,,images/image_4104.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_4105.png "Normal chest. Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4106.png "No acute cardiopulmonary abnormality. 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.",,images/image_4107.png "No active or acute cardiopulmonary disease. Normal cardiac size and contour, unremarkable mediastinal silhouette. Normal pulmonary . Lungs clear, no airspace disease, pleural effusion, or pneumothorax.",,images/image_4108.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_4109.png "No acute cardiopulmonary abnormalities. No evidence of abnormal radiodense foreign bodies. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact. No evidence of abnormal radiodense foreign bodies.",,images/image_4110.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_4111.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4112.png "No acute findings. Please note that fractures may not be demonstrated and consider additional imaging as clinically warranted. 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 demonstrated.",,images/image_4113.png "1. No acute pulmonary abnormality. 2. Mild cardiomegaly, atherosclerotic disease. The lungs and pleural spaces show no acute abnormality. Heart size is mildly enlarged, pulmonary vascularity within normal limits. Atherosclerotic calcifications are present in the aortic .",,images/image_4114.png No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Levoscoliosis of the thoracolumbar spine is present.,,images/image_4115.png No acute findings. Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Bony structures are intact.,,images/image_4116.png "No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. No focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. Changes of right mastectomy. Sequelae of prior granulomatous disease. Mild thoracic spine degenerative change",,images/image_4117.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. No large pleural effusions. Heart size normal. Cardiomediastinal silhouette is unremarkable.,,images/image_4118.png Low lung volumes without acute cardiopulmonary disease. There are low lung volumes. The cardiac silhouette and mediastinal contours are within normal limits. There is tortuosity of the thoracic aorta. No pneumothorax. No large pleural effusion.,,images/image_4119.png 1. No acute cardiopulmonary abnormality. 2. Technically limited exam. 3. Incidental note of large cervical spine osteophytes. . Normal heart size and mediastinal contours. Low lung volumes mild bibasilar atelectasis. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance. The lateral views are limited by patient positioning and motion. Large cervical spine osteophytes.,,images/image_4120.png Persistent and biapical opacities. No acute pulmonary disease identified. There is a large calcified granuloma in the right apex. Mild patchy opacities are seen in the upper lung zones bilaterally similar to prior studies. The heart and mediastinum are normal. Scoliosis and arthritic changes of the spine are present.,,images/image_4121.png " atelectasis/airspace disease. Cardiomediastinal silhouette within normal limits. No acute bony abnormality. There are opacities, atelectasis versus airspace disease. No large effusion or pneumothorax.",,images/image_4122.png No evidence of active disease. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.,,images/image_4123.png "No acute cardiopulmonary disease. 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.",,images/image_4124.png Chest. 1. Cardiomegaly with possible pericardial effusion. 2. No evidence for pulmonary edema or pneumonitis. KUB. 1. Nonspecific abdomen. Chest: The heart is enlarged. There may be a pericardial effusion. No definite pulmonary edema is seen. Lungs appear clear. There is no pleural effusion. The skeletal structures and soft tissues are unremarkable. KUB : single view of the abdomen was obtained. The bowel pattern is nonspecific. There is no evidence for obstruction or free intraperitoneal air. No large soft tissue masses or organomegaly are identified. The skeletal structures appear normal.,,images/image_4125.png " left lower lobe nodule. The differential diagnosis includes round pneumonia and parenchymal mass. CT may be of further . In the interval, a 2 cm diameter nodule has developed in the posterior segment of the left lower lobe. It is not calcified. No other infiltrates or masses in the lungs. Heart and pulmonary are normal. are normal.",,images/image_4126.png 1. Cardiomegaly without radiographic evidence of heart failure. 2. No acute cardiopulmonary abnormality. There is moderate cardiomegaly. No interstitial edema or pleural effusion. No focal airspace consolidation. No pneumothorax. There is mild degenerative disc disease of the thoracic spine.,,images/image_4127.png Cardiomegaly and hiatal hernia without an acute abnormality identified. The heart size is mildly enlarged. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a moderate sized hiatal hernia. There mild degenerative changes of the spine.,,images/image_4128.png "Diffuse reticulonodular pattern bilaterally. The this may represent heart failure, opportunistic infection, or idiopathic interstitial pneumonitis. of chest for further characterization. Cardiomediastinal silhouettes are within normal limits. The there is a diffuse reticulonodular pattern the lungs bilaterally. Pulmonary vasculature is within normal limits. Negative for pneumothorax or large pleural effusion. Bony thorax is unremarkable",,images/image_4129.png Bony structures appear intact. Minimal retrocardiac airspace disease. No pneumothorax or large pleural effusion. Borderline cardiomegaly. Minimal retrocardiac airspace disease. Bony structures appear intact.,,images/image_4130.png "Atelectasis versus scar left lung base. Otherwise unremarkable. for the opportunity to assist in the care of your patient. If there are any questions about this examination please . , certified radiologist, at . Heart size within normal limits. Mediastinal contours unremarkable. Pulmonary vascularity is normal. Right lung is clear. opacities left lung base may represent atelectasis versus scarring. No focal consolidation. No pleural effusion, no pneumothorax. Bony structures unremarkable.",,images/image_4131.png No acute cardiopulmonary finding. Heart size normal. Tortuous aorta. Sequela primary granulomatous disease. Lungs clear. Minimal spurring in the thoracic spine.,,images/image_4132.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4133.png No active disease. Both lungs are clear and expanded. An old calcified granuloma is present in the left upper lobe. Heart and mediastinum normal.,,images/image_4134.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_4135.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_4136.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_4137.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal. -A- has its tip at the caval atrial junction.,,images/image_4138.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No change right anterior soft tissue surgical clips. Configuration of breast shadows on the PA view suggests prior right lumpectomy.,,images/image_4139.png "1. Negative acute bone abnormality. 2. Indeterminate 1.4 cm opacity seen only on lateral view is of unknown clinical significance, and may be located in or on the patient. Clinical correlation, with possible followup chest x- recommended if clinically appropriate. Dr. was notified of the indeterminate rounded opacity at hours on and acknowledged receipt of the study finding. Rounded 1.4 cm projecting retrosternally on lateral view only. No focal consolidation, effusion, or pneumothorax. Normal heart size. Minimal degenerative changes of the thoracic spine. Negative for pneumoperitoneum.",,images/image_4140.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_4141.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4142.png No acute cardiopulmonary disease. No evidence of pneumonia. The lungs are clear. There is no pneumonia. The heart and pulmonary are normal. Pleural spaces are clear. Mediastinal contours appear normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.,,images/image_4143.png "No acute cardiopulmonary abnormality. 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.",,images/image_4144.png The right lower lobe pneumonia There is airspace disease in the right lower lobe seen behind the right hemidiaphragm on PA view. This is also well seen on lateral view. Remainder of the lungs appear clear. The heart and pulmonary appear normal. Mediastinal contours are normal.,,images/image_4145.png Clear lungs with no suspicious pulmonary nodules or masses. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_4146.png "1. Cardiomegaly and findings of prior asbestos exposure without interval acute cardiopulmonary findings. There is stable cardiomegaly. Aorta is calcified and tortuous. There are multiple pleural calcifications representing prior asbestos exposure. These appear unchanged. There is no pneumothorax, pleural effusion, or focal airspace consolidation.",,images/image_4147.png 1. Left lower lobe airspace disease suspicious for pneumonia. Two views of chest was obtained in AP projection. The cardiomediastinal silhouette is not enlarged. Lungs demonstrate segmental air space disease within the left lower lobe. There is no effusion or pneumothorax. There is evidence of CABG.,,images/image_4148.png "1. Cardiomegaly without heart failure. 2. Low lung findings. Left retrocardiac opacities, subsegmental atelectasis. Apparent cardiomegaly at partially accentuated by low lung volumes. Relative elevation right hemidiaphragm. Streaky left retrocardiac densities. No pneumothorax or large pleural effusion. Surgical clips near the gastroesophageal junction. Negative for acute bone abnormality.",,images/image_4149.png "1. No acute cardiopulmonary finding. 2. Hiatal hernia. The heart is normal in size with normal appearance of the cardiomediastinal silhouette. There is a hiatal hernia with soft tissue projecting behind the mediastinum. The lungs are clear without focal airspace opacity, pleural effusion, pneumothorax. The osseous structures are intact.",,images/image_4150.png No active disease. The heart and lungs have in the interval. Both lungs are free of acute infiltrates and expanded. Strandy scarring in the left lower lobe is unchanged. Heart and mediastinum normal.,,images/image_4151.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_4152.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. Atherosclerotic calcifications of the aortic are again seen. 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.",,images/image_4153.png "Chest radiograph. 1. No acute radiographic cardiopulmonary process. Stable normal cardiomediastinal silhouette. Bilateral calcified hilar/perihilar lymph . Left lateral lung calcified granuloma. Lungs are grossly clear without focal consolidation, pleural effusion, or pneumothorax. Stable degenerative changes of the thoracic spine. No acute osseous abnormality.",,images/image_4154.png No acute disease. The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aortic are present. The lungs are clear.,,images/image_4155.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4156.png 1. No evidence of active disease. 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.,,images/image_4157.png No acute cardiopulmonary abnormality. Normal heart size. Clear lungs. No large pleural effusion. No pneumothorax.,,images/image_4158.png "No acute cardiopulmonary process. 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.",,images/image_4159.png No acute cardiopulmonary findings. Heart size within normal limits. Mild left upper lobe atelectasis or scarring. No pneumothorax or pleural effusion. Tortuous aorta. Hiatal hernia.,,images/image_4160.png No acute cardiopulmonary findings. . There is mild hyperinflation. There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits. cardiac generator overlies the left upper thorax with tips overlying the right atrium and ventricles.,,images/image_4161.png Old granulomatous disease. No acute pulmonary disease. The lungs are clear. No pleural effusion is seen. The heart is normal. Calcified right hilar and infracarinal lymph are seen. The skeletal structures are normal.,,images/image_4162.png "No acute findings Heart size within normal limits, stable mediastinal and hilar contours. Left hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",,images/image_4163.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4164.png No acute cardiopulmonary finding. Heart size normal. Tortuous aorta. Sequela primary granulomatous disease. Lungs clear. Minimal spurring in the thoracic spine.,,images/image_4165.png 1. No evidence of pneumonia or aspiration 2. Suture material along left apex suggesting prior lung surgery The lungs appear clear. No evidence of focal pneumonia. The heart and pulmonary are normal. There is suture material at the left apex suggesting prior lung surgery. In the pleural spaces are clear. Mediastinal contours appear normal.,,images/image_4166.png "No acute cardiopulmonary abnormality. 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.",,images/image_4167.png "1. Clear lungs. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. are grossly unremarkable.",,images/image_4168.png "No acute abnormality. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Calcified right hilar lymph noted.",,images/image_4169.png "No acute cardiopulmonary abnormality.. 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.",,images/image_4170.png "No acute cardiopulmonary abnormality identified. 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.",,images/image_4171.png "Normal chest No evidence of tuberculosis Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4172.png Stable appearance of the chest without acute abnormality. Lungs are clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable with ectasia of the aorta. Heart size is upper limits of normal. Degenerative changes in the spine.,,images/image_4173.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are mildly hypoinflated but clear.,,images/image_4174.png "No acute cardiopulmonary disease. 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.",,images/image_4175.png "Normal chest No evidence of tuberculosis Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4176.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion. foreign body in the posterior soft tissues appear stable.",,images/image_4177.png Diffuse interstitial lung disease with pleural effusion. Mediastinal contours are normal. Blunting of the left costophrenic . Increased interstitial opacities.. There is no pneumothorax or large pleural effusion.,,images/image_4178.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Left subclavian central catheter tip in distal SVC. No pneumothorax. The lungs are clear.,,images/image_4179.png "No acute cardiopulmonary abnormality. 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.",,images/image_4180.png "Emphysema. Large right upper lobe . Biapical scarring. The lungs are hyperexpanded. There is a large rounded lucency in the right upper lung, large emphysematous . There are biapical opacities, scarring. No focal airspace consolidation to suggest pneumonia. There is no pleural effusion. No pneumothorax. Normal heart size. There are minimal degenerative changes of the spine.",,images/image_4181.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_4182.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion.",,images/image_4183.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_4184.png "Normal exam. Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity.",,images/image_4185.png "Emphysematous changes without evidence of focal airspace disease or pulmonary edema. PA and moderate loss of the chest demonstrate stable moderate cardiomediastinal silhouette with atherosclerotic calcifications of the aortic and mild aortic ectasia. Emphysematous changes with flattening of the hemidiaphragms. Blunting of the costophrenic , and secondary to scarring/emphysematous changes. No evidence of focal airspace consolidation large pleural effusion or pneumothorax. Visualized osseous structures appear intact.",,images/image_4186.png No acute cardiopulmonary abnormalities. Normal cardiomediastinal contours. Lungs are clear. No pneumothorax.,,images/image_4187.png Bibasilar airspace disease. There is bibasilar airspace disease. Cardiac silhouette is within normal limits and stable. There is blunting of the right costophrenic unchanged scarring. No pneumothorax.,,images/image_4188.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_4189.png "No acute cardiopulmonary abnormality. . Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable.",,images/image_4190.png "No acute cardiopulmonary abnormality. 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.",,images/image_4191.png NO acute preoperative findings. Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Bony structures are intact.,,images/image_4192.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_4193.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Right middle lobe calcified granuloma is unchanged. Heart and mediastinum unchanged. No change hiatus hernia.,,images/image_4194.png Clear lungs with no suspicious pulmonary nodules or masses. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_4195.png No acute cardiopulmonary abnormalities. Normal heart size mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Degenerative disc disease in the thoracic spine with osteophyte formation bridging.,,images/image_4196.png "Normal chest No evidence of tuberculosis Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4197.png No acute cardiopulmonary abnormalities. Normal heart size and mediastinal contours. No abnormal airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.,,images/image_4198.png Small bilateral pleural effusions and right infrahilar infiltrate versus bronchovascular crowding. Heart size and pulmonary vascularity normal. There is a small right pleural effusion. There is infrahilar interstitial prominence which may represent bronchovascular crowding lung. Small left pleural effusion. No pneumothorax.,,images/image_4199.png No acute cardiopulmonary disease. The lungs appear clear. There are no suspicious pulmonary nodules or masses. The heart and pulmonary appear normal. Mediastinal contours appear normal. There's no pneumothorax.,,images/image_4200.png "1. No acute radiographic cardiopulmonary process. Heart size upper limits of normal but stable. Tortuous aorta. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..",,images/image_4201.png "No acute cardiopulmonary abnormality. Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. and soft tissue are unremarkable.",,images/image_4202.png No acute cardiopulmonary abnormality. Heart size is within normal limits. Tortuous aorta. Clear lungs. No pneumothorax. No pleural effusion. Atherosclerotic calcification within the aorta. Right lower lung granuloma.,,images/image_4203.png 1. Increased opacity in the right upper lobe with associated atelectasis may represent focal consolidation or mass lesion with atelectasis. Recommend chest CT for further evaluation. 2. opacity overlying the left 5th rib may represent focal airspace disease. There is increased opacity within the right upper lobe with possible mass and associated area of atelectasis or focal consolidation. The cardiac silhouette is within normal limits. opacity in the left midlung overlying the posterior left 5th rib may represent focal airspace disease. No pleural effusion or pneumothorax. No acute bone abnormality.,,images/image_4204.png "1. No acute or active cardiac, pulmonary or pleural disease. 2. Pneumoperitoneum, attributed to the patient's recent abdominal surgery. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and aeration of the lungs. No focal airspace consolidation or pleural effusion. There is subphrenic intraperitoneal extraluminal free .",,images/image_4205.png No acute cardiopulmonary abnormalities. Normal heart size mediastinal contours. No focal airspace opacity. No pneumothorax or pleural effusion. Visualized are unremarkable in appearance.,,images/image_4206.png "No acute cardiopulmonary abnormalities. The trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. Tubular densities overlying the heart are coronary artery stents. There are small round calcific densities in the bilateral lobes which are unchanged from prior exam and 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.",,images/image_4207.png No acute cardiopulmonary disease. Lungs are clear. No focal infiltrate or effusion. No pneumothorax. Heart and mediastinal contours within normal limits. Visualized osseous structures intact.,,images/image_4208.png No acute cardiopulmonary abnormality. . No evidence of airspace opacity. No effusion or noncalcified nodules. No evidence of pneumothorax. Normal heart size and mediastinum. Visualized of the chest are within normal limits.,,images/image_4209.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_4210.png "No acute cardiopulmonary abnormality. Cardiomediastinal silhouette demonstrates normal heart size with tortuosity and atherosclerosis of the thoracic aorta. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormality identified. Multilevel degenerative disc disease of the thoracic spine noted.",,images/image_4211.png "No acute cardiopulmonary abnormality. . No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. are intact. There is a small calcified granuloma in the right midlung.",,images/image_4212.png 1. Cardiomegaly without lung infiltrates. The heart size is enlarged. Tortuous aorta. Otherwise 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_4213.png No acute abnormality demonstrated. 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.,,images/image_4214.png 1. Cardiomegaly and pulmonary vascular congestion. 2. Eventration of right hemidiaphragm with basilar atelectasis. The heart is mildly enlarged. Pulmonary vascularity is increased. There is again mild elevation of the right hemidiaphragm. Air space disease and/or atelectasis is noted in right lung base. There is also streaky opacity in the left base. The costophrenic are blunted.,,images/image_4215.png "No acute abnormality. . Sternotomy appear intact. Borderline heart size. Aortic calcification noted. Calcified mediastinal lymph 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.",,images/image_4216.png No acute cardiopulmonary abnormality. No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.,,images/image_4217.png Cardiomegaly with low lung volumes which are grossly clear. A lung volumes. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. cardiomegaly. Degenerative changes in the spine.,,images/image_4218.png 1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are hyperexpanded. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,,images/image_4219.png No acute cardiopulmonary disease. The heart size is upper limits of normal. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.,,images/image_4220.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. No focal airspace consolidation or pleural effusion.",,images/image_4221.png 1. No interval change in the appearance of the opacities in the bilateral lower lobes. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No interval change in the appearance of the opacities in the bilateral lower lobes. No pneumothorax. No pleural effusion. The thoracic spine appears intact.,,images/image_4222.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4223.png "1. Moderate hyperinflation of the lungs. 2. Dilated pulmonary arteries. This may reflect pulmonary hypertension. Normal heart size. Dilated pulmonary arteries. Atherosclerotic calcifications of the aorta. No focal airspace consolidation. Decreased biapical vascular markings with moderate hyperexpansion the lungs, consistent with obstructive pulmonary disease. No pleural effusion or pneumothorax.",,images/image_4224.png No evidence of active disease. 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.,,images/image_4225.png 1. No acute radiographic cardiopulmonary process. 2. Mild hyperinflation. Limited exam as the left costophrenic is excluded from the PA view. The heart size is normal. The mediastinal contour is within normal limits. Mild lung hyperinflation. The lungs are free of any focal infiltrates. There is large calcified granuloma within the medial right lung base. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Mild multilevel degenerative changes seen within the thoracic spine. No visible acute fracture. There is no visible free intraperitoneal air under the diaphragm.,,images/image_4226.png "Multiple round opacities in the right upper lobe measuring up to 7 mm. Exact etiology of these is unclear. Negative for cardiac enlargement. Negative for vascular congestion. There are several small circular opacities in the right upper lung, some of which are centrally lucent. Negative for bony abnormality.",,images/image_4227.png "1. No acute cardiopulmonary abnormalities. Stable mild interstitial prominence. Normal and stable cardiomediastinal contours. No pneumothorax, pleural effusions or significant pulmonary edema. No focal lung consolidation. Stable mild interstitial prominence and bilateral lung bases.",,images/image_4228.png "Developing left upper lobe consolidation and focal atelectasis, consistent with pneumonitis. In the interval, consolidation has developed in the left upper lobe. Also, anterior segment opacity is present. Right lung remains clear. Heart size is normal.",,images/image_4229.png "Mildly hyperinflated lungs, air trapping versus inspiratory . Mildly hyperinflated lungs with flattened posterior diaphragm. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. No pneumothorax.",,images/image_4230.png "1. No acute radiographic cardiopulmonary process. Normal heart size and hilar vascular markings. Evidence of prior granulomatous disease. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax. There are no acute osseous abnormalities present. Mild degenerative changes of the thoracic spine. The soft tissues are within normal limits.",,images/image_4231.png No active disease. No evidence for heart failure. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4232.png No acute cardiopulmonary findings. Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion. There are degenerative changes of the midthoracic spine.,,images/image_4233.png "No acute cardiopulmonary abnormalities. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_4234.png No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits. Lungs are clear without areas of focal consolidation. No pneumothorax or large pleural effusion.,,images/image_4235.png "No acute cardiopulmonary abnormalities. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_4236.png "1. Increased bilateral interstitial opacity, consistent with mild interstitial edema. Low lung volumes are noted. Allowing for technical factors the heart size is normal. The mediastinum is unremarkable. There is increased bilateral predominantly perihilar interstitial opacity, consistent with pulmonary edema. There is no pneumothorax or pleural effusion. The are unremarkable.",,images/image_4237.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. No displaced rib fractures identified.",,images/image_4238.png "No acute cardiopulmonary finding. Specifically there is no evidence of active tuberculosis infection. The heart and mediastinum are normal in size and contour. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.",,images/image_4239.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4240.png Hyperexpanded lung compatible with COPD. No evidence of acute cardiopulmonary abnormality. . Calcified granulomas. Calcified hilar . No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Question large pulmonary arteries. Lung are hyperexpanded. Prominent substernal air space. Aortic calcifications. Degenerative changes thoracic spine.,,images/image_4241.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_4242.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4243.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_4244.png No acute cardiopulmonary abnormality. Heart size is normal and cardiomediastinal contours are normal. Lungs are otherwise clear bilaterally without effusion or pneumothorax. Bony structures and soft tissues are unremarkable.,,images/image_4245.png No acute findings. Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Thoracic spondylosis. Bilateral breast prostheses with calcification.,,images/image_4246.png "1. Negative for acute cardiopulmonary findings. No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. is intact.",,images/image_4247.png "Stable appearance of the chest. No acute cardiopulmonary findings. Mild cardiomegaly is unchanged. Stable superior mediastinal contour appear normal pulmonary vascularity. No airspace opacity, pleural effusion, or pneumothorax. No acute bony abnormalities. Right upper quadrant surgical clips.",,images/image_4248.png "No acute cardiopulmonary disease. Normal heart size. No focal air space consolidation, pneumothorax, pleural effusion, or pulmonary edema. Anterior osteophytes of the thoracic spine.",,images/image_4249.png "Negative for acute cardiopulmonary abnormality. The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax unremarkable.",,images/image_4250.png "1. Cardiomegaly and small bilateral pleural effusions 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, primary differential diagnosis atypical infection and inflammation Moderate cardiomegaly. Mild bilateral costophrenic blunting and fissural thickening, interstitial opacities greatest in the central lungs and bases with indistinct vascular margination. Dense right lower lobe nodule and right hilar calcifications suggest a previous granulomatous process.",,images/image_4251.png "1. Right basilar opacities favored to represent atelectasis. 2. Stigmata of cell disease. 3. Cholelithiasis. Mild cardiomegaly. Hypoinflation of the lungs. Right basilar opacity may represent atelectasis. Lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Sclerosis of the humeral bilateral, from prior AVN. Sclerotic vertebral body endplates with central depression. Calcifications in the right hemiabdomen may represent calcified gallstones.",,images/image_4252.png 1.Severe arthritic changes in both hips left worse than right. 2. Possible COPD but no acute pulmonary disease. 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 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 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 . The skeletal structures appear normal.,,images/image_4253.png 1. No acute cardiopulmonary process. . The cardiomediastinal silhouette is within normal limits for appearance. The trachea is midline. No focal pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine.,,images/image_4254.png "No acute pulmonary findings. Normal heart size. Aortic calcification. Granulomatous nodule left midlung, stable. No acute pulmonary abnormalities. Thoracic spondylosis.",,images/image_4255.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_4256.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues unremarkable.",,images/image_4257.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4258.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4259.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild degenerative changes are present within the spine.",,images/image_4260.png No acute cardiopulmonary abnormalities. Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Stable postoperative and degenerative changes of the . Stable degenerative disc disease of the thoracic spine.,,images/image_4261.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. Lungs are clear. There is no pneumothorax or pleural effusion. Postoperative changes seen in the left humerus. No acute bony abnormalities.,,images/image_4262.png "1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Stable right lower lobe calcified granulomas. Thin lingular scar, unchanged. Heart size and pulmonary vascularity within normal limits. Surgical clips are visualized in the right upper quadrant.",,images/image_4263.png No change. No visible active cardiopulmonary disease. Both lungs remain clear and expanded. Heart and pulmonary are normal. No change in the large hiatus hernia.,,images/image_4264.png "No acute cardiopulmonary abnormalities. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_4265.png No acute abnormality. Normal heart and mediastinum. Clear lungs. Trachea is midline. No pneumothorax. No pleural effusion. Radiopaque foreign body overlying left chest.,,images/image_4266.png No active/acute cardiopulmonary disease. Stable normal cardiac size and contour with unremarkable mediastinal silhouette. Normal pulmonary . No active airspace disease/infiltrate. No pleural effusion or pneumothorax. Calcified granuloma right upper lobe.,,images/image_4267.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_4268.png "Left base focal atelectasis, no infiltrates that would suggest active tuberculosis. The trachea is midline. Cardiomediastinal silhouette is normal. The there are opacities in the left lower lobe of the lung, which are most dependent atelectasis. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.",,images/image_4269.png No acute cardiopulmonary abnormality. Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal heart size. Normal pulmonary vascularity. Bony thorax intact.,,images/image_4270.png "Stable cardiomegaly without gross evidence for failure or pneumonia. Radiographic attenuation obscures detail. Grossly, the lungs are clear and expanded. Heart is large. Pulmonary are normal.",,images/image_4271.png "No acute findings 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. convexity also present on the previous exam.",,images/image_4272.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4273.png Minimal left basilar opacity most representing atelectasis or chronic scarring. 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 repair on the right.,,images/image_4274.png Normal chest exam. Clear lungs. No pneumothorax. No pleural effusion. Normal heart. Trachea is midline.,,images/image_4275.png "No acute cardiopulmonary abnormality. Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality.",,images/image_4276.png "1. Left lower lobe, superior segment, airspace consolidation, radiographic appearance most typical for pneumonia. Based on patient's age, a followup chest x- to document resolution is recommended. 2. left parapneumonic pleural effusion. There is mild mentally without pulmonary edema. Tortuous thoracic aorta, unchanged. Stable positioning of the dual- cardiac device. No visible pneumothorax. There is a small left pleural effusion. Focal airspace consolidation is visualized in the superior segment of the left lower lobe, appreciated on lateral projection. Increased retrosternal clear space suggesting chronic obstructive pulmonary disease.",,images/image_4277.png No acute cardiopulmonary abnormality. . There is no focal airspace consolidation or pleural effusion. Heart size is normal. No pneumothorax.,,images/image_4278.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4279.png "Bibasilar opacities, right greater than left, features suggest a combination of consolidation and atelectasis Streaky and patchy bibasilar opacities, triangular density projected over the heart on the lateral view. No definite pleural effusion seen, no typical findings of pulmonary edema. Considering differences in technical factors stable cardiomediastinal silhouette with normal heart size.",,images/image_4280.png "Chronic lung changes without acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic . Minimal densities, left lung base. Hyperexpanded lungs. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_4281.png "Emphysematous changes with streaky opacities in the left perihilar and lingular regions, focal atelectasis and scarring. Hyperexpanded lungs with flattened hemidiaphragms, consistent with emphysema. There is streaky airspace opacities in the left suprahilar and lingular regions. No pneumothorax or effusions. Mild bilateral costophrenic blunting represents pleural thickening and scarring. Degenerative changes of the thoracic spine.",,images/image_4282.png "Cardiomegaly which appears from with probable mild pulmonary edema. . There has been interval increase in size of the cardiac silhouette from . The cardiac fluid is now mildly enlarged. Pulmonary vasculature is increased with mildly increased interstitial markings and fissural thickening, suggesting mild pulmonary edema. There is no focal airspace disease, pneumothorax, or large pleural effusion. Descending thoracic aorta is tortuous. There are no acute bony findings.",,images/image_4283.png Borderline cardiomegaly. Otherwise unremarkable exam. There is borderline cardiomegaly. Mediastinum and pulmonary vasculature are unremarkable. Lungs are clear. No pleural fluid or pneumothorax is appreciated.,,images/image_4284.png "1. Extensive pulmonary bronchiectasis and scarring from cystic fibrosis, not significantly from prior. 2. Left-sided medication injection has its tip projecting over the cavoatrial junction. . Left-sided medication injection has its tip projecting at the cavoatrial junction. The trachea is midline. Extensive bilateral bronchiectasis, cystic changes, and scarring represents sequela from the patient's cystic fibrosis. No evidence of focal pulmonary infiltrate or pleural effusion. No large pneumothorax has developed in the interim. The overlying bony structures reveal no acute abnormalities. The heart size is normal.",,images/image_4285.png "Bilateral increasing consolidations, consistent with multifocal pneumonia. In the interval, consolidations have developed in the left upper lobe and both lower lobes. Heart size remains slightly large. Pulmonary normal.",,images/image_4286.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. Pleural spaces are clear. Mediastinal contours are normal.,,images/image_4287.png No acute cardiopulmonary abnormality. Normal cardiomediastinal contours. Lungs are clear bilaterally. No pneumothorax or pleural effusion.,,images/image_4288.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.",,images/image_4289.png No acute cardiopulmonary findings. Heart size is within normal limits. Low lung volumes. No focal airspace consolidations. No pneumothorax or pleural effusion.,,images/image_4290.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.",,images/image_4291.png "No acute findings. Left mid lung subsegmental atelectasis. There are opacities in the left lung, subsegmental atelectasis. opacities overlying the left lung base on the frontal reflect epicardial fat and overlying breast tissue. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. There are diffuse degenerative changes of the spine.",,images/image_4292.png "1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax. Bilateral prominent lung vascularity medially, unchanged.",,images/image_4293.png "1. Negative for acute cardiopulmonary findings. No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. is intact.",,images/image_4294.png No acute cardiopulmonary disease. Stable appearance of pacemaker. Stable appearance bipolar dual- cardiac pacemaker overlying the left hemithorax. No interval change in position. Cardiomediastinal silhouette appears within normal limits. Lungs are well-aerated. No areas of parenchymal consolidation or pleural effusion.,,images/image_4295.png No evidence of thoracic injury. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,,images/image_4296.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4297.png "Nonspecific interstitial prominence and basilar patchy airspace disease. Maybe due to pulmonary fibrosis, scarring and/or atelectasis. Comparison with outside previous films may be useful. Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. There is interstitial prominence and is basilar patchy air space opacity. No focal airspace consolidation or pleural effusion.",,images/image_4298.png Emphysema without acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated compatible with emphysema. There is biapical scarring. No acute infiltrate is seen.,,images/image_4299.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. No large pleural effusions. Heart size is normal. The cardiomediastinal silhouette is grossly unremarkable.,,images/image_4300.png "No acute cardiopulmonary findings. No displaced fractures. Heart size within normal limits. No focal airspace disease. No pneumothorax, no pleural effusion. No displaced rib fractures.",,images/image_4301.png "No acute cardiopulmonary abnormality. 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.",,images/image_4302.png 1. Probable small bilateral pleural effusions. 2. Possible lower thoracic deformity not well characterized on today's study. The lungs are clear. There appear to be small bilateral pleural effusions. The heart is not grossly enlarged. There are atherosclerotic changes of the aorta. Increased kyphosis is seen in the may be a thoracic deformity that is not well-characterized. Arthritic changes are seen.,,images/image_4303.png "Abnormal opacity in the right lung base which may be compatible with pneumonia in the appropriate clinical setting. Recommend clinical correlation for infection and followup to resolution. Or, if clinical findings are not compatible with may be of . focal opacity in the medial right lung base seen on the frontal view. No definite pleural effusion. Stable cardiomediastinal silhouette with normal heart size, no typical findings of pulmonary edema.",,images/image_4304.png "1. Persistent mild right upper lobe infiltrate, similar to slightly improved from . 2. Left lung grossly clear. Stable cardiomediastinal silhouette. Mild patchy right upper lobe opacities, similar to slightly improved from . Left lung clear. No pleural effusion or pneumothorax.",,images/image_4305.png No acute cardiopulmonary abnormality. Stable chronic appearing left basilar opacities. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures appear intact. Degenerative changes of the visualized thoracic spine.,,images/image_4306.png "Mild blunting left costophrenic recess, possibly mild atelectasis or scarring. Cardiac and mediastinal contours are within normal limits. Atherosclerotic aorta. Mild blunting left costophrenic recess, possibly mild atelectasis or scarring. No confluent lobar consolidation or large volume pleural effusion. Thoracic spondylosis.",,images/image_4307.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Scattered granulomatous changes. Mild unfolding of the thoracic aorta. Bony thorax is unremarkable",,images/image_4308.png "No acute cardiopulmonary abnormality. 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.",,images/image_4309.png No active cardiopulmonary disease. Both lungs are clear and expanded area heart and mediastinum are normal. Incidental note of bilateral breast implants.,,images/image_4310.png 1. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. A few bandlike opacities are present on the lateral view which appear to represent small areas of scarring. Surgical clips are present in the right upper quadrant of the abdomen. Degenerative changes are present in the spine.,,images/image_4311.png "1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Lower lung volumes on the AP projection. Heart size is upper limits of normal, pulmonary vascularity within normal limits. Implantable cardiac are visualized on the lateral projection in the region of the expected location of the mitral valve . sternotomy noted.",,images/image_4312.png No acute cardiopulmonary abnormality. Heart size and pulmonary vasculature are normal. Lungs are clear. No pneumothorax large effusion. No acute bony abnormality.,,images/image_4313.png "No evidence of metastatic disease. . Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion or pneumothorax. There is hyperexpansion of the lungs. Mild degenerative changes are present in the spine.",,images/image_4314.png "No acute cardiopulmonary abnormality. 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.",,images/image_4315.png There is no radiographic evidence of acute cardiopulmonary disease. Normal cardiomediastinal silhouette. There is no focal consolidation. There are no of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.,,images/image_4316.png 1. Right-sided small pleural effusion. 2. Right base /fluid level. Atypical location for a hiatal hernia. Cannot exclude a right lower lobe cavity. Correlation scan recommended. Does not appear to be a hydropneumothorax or empyema. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. The right costophrenic sulcus is blunted. There is an the right base /fluid level. The left lung is clear.,,images/image_4317.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_4318.png Borderline cardiomegaly without acute disease. The heart is top normal in size. The mediastinum is stable. The lungs are clear.,,images/image_4319.png "No acute cardiopulmonary abnormality. Heart and mediastinal contours are unremarkable. The pulmonary vasculature is normal in appearance. The lung parenchyma is clear, without focal airspace opacity. There are no pleural effusions, and there is no pneumothorax. The visualized bony structures are grossly unremarkable.",,images/image_4320.png Chest. 1. Left lower lobe nodule which is worrisome. If there are no prior films available for comparison scan for further evaluation. Pelvis and left hip. Rotated subcapital fracture left hip. Femur. 1. No fracture the remaining portions of the femur. Left knee. 1. Normal for age. Dr. - was called and informed of these critical results at . Chest Comparison: There is a 2.6 cm diameter masslike density over the lingula partial obscuration left cardiac . There may be some ill-defined opacity in the right mid and lower lung zone. No pleural effusion is seen. The heart is borderline enlarged. The aorta is dilated and tortuous. Arthritic changes of the spine are present. Pelvis and left hip There is an impacted and rotated fracture through the neck of the femur on the left. No pelvic fracture is seen. Arthritic changes are present in the lower lumbar spine. Large amount of stool and obscures portions of the pelvis. Femur The femoral images do not the area of the hip fracture. The remaining portions of the femur appear to be intact with no fracture or destructive process. Extensive atherosclerotic vascular disease throughout the superficial femoral artery is present. Left knee There is osteoporosis and mild arthritic changes. No fracture is seen. No dislocation is identified. Severe atherosclerotic changes of the superficial femoral and popliteal artery are seen.,,images/image_4321.png 1. Question small amount of free intraperitoneal air on the right. This is to be postprocedural due to the recent abdominal surgery. 2. Left basilar airspace opacity atelectasis versus pneumonitis. There is patchy opacity in the left base concerning for atelectasis versus pneumonitis. There is a curvilinear lucency that appears to be in the right hemidiaphragm and a small amount of free intraperitoneal air may be present. There is a small left pleural effusion. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_4322.png No acute cardiopulmonary abnormality. Normal heart size and mediastinal contours. No focal air space opacities. No pleural effusion. Visualized osseous structures are unremarkable.,,images/image_4323.png "Negative for acute cardiopulmonary abnormality. The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Unchanged multiple foreign bodies overlying the left clavicle and midline in the posterior soft tissues. The bony thorax is grossly intact.",,images/image_4324.png 1. No acute cardiopulmonary findings. No focal consolidation. No pneumothorax. No pleural effusions. Heart size normal. Cardio mediastinal silhouette is unremarkable.,,images/image_4325.png "Limited exam, no definite acute intrathoracic finding. The lateral images limited secondary to motion artifact. No focal consolidation, large pneumothorax or large pleural effusion. Heart size normal. unremarkable.",,images/image_4326.png "1. Cardiomegaly without pulmonary edema. 2. right medial basilar airspace disease. 3. Left lower lobe subsegmental atelectasis. Heart size is enlarged, pulmonary vascularity within normal limits. No visible pneumothorax . right pleural effusion blunting posterior costophrenic . There is a of subsegmental atelectasis of the left lung base. There is alveolar airspace disease in the medial right lung base. Multilevel degenerative disease of the visualized portions of the thoracolumbar spine.",,images/image_4327.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Stable left lower lobe calcified granuloma. Remote left clavicle fracture.",,images/image_4328.png Clear lungs. Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,,images/image_4329.png "Normal chest. Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4330.png Clear lungs. The lungs are clear. No focal air space consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.,,images/image_4331.png No acute cardiopulmonary abnormality. Normal heart size. Clear lungs. Trachea is midline. No pneumothorax. No pleural effusion.,,images/image_4332.png There is no radiographic evidence of acute cardiopulmonary disease. Normal cardiomediastinal silhouette. There is no focal consolidation. There are no of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.,,images/image_4333.png "Stable mild cardiomegaly. No acute pulmonary abnormality. There is mild cardiomegaly, similar to prior exams. No focal consolidation. No visible pleural effusion or pneumothorax.",,images/image_4334.png Borderline cardiomegaly without acute disease. The heart is mildly enlarged. Left hemidiaphragm is elevated. There is no acute infiltrate or pleural effusion. The mediastinum is unremarkable.,,images/image_4335.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. Clear lungs besides scattered calcified granulomas. No pneumothorax or pleural effusion. No acute bony abnormalities.,,images/image_4336.png No acute cardiopulmonary abnormality. There is stable scarring or atelectasis in the left midlung. The lungs are otherwise grossly clear. The heart size is near the upper limits of normal. Mediastinal silhouette is normal. There is no pneumothorax or pleural effusion. T-spine osteophytes are noted.,,images/image_4337.png Stable postsurgical changes of left hemithorax with resolution of small apical pneumothorax and basilar air space opacities. The heart size is normal. Mediastinal contours are within normal limits. Postsurgical changes of left hemithorax are stable. Skin 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.,,images/image_4338.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. The lungs are hyperinflated but clear. No pneumothorax or pleural effusion. No acute bony abnormalities.,,images/image_4339.png No acute cardiopulmonary findings. . Heart size is normal. No focal airspace consolidations. No pneumothorax or effusion. No acute osseous findings.,,images/image_4340.png "No acute cardiopulmonary findings Stable borderline cardiomegaly, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.",,images/image_4341.png "1. Focal atelectasis to the left lung, posterior to the heart. Calcified lymph in both . amount of focal atelectasis posterior to the left heart. The trachea is midline. Negative for pneumothorax, pleural effusion or large focal airspace consolidation. The heart size is normal.",,images/image_4342.png No acute cardiopulmonary disease. No evidence of pneumonia. The lungs are clear. There is no pneumonia. The heart and pulmonary are normal. Pleural spaces are clear. Mediastinal contours appear normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.,,images/image_4343.png Normal chest exam. Normal heart. Clear lungs. No pneumothorax. No pleural effusion. Trachea is midline.,,images/image_4344.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. No displaced rib fractures visualized. .,,images/image_4345.png 1. No evidence of active disease. 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.,,images/image_4346.png "Moderate cardiomegaly with pulmonary vascular congestion early interstitial edema. There is moderate cardiomegaly. There are bilateral interstitial opacities, increased since the previous exam. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.",,images/image_4347.png "No acute findings 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.",,images/image_4348.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Atherosclerotic calcifications of the aortic are noted. The lungs are clear.,,images/image_4349.png Bandlike opacities in the right base. Appearance suggests atelectasis. The heart size and pulmonary vascularity appear within normal units. No pleural effusion or pneumothorax is seen. Bandlike opacities are present in the right base consistent with areas of atelectasis. Remainder of the lungs appear clear.,,images/image_4350.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_4351.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax. Calcified left hilar node.,,images/image_4352.png "1. No acute cardiopulmonary abnormality. Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear airspace disease. Negative for pneumothorax, pleural effusion, or pneumoperitoneum. Limited bone evaluation reveals no acute abnormality.",,images/image_4353.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. Mild tortuosity of the descending thoracic aorta. sternotomy noted. Inferior sternotomy is disrupted.,,images/image_4354.png Right middle lobe infiltrate consistent with pneumonia. A patchy infiltrate has developed in the right middle lobe. Left lung is clear. Heart size normal. Aorta tortuous.,,images/image_4355.png No focal infiltrate. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_4356.png "No acute cardiopulmonary findings. The heart is normal in size. The aorta is tortuous and ectatic. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",,images/image_4357.png left upper lobe infiltrate. The heart is normal in size. The mediastinum is unremarkable. There is patchy opacity in the left upper lobe. Possibility of tuberculosis should be excluded. No pleural effusion is seen. There is no pneumothorax the lungs are hyperinflated.,,images/image_4358.png 1. No acute cardiopulmonary process. . The cardiomediastinal silhouette is within normal limits for appearance. The trachea is midline. No focal pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine.,,images/image_4359.png "1. Small left pleural effusion. Normal heart size and mediastinal contours. Calcified aortic . opacities in the left lung base, atelectasis. The lateral view shows a left pleural effusion. No focal airspace consolidation. No pneumothorax. Stable bilateral apical pleural capping.",,images/image_4360.png Probable right lower lobe pneumonia. diffuse right lower lobe airspace opacity is present. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_4361.png No acute cardiopulmonary abnormality. . No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures appear intact.,,images/image_4362.png 1. No acute cardiopulmonary findings. . The tracheostomy tube is in stable position. Right subclavian catheter tip is in the lower SVC. The left upper extremity PICC tip is in the mid SVC. Surgical overlie the soft tissues of the neck. The lungs are clear. Heart size is normal. No pneumothorax.,,images/image_4363.png Normal chest. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,,images/image_4364.png No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. Descending thoracic aorta is tortuous. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.,,images/image_4365.png "No acute cardiopulmonary abnormality.. 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.",,images/image_4366.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable",,images/image_4367.png Normal chest exam. Heart size is normal. The lungs are clear. No pneumothorax or pleural effusion.,,images/image_4368.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4369.png "Negative for acute cardiopulmonary disease. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Heart size normal.",,images/image_4370.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.",,images/image_4371.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are unchanged. Pulmonary vascularity is within normal limits. Calcified right upper lobe nodule with a granuloma is again seen but unchanged. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",,images/image_4372.png "No acute abnormality. Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.",,images/image_4373.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_4374.png "No acute cardiopulmonary abnormality.. 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.",,images/image_4375.png "No evidence of acute cardiopulmonary process. The 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. Oval sclerotic density projecting over the inferior right glenoid may represent synovial osteochondromatosis or cortical . This is unchanged 31 17 . The remaining osseous structures and visualized upper abdomen are unremarkable in appearance.",,images/image_4376.png 1. Previously identified small right pneumothorax is not visualized on today's exam. 2. Minimal bibasilar atelectasis/airspace disease. The cardiomediastinal silhouette is normal in size and contour. There are a few opacities in the lung bases bilaterally. No definitive pneumothorax or pleural effusion. Displaced fracture of the mid one-third of the right clavicle.,,images/image_4377.png "1. Negative for acute cardiopulmonary findings. No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. is intact.",,images/image_4378.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_4379.png "Negative for acute cardiopulmonary disease. No pneumothorax, pleural effusion, or focal airspace disease. Heart size normal. Cardiomediastinal silhouette stable. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.",,images/image_4380.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4381.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. No change in the small calcified granuloma in the right upper lobe. Heart and mediastinum normal.,,images/image_4382.png No evidence of active disease. Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There has been interval development of multiple healed left rib fractures. Degenerative changes are present in the spine.,,images/image_4383.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are unchanged. Pulmonary vascularity is within normal limits. Calcified right upper lobe nodule with a granuloma is again seen but unchanged. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",,images/image_4384.png 1. Pathologic fractures seen at T5 and L2. 2. Left venous catheter in SVC. Left chest wall Mediport placement with venous catheter tip in superior . Normal cardiac contours. No pneumothorax or pleural effusions. Clear lungs bilaterally. fracture seen at T5 and L2 with areas of sclerosis throughout the thoracic and lumbar spine.,,images/image_4385.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_4386.png "No acute cardiopulmonary finding. Specifically there is no evidence of active tuberculosis infection. The heart and mediastinum are normal in size and contour. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.",,images/image_4387.png Left base airspace disease and nodular opacity in the right midlung. Heart size within normal limits. There is focal left lateral base airspace disease. There is a 6 mm nodular opacity in the right midlung. No pneumothorax. No pleural effusion. No displaced rib fractures. There is an apparent deformity of the right humeral surgical neck. This is not seen on the comparison. Correlate clinically with history of fracture.,,images/image_4388.png "Borderline heart size and abnormal interstitial pulmonary pattern which may be compatible with chronic interstitial change, differential diagnosis is and includes asymmetric pulmonary edema, inflammation, atypical infection, infiltrative process. Comparison with previous exams would be of . Bilateral hilar fullness may indicate pulmonary hypertension and clinical correlation is recommended, differential diagnosis reactive lymphadenopathy, metastatic disease. Heart size near top normal, bilateral hilar fullness nonspecific in appearance, mild aortic ectasia/tortuosity. Diaphragm flattening and relative apical lucencies suggestive of emphysema, and irregular interstitial markings, right greater than left. Prominent left epicardial fat , no focal alveolar consolidation, no definite pleural effusion seen. Atrial septal occluder artifact. Mild spine curvature.",,images/image_4389.png Clear lungs. No acute cardiopulmonary abnormality. Lungs are clear. Heart size normal. No pneumothorax. Left costophrenic opacity may represent pleural or pericardial fat.,,images/image_4390.png Stable mild cardiomegaly and increased lung vascularity. Clear lungs. Status post posterior spinal fusion with stable appearance of the orthopedic . Pectus carinatum. Stable mild cardiomegaly and increased lung vascularity. Clear lungs.,,images/image_4391.png "Normal chest x- The trachea is midline. The cardiomediastinal silhouette appears normal. There are no acute infiltrates, effusions. There is no evidence of pneumothorax. Visualized bony structures are intact with no acute abnormalities.",,images/image_4392.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are degenerative changes of the thoracic spine. There is a calcified granuloma identified in the right suprahilar region. The aorta is mildly tortuous and ectatic. There is asymmetric right apical smooth pleural thickening. There are severe degenerative changes of the .",,images/image_4393.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is a stable calcified granuloma within the left lower lobe. There are stable chronic degenerative changes of the thoracic spine.",,images/image_4394.png "Mild blunting left costophrenic recess, possibly mild atelectasis or scarring. Cardiac and mediastinal contours are within normal limits. Atherosclerotic aorta. Mild blunting left costophrenic recess, possibly mild atelectasis or scarring. No confluent lobar consolidation or large volume pleural effusion. Thoracic spondylosis.",,images/image_4395.png "No radiographic evidence of acute cardiopulmonary disease Stable postsurgical changes. Heart , mediastinum and lung are unremarkable. Stable calcified small granuloma in left base.",,images/image_4396.png 1. No acute cardiopulmonary findings. Heart and mediastinum are normal. No focal consolidation. No pleural effusion or pneumothorax. Bony structures are intact.,,images/image_4397.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_4398.png "Suspected left hemidiaphragm paralysis. Consider a fluoroscopic evaluation for confirmation. Consider of the neck and nasopharynx with intravenous contrast if there is no known potential . Critical result notification documented through Primordial. The heart, pulmonary 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 chronic left hemidiaphragm elevation. The aorta is tortuous and ectatic with atherosclerotic calcifications.",,images/image_4399.png "No acute cardiopulmonary disease. Normal heart size. No focal air space consolidation, pneumothorax, pleural effusion, or pulmonary edema. No focal bony abnormality.",,images/image_4400.png "No acute cardiopulmonary abnormality. Crowded bronchovascular markings in the hilar and perihilar region, right lower lung zones. Low lung volumes. No noncalcified pulmonary nodules seen. No pleural effusion or pneumothorax. No small heart size. There is a right diaphragmatic hump. The soft tissues seen in the left cardiophrenic , could represent an ectatic descending aorta or hiatal hernia. Visualized of the chest are within normal limits. Degenerative changes demonstrated within the visualized thoracic spine.",,images/image_4401.png "Interstitial markings bilaterally, pulmonary fibrosis, unchanged. . 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 . intact.",,images/image_4402.png "Lines and tubes as above. Moderate-to-large left pleural effusion, with adjacent airspace disease or atelectasis. There is blunting of the left costophrenic compatible with a moderate to large left pleural fluid collection. There are areas of airspace opacity within the left lung base which may represent atelectasis or infiltrate. Minimal bandlike atelectasis within the right lung base. Heart size is normal. Left-sided tunneled catheter terminates at the caval atrial junction. Right IJ venous catheter terminates at the proximal SVC.",,images/image_4403.png "No acute cardiopulmonary abnormality. 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.",,images/image_4404.png "1. Partially loculated right pleural effusion, grossly stable. 2. Stable moderate layering left pleural effusion. 3. Bibasilar airspace disease, possibly atelectasis. There is a moderate layering left pleural effusion, grossly stable. There is a moderate right pleural effusion, which is partially loculated. There is some pleural fluid tracking along the right fissure. There is bibasilar airspace disease, possibly passive atelectasis. No pneumothorax is identified. Heart size is within normal limits. Right PICC tip is at the SVC. There are mild degenerative changes of the spine.",,images/image_4405.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_4406.png Interval decrease in size of numerous pulmonary nodules and masses. No nodules or masses are definitely seen on radiograph. . The pulmonary nodules and masses masses on previous exam are smaller and not definitely seen. The lungs are otherwise clear. Heart size normal. No pneumothorax. There is a right chest with tip projecting over the lower SVC.,,images/image_4407.png 1. No evidence of pneumonia or post primary tuberculosis infection 2. No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. The pleural spaces are clear. The mediastinal contours are normal. There are mild degenerative changes of the thoracic spine.,,images/image_4408.png 1. Interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. 2. Bibasilar airspace opacities and bilateral pleural effusions. 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 . airspace opacities are identified with bilateral pleural effusions.,,images/image_4409.png No evidence of active disease. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.,,images/image_4410.png "1. Scattered bilateral subsegmental atelectasis. Decreased from prior radiograph. 2. Stable mild cardiomegaly. There are postoperative changes of sternotomy and CABG. There is stable mild cardiomegaly. There are scattered of subsegmental atelectasis, decreased from the prior chest radiograph. No focal airspace consolidation. No pleural effusion or pneumothorax. There are minimal degenerative changes of the spine.",,images/image_4411.png "Chest radiograph. 1. No acute radiographic cardiopulmonary process. Normal cardiomediastinal silhouette and hilar contours. Calcified bilateral lung and perihilar granulomas. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax.. are intact without acute osseous abnormality.",,images/image_4412.png "No acute cardiopulmonary process. Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.",,images/image_4413.png No acute cardiopulmonary abnormality. Interval resolution of the left pleural effusion. Lungs are grossly clear. Postsurgical changes from CABG are noted. No pneumothorax or pleural effusion. No acute bony abnormalities are visualized.,,images/image_4414.png No acute cardiopulmonary findings. Heart size is normal. The lungs are clear. There is no pneumothorax or large pleural effusion.,,images/image_4415.png "1. Possible infiltrates in the right lung and left base. Consider CT for further evaluation, if clinically indicated. Stable cardiomediastinal silhouette. There is mild haziness in the right lung and left base, which could represent infiltrate. No pleural effusion. No pneumothorax. Stable deformity of a midthoracic vertebra.",,images/image_4416.png Findings suggestive of emphysema. No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,,images/image_4417.png No acute cardiopulmonary disease The lungs appear clear. The heart and pulmonary are normal. Mediastinal contours are normal. Surgical clips are identified in the mediastinum. Pleural spaces are clear. Soft tissue previously noted along the right lateral chest wall has resolved.,,images/image_4418.png Mild hypoinflation without acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. No focal consolidation is seen. Postsurgical/biopsy changes overlying the right breast.,,images/image_4419.png Suspected left hilar mass with obstructive atelectasis. thorax for further characterization. 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.,,images/image_4420.png "Mild stable cardiomegaly, no acute disease. The heart is mildly enlarged. The mediastinal contours are stable. The lungs are clear.",,images/image_4421.png No evidence of active disease. 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.,,images/image_4422.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4423.png "No acute cardiopulmonary abnormality. The cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. There is mild midthoracic dextroscoliosis, with the otherwise grossly intact.",,images/image_4424.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but clear.,,images/image_4425.png No acute cardiopulmonary findings. Heart size and mediastinal contour are within normal limits. There is no focal airspace consolidation or suspicious pulmonary opacity. No pneumothorax or large pleural effusion. Mild degenerative change of the thoracic spine.,,images/image_4426.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_4427.png "Left basilar patchy opacities, which may represent atelectasis or infection. . Normal cardiomediastinal contours. No pneumothorax or large pleural effusions. Left basilar patchy opacities. Small hiatal hernia.",,images/image_4428.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_4429.png No acute cardiopulmonary abnormality. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. There are mild degenerative changes along the thoracic spine. No acute bony abnormality is identified.,,images/image_4430.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4431.png "Normal chest No evidence of tuberculosis. Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4432.png No acute cardiopulmonary abnormality. . No evidence of airspace opacity. No effusion or noncalcified nodules. No evidence of pneumothorax. Normal heart size and mediastinum. Visualized of the chest are within normal limits.,,images/image_4433.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. No change in the small calcified granuloma in the right upper lobe. Heart and mediastinum normal.,,images/image_4434.png "No acute cardiopulmonary abnormality. Normal cardiomediastinal contours. No pneumothorax, pleural effusions or focal lung consolidation.",,images/image_4435.png No evidence of acute cardiopulmonary disease. The The cardiac silhouette and pulmonary vascularity are normal. Atherosclerotic changes are present in the thoracic aorta. The lungs are clear with no evidence of pleural effusion or pneumothorax . Deformity of multiple left anterior ribs are present from previous fractures. Lumbar scoliosis is noted.,,images/image_4436.png No acute cardiopulmonary abnormalities. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,,images/image_4437.png "No acute disease. Left upper extremity PIC catheter tip within left subclavian vein. Findings communicated primordial. The heart is normal in size. The mediastinum is unremarkable. Left upper extremity PIC catheter tip overlies the distal aspect of the left clavicle within the subclavian vein. There is no pneumothorax. The lungs are mildly hyperinflated but clear. Deformity of the lateral left 6th rib, old injury.",,images/image_4438.png "No acute cardiopulmonary abnormality.. 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.",,images/image_4439.png "No evidence of active cardiopulmonary disease. Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusion. Scattered calcified granuloma. Degenerative changes the spine.",,images/image_4440.png "No acute intrathoracic disease. Portable frontal view of the chest with overlying external cardiac monitor leads shows normal cardiomediastinal silhouette, central airways, pulmonary vasculature and lung volumes without focal air space consolidation or pleural effusion.",,images/image_4441.png 1. No evidence of active disease. 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.,,images/image_4442.png "Stable radiographic view of chest. Right mid lung nodule stable ; etiology not determined. This is noncalcified, and is stable since a CT examination from and is benign etiology. The lungs are well inflated and without focal consolidation. The cardiomediastinal silhouette appears unremarkable. Costophrenic clear. Visualized spine vertebrae appear normal in and alignment. Overlying leads.",,images/image_4443.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_4444.png "No acute findings 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.",,images/image_4445.png "1. Moderate left basilar lung consolidation with mild right basilar opacities, which may represent infection and/or atelectasis. 2. Bilateral rib fractures, most of which appear old. 3. Interval vertebral body deformity in the lumbar spine since . . Normal heart size. Bibasilar patchy opacities, left greater than right. No pneumothorax or large pleural effusions. Left-sided subclavian central venous catheter with tip in the right atrium. No significant pulmonary edema. Low lung volumes. Exaggeration of the thoracic kyphosis with evidence of lower thoracic vertebral body the deep opacities. Multiple mild vertebral body wedge deformities in the mid thoracic spine. Moderate degenerative changes of the thoracic spine. Multiple bilateral rib fractures, some of which appear old. Interval deformity of the vertebral body the level of the two vertebroplasty .",,images/image_4446.png Bilateral opacities most prominent in the lower lobes representing airspace disease or edema. There are bilateral opacities most prominent in the lower lobes bilaterally. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The are unremarkable. There is an embolization overlying left upper quadrant.,,images/image_4447.png No acute cardiopulmonary finding. Lungs are clear. Heart size normal. The are unremarkable.,,images/image_4448.png "Minimal left basilar subsegmental atelectasis or scarring. No acute findings. There are minimal left basilar opacities, subsegmental atelectasis or scarring. There is no focal airspace consolidation to suggest pneumonia. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. Cardiac defibrillator overlies the right ventricle. The appears intact. There is aortic atherosclerotic vascular calcification. Calcified mediastinal and hilar lymph are consistent with prior granulomatous disease. Multiple calcified splenic granulomas are also noted. There are minimal degenerative changes of the spine.",,images/image_4449.png "1. No acute cardiopulmonary process. 2. Age indeterminant grade 1 anterior wedge deformity of L1. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. There is a mild anterior wedge deformity of L1, age-indeterminate.",,images/image_4450.png No acute cardiopulmonary findings. Heart size within normal limits. No focal airspace disease. No pneumothorax. No effusions. Multiple old right-sided rib fractures again noted.,,images/image_4451.png No acute cardiopulmonary process. . The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild degenerative changes of the thoracic spine.,,images/image_4452.png Mild interstitial edema. Stable appearance of aortic valve prosthesis. Sternotomy . Aortic calcifications. Mild interstitial edema. No focal infiltrate. No effusion or pneumothorax. Mild cardiomegaly.,,images/image_4453.png No acute cardiopulmonary abnormality. 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.,,images/image_4454.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Lungs are hyperexpanded. Minimal scarring in both lower lobes. Heart size and pulmonary vascularity within normal limits. Stable mild tortuosity of the descending thoracic aorta.,,images/image_4455.png "1. No evidence of acute cardiopulmonary process. 2. Irregularity of the posterior right 7th rib with underlying pleural thickening. This may be related to , however, if there is no known history, consider comparison with prior studies if available of the chest for further evaluation The cardiac and mediastinal silhouettes are normal. The lungs are well-expanded and clear. There is no focal airspace opacity. There is no pneumothorax or effusion. There is irregularity of the 7th posterior right rib with underlying pleural thickening.",,images/image_4456.png "No acute cardiopulmonary process. The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax. The visualized osseous structures are intact.",,images/image_4457.png "No focal lung opacity, pleural effusion of pneumothorax. No focal lung opacity, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.",,images/image_4458.png 1. Technically limited exam. 2. No acute cardiopulmonary abnormalities. . The lateral view is nondiagnostic due to patient positioning. Normal heart size and mediastinal contours. No focal airspace consolidation. No pneumothorax or large pleural effusion. Visualized osseous structures are unremarkable in appearance.,,images/image_4459.png Stable mild cardiomegaly. Clear lungs. Stable mild cardiomegaly. Mediastinal contours are unchanged. Lungs are clear without focal consolidation. No visible pleural effusion or pneumothorax.,,images/image_4460.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette is within normal limits. Calcified right lower lobe granuloma. No focal airspace consolidation.. No visualized pneumothorax or large pleural effusion. No acute bony abnormalities.,,images/image_4461.png "1. Redemonstration of elevated right hemidiaphragm with associated basilar airspace disease and effusion. 2. Ill-defined right upper lung opacities, possibly related to superimposed rib lesions versus developing pulmonary nodules. Further imaging of the chest may be indicated. The heart is normal in size. The mediastinum is stable. Right chest tip is again seen at the cavoatrial junction. There is no pneumothorax. There is again elevation of right hemidiaphragm with right-sided pleural effusion. Vague opacities are noted in the right upper lobe, from prior study. These may be related to overlying rib lesions versus true pulmonary nodules. The left lung appears grossly clear. Drainage catheter seen overlying the right upper quadrant.",,images/image_4462.png "No acute cardiopulmonary findings. The heart size is within normal limits. There is ectasia/tortuosity of the thoracic aorta. Calcified hilar lymph . Irregular calcific density projecting over the left lower lobe, stable since and may represent mitral annular calcifications. No focal airspace consolidation, pleural effusions or pneumothorax. Degenerative changes of the thoracic spine. No acute bony abnormalities.",,images/image_4463.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4464.png No x- evidence of metastatic disease. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_4465.png "No acute cardiopulmonary finding. The heart size and cardia mediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There is an approximately 8mm opacity overlying the sixth anterior rib. There are other scattered calcified granulomas. The osseous structures are intact. There are mild degenerative changes in the thoracic spine.",,images/image_4466.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .,,images/image_4467.png 1. No acute cardiopulmonary disease The lungs appear clear. Heart and pulmonary appear normal. Mediastinal contours are normal. Pleural spaces are clear. There appears to the contrast within small colonic diverticula in the splenic flexure region.,,images/image_4468.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_4469.png "No acute cardiopulmonary abnormality. 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.",,images/image_4470.png No acute disease. The heart is normal in size. The mediastinum is stable. sternotomy changes are again noted. The lungs are clear of focal infiltrates. There is no pleural effusion.,,images/image_4471.png "1. No focal airspace consolidation. 2. Mildly hyperexpanded lungs, suggestive of obstructive lung disease. Lungs are mildly hyperexpanded. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are diffuse degenerative changes of the spine.",,images/image_4472.png "No acute cardiopulmonary abnormality. . Left noted with tip approximating the high SVC, stable. No pleural effusions. No pneumothorax. Heart size is normal limits. Degenerative changes thoracic spine.",,images/image_4473.png "No evidence of acute cardiopulmonary process. Stable appearance of the chest. The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There is no focal air space opacity, pneumothorax, or effusion. There are large calcified mediastinal and right hilar granulomas. The bony structures of the thorax are intact with no evidence of acute abnormality.",,images/image_4474.png 1. Cardiomegaly The heart size is enlarged. The aorta is tortuous. The pulmonary vasculature appears normal. Lungs are otherwise clear bilaterally. No pleural effusions or pneumothorax. No bony abnormalities.,,images/image_4475.png No acute cardiopulmonary abnormality. . No focal areas of consolidation. No pneumothorax. Heart size within normal limits. No pleural effusions. Osseous structures intact.,,images/image_4476.png Limited study but no acute pulmonary disease identified. 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.,,images/image_4477.png Chronic parenchymal changes reflecting sequela of patient's known sarcoidosis. No acute disease. The heart is normal in size. The mediastinum is stable with tortuous aorta. There are chronic changes particularly noted in the lung apices. The are mildly prominent but stable. No acute infiltrate is seen. There is no pleural effusion.,,images/image_4478.png Continued hypoinflation with right middle lobe focal atelectasis. Lung volumes remain . opacity is present in the right middle lobe. No focal infiltrates. Heart size normal.,,images/image_4479.png "No acute cardiopulmonary abnormality.. 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.",,images/image_4480.png "No acute cardiopulmonary disease. The heart, pulmonary 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 minimal degenerative changes of the spine.",,images/image_4481.png No radiographic evidence of tuberculosis. Normal heart size and mediastinal contours. No abnormal airspace opacities or large cavitary lung lesions. Visualized osseous structures are unremarkable in appearance.,,images/image_4482.png No acute cardiopulmonary abnormality. There is a single calcified granuloma in the right lung base. The lungs are otherwise grossly clear bilaterally. There is no pneumothorax or pleural effusion. Cardiac and mediastinal silhouettes are normal. There are cholecystectomy clips in the right upper quadrant of the abdomen. Small T-spine osteophytes are noted.,,images/image_4483.png change. No active cardiopulmonary disease. Heart size remains slightly large. Pulmonary are normal. Aorta tortuous.,,images/image_4484.png No acute cardiopulmonary findings. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusion. Mild degenerative change in the thoracic spine.,,images/image_4485.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_4486.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_4487.png "1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. Calcified right lower lobe granuloma The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative changes of the spine.",,images/image_4488.png "No acute pulmonary disease. 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.",,images/image_4489.png "No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. The aorta is tortuous, but the heart and mediastinum otherwise normal.",,images/image_4490.png No lobar pneumonia Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_4491.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_4492.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion or pneumothorax. Normal heart size. Bony thorax and soft tissues unremarkable",,images/image_4493.png No acute cardiopulmonary abnormalities. Stable cardiomegaly. Stable cardiomegaly. The lungs are clear. Stable left lung base calcifications. No focal consolidations. No pneumothorax or pleural effusions. The are intact.,,images/image_4494.png No acute cardiopulmonary process. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,,images/image_4495.png "1. No acute cardiopulmonary abnormalities. Stable prominence of the cardiac apex, from ventricular hypertrophy. Mid sternotomy again noted. No pneumothorax, significant pulmonary edema or large pleural effusions. No focal lung consolidation. Clips in the right upper quadrant consistent with cholecystectomy. Dextroscoliosis of the thoracolumbar spine.",,images/image_4496.png "Stable left upper lobe collapse associated with parenchymal scarring and pleural thickening. Findings consistent with previous active pulmonary tuberculosis pneumonia. The left hilum is retracted superiorly. In the collapsed left upper lobe are stranding and pneumatoceles. Additionally, pleural thickening is present in the left apex. No infiltrates are present in the left lower lobe or in the right lung. Heart size is normal. These findings are similar to the previous outside examination.",,images/image_4497.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings. degenerative changes of the thoracic spine.,,images/image_4498.png "No acute cardiopulmonary abnormality. Normal heart size. Clear, hyperaerated lungs. No pneumothorax. No pleural effusion. substernal density may be related to a pectus deformity.",,images/image_4499.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable .,,images/image_4500.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality..",,images/image_4501.png No acute cardiopulmonary abnormality seen on chest x-. No pneumothorax. The trachea is midline. 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 abnormalities.,,images/image_4502.png "1. Clear lungs. 2. Several bilateral healing rib fractures, pathologic fracture. The lungs are clear. No suspicious pulmonary mass or nodule is identified. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are normal. There are sclerotic lesions within the , better visualized on the comparison scan. There are several bilateral rib fractures with evidence of the callus formation. The appearance is similar to the prior chest radiograph.",,images/image_4503.png "No acute findings Heart size within normal limits, stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. A dense nodule in the right base suggests a previous granulomatous process. No typical findings of pulmonary edema. No pneumothorax.",,images/image_4504.png "No acute cardiopulmonary abnormality. The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The are unremarkable.",,images/image_4505.png "No acute cardiopulmonary abnormality.. 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. Specifically, no evidence of rib fractures.",,images/image_4506.png "1. No acute cardiopulmonary process. 2. Tortuous aorta, cannot exclude ascending aortic aneurysm. Heart size is normal. The aorta is tortuous, and cannot exclude ascending aortic aneurysm. The pulmonary vascularity is normal. There residual to prior granulomatous infection. Lungs are otherwise clear. Degenerative change of the spine.",,images/image_4507.png "Chronic changes as described, no acute findings Heart size within normal limits, stable mediastinal and hilar contours, coronary artery stent artifact, and clips suggest CABG. Mediastinal and hilar calcifications indicate a previous granulomatous process. Stable hyperinflation, bilateral upper lobe pleuroparenchymal near and nodular irregularities, right greater than left, opacities in the peripheral right lung most compatible with scarring. No abnormal pulmonary opacities, no definite pleural effusion seen. No typical findings of pulmonary edema. Osseous demineralization, stable appearance of T9 and T12 fractures.",,images/image_4508.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Scattered calcified granulomas noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine without acute abnormality.",,images/image_4509.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_4510.png "Low lung volumes. No acute pulmonary disease. There are low lung volumes with bronchovascular crowding as a result. No pleural effusion, pneumothorax or focal airspace disease. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.",,images/image_4511.png "1. Stable chronic lung changes without acute cardiopulmonary abnormality. opacities projecting over the right apex and mediastinum on PA view are artifactual. Stable cardiomediastinal silhouette. Pulmonary vascularity is unremarkable. Stable chronic coarse interstitial markings, without focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the are grossly intact. right cervical rib.",,images/image_4512.png "No acute cardiopulmonary abnormality identified. 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.",,images/image_4513.png "1. Haziness in the right lung apex and questionable right middle lobe pulmonary nodule. These may be explained by overlapping structures, chest would be useful for further evaluation. 2. Emphysematous changes. The cardiac and mediastinal contours are within normal limits. There are calcifications of the aortic . The lungs are hyperinflated with increased retrosternal airspace and flattening of hemidiaphragms. There is haziness in the right lung apex. There is a 1.7 cm nodular density in the medial right lung base seen on the frontal view, not identified on the lateral view. This may represent a vessel on end. There is no consolidation, pneumothorax, or effusion. There are mild degenerative changes of the spine.",,images/image_4514.png 1. Low volume study without acute process. 2. Mild cardiomegaly. Heart size is mildly enlarged. Tortuous aorta. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.,,images/image_4515.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_4516.png Clear lungs. No acute cardiopulmonary abnormality. . Lungs are clear. No focal airspace consolidation or pleural effusion. Heart size is normal. No pneumothorax. Calcified lymph .,,images/image_4517.png 1. No evidence of active tuberculosis. 2. left upper lobe opacities. The appearance subsegmental atelectasis or scarring. There are left upper lobe opacities. Lungs otherwise appear clear. No pleural effusion or pneumothorax. Heart size is as is within normal limits.,,images/image_4518.png "1. Low lung volumes. 2. Opacity in the lingula is favored to represent prominent pericardial fat, but lingular atelectasis or infiltrate cannot be ruled out. . The trachea is midline. The cardiomediastinal silhouette is normal. There are low lung volumes, causing bibasilar atelectasis and bronchovascular crowding. There is a opacity in the left lingula. There is no pleural effusion or pneumothorax. Visualized bony structures reveal no acute abnormalities.",,images/image_4519.png No acute cardiopulmonary findings. Heart size within normal limits. No focal airspace disease. No pneumothorax. No effusions. Multiple old right-sided rib fractures again noted.,,images/image_4520.png "No acute cardiopulmonary abnormality identified. 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.",,images/image_4521.png "1. No evidence of pulmonary tuberculosis. 2. Low lung volumes with minimal streaky basilar airspace disease, atelectasis. 3. Right paratracheal prominence represents tortuous . Comparison with prior imaging studies could confirm this if available. . Heart size within normal limits. Right paratracheal prominence represents tortuous . lung volumes. Mild streaky bibasilar opacities. No pleural effusion or pneumothorax.",,images/image_4522.png 1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_4523.png 1. Pathologic fractures seen at T5 and L2. 2. Left venous catheter in SVC. Left chest wall Mediport placement with venous catheter tip in superior . Normal cardiac contours. No pneumothorax or pleural effusions. Clear lungs bilaterally. fracture seen at T5 and L2 with areas of sclerosis throughout the thoracic and lumbar spine.,,images/image_4524.png "No acute cardiopulmonary abnormality. Mild nonspecific prominence of mediastinum, consider repeat CXR if any concern for vascular process. Technically limited study secondary to patient . Decreased lung volumes with associated bronchopulmonary crowding without evidence of focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.",,images/image_4525.png "No acute osseous abnormalities. If continued clinical concern for rib fracture dedicated rib films will be helpful. Left midlung, and left basilar streaky opacity may represent atelectasis. No acute osseous abnormalities. Left midlung, and basilar streaky opacity. There is elevation of the left hemidiaphragm. No pneumothorax. Small calcified 8 cm granuloma adjacent to the right diaphragm within the right chest. Cardiomediastinal silhouette is within normal limits.",,images/image_4526.png "1. Borderline enlarged heart without acute abnormality. Borderline enlarged heart. Pulmonary vasculature appears within normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. Possible right shoulder calcific tendinitis. Calcifications of the abdominal aorta are seen.",,images/image_4527.png " change. Hypoinflation with no visible active cardiopulmonary disease. Lung lines remain low. However, no focal infiltrates are identified. Heart and pulmonary are normal.",,images/image_4528.png "Patchy airspace disease on the lateral view, probably within the right lower lobe, a pneumonia superimposed on severe underlying emphysema. Recommend following this process to resolution. Patchy airspace disease is present in the lateral view probably within the right lower lobe. There is severe underlying emphysema. The aorta is calcified. There is spondylosis.",,images/image_4529.png "No acute cardiopulmonary findings. Specifically, no radiographic evidence of tuberculosis. Heart size within normal limits. No focal airspace disease. No cavitations. No pneumothorax or pleural effusion.",,images/image_4530.png 1. Right-sided chest in without demonstration of an acute cardiopulmonary abnormality. . A right-sided chest remains in with the distal tip at the level of the mid SVC. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pulmonary nodules or mass lesions identified. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.,,images/image_4531.png 1. No acute radiographic cardiopulmonary process. Three images are available for review. The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_4532.png No active disease. Soft tissue and bony structures unremarkable. Heart size is upper limit of normal. Lung are clear. No effusion or pneumothorax. Calcified lymph stable from prior exam.,,images/image_4533.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4534.png Probable COPD and old granulomatous disease. Some hyperinflation appears to be present. There are small calcified granulomas. The lungs are otherwise clear. The heart is normal. The mediastinum is normal. The skeletal structures and soft tissues are normal.,,images/image_4535.png 1. No acute radiographic cardiopulmonary process. 2. Interval development of cardiomegaly. There's been interval enlargement in the cardiac silhouette. These 't contours are within normal limits. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_4536.png No acute cardiopulmonary abnormalities. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,,images/image_4537.png "No acute cardiopulmonary abnormality. There are changes of prior midline sternotomy with surgical clips consistent with CABG, and stable mild cardiomegaly. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.",,images/image_4538.png 1. No evidence of active disease. The patient is status post CABG. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. Ureteral stents are noted on the right.,,images/image_4539.png No acute cardiopulmonary process. Cardiomediastinal silhouette is within normal limits. Lungs are clear without areas of focal consolidation. Right hilar calcifications sequela of prior granulomatous disease. No pneumothorax or large pleural effusion. No acute bone abnormality.,,images/image_4540.png "1. No acute cardiopulmonary abnormality. The trachea is midline. Negative for pneumothorax, pleural effusion, or focal airspace consolidation. The heart size is normal.",,images/image_4541.png "Chest radiograph. 1. No acute radiographic cardiopulmonary process. sternotomy are in and intact. Normal cardiomediastinal silhouette. The bilateral costophrenic are excluded from the image on the PA view. Lungs are clear without focal areas of consolidation, pleural effusion, or pneumothorax. are intact without acute osseous abnormality. Mild degenerative changes throughout the thoracic spine.",,images/image_4542.png "No acute cardiopulmonary abnormality.. 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.",,images/image_4543.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",,images/image_4544.png "Negative. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute abnormality.",,images/image_4545.png 1. Left upper lobe pneumonia. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate left upper lobe airspace disease most pneumonia. There is no effusion or pneumothorax.,,images/image_4546.png "No acute cardiopulmonary abnormality. 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.",,images/image_4547.png Negative chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_4548.png "No acute cardiopulmonary abnormality.. No focal consolidation, pneumothorax, or pleural effusions. Stable calcified granulomas. Cardiomediastinal silhouette demonstrates mild tortuosity of the thoracic aorta and atherosclerotic calcifications of the aortic . No acute osseous abnormality identified.",,images/image_4549.png "1. No acute intrathoracic abnormality. sternotomy remain in . The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Moderate degenerative changes of the thoracic spine. No acute, displaced rib fractures identified.",,images/image_4550.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4551.png "1. Cardiomegaly and central vascular congestion with perihilar opacities, possibly edema. 2. Large right pleural effusion. The cardiac silhouette is mildly enlarged. Mediastinal contours are within normal limits. The pulmonary vasculaturity is increased. There is large right-sided pleural effusion and probable underlying associated compressive atelectasis. Mild perihilar opacities, edema. No pneumothorax is seen.",,images/image_4552.png Right upper lobe pneumonia. There is a right upper lobe opacity. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. Osseous structures and soft tissues are normal.,,images/image_4553.png No evidence of active disease. There are scattered calcified granulomas. No focal infiltrate. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.,,images/image_4554.png No acute cardiopulmonary findings. 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.,,images/image_4555.png "No acute cardiopulmonary finding. The heart size is normal. The cardiomediastinal silhouette is stable in appearance. The lungs are clear without focal airspace opacity, pneumothorax, or pleural effusion. The are normal in appearance.",,images/image_4556.png "No acute cardiopulmonary abnormality. Heart size and mediastinal contour within normal limits. Atherosclerotic calcification within the aorta. Calcified granulomas in bilateral and overlying the T9 vertebral body(lateral view). No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes of thoracic spine. No acute osseous abnormality.",,images/image_4557.png 1. No acute cardiopulmonary abnormality. Clear lungs bilaterally. Normal cardiac contours. No pneumothorax or pleural effusion.,,images/image_4558.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4559.png "1. Hyperexpansion without acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Hyperexpanded lungs. Calcified right upper lobe granuloma, unchanged. Heart size and pulmonary vascularity within normal limits. No displaced rib fractures.",,images/image_4560.png "No acute cardiopulmonary abnormality. Calcified left hilar lymph from prior granulomatous disease. The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. No acute bony abnormality.",,images/image_4561.png "No acute cardiopulmonary findings. No displaced fractures. Heart size within normal limits. No focal airspace disease. No pneumothorax, no pleural effusion. No displaced rib fractures.",,images/image_4562.png Possible area of pneumonitis right lower lobe. There may be a subtle airspace opacity in the right base near the midclavicular line. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_4563.png 1. Soft tissue neck negative. 2. Chest. Heart failure with pulmonary alveolar edema and pleural effusion. Soft tissue neck. The airway is . No laryngeal edema. Laryngeal intact. Cervical spine intact. Chest. The heart is large. Diffuse parahilar and alveolar consolidations are present. Bilateral costophrenic blunting is present.,,images/image_4564.png "No acute cardiopulmonary findings. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_4565.png "Stable appearance of the chest. No acute cardiopulmonary findings. Mild cardiomegaly is unchanged. Stable superior mediastinal contour appear normal pulmonary vascularity. No airspace opacity, pleural effusion, or pneumothorax. No acute bony abnormalities. Right upper quadrant surgical clips.",,images/image_4566.png "No acute findings. The heart size is within normal limits. The thoracic aorta is tortuous, stable from the prior radiograph. Aortic stent graft overlies the descending thoracic aorta and upper abdominal aorta, grossly stable from the prior chest radiograph. There are scattered calcified granulomas. There is no focal airspace consolidation. No pleural effusion or pneumothorax. The left hemidiaphragm remains mildly elevated. There are mild degenerative changes of the spine.",,images/image_4567.png No acute cardiopulmonary process Heart size and mediastinal contour are normal. Mild tortuosity of the aorta. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,,images/image_4568.png 1. Mildly elevated right hemidiaphragm. Otherwise no acute cardiopulmonary abnormality seen. Heart size and mediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. No focal airspace consolidation. There is mild elevation right hemidiaphragm. No visible pleural effusion or pneumothorax. There are mild degenerative changes along the thoracic spine.,,images/image_4569.png Clear lungs Lungs are clear. No pleural effusions or pneumothoraces. Heart size is normal with postoperative changes consistent with CABG. Degenerative changes in the thoracic spine.,,images/image_4570.png No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,,images/image_4571.png 1. No evidence of active disease. The patient is status post CABG. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. Ureteral stents are noted on the right.,,images/image_4572.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. The pleural spaces are clear. Mediastinal contours are normal. There is no pneumothorax.,,images/image_4573.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.",,images/image_4574.png No evidence of active disease. Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. There are minimal degenerative changes of the spine.,,images/image_4575.png No acute findings Stable cardiomediastinal silhouette with borderline heart size and aortic ectasia/tortuosity. Stable hyperinflation without focal alveolar consolidation. No definite pleural effusion seen. No typical findings of pulmonary edema. Healed left rib fractures again noted.,,images/image_4576.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_4577.png "1. No acute cardiopulmonary process. 2. Tortuous aorta, cannot exclude ascending aortic aneurysm. Heart size is normal. The aorta is tortuous, and cannot exclude ascending aortic aneurysm. The pulmonary vascularity is normal. There residual to prior granulomatous infection. Lungs are otherwise clear. Degenerative change of the spine.",,images/image_4578.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_4579.png No acute cardiopulmonary abnormalities. Normal cardiomediastinal contours. No focal consolidation or pleural effusions. No pneumothorax.,,images/image_4580.png "1. Low lung volume study with minimal subsegmental atelectasis in the lung bases. No acute pulmonary process. The heart and mediastinum are unremarkable. There is tortuosity of the aorta, compatible with atherosclerosis. Low lung volumes. Minimal opacities within the lung bases, subsegmental atelectasis. The lungs are clear without infiltrate. There is no effusion or pneumothorax.",,images/image_4581.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4582.png Right upper lobe infiltrate consistent with pneumonia. The heart size is normal. The mediastinal contour is within normal limits. There is a streaky opacity within the right upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_4583.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_4584.png "No acute cardiopulmonary disease. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are unchanged.",,images/image_4585.png "No acute cardiopulmonary abnormality. . Left noted with tip approximating the high SVC, stable. No pleural effusions. No pneumothorax. Heart size is normal limits. Degenerative changes thoracic spine.",,images/image_4586.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4587.png "1. Patchy left lower lobe airspace disease, possibly atelectasis or pneumonia. 2. Right mid lung subsegmental atelectasis. There are low lung volumes with bronchovascular crowding. There is patchy left lower lobe airspace disease. There are opacities in the right mid lung, subsegmental atelectasis. No significant pleural effusion. No pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification.",,images/image_4588.png No evidence of active disease. 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.,,images/image_4589.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture. Bilateral nipple jewelry.",,images/image_4590.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal air space opacity. Cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.",,images/image_4591.png 1. No acute pulmonary disease. and lateral chest examination was obtained. calcified granuloma seen. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_4592.png "Lung hyperexpansion. No focal air space disease. The lungs are hyperexpanded. Cardiomediastinal silhouette is within normal limits. No pleural effusion, focal airspace opacities or pneumothorax. No free subdiaphragmatic air.",,images/image_4593.png "Low lung volumes without evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. there are diminished lung volumes with hypoventilatory changes. The cardiac silhouette is not enlarged. There is mild tortuosity of the thoracic aorta. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Surgical clips are seen in the upper abdomen. No acute osseous abnormalities demonstrated.",,images/image_4594.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. There is again biapical scarring. Small stable calcified left lower lobe granuloma. The lungs are otherwise clear.,,images/image_4595.png "No acute cardiopulmonary abnormality. Small hiatal hernia noted. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. There is a rounded lucency seen above the diaphragm on lateral view, suggestive of small hiatal hernia. Visualized osseous structures appear intact. Degenerative changes of the thoracic spine seen.",,images/image_4596.png No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal opacity in the lung bases. The lungs are otherwise grossly clear. There are no acute bony findings.,,images/image_4597.png No acute cardiopulmonary disease. The lungs appear clear. Lung volumes are low. The heart and pulmonary appear normal. Pleural spaces are clear.,,images/image_4598.png No acute cardiopulmonary findings. The previously seen right-sided PICC has been removed. The heart size is normal. Lungs are clear. There is no pneumothorax or large pleural effusion. Bony structures are within normal limits.,,images/image_4599.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. There is evidence of previous granulomatous disease. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. No pleural effusion.",,images/image_4600.png No acute cardiopulmonary abnormality. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Stable calcified granuloma in the left upper lung. No acute bony abnormality is identified.,,images/image_4601.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4602.png "Clear lungs. No acute cardiopulmonary findings. Heart size is upper limits of normal. Mediastinal contours and pulmonary vascularity are within normal limits. There is no focal infiltrate or suspicious pulmonary opacity. No pneumothorax or pleural effusion. There is a lucency along the peripheral right lung base, secondary to a skin fold. No acute bony findings.",,images/image_4603.png Normal chest film. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,,images/image_4604.png "1. Small right apical pneumothorax. 2. Right middle and lower lobe patchy opacities, residual atelectasis. 3. Near-complete resolution of right-sided pleural effusion with residual. . Normal cardiomediastinal contours. Right lower lung patchy opacities. Small right pneumothorax. Small right pleural effusion.",,images/image_4605.png No acute abnormality. The heart is not enlarged. Lungs are clear. No pleural effusion.,,images/image_4606.png No acute cardiopulmonary findings. Heart size within normal limits. Tortuous aorta. There is an accessory azygos fissure in the right upper lung. No focal air space consolidations are noted. No pneumothorax or pleural effusion. There is severe degenerative change at the thoracolumbar junction with mild anterior wedging at approximately T12.,,images/image_4607.png "Question prior right upper lobe resection, no acute abnormality. There is distortion of the right hilum which may be postsurgical versus neoplastic. Volume loss of the right hand side. There is no evidence of focal infiltrate. No pneumothorax. No pleural effusion. Normal heart size.",,images/image_4608.png 1. Hyperexpanded lungs consistent with emphysema. No evidence of active disease. The heart size and pulmonary vascular appear within normal limits. The lungs appear hyperexpanded consistent with emphysema. Calcified lymph and granuloma are noted. No acute appearing focal airspace disease is seen. No pleural effusion or pneumothorax is noted.,,images/image_4609.png Left basilar airspace disease. No acute osseous abnormality. Scattered degenerative changes throughout the thoracic spine. Normal heart size. Tortuous and dilated aorta. Chronic interstitial markings. Left base opacity. No pneumothorax or pleural effusion.,,images/image_4610.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_4611.png No acute disease. The heart is top normal in size. The mediastinum is stable. There is a small retrocardiac density which may be secondary to small hiatal hernia. Left IJ catheter tip at cavoatrial junction. No pneumothorax is seen. The lungs are clear.,,images/image_4612.png "No acute cardiopulmonary abnormalities. The heart is normal in size. Stable appearance of coronary stent. sternotomy changes are present. No focal consolidation, pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.",,images/image_4613.png No acute findings. The heart size is within normal limits. No focal air space opacities. No pneumothorax. No pleural effusion. No displaced rib fractures.,,images/image_4614.png COPD and old granulomatous disease. The lungs are clear. There is hyperinflation. Calcification is seen over the anterior mediastinum a calcified lymph node at is not identified on the PA projection. The heart is normal. Arthritic changes the spine are seen.,,images/image_4615.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_4616.png "1. No acute cardiopulmonary process. 2. Mild, age-indeterminate wedge deformity of a midthoracic vertebral body. The cardiomediastinal silhouette is within normal limits for appearance. No focal air is prominent consolidation. No pneumothorax. No large pleural effusion. Minimal degenerative changes of the thoracic spine with a mild wedge deformity of a midthoracic vertebral body. This is age-indeterminate.",,images/image_4617.png 1. No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,,images/image_4618.png "Left base atelectasis. Lungs otherwise clear. . There is minimal opacity in the left lung base, representing atelectasis. The lungs are otherwise clear. Heart size is normal. No pneumothorax.",,images/image_4619.png "No acute cardiopulmonary abnormality. Mediastinal contours are normal. Heart size is within normal limits. Multiple scattered calcified pulmonary nodules, sequela of prior granulomatous disease. Otherwise lungs are clear.. There is no pneumothorax or large pleural effusion. No bony abnormality.",,images/image_4620.png "No acute cardiopulmonary abnormality. 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.",,images/image_4621.png "Mildly hyperinflated, clear lungs. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated, without evidence of focal airspace disease, pneumothorax, or pleural effusion. Incidental note is of an azygos fissure. There are no acute bony findings.",,images/image_4622.png No acute cardiopulmonary process. . 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.,,images/image_4623.png "Bilateral large pleural effusion, possibly from pleuritis or sympathetic from the known pancreatitis. One are low. Both costophrenic are blunted. Pulmonary are normal. No visible infiltrates in the aerated lungs.",,images/image_4624.png "1. Chronic changes without acute process The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Chronic appearing interstitial marking. Right upper lobe granuloma, stable The lungs are normally inflated and clear. Degenerative changes of the spine.",,images/image_4625.png No acute cardiopulmonary abnormalities are seen. END OF REPORT. and lateral views of the chest were obtained on . The lung volumes are normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary are normal. The bony elements are not remarkable.,,images/image_4626.png "Large medial right upper lobe mass highly concerning for primary lung cancer. chest with intravenous contrast for further evaluation. . 's was notified of this result at PM / and accepted receipt. Results were faxed. . 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.",,images/image_4627.png No acute cardiopulmonary abnormalities. The heart is normal in size and contour. There is no mediastinal widening. The lungs are hyperexpanded. No focal airspace disease. No large pleural effusion or pneumothorax. Exaggerated kyphosis.,,images/image_4628.png No acute cardiopulmonary abnormality. There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Osseous structures intact.,,images/image_4629.png 1. No acute cardiopulmonary disease. 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.,,images/image_4630.png "No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Acromioclavicular arthritis is present, severe.",,images/image_4631.png "1. No acute cardiopulmonary abnormality. 2. Emphysema. Evaluation is limited due to obscuration by the patient's arm on the lateral view. Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascular is unremarkable. are chronic, coarse interstitial lung markings. Peripheral opacity along the right mid lung reflects scar or a small amount of loculated pleural fluid or thickening. Otherwise negative for focal airspace disease or consolidation. Hyperlucent lungs with apical . Negative for pneumothorax or pleural effusion. Limited evaluation reveals the to be grossly intact.",,images/image_4632.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Heart size is normal. Stable right paratracheal prominence, consistent with known calcified lymph node, seen on prior CT chest dated . are unremarkable.",,images/image_4633.png "No acute cardiopulmonary abnormality. 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. The visualized bony structures reveal no acute abnormalities.",,images/image_4634.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. There are severe arthritic changes of the with mild arthritic changes of the thoracic spine.,,images/image_4635.png No acute cardiopulmonary findings. Heart size normal. No focal airspace disease. No pneumothorax or effusions.,,images/image_4636.png Low volumes with bronchovascular crowding. No acute abnormality. There are low volumes with bronchovascular crowding. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. No displaced fracture identified.,,images/image_4637.png "1.5 cm nodule in the left midlung zone. May contain calcium although this cannot be stated with certainty. Comparison to old films, if available would be useful to determine chronicity and stability. If old films are not available, scan could be to evaluate for the presence of calcium. Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. In the left midlung zone there is identified a 1.5 cm nodule. This appears somewhat dense and may contain calcium although this cannot be stated with certainty.",,images/image_4638.png "No acute cardiopulmonary abnormality identified. The 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.",,images/image_4639.png "1. Prominent mediastinum. May be due to mediastinal fat. Comparison films, if available, would be useful to determine if this is a chronic appearance. 2. Clear lungs. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is noted. Degenerative changes are noted in the spine. The descending thoracic aorta is mildly tortuous. The mediastinum appears somewhat prominent.",,images/image_4640.png Small bilateral pleural effusions. The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. Small bilateral pleural effusions are seen.,,images/image_4641.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_4642.png Right middle lobe and lower lobe pneumonia. Followup radiographs in 8-12 weeks after appropriate therapy are indicated to exclude an underlying abnormality. Heart size is upper limits of normal. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is right basilar air space opacity.,,images/image_4643.png Clear lungs. Postsurgical changes of the right chest. Mild elevation of the right hemidiaphragm. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_4644.png "1. No evidence of acute cardiopulmonary process. Stable appearance of the chest. 2. Evidence of prior granulomatous disease and degenerative changes of the costochondral junctions. The cardiac and mediastinal contours are within normal limits. There are calcified mediastinal lymph , with a calcified right lower lobe pulmonary nodule. The lungs are well-inflated and clear. There is no focal consolidation, pneumothorax, or effusion. There are degenerative changes of the first costochondral joints bilaterally. No acute bony abnormalities are seen.",,images/image_4645.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_4646.png No acute right pulmonary findings. Heart size within normal limits. No focal airspace disease. No pneumothorax or pleural effusion.,,images/image_4647.png No acute preoperative findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_4648.png Mild heart failure versus volume overload. The examination consists of frontal and lateral radiographs of the chest. There low lung volumes. There is pulmonary vascular congestion and indistinctness. Bibasilar airspace disease is also present. Probable left pleural effusion. No evidence of pneumothorax. Cardiac silhouette is upper lungs are normally accentuated due to low lung volumes.,,images/image_4649.png "No acute cardiopulmonary abnormality. 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.",,images/image_4650.png No acute cardiopulmonary abnormality. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Stable calcified granuloma in the left upper lung. No acute bony abnormality is identified.,,images/image_4651.png "1. Severe emphysema. 2. Irregular, pleural-parenchymal opacity in left upper lobe. This may irregular pleural-parenchymal scarring, however, recommend comparison with more remote outside imaging, if available to determine long-term stability. If none are available, recommend short-term in 3 to 4 months. Evaluation of coronal and sagittal reformatted images from the outside study would also be helpful. These were not available at the outside institution. Malignancy cannot be confidently excluded on the available images. Lungs are hyperinflated with interstitial changes of severe emphysema. There is an ill-defined pleural parenchymal opacity in the left upper lobe. This may represent scarring but is incompletely evaluated on the outside study, without coronal and sagittal reformats. There is mild scarring and/or atelectasis in the lung bases. Lungs otherwise grossly clear. There is no pneumothorax or pleural effusion. Heart size is normal. There are mild degenerative endplate changes in the thoracic spine. There is generalized osteopenia.",,images/image_4652.png There is no evidence of acute cardiopulmonary disease. . The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no of a large pleural effusion. There is no evidence of pneumothorax.,,images/image_4653.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable .,,images/image_4654.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax grossly unremarkable.",,images/image_4655.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. The heart size is normal. No large pleural effusions. The cardiomediastinal silhouette is grossly unremarkable.,,images/image_4656.png "Negative for acute cardiopulmonary findings. Heart size and cardiomediastinal contours are normal. Low lung volumes without focal airspace opacity, pleural effusion, or pneumothorax. Multilevel degenerative changes in the spine.",,images/image_4657.png Diffuse fibrosis. No visible focal acute disease. Interstitial markings are diffusely prominent throughout both lungs. Heart size is normal. Pulmonary normal.,,images/image_4658.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_4659.png "No acute cardiopulmonary abnormality. . 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.",,images/image_4660.png "Normal chest. Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4661.png "Low lung volumes. No acute cardiopulmonary abnormalities. Normal cardiomediastinal contours, given patient position and technique. No pneumothorax or large pleural effusions. The lung volumes.",,images/image_4662.png Continued slight cardiomegaly with no evidence for failure or pneumonia. Heart size remains slightly large. Aorta remains tortuous. Pulmonary remain normal. No infiltrates or masses in the lungs.,,images/image_4663.png "No acute cardiopulmonary abnormality. . No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. are intact. There is a small calcified granuloma in the right midlung.",,images/image_4664.png Vague patchy opacity in the right midlung which may represent an early pneumonia given patient's history. Sequelae of old granulomatous disease. Vague patchy opacity in the right midlung which may represent early pneumonia. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_4665.png "No focal lung consolidation. No acute osseous abnormality. The soft tissues are within normal limits. Normal appearing cardiomediastinal silhouette and hilar contours. Left lower lobe density representing atelectasis. No focal area of consolidation, pleural effusion, pneumothorax.",,images/image_4666.png No acute cardiopulmonary process. Heart size and mediastinal contour normal. Lungs are clear. Pulmonary vascularity normal. No pleural effusions or pneumothoraces. Minimal degenerative changes thoracic spine.,,images/image_4667.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Negative for pneumoperitoneum. Mild degenerative changes of the thoracic spine.",,images/image_4668.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_4669.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_4670.png "Small left retrocardiac opacity, may represent minimal atelectasis or small focus of airspace disease. Normal cardiomediastinal contours. No pneumothorax or large pleural effusions. Small focal retrocardiac lung opacity.",,images/image_4671.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.",,images/image_4672.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4673.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_4674.png "Low lung volumes, no acute cardiopulmonary disease. Low lung volumes. normal heart size. No pneumothorax. No large effusion. No focal infiltrate.",,images/image_4675.png Low lung volumes without acute cardiopulmonary disease. Cardiac silhouette and mediastinal contours are within normal limits. There are low lung volumes. There is no focal opacities. No pneumothorax. No large pleural effusion.,,images/image_4676.png "No acute cardiopulmonary abnormality. . No pneumothorax, pleural effusion or airspace consolidation. Heart size is upper limits of normal. Pulmonary vasculature appear within normal limits. are intact.",,images/image_4677.png No acute cardiothoracic abnormality. Negative for cardiac enlargement. Negative for vascular congestion. Negative for focal confluent airspace disease. Negative for pneumothorax. A few scattered calcified granulomas are identified.,,images/image_4678.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4679.png "No acute cardiopulmonary abnormality. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures intact.",,images/image_4680.png "Negative for acute cardiopulmonary abnormality No focal consolidation, effusion, or pneumothorax. Normal heart size. Stable left subclavian chest catheter tip in mid SVC. Lungs are well expanded. Calcified granuloma posteriorly in the medial right lower lobe. Postsurgical changes of anterior lower cervical spine fusion. Thoracic spine demonstrates mild degenerative changes with some mild loss of T4 and T7 vertebral bodies.",,images/image_4681.png "No acute cardiopulmonary abnormalities. . The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pleural effusion or pneumothorax. The visualized bony structures reveal no acute abnormalities.",,images/image_4682.png No active pulmonary disease. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Mild curvature thoracolumbar junction.,,images/image_4683.png 1. Left basilar atelectasis. 2. No focal airspace consolidation. The lungs focal airspace consolidation. There is atelectasis of the left lung base. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion. Cervical vertebral is partially visible at the top of the radiographs.,,images/image_4684.png "No acute cardiopulmonary abnormality.. 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.",,images/image_4685.png 1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is mildly tortuous and calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild degenerative changes of the thoracic spine. Mild levoscoliosis of the thoracolumbar spine.,,images/image_4686.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mild spine curvature noted.",,images/image_4687.png "No acute cardiopulmonary disease. The heart, pulmonary 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.",,images/image_4688.png "No acute cardiopulmonary disease. Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.",,images/image_4689.png "Low lung volumes with slightly increased perihilar opacities bilaterally, infectious etiology. The lung volumes are low. However as compared to the prior study, there are increased perihilar opacities bilaterally. Stable dextroscoliosis of the lower thoracic spine with limited evaluation of the spinal . The tracheostomy tube is in unchanged position.",,images/image_4690.png "No acute cardiopulmonary findings. Specifically, no evidence of pleural effusion or hilar or mediastinal adenopathy. Heart size within normal limits. No focal airspace disease. No pleural effusion.",,images/image_4691.png "1. No acute cardiopulmonary process. 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 bone abnormality.",,images/image_4692.png 1. Stable aneurysmal enlargement of the and descending aorta. Chest CTA could be obtained as a . 2. Borderline heart size. 3. No acute pulmonary disease process. 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 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 focal airspace consolidation or pleural effusion. spine spondylitic changes.,,images/image_4693.png 1. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. Stent is noted in the abdomen. The thoracic aorta is tortuous. Calcified granuloma are noted.,,images/image_4694.png Old granulomatous disease and senescent changes but no acute pulmonary disease. There is a calcified granuloma in the lateral left base. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified left hilar lymph . There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted as well as scoliosis and lumbar region.,,images/image_4695.png "1. No acute or active cardiac, pulmonary or pleural disease. 2. Pneumoperitoneum, attributed to the patient's recent abdominal surgery. Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and aeration of the lungs. No focal airspace consolidation or pleural effusion. There is subphrenic intraperitoneal extraluminal free .",,images/image_4696.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,,images/image_4697.png "1. No acute traumatic findings. 2. Right upper lobe 6 mm nodular opacity. This may be artifactual secondary to overlapping vascular structures. However, true pulmonary nodule is a possibility. This appears from . Consider further evaluation with dedicated PA and lateral chest radiographs the patient is . There is a 6 mm nodular opacity in the right upper lobe. This appears from the prior study. The lungs otherwise appear clear. No pleural effusion or pneumothorax is seen. Heart size and mediastinal contour appear within normal limits.",,images/image_4698.png "No acute cardiopulmonary abnormality.. 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.",,images/image_4699.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_4700.png "No evidence of acute cardiopulmonary process. The examination consists of frontal and lateral radiographs of the chest. External monitor leads 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.",,images/image_4701.png Small bilateral pleural effusions with a few scattered areas of patchy bilateral airspace disease. Endotracheal tube and NG tube have been removed. Mild patchy bilateral airspace disease. There are small bilateral pleural effusions. No pneumothorax. Heart and mediastinum are stable with normal size heart. Degenerative changes in the spine.,,images/image_4702.png "1. No acute abnormality of the chest. 2. Right hilar prominence, corresponding to lymphadenopathy partially demonstrated abdomen and pelvis , . Consider of the chest for further evaluation. . Heart size within normal limits. Prominent right perihilar density consistent with lymphadenopathy, previously partially demonstrated abdomen and pelvis , . Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. TIPS noted.",,images/image_4703.png No acute cardiopulmonary abnormalities are seen. END OF REPORT. and lateral views of the chest were obtained on . The lung volumes are normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary are normal. The bony elements are not remarkable.,,images/image_4704.png "Mild cardiomegaly. Mild cardiomegaly. Normal pulmonary vascularity. Tortuosity of the descending aorta. No focal infiltrate, pneumothorax or pleural effusion.",,images/image_4705.png No acute findings. Normal heart size. Clear lungs. No pneumothorax or pleural effusion.,,images/image_4706.png "No acute cardiopulmonary abnormality. . Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable.",,images/image_4707.png "Mild streaky left basilar airspace disease, atelectasis. . 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.",,images/image_4708.png "Unremarkable radiographs of the chest. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.",,images/image_4709.png "1. Low lung volumes. 2. Opacity in the lingula is favored to represent prominent pericardial fat, but lingular atelectasis or infiltrate cannot be ruled out. . The trachea is midline. The cardiomediastinal silhouette is normal. There are low lung volumes, causing bibasilar atelectasis and bronchovascular crowding. There is a opacity in the left lingula. There is no pleural effusion or pneumothorax. Visualized bony structures reveal no acute abnormalities.",,images/image_4710.png No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. There are residuals of prior granulomatous infection. Lungs otherwise clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,,images/image_4711.png No acute cardiopulmonary abnormality. . There is minimal scarring within the left lung base. The lungs are otherwise clear. Heart size is normal. No pneumothorax.,,images/image_4712.png "No acute cardiopulmonary abnormality. . Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable.",,images/image_4713.png 1. Small right pleural effusion. Increased. 2. No pneumothorax is seen. 3. Scattered of right base atelectasis. The heart size and pulmonary vascularity appear within normal limits. Right pleural effusion is present and appears increased. No pneumothorax is identified. Some scattered of right base atelectasis are seen. Surgical remain in . The left lung appears clear.,,images/image_4714.png "Chest. No acute cardiopulmonary abnormality. Ribs. No displaced rib fractures, or obvious nondisplaced rib fractures. Chest. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. Ribs. There are no displaced rib fractures, or obvious nondisplaced rib fractures. Soft tissues appear normal.",,images/image_4715.png No radiographic evidence of active cardiopulmonary disease. The cardiomediastinal silhouette is within normal limits. The lungs are well expanded without consolidation or edema. No pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.,,images/image_4716.png "No acute radiographic cardiopulmonary process. The heart size is normal. The mediastinal contour is within normal limits. Low lung volumes and bronchovascular crowding. Mild bibasilar opacities, atelectasis. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Stable degenerative change throughout the thoracic spine. Stable thoracolumbar retrolisthesis. There is no visible free intraperitoneal air under the diaphragm.",,images/image_4717.png "Moderate congestive cardiac failure. Moderate bilateral interstitial edema, with cardiomegaly and bilateral effusion consistent with moderate cardiac failure. A large calcified right mediastinal adenopathy, chronic fungal. No pneumothorax.",,images/image_4718.png Chest. Right shoulder. 1. No acute cardiopulmonary abnormality. 2. Negative for right shoulder fracture or dislocation. Chest: Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Hyperlucent apices. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Healed remote left 9th rib fracture. Right shoulder: Negative for fracture or dislocation.,,images/image_4719.png 1. Improved right mid lung and right basilar consolidation. 2. Decreasing right pleural effusion. There is significant interval decrease in right middle and right lower lobe opacification. Persistent small right pleural effusion and atelectasis. No pneumothorax. Stable appearance of the cardiomediastinal silhouette. No acute bone abnormality.,,images/image_4720.png No acute cardiopulmonary abnormalities. Stable chronic lung disease. . Heart size is unchanged. Aortic calcification is noted. No pneumothorax. No large pleural effusions. There are unchanged opacities throughout the lungs which represent scarring. Lungs are hyperexpanded.,,images/image_4721.png No acute cardiopulmonary abnormality. . Postsurgical changes noted overlying the left axilla. No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.,,images/image_4722.png "1. No focal air space consolidation. 2. Nodular opacity at the left apex may be exaggerated by overlapping bone silhouettes. chest may provide further evaluation, if warranted. The cardiomediastinal silhouette is normal in size and contour. Aortic atherosclerosis. Hyperexpanded lungs. right perihilar/midlung density. Streaky bibasilar opacities, as well. Left upper lobe nodular opacity (anterior first rib interspace) may be exaggerated by overlapping bone silhouettes. Grossly similar midthoracic vertebral fracture.",,images/image_4723.png Question mild pulmonary vascular congestion in a patient with prosthetic aortic valve. There has been previous aortic valve replacement. Heart is towards upper limits normal for size and may be mild pulmonary vascular congestion. The skeletal structures are normal. The soft tissues are normal.,,images/image_4724.png "Chronic changes as described, no acute findings Stable flattening of the posterior diaphragm and scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation. Stable cardiomediastinal silhouette with normal heart size and aortic ectasia/tortuosity, stable mediastinal contours. No definite pleural effusion seen, no typical findings of pulmonary edema. Following spine ossifications and marginal osteophytes again noted.",,images/image_4725.png Chronic lung disease with no acute cardiopulmonary abnormality. Mild cardiomegaly. Changes of chronic lung disease. No pneumothorax or pleural effusion. Accentuated thoracic kyphosis.,,images/image_4726.png 1. Chest. Continued right hemidiaphragm elevation with right lower lobe airspace disease. 2. Right shoulder. Scapular fracture. 3. Clavicle. Acromioclavicular separation. Chest. Right hemidiaphragm remains elevated. Consolidation and atelectasis are present in the right lung base. Left lung is clear. No pleural air collections. Shoulder and clavicle. Fractures present in the right scapula the base of the glenoid process. It is attached to the coracoid process and a portion of the spine. The humeral head is located within the glenoid articular surface. Cutaneous air is present. Fracture is present in the posterior portion of the right 3rd rib. The acromioclavicular joint and coracoclavicular joints are widened.,,images/image_4727.png No acute abnormality. Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,,images/image_4728.png No evidence of acute cardiopulmonary process. Cardiac silhouette within normal limits. Central pulmonary vasculature is not engorged. No pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. No edema or focal consolidation in the lungs.,,images/image_4729.png "No acute cardiopulmonary disease. The heart, pulmonary 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 slight wedge deformity of the mid to lower thoracic vertebral body unchanged from the comparison study.",,images/image_4730.png 1. No acute intrathoracic abnormality. sternotomy remain in . The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine.,,images/image_4731.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Calcified granuloma, right base. Normal .",,images/image_4732.png "Radiographic findings suggestive of emphysema. Calcified granulomas noted. symmetric apical scarring. The diaphragms are flattened, and the chest is somewhat shaped. The cardiothymic silhouette is within normal limits for size. Pulmonary vascularity is unremarkable. No acute bony abnormality.",,images/image_4733.png "1. Negative acute bone abnormality. 2. Indeterminate 1.4 cm opacity seen only on lateral view is of unknown clinical significance, and may be located in or on the patient. Clinical correlation, with possible followup chest x- recommended if clinically appropriate. Dr. was notified of the indeterminate rounded opacity at hours on and acknowledged receipt of the study finding. Rounded 1.4 cm projecting retrosternally on lateral view only. No focal consolidation, effusion, or pneumothorax. Normal heart size. Minimal degenerative changes of the thoracic spine. Negative for pneumoperitoneum.",,images/image_4734.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_4735.png "1. No acute cardiopulmonary disease. 2. Calcified left paraesophageal versus intrapulmonary lymph node. 3. Moderate hiatus hernia. There is a 22 x 14 mm calcified nodule in the left lower lobe. A moderate hiatal hernia is present. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.",,images/image_4736.png airspace opacity in the left upper lung which may represent streaky atelectasis or resolving pneumonia. There is a airspace opacity in the left upper lung. Heart size within normal limits. Mild calcification of the aortic . No pneumothorax or pleural effusions.,,images/image_4737.png Emphysema. The lungs are hyperinflated with coarse interstitial markings compatible with obstructive pulmonary disease and emphysema. There is chronic pleural-parenchymal scarring within the lung bases. No lobar consolidation is seen. No pleural effusion or pneumothorax. Heart size is normal.,,images/image_4738.png No acute cardiopulmonary findings. Lungs are clear. Heart is normal size. Trachea is midline. No pneumothorax. No large pleural effusion.,,images/image_4739.png "No acute cardiopulmonary abnormality. 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.",,images/image_4740.png "1. No acute intrathoracic abnormality. 2. Stable, mild prominence of the bilateral hilar regions, possibly consistent with enlarged pulmonary arteries/pulmonary hypertension. Please correlate clinically. The cardiac silhouette is at the upper limits of normal for size. Stable, mild prominence of the bilateral hilar regions. No focal areas of pulmonary consolidation. No pneumothorax. Stable opacity in the left , representing a scar. No pleural effusion. Minimal degenerative changes of the thoracic spine. No acute, displaced rib fractures.",,images/image_4741.png No acute cardiopulmonary abnormality. The heart size is normal and cardiomediastinal silhouette is normal in contour. Lungs are clear bilaterally. There is no pleural effusion or pneumothorax. No bony or soft tissue abnormalities.,,images/image_4742.png No acute cardiopulmonary abnormalities. Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Mild degenerative disc disease of the thoracic spine.,,images/image_4743.png "No acute cardiopulmonary abnormality. Specifically, no radiographically apparent etiology for hemoptysis. 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.",,images/image_4744.png 1. Left lower lobe pneumonia and minimal scarring or subsegmental atelectasis in the right lung base. Overall low lung lines. There is scarring or subsegmental atelectasis at the right lung base. In the left lower lobe there is airspace disease consistent with pneumonia. No pneumothorax. Heart and mediastinum are stable given the lung volumes. Degenerative changes in the spine.,,images/image_4745.png No active disease. Calcified granulomata are present in the right middle lobe and right upper lobe. These are unchanged since the previous examination. Both lungs are free of active infiltrates. Heart size normal.,,images/image_4746.png "1. Bilateral pleural effusions, right larger than left 2. Abnormal pulmonary opacities which may be due to atelectasis, differential diagnosis includes infection, aspiration, atypical distribution pulmonary edema Bilateral pleural effusions, left small, right moderate in size, abnormal opacities in the adjacent lung bases. Limited assessment of heart size due to obscured margins, stable mediastinal contours.",,images/image_4747.png "No acute cardiopulmonary findings. There are mildly diminished lung volumes. Cardiac silhouette is normal in size. Normal mediastinal contour and pulmonary vasculature. The lungs are without focal airspace consolidation, large pleural effusion, or pneumothoraces.",,images/image_4748.png "1. Chest. Hypoinflation with no visible active cardiopulmonary disease. 2. Abdomen. Negative. No mechanical obstruction. Chest. Lung volumes are low, but no focal infiltrates are present. Heart and mediastinum remain normal. Abdomen. Multiple slightly distended loops are present from stomach to rectum. Formed stool is present in the rectum.",,images/image_4749.png No acute cardiopulmonary disease. The lungs appear clear. There are no focal airspace opacities to suggest pneumonia. The pleural spaces are clear. The heart and pulmonary are normal. Mediastinal contours are normal. There is no pneumothorax.,,images/image_4750.png No acute cardiopulmonary abnormality. Lungs are clear. No pneumothorax or pleural effusion. Normal heart and mediastinal contours. Normal pulmonary vasculature. Bony thorax intact.,,images/image_4751.png No evidence of active disease. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal.,,images/image_4752.png "No acute cardiopulmonary finding. The heart size and cardiomediastinal silhouette are normal. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact with mild degenerative changes in thoracic spine.",,images/image_4753.png No acute process. The cardiac contours are normal. The lungs are hyperinflated with flattened diaphragms. No acute pulmonary findings. Thoracic spondylosis.,,images/image_4754.png No acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Small T-spine osteophytes.,,images/image_4755.png "1. No acute cardiopulmonary abnormality. 2. Elevation of the right diaphragm, containing liver. No airspace disease, effusion or noncalcified nodule. Calcified granuloma seen bilaterally. Normal heart size. Elevated right hemidiaphragm, with a nodular soft tissue contour, containing liver. Degenerative changes demonstrated within the visualized thoracic spine. There is neurostimulator, overlying the mid and lower thoracic spine.",,images/image_4756.png "No acute cardiopulmonary disease. The heart is within normal limits in size given the low lung volumes an AP portable technique. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_4757.png "Negative for acute cardiopulmonary findings. Heart size and cardiomediastinal contours are normal. Aorta is mildly tortuous. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. Mild degenerative changes in the spine.",,images/image_4758.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrates stable mild multilevel degenerative disc disease of the thoracolumbar spine as well as chronic left-sided rib fractures without acute abnormality.",,images/image_4759.png Negative chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_4760.png 1. No acute cardiopulmonary abnormalities. Normal cardiac contour. Clear hyperexpanded lungs bilaterally with no pneumothorax or pleural effusion.,,images/image_4761.png "1. Increased size of left pneumothorax, with partial collapse of the left upper and lower lobes. 2. Small left pleural effusion/hemothorax. There is increased size of left pneumothorax, with partial collapse of the left upper and lower lobes. This pneumothorax measures up to 3.5 cm in maximum width at the apex. There is no significant mediastinal shift. The right lung remains clear. Cardiomediastinal silhouette is within normal limits. There is a small left pleural effusion/hemothorax. No focal air space opacities. No free subdiaphragmatic air.",,images/image_4762.png "No acute radiographic cardiopulmonary process. . Cardiac and mediastinal 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.",,images/image_4763.png "No acute cardiopulmonary abnormality.. 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.",,images/image_4764.png "No acute findings Heart size within normal limits. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.",,images/image_4765.png No acute cardiopulmonary disease The lungs appear clear. The heart and pulmonary are normal. The pleural spaces are clear. Mediastinal contours are normal.,,images/image_4766.png "Hypoinflation with cardiomegaly and pulmonary venous hypertension. Left mid lung focal atelectasis. Lung volumes are low. The heart is large, the pulmonary are engorged. No infiltrates. opacity is present in the left midlung.",,images/image_4767.png "1. Cardiomegaly with mild interstitial edema and posterior pleural effusion. 2. 17 mm nodular opacity in the left lung and 10 mm nodular opacity in the right lung. These lesions are and could be followed up radiographically after treatment of edema, or could be further characterized with CT. Cardiomegaly is present. There is interstitial pulmonary edema with the presence of B-lines. There is no pneumothorax. There is an oval, 17 mm nodular opacity projecting between the posterior left 5th and 6th ribs. There is a 10 mm nodular density projecting over the right posterior 4th rib. There is a posterior effusion. Normal mediastinal silhouette. T-spine osteophytes.",,images/image_4768.png "No acute cardiopulmonary disease. No pneumothorax or large pleural effusion. Mildly prominent perihilar opacities, due to bronchovascular crowding. Heart size within normal limits. Cardiomediastinal silhouette is . The bony structures appear intact.",,images/image_4769.png "Minimally increased air space opacities bilaterally, most prominent in the lung bases. Findings are nonspecific, but may represent subsegmental atelectasis versus mild interstitial edema or an atypical infectious process. Minimally increased airspace opacities bilaterally, most prominent in the lung bases. Heart size is within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.",,images/image_4770.png "No acute cardiopulmonary abnormality. Cardiomediastinal silhouette stable and within normal limits for size with unchanged atherosclerosis and tortuosity thoracic aorta. There is no focal consolidation, pneumothorax, or effusion. No acute bony abnormality. Stable left proximal humeral enchondroma versus remote bony infarct. Stable multilevel degenerative disc disease of the thoracic spine. Calcified granuloma seen anteriorly on lateral view is stable since .",,images/image_4771.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_4772.png 1. Mild cardiomegaly and moderate hiatal hernia. There is mild cardiomegaly. The transverse is calcified. There is a moderate hiatal hernia. The lungs are clear without focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes of the thoracic spine are noted.,,images/image_4773.png No acute cardiopulmonary abnormalities. The trachea is midline. Cardiomediastinal silhouette is normal in size and contour. The lungs are clear without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.,,images/image_4774.png "No acute cardiopulmonary abnormality. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Minimal right basilar subsegmental atelectasis noted. Cardio mediastinal silhouette is unremarkable. Tortuosity of the thoracic aorta noted. Scattered calcified granulomas are seen without evidence of active granulomatous/tuberculous process. Visualized osseous structures of the thorax are without acute abnormality.",,images/image_4775.png "Streaky left basilar airspace opacities, which could reflect atelectasis and/or infection. Cardiomediastinal contour and pulmonary vascularity stable and within normal limits. Lung volumes are slightly low. There are streaky left basal opacities. No pleural effusion or pneumothorax. No acute osseous findings. No free air is demonstrated.",,images/image_4776.png No evidence of active disease. Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,,images/image_4777.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_4778.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Calcified left hilar lymph . A calcified granuloma is seen in the left lower lobe. Bony thorax is unremarkable.",,images/image_4779.png "1. Low volume study without acute cardiopulmonary abnormalities. . The trachea is midline. The heart is large, unchanged from prior exam. Slightly widened mediastinum, secondary to cardiomegaly and a tortuous aorta, is accentuated by AP portable technique. There are low lung volumes causing bibasilar atelectasis and bronchovascular crowding. The lungs do not demonstrate focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",,images/image_4780.png "Normal chest No evidence of sarcoidosis. Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4781.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4782.png 1. Streaky bibasilar opacities; the appearance subsegmental atelectasis. 2. Enlarged cardiac silhouette. 3. Mildly elevated right hemidiaphragm. There is a right PICC with tip overlying the right brachiocephalic vein. The cardiac silhouette is enlarged. No overt pulmonary edema. There are streaky bibasilar opacities. No large pleural effusion. The right hemidiaphragm is elevated. No pneumothorax is identified. There are degenerative changes of the spine. Bilateral surgical clips are noted.,,images/image_4783.png No acute cardiopulmonary abnormality. Lungs are clear. No pneumothorax or pleural effusion. Normal heart and mediastinal contours. Normal pulmonary vasculature. Bony thorax intact.,,images/image_4784.png "1. Stable right middle lobe consolidation, most consistent with pneumonia. The cardiomediastinal silhouette is stable in appearance. There is redemonstration of complete opacification of the right middle lobe no significant associated volume loss. The left lung appears clear. No pneumothorax or pleural effusion demonstrated. The thoracic spine appears intact.",,images/image_4785.png Cardiomegaly and pulmonary venous hypertension The heart is large. Pulmonary are engorged. No infiltrates. Aorta is somewhat tortuous. Degenerative disc disease is present in the thoracic spine.,,images/image_4786.png "1. Heart failure with pulmonary edema. Cardiomediastinal silhouette is within normal limits of size In appearance. Pulmonary vascularity is unremarkable. There are diffuse, bilateral interstitial opacities, with B lines demonstrated. Small amount of subpleural edema is demonstrated in the fissures. There is mild blunting of both posterior costophrenic sulci, which may reflect effusions. Negative for pneumothorax. Limited evaluation reveals the the grossly intact.",,images/image_4787.png "1. No acute cardiopulmonary abnormality. Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascularity is unremarkable. Morgagni hernia, stable. Lungs are expanded and clear of air space disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals diffuse demineralization with stable anterior wedging at the lower thoracic levels.",,images/image_4788.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_4789.png "No acute radiographic cardiopulmonary process. . Cardiac and mediastinal 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.",,images/image_4790.png Vague opacity at the left lung base which appears to be within the left lower lobe. This may represent resolving or developing pneumonia given the patient's history. Vague increased opacity which appears to be within the left lower lobe. Question of this could be developing or resolving pneumonia. Lungs are otherwise clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable normal size heart. Atherosclerotic vascular disease. Degenerative changes in the thoracic spine.,,images/image_4791.png Small nodular opacity in left upper lung may be secondary to superimposed structures or early infiltrate. Followup evaluation in 2 weeks may be helpful. 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.,,images/image_4792.png " bilateral pleural effusions, right larger than left. Early interstitial show pulmonary edema. The examination consists of frontal and lateral radiographs of the chest. Again seen is evidence of prior CABG. The cardiomediastinal contours are unchanged. right and left pleural effusions. There is right greater than left bibasilar atelectasis. B-lines seen at the lung bases. No consolidation or pneumothorax.",,images/image_4793.png "No acute cardiopulmonary abnormality. Stable calcified hilar and granulomas. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_4794.png "No interval change. Sternotomy and mediastinal clips are unchanged. Cardiomediastinal silhouette is unchanged. Pulmonary vasculature and are unchanged. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are unchanged.",,images/image_4795.png Hypoinflation without acute disease. 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.,,images/image_4796.png " atelectasis/airspace disease. Cardiomediastinal silhouette within normal limits. No acute bony abnormality. There are opacities, atelectasis versus airspace disease. No large effusion or pneumothorax.",,images/image_4797.png "1. Round opacity measuring 2 cm in diameter within the posterior mediastinum. Recommend further evaluation of this nodule with chest CT with IV contrast. Lungs are clear bilaterally, with no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. Calcified densities within the right paratracheal region and left perihilar region, may represent calcified granulomas. There is a round opacity measuring 2 cm in diameter within the posterior mediastinum. are unremarkable.",,images/image_4798.png "1. Prominence of left hilum which could be due to nodule/lymph node or superimposing blood . In the absence of prior studies for comparison, chest for further evaluation. Result notification Primordial. There is a 1.5 cm nodular opacity projecting over left hilum. The cardiac silhouette is within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no of pleural effusion. There is no evidence of pneumothorax. opacities representing surgical clips, in the midline at the level of the thoracic inlet.",,images/image_4799.png "Left basilar atelectasis. No acute cardiopulmonary abnormalities. The heart is mildly enlarged. Mediastinal contour and pulmonary vascularity are within normal limits. There are streaky left basilar airspace opacities, compatible with atelectasis as seen on comparison abdomen and pelvis CT. There is a left upper lung granuloma. Otherwise, no focal consolidation, large pleural effusion, or pneumothorax. appear intact.",,images/image_4800.png No acute cardiopulmonary findings. Clear lungs. Heart size is normal. No pneumothorax or large pleural effusion.,,images/image_4801.png No evidence of active disease. 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.,,images/image_4802.png "No acute cardiopulmonary findings. . The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_4803.png No active disease. Heart size is within normal limits. Aorta is tortuous. Remainder of the cardiomediastinal silhouette is normal. Lungs are clear bilaterally without pleural effusion or pneumothorax. No bony abnormalities.,,images/image_4804.png No acute cardiopulmonary finding. Lungs are clear. Heart size normal. The are unremarkable.,,images/image_4805.png Cardiomegaly with vascular congestion and suspected pulmonary edema. . The heart is enlarged. There is pulmonary vascular congestion with diffusely increased interstitial and mild patchy airspace opacities. The distribution pulmonary edema. There is no pneumothorax or large pleural effusion. There are no acute bony findings.,,images/image_4806.png "1. Pulmonary vascular congestion. 2. Emphysema. 3. Bibasilar streaky airspace opacities. Borderline enlarged heart. Stable mediastinal contours. Aortic calcifications. Hyperinflated lungs with chronic appearing interstitial markings, compatible with emphysema. Bilateral streaky opacities. Increased vascularity compatible with pulmonary vascular congestion. No focal airspace disease. No acute bony abnormality.",,images/image_4807.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .,,images/image_4808.png 1. Fracture deformity proximal right humerus. 2. No pulmonary consolidation. Fracture deformity proximal right humerus. Hyperinflation lungs. No pulmonary consolidation. opacity left base compatible atelectasis or scarring. The cardiomediastinal silhouette appears unremarkable. Mild atherosclerotic calcification aorta. Prior chest surgery. Costophrenic clear. Visualized spine vertebrae appear normal in and alignment.,,images/image_4809.png "No acute cardiopulmonary disease. There is an S-shaped scoliosis of the thoracic spine. Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.",,images/image_4810.png "No acute cardiopulmonary abnormalities. Patchy subsegmental atelectasis is seen bibasilar region, no evidence of pneumothorax or pleural effusion is present. The cardiomediastinal silhouette is unremarkable. Old fractures seen the left 9th rib.",,images/image_4811.png "Multiple round opacities in the right upper lobe measuring up to 7 mm. Exact etiology of these is unclear. Negative for cardiac enlargement. Negative for vascular congestion. There are several small circular opacities in the right upper lung, some of which are centrally lucent. Negative for bony abnormality.",,images/image_4812.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary are normal. The pleural spaces are clear. Mediastinal contours are normal.,,images/image_4813.png 1. No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_4814.png "No acute cardiopulmonary abnormality. Heart size and mediastinal contour within normal limits. Multiple calcified granulomas in the bilateral and lung parenchyma. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",,images/image_4815.png No acute cardiopulmonary abnormality. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified.,,images/image_4816.png No acute cardiopulmonary findings. The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic blunting to suggest large pleural effusion. Bony structures are within normal limits.,,images/image_4817.png 1. No acute cardiopulmonary abnormality. 2. Technically limited exam. 3. Incidental note of large cervical spine osteophytes. . Normal heart size and mediastinal contours. Low lung volumes mild bibasilar atelectasis. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance. The lateral views are limited by patient positioning and motion. Large cervical spine osteophytes.,,images/image_4818.png "Findings consistent with widespread changes from cystic fibrosis. It is difficult to differentiate acute from chronic change. Central venous catheter tip in the right atrium. Heart size and shape are normal. Trachea and bronchi appear normal. The lungs are reasonably well expanded. There and patchy nodular densities in both lower lung 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 . No effusions no pneumothorax.",,images/image_4819.png No acute cardiopulmonary abnormalities. Stable cardiomegaly. Stable cardiomegaly. The lungs are clear. Stable left lung base calcifications. No focal consolidations. No pneumothorax or pleural effusions. The are intact.,,images/image_4820.png COPD. There is hyperinflation of the lungs but they are clear. The heart and mediastinum are normal. The skeletal structures are normal. There are bilateral breast prostheses.,,images/image_4821.png "No acute related findings. Please note that fractures may not be demonstrated and consider additional imaging if clinically indicated. No focal consolidation, pneumothorax or definite pleural effusion. Heart size within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury demonstrated.",,images/image_4822.png Hand 1. Minimally displaced fracture through the of the scaphoid. 2. Lucency through the base of the fourth metacarpal. This may represent a vascular or if tenderness exists over this location then fracture is more . Chest 1. No acute cardiopulmonary findings. . Chest. No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size is normal. No focal thoracic bony findings. Hand. There is also cortical and trabecular irregularity through the of the scaphoid. There is a small cortical lucency through the base of the fourth metacarpal that may be a vascular .,,images/image_4823.png 1. Stable cardiomegaly without acute disease. The heart is again enlarged. Aorta is tortuous. The lungs are hypoinflated but clear. No pleural effusion or pneumothorax is seen.,,images/image_4824.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_4825.png Borderline cardiomegaly and mild chronic changes. No acute infiltrate. 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 are blunted.,,images/image_4826.png "Small to moderate right apical pneumothorax. 2 images. Heart size upper limits of normal. Mediastinal contours are maintained. The patient is mildly rotated. There is a small to moderate sized right apical pneumothorax which measures approximately 2.0 cm. No focal airspace consolidation is seen. Left chest is clear. No definite displaced bony injury is seen. Results called . p.m. , .",,images/image_4827.png Hyperinflated but clear lungs. Lungs are hyperinflated but clear. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. Calcified mediastinal identified.,,images/image_4828.png 1. No evidence of active disease. 2. Evidence of previous granulomatous infection. 3. Pectus carinatum. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. Pectus carinatum is noted. Calcified lymph and granuloma are noted. No pleural effusion or pneumothorax is seen. Mild deformity is noted in the lower thoracic spine.,,images/image_4829.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. The are unremarkable.,,images/image_4830.png "Low lung volumes with no definite acute findings. Low lung volumes with bronchovascular crowding. Otherwise, no focal alveolar consolidation, no definite pleural effusion seen. A dense nodule in the right base suggest a previous granulomatous process. Heart size within normal limits, bronchovascular crowding without typical findings of pulmonary edema.",,images/image_4831.png No acute cardiopulmonary findings. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.,,images/image_4832.png Minimal bibasilar airspace disease. Stable cardiomediastinal silhouette. Calcified granuloma in the left lower lobe. Minimal bibasilar airspace disease. No pneumothorax. Degenerative changes of the thoracic spine.,,images/image_4833.png Post operative chest with no acute disease. Sternotomy sutures and bypass grafts have been placed in the interval. Both lungs remain clear and expanded with no infiltrates. Pulmonary are normal.,,images/image_4834.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4835.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_4836.png No acute cardiopulmonary abnormalities. . The heart size is normal. No pneumothorax. No large pleural effusions. No focal airspace opacities.,,images/image_4837.png "1. No acute cardiopulmonary disease. PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Old right rib fractures.",,images/image_4838.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_4839.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality.",,images/image_4840.png No acute cardiopulmonary findings. Heart size within normal limits. No focal airspace consolidations. No pneumothorax or effusions.,,images/image_4841.png Interstitial pulmonary edema. Cardiomegaly. Interstitial opacities consistent with edema in the lower lobes. No pneumothorax. No large pleural effusion.,,images/image_4842.png opacity left lung base.. There is opacity left lung base may represent atelectasis or early infiltrate. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_4843.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_4844.png "1. Stable appearance of the chest. No acute process. There are sternotomy identified. The heart is within normal limits in size. The aorta is calcified and tortuous. There are scattered calcified granulomas throughout both lungs. No focal infiltrate, pleural effusion, or pneumothorax. Mild degenerative changes of the thoracic spine.",,images/image_4845.png 1. Severe hyperinflation. 2. Stable left calcified hilar lymph . The heart size is normal and cardiomediastinal silhouette has normal contour. The left hilar calcified lymph appear stable. There is persistence of a left lower lobe calcified nodule representing a granuloma. The lungs are hyperinflated but otherwise clear bilaterally.,,images/image_4846.png "1. No acute cardiopulmonary findings. 2. Age-indeterminate mild anterior wedge deformity of a lower thoracic or upper lumbar vertebra. Correlate for focal tenderness and with prior imaging, if possible. 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.",,images/image_4847.png "Stable chest, no active/acute cardiopulmonary disease. Stable normal cardiac size and contour, normal mediastinal silhouette. Normal pulmonary . Lungs clear, no airspace disease. No pleural effusion or pneumothorax.",,images/image_4848.png COPD. No acute pulmonary disease. There is hyperinflation lungs due to small calcification is seen posteriorly in the right which may be pleural. 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.,,images/image_4849.png 1. Left lower lobe opacities representing pneumonia. 2. Enlargement of the central pulmonary arteries raising the question of pulmonary hypertension. There are scattered opacities in the left lower lobe. Cardiac silhouette is within normal limits. There is prominence of the right and left hilum representing enlargement of the central pulmonary arteries. No pneumothorax or pleural effusion. No acute bone abnormality.,,images/image_4850.png "No acute findings. Please note that fractures may not be demonstrated and consider additional imaging as clinically indicated. No focal consolidation, pneumothorax or definite pleural effusion. Nodular density projected over the left base with no lateral view correlate secondary to soft tissue overlay. Heart size and pulmonary vascularity within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury demonstrated.",,images/image_4851.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_4852.png No acute disease. The heart is normal in size. The mediastinum is stable. There are postsurgical changes of the left breast. The lungs are clear.,,images/image_4853.png "Stable left upper lobe collapse associated with parenchymal scarring and pleural thickening. Findings consistent with previous active pulmonary tuberculosis pneumonia. The left hilum is retracted superiorly. In the collapsed left upper lobe are stranding and pneumatoceles. Additionally, pleural thickening is present in the left apex. No infiltrates are present in the left lower lobe or in the right lung. Heart size is normal. These findings are similar to the previous outside examination.",,images/image_4854.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. No focal airspace consolidation or pleural effusion.",,images/image_4855.png 1. No acute cardiopulmonary abnormality. Clear lungs bilaterally. No pneumothorax or large pleural effusion. Normal cardiac contour.,,images/image_4856.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The chest is in satisfactory position. There is no pneumothorax. The lungs are clear.,,images/image_4857.png No evidence of active disease. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal. There are minimal degenerative changes of the spine.,,images/image_4858.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_4859.png 1. No acute cardiopulmonary abnormality. 2. Interval development of healing left sided rib fractures. Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing left lateral rib deformities.,,images/image_4860.png No evidence of active disease. 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.,,images/image_4861.png Right foot 1. No evidence of the bony erosions or osseous infection. Chest radiograph 1. No acute cardiopulmonary abnormalities. No pneumothorax or pleural effusion. Normal cardiac contours. Clear lungs bilaterally. Redemonstration of transmetatarsal amputation. No evidence of acute fracture-dislocations. No evidence of any bony erosions or osseous infections.,,images/image_4862.png "Low lung volumes without acute cardiopulmonary abnormality. Low lung volumes bilaterally, with lungs otherwise grossly clear. No focal consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal silhouette is unremarkable. No acute osseous abnormalities identified.",,images/image_4863.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4864.png "No acute cardiopulmonary disease. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",,images/image_4865.png change COPD. No acute findings. Lungs are hyperexpanded. No infiltrates or masses in the lungs. Heart size normal.,,images/image_4866.png 1. Stable cardiomegaly with no focal airspace disease. 2. Stable moderate thoracic levoscoliosis and mild thoracolumbar dextroscoliosis. . Stable cardiomegaly. sternotomy are intact. No pneumothorax or pleural effusion. calcific density in the left mid to upper lung represents old granulomatous disease. No focal consolidation. Stable moderate thoracic levoscoliosis and mild thoracolumbar dextroscoliosis.,,images/image_4867.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax. Sternotomy overlie the heart.,,images/image_4868.png Negative chest x-. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_4869.png "Stable chest, no active/acute cardiopulmonary disease. Stable normal cardiac size and contour, normal mediastinal silhouette. Normal pulmonary . Lungs clear, no airspace disease. No pleural effusion or pneumothorax.",,images/image_4870.png No acute cardiopulmonary findings. . Heart size is normal. No focal airspace consolidations. No pneumothorax or effusion. No acute osseous findings.,,images/image_4871.png No acute cardiopulmonary disease. Clear lungs. Heart and pulmonary appear normal. Pleural spaces are clear. Mediastinal contours are normal.,,images/image_4872.png No acute cardiopulmonary findings. There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits.,,images/image_4873.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4874.png No acute cardiopulmonary abnormality. Lungs are clear without focal infiltrates. Calcified right upper lobe granuloma unchanged from prior. No pneumothorax or pleural effusion. Normal heart size. Normal pulmonary vascularity. Bony thorax intact.,,images/image_4875.png Heart size is normal and the lungs are clear. Heart size is normal and the lungs are clear.,,images/image_4876.png No acute cardiopulmonary findings. Heart size is normal. No pneumothorax or focal airspace disease. No pleural effusion. Eventration of the right hemidiaphragm. Mild degenerative changes of the thoracic spine without fracture.,,images/image_4877.png No active disease. No evidence for cardiopulmonary injuries. Possibility of left rib 7 anterior nondisplaced fracture as described. The heart and lungs have in the interval. Both lungs are clear and expanded. No pleural air collections. Heart and mediastinum normal. A vague lucency is present in left rib 7 anteriorly.,,images/image_4878.png "No acute pulmonary disease. There is mild opacification over both , secondary to soft tissue attenuation. There are no focal air space opacities. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Trachea is midline. No free subdiaphragmatic air.",,images/image_4879.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4880.png "No acute cardiopulmonary abnormality. 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.",,images/image_4881.png "1. Mildly prominent interstitial markings, which could represent interstitial edema. 2. Mild blunting of the posterior sulcus, which could represent a small effusion. sternotomy appear intact. Surgical clips overlying the mediastinum. Mitral valve replacement seen. Low lung volumes. The interstitial markings appear prominent, which may represent interstitial edema. There is mild blunting of the posterior sulcus on the lateral view, which could represent a small effusion. No pneumothorax. No acute bony abnormality.",,images/image_4882.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4883.png "Radiographic findings suggestive of emphysema. Calcified granulomas noted. symmetric apical scarring. The diaphragms are flattened, and the chest is somewhat shaped. The cardiothymic silhouette is within normal limits for size. Pulmonary vascularity is unremarkable. No acute bony abnormality.",,images/image_4884.png 1. Moderate sized right pleural effusion appears smaller than the prior study. 2. Small left pleural effusion appears unchanged. There is a moderate sized right pleural effusion. Severe slightly smaller than is compared to . There is a small left pleural effusion. This is unchanged as compared to the prior study. There is a right chest wall venous which appears accessed. No pneumothorax. Scaphoid abdomen.,,images/image_4885.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Peripheral right basilar calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Apparent nodular opacity on lateral projection, immediately retrocardiac, is to represent confluence of overlapping silhouettes. Negative for acute bone abnormality.",,images/image_4886.png No acute cardiopulmonary abnormalities. 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 are intact.,,images/image_4887.png 1. No acute cardiopulmonary process. . The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. Mild degenerative changes and osteopenia of the thoracic spine. Overlying EKG leads.,,images/image_4888.png 1. No acute cardiopulmonary abnormalities. No pleural effusion no pneumothorax. Normal cardiac contour. No focal consolidation. Lungs clear bilaterally.,,images/image_4889.png "No acute cardiopulmonary abnormality identified. 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.",,images/image_4890.png "No acute cardiopulmonary abnormalities. Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",,images/image_4891.png No acute cardiopulmonary abnormality. 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.,,images/image_4892.png 1. No acute cardiopulmonary findings. Heart and mediastinum are within normal limits. No focal consolidation. No large pleural effusion or pneumothorax. No acute bony abnormality.,,images/image_4893.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mediastinal calcification and dense right upper lung nodule suggest a previous granulomatous process.",,images/image_4894.png "No acute cardiopulmonary abnormalities. No acute displaced fractures. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. The patient is mildly rotated. No focal consolidations, pneumothorax or pleural effusions. Mild degenerative changes of the thoracic spine. No acute displaced fractures.",,images/image_4895.png "No acute cardiopulmonary abnormality. No focal consolidation, suspicious pulmonary opacity or definite pleural effusion. Heart size and pulmonary vascularity within normal limits. Stable mediastinal contour. Calcified hilar lymph . Visualized osseous structures unremarkable.",,images/image_4896.png No acute cardiopulmonary abnormality. . Heart is at the upper limits of normal size. Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal pulmonary vascularity.,,images/image_4897.png "1. No acute radiographic cardiopulmonary process. There are no acute osseous abnormalities. Degenerative changes throughout the thoracic spine. Normal heart size. Calcific aorta. Normal vascular markings. No focal area of consolidation, pleural effusion, or pneumothorax.",,images/image_4898.png 1. No evidence of active disease. 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.,,images/image_4899.png No acute cardiopulmonary disease The lungs appear clear. The heart and pulmonary appear normal. The pleural spaces are clear. Mediastinal contours are normal.,,images/image_4900.png "Negative for acute cardiopulmonary abnormality. The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Degenerative changes of the thoracic spine.",,images/image_4901.png 1. Right sided pleural effusion. Normal cardiac contour. Right sided pleural effusion. Clear left lung . No pneumothorax.,,images/image_4902.png 1. No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.,,images/image_4903.png No change in moderate left pneumothorax with left pleural drainage catheter again seen overlying the left upper lung. Redemonstration of moderate left pneumothorax which is unchanged from comparison. Left pleural catheter is again seen overlying the left upper lung at the level of the left 5th and 6th ribs. No focal consolidation. Cardiomediastinal silhouette is normal.,,images/image_4904.png 1. No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.,,images/image_4905.png No acute process. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_4906.png 1. Bilateral lower lobe bronchitis. Normal cardiac contours. No pleural effusion or pneumothorax. Bilateral lower lobe bronchial thickening consistent with bronchitis.,,images/image_4907.png "1. No acute cardiopulmonary disease. 2. Focal convexity of the left inferior posterior mediastinum, may reflect focal aneurysm of the descending thoracic aorta. This has been present and without significant change since at . Nonemergent chest CT may be useful. PA and lateral views the chest were obtained. The cardiac silhouette is normal in size and configuration. Calcified right hilar lymph . There is focal contour abnormality of the level of the inferior posterior mediastinum, may reflect focal aneurysm of the descending thoracic aorta. The lungs are well aerated. No pneumothorax, pleural effusion, or focal air space consolidation.",,images/image_4908.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4909.png Hypoinflation with no visible active cardiopulmonary disease. Lung volumes are low. No focal infiltrates. Heart size normal.,,images/image_4910.png "No acute cardiopulmonary disease Lungs are clear. No focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Osseous structures intact.",,images/image_4911.png Right mid lung mass with mild right paratracheal soft tissue may be secondary to associated lymphadenopathy. Further imaging with CT of the chest is recommended. The heart is normal in size. Prominent right paratracheal soft tissue density. Rounded mass in the right middle lobe measures approximately 4.6 cm x 3.7 cm. There is mild surrounding airspace disease and/or atelectasis. No pleural effusions noted. The visualized bony thorax appears grossly intact.,,images/image_4912.png "1. Enlarged pulmonary arteries. This may be due to previous/chronic pulmonary embolism or pulmonary arterial hypertension. 2. No evidence of pneumonia or other acute cardiopulmonary abnormality. There is persistent, marked enlargement of the pulmonary arteries. Normal heart size. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.",,images/image_4913.png Stable left basilar atelectasis versus scarring. No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact. Stable left basilar atelectasis versus scarring.,,images/image_4914.png No acute cardiopulmonary process. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,,images/image_4915.png No evidence of active disease. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal. There are minimal degenerative changes of the spine.,,images/image_4916.png No acute cardiopulmonary findings. The heart size is persistently enlarged. Lung volumes are low. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic blunting to suggest large pleural effusion. Bony structures are within normal limits.,,images/image_4917.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.",,images/image_4918.png No acute cardiopulmonary abnormalities. The heart is normal in size and contour. There is no mediastinal widening. Low lung volumes. No focal airspace disease. No large pleural effusion or pneumothorax. The are intact.,,images/image_4919.png 1. Right chest catheter tip at cavoatrial junction. 2. Grossly clear lungs. There is a right chest with catheter tip at the cavoatrial junction. Heart size is at the upper limits of normal. Lungs are grossly clear. No pleural effusion or pneumothorax. There are diffuse degenerative changes of the spine.,,images/image_4920.png "Borderline cardiomegaly, otherwise unremarkable exam. Heart size upper limits normal. Vascularity normal.Calcified breast implants obscure some detail. Lungs are clear. Vascular calcifications aorta. No pleural effusions or pneumothoraces.",,images/image_4921.png No acute process. Borderline heart size. Tortuous calcified aorta. No active pulmonary disease. Mild spondylosis.,,images/image_4922.png "No Acute cardiopulmonary disease. The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The Heart and mediastinum are normal size and shape. and soft tissues are unremarkable.",,images/image_4923.png Posterior airspace opacity consistent with developing infection. Midline sternotomy identified. Heart size and cardiomediastinal silhouette are grossly normal. Airspace opacity in posterior segment on the lateral view. Osseous structures are grossly intact.,,images/image_4924.png 1. Pulmonary emphysema. 2. Large bilateral pulmonary arteries suggestive of pulmonary arterial hypertension. 3. No suspicious nodules or are identified. The heart is not enlarged. The bilateral pulmonary arteries appear enlarged. The lungs are hyperexpanded the hemidiaphragms are flattened. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_4925.png "No acute cardiopulmonary disease. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.",,images/image_4926.png "No acute cardiopulmonary abnormality. 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.",,images/image_4927.png Stable cardiomegaly without acute abnormality. Persistent cardiomegaly. No abnormal airspace consolidation. Resolved interstitial edema. No pneumothorax or pleural effusion.,,images/image_4928.png Normal chest exam. Heart size is normal. The lungs are clear. No pneumothorax or pleural effusion.,,images/image_4929.png 1. Low volume study without definite acute process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.,,images/image_4930.png "No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. VP shunt tubing is identified. The bony structures, as visualized, appear unremarkable.",,images/image_4931.png "No acute cardiopulmonary abnormality.. 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.",,images/image_4932.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Right chest is visualized with tip at cavoatrial junction. There is no pneumothorax. The lungs are clear.,,images/image_4933.png 1. Right-sided chest in without demonstration of an acute cardiopulmonary abnormality. . A right-sided chest remains in with the distal tip at the level of the mid SVC. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pulmonary nodules or mass lesions identified. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.,,images/image_4934.png "1. No acute radiographic cardiopulmonary or osseous process. No acute osseous abnormality. Stable scattered endplate degenerative changes and osteophyte formation in the thoracic spine. Normal cardiomediastinal silhouette and hilar contours. No focal area of consolidation, pleural effusion, or pneumothorax.",,images/image_4935.png "Few small nodular opacities in the left upper lung. These small nodules are relatively dense, suggestive of chronic granulomatous disease. Comparison with an chest radiograph would be helpful to establish stability. There are a few small nodular opacities in the left lung, seen on the frontal view overlying the left 6th posterior rib. Lungs otherwise appear clear. No focal airspace consolidation. No overt pulmonary edema. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. Calcified mediastinal and hilar lymph are consistent with prior granulomatous disease. There are mild degenerative changes of the spine.",,images/image_4936.png No acute abnormality identified. Heart size is normal. There is mild tortuosity of the thoracic aorta. No consolidating airspace disease is seen. No pleural effusion or pneumothorax.,,images/image_4937.png "Stable mild cardiomegaly. No acute pulmonary abnormality. There is mild cardiomegaly, similar to prior exams. No focal consolidation. No visible pleural effusion or pneumothorax.",,images/image_4938.png "No acute radiographic cardiopulmonary process. . Cardiac and mediastinal appear normal. Low lung volumes and bronchovascular crowding. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. Surgical clips are seen within the right upper abdomen.",,images/image_4939.png No acute cardiopulmonary abnormality. Cardiomediastinal silhouette and central pulmonary vasculature are within normal limits. There is no focal air space opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is demonstrated.,,images/image_4940.png "Stable, nonenlarged cardiomediastinal silhouette. Left upper lobe calcified granuloma noted. Epigastric and right upper quadrant postsurgical changes. Interval increased bilateral interstitial opacities, with probable left lower lobe infiltrate. Stable, nonenlarged cardiomediastinal silhouette. Left upper lobe calcified granuloma noted. Epigastric and right upper quadrant postsurgical changes. Interval increased bilateral interstitial opacities, with probable left lower lobe infiltrate.",,images/image_4941.png "1. Stable left chest dual ICD/pacemaker. 2. Improved lung volumes without acute cardiopulmonary abnormality. . Heart size is within normal limits. Aorta appears tortuous and ectatic, unchanged from comparison exam. There is a stable dual ICD/pacemaker. No focal consolidation, large pleural effusion, or pneumothorax is seen. Visualized osseous structures are grossly intact.",,images/image_4942.png No acute cardiopulmonary process. No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,,images/image_4943.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture. Bilateral nipple jewelry.",,images/image_4944.png "1. Mild cardiomegaly. 2. Otherwise, no acute cardiopulmonary abnormalities. 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.",,images/image_4945.png No evidence of active disease. 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.,,images/image_4946.png "No acute cardiopulmonary abnormality.. 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.",,images/image_4947.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_4948.png "No acute cardiopulmonary abnormalities. . The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",,images/image_4949.png No acute cardiopulmonary abnormality. . There is minimal scarring in the lung apices. The lungs are otherwise clear. Heart size is normal. No pneumothorax. There is dextrocurvature within the spine.,,images/image_4950.png No acute cardiopulmonary disease. The lungs appear clear. The heart and pulmonary are normal. Mediastinal contours are normal. The pleural spaces are clear.,,images/image_4951.png No acute cardiopulmonary abnormality. Clear lungs. No infiltrates or suspicious pulmonary opacity. No pleural effusion or pneumothorax. Cardiomediastinal silhouette within normal limits.,,images/image_4952.png Borderline cardiomegaly without acute disease. The heart is mildly enlarged. Left hemidiaphragm is elevated. There is no acute infiltrate or pleural effusion. The mediastinum is unremarkable.,,images/image_4953.png Cardiomegaly and hiatal hernia without an acute abnormality identified. The heart size is mildly enlarged. The pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a moderate sized hiatal hernia. There mild degenerative changes of the spine.,,images/image_4954.png "Normal chest x-. The trachea is midline. The cardiomediastinal silhouette is normal. Lung are clear without evidence of effusion, infiltrate, or pneumothorax. Visualized bony structures are intact. Visualized soft tissues appear normal.",,images/image_4955.png "1. No acute cardiopulmonary disease. 2. Stable mild cardiomegaly. 3. Prominent central vasculature. PA and lateral views of the chest were obtained. Tracheostomy tube. Probable mild cardiomegaly. Prominence of the central vasculature, unchanged. No pneumothorax pleural effusion or focal consolidation.",,images/image_4956.png "No acute findings. The heart size is within normal limits. The thoracic aorta is tortuous, stable from the prior radiograph. Aortic stent graft overlies the descending thoracic aorta and upper abdominal aorta, grossly stable from the prior chest radiograph. There are scattered calcified granulomas. There is no focal airspace consolidation. No pleural effusion or pneumothorax. The left hemidiaphragm remains mildly elevated. There are mild degenerative changes of the spine.",,images/image_4957.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_4958.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Stable right lower lobe calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Spurring of the thoracic spine.",,images/image_4959.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. Granulomatous sequela are noted. The lungs are otherwise clear.,,images/image_4960.png No acute cardiopulmonary disease. The cardiac silhouette mediastinal contours are within normal limits. There are low lung volumes. There is no focal consolidation. There is pneumothorax. There is no large pleural effusion. There is prominent right anterior first rib end.,,images/image_4961.png No acute disease. Stable appearance of large hiatal hernia containing stomach and large bowel as well as possible small bowel loops. The heart is enlarged. The mediastinal contours are stable. Large hiatal hernia is identified containing stomach and colon. Questionable small bowel loops are also visualized inthe large hernia. There is adjacent compressive atelectasis. The lungs are clear.,,images/image_4962.png "No acute cardiopulmonary abnormality. 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.",,images/image_4963.png No acute abnormality. The heart is not enlarged. Lungs are clear. No pleural effusion.,,images/image_4964.png "No acute cardiopulmonary abnormalities. No evidence of abnormal radiodense foreign bodies. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact. No evidence of abnormal radiodense foreign bodies.",,images/image_4965.png "1. No acute cardiopulmonary disease. PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Mild basilar atelectasis. Increased density the lung bases, favored this attenuation from overlying breast shadows.",,images/image_4966.png No active disease. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_4967.png No acute cardiopulmonary abnormality. No 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.,,images/image_4968.png 1. Dextroscoliosis of the thoracic spine. 2.No evidence of acute bony abnormalities. Dextroscoliosis of the thoracic spine. Clear lungs bilaterally. No pneumothorax or pleural effusion. No acute bony abnormalities.,,images/image_4969.png No acute pulmonary disease. Evaluation for pneumothorax is limited due to exclusion of the superior-most pulmonary apices. No visible pleural . No focal air space opacities or pleural effusion. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air. Mild degenerative changes of the thoracic spine. Included osseous structures are grossly intact.,,images/image_4970.png "Emphysema without acute cardiopulmonary findings. Stable left chest cardiac generator with 2 distal leads in right atrium and right ventricle. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Emphysema. Stable calcified granulomas. Bony structures appear intact.",,images/image_4971.png Stable blunting of right costophrenic with small pleural effusion versus thickening and associated healed right rib deformities. The heart is normal in size. The mediastinum is Stable. Calcified AP lymph are seen. A small right-sided pleural effusion versus thickening. Right inferior rib deformities.,,images/image_4972.png No evidence of active disease. Cardiomegaly is present. The pulmonary vascularity appears within normal limits. Thoracic aorta is tortuous. Patient is status post sternotomy. Surgical clips are present in the left axilla. Lungs are free of focal airspace disease. No pneumothorax or pleural effusion is seen. There is eventration of the right hemidiaphragm. Degenerative changes are present in the spine.,,images/image_4973.png "Normal chest. Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_4974.png "1. No active infiltrate. 2. Marked enlargement of the bilaterally, increased since the prior , adenopathy. 3. Underinflated lungs with basilar atelectasis. The cardiac contours are normal. The lungs are underinflated, but given the underinflation, the appear enlarged, more than on the exam and . Osteophytic degeneration kyphotic thoracic spine. Mid and lower thoracic vertebroplasty has been performed. A right-sided chest is present with its tip in the upper SVC.",,images/image_4975.png 1. No evidence of acute disease. 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 mild prominence of the interstitial markings which are unchanged.,,images/image_4976.png "No evidence of metastatic disease. . Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion or pneumothorax. There is hyperexpansion of the lungs. Mild degenerative changes are present in the spine.",,images/image_4977.png "No acute cardiopulmonary abnormality.. 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.",,images/image_4978.png Stable bilateral hilar adenopathy. The left and right remain enlarged and unchanged. Lungs are free of infiltrates. Heart size normal.,,images/image_4979.png Hyperexpanded but clear lungs. Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,,images/image_4980.png No acute abnormality. Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Calcified lingular pulmonary granuloma. Normal pulmonary vascularity.,,images/image_4981.png Low lung volumes. No acute cardiopulmonary findings. The cardiomediastinal silhouette is stable. Lung volumes remain low. There is no pleural line to suggest pneumothorax or costophrenic blunting to suggest large pleural effusion. Bony structures are within normal limits.,,images/image_4982.png "No acute cardiopulmonary disease. The heart, pulmonary and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. The patient was shielded.",,images/image_4983.png 1. No evidence of active disease. 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.,,images/image_4984.png "No acute cardiopulmonary abnormality. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures grossly intact.",,images/image_4985.png No acute cardiopulmonary abnormalities. No pneumothorax. Heart size is normal. No large pleural effusions. No focal airspace consolidation.,,images/image_4986.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_4987.png "1. Interval development of left lower lobe airspace disease. This may be due to atelectasis or infiltrate. The heart and mediastinal contours are stable. Aorta is calcified and tortuous, compatible with atherosclerotic disease. Since the prior study, there's been interval development of left lower lobe airspace disease. The right lung is clear.",,images/image_4988.png "1. No acute radiographic cardiopulmonary process. 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..",,images/image_4989.png "Unremarkable radiographs of the chest. The examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.",,images/image_4990.png "1. No acute cardiopulmonary disease. PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Mild basilar atelectasis. Increased density the lung bases, favored this attenuation from overlying breast shadows.",,images/image_4991.png No acute abnormality identified. Heart size is normal. There are densely calcified mediastinal and right hilar lymph which suggest prior histoplasmosis exposure. No consolidating airspace disease is seen within the lungs. No pleural effusion or pneumothorax. No convincing acute bony findings.,,images/image_4992.png "No acute cardiopulmonary disease. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are unchanged.",,images/image_4993.png No active disease. Mediport catheter seen on the right with the tip in the mid SVC. The lungs appear to be clear. No pleural effusion is seen. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_4994.png 1. Hyperexpanded lungs consistent with emphysema. No evidence of active disease. The heart size and pulmonary vascular appear within normal limits. The lungs appear hyperexpanded consistent with emphysema. Calcified lymph and granuloma are noted. No acute appearing focal airspace disease is seen. No pleural effusion or pneumothorax is noted.,,images/image_4995.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. There is mild scoliosis of the spine.,,images/image_4996.png "No acute cardiopulmonary process. Cardiomediastinal silhouette is within normal limits in overall size and appearance. Aortic , cardiac apex, and stomach are left-sided. Central vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. Dextro-convex scoliotic curvature of the thoracic spine. No acute bony abnormality.",,images/image_4997.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but clear.,,images/image_4998.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,,images/image_4999.png "No acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is a right chest with central venous catheter tip overlying the high SVC. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.",,images/image_5000.png Normal chest. Heart size normal. No pleural effusions or pneumothorax. Lungs are clear. Soft tissues and are unremarkable.,,images/image_5001.png "Prior granulomatous disease. Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Right suprahilar calcified lymph . Right lung base calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Mildly hyperexpanded lungs. Negative for acute bone abnormality.",,images/image_5002.png "No acute cardiopulmonary findings. The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",,images/image_5003.png Approximately 4.8 cm mass in the left lower hemithorax. This is favored to be arising from the chest wall and be pleural based. A CT of the chest is recommended for further evaluation. Critical result notification documented through Primordial. 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. 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 there,,images/image_5004.png No acute cardiopulmonary abnormality. . No focal areas of consolidation. No suspicious pulmonary opacities. Mild degenerative change thoracic spine. No pleural effusions. No evidence of pneumothorax. Heart size normal limits.,,images/image_5005.png "No acute disease. Vague right upper/mid lung nodular densities versus scarring and superimposed structures. CT may be warranted given patient's history. The heart is normal in size. The mediastinum is stable. Mild biapical scarring is identified. There is a nodular density in the right midlung which is stable from prior studies and noted to represent a granuloma on of . However, additional foci in the right upper lung are questioned. There is no acute infiltrate or pleural effusion.",,images/image_5006.png "1. No pneumothorax or pleural effusion. 2. Right middle lobe infiltrate. Normal cardiac contours. No pneumothorax or pleural effusions. Clear left lung . Right middle lobe with increased opacities, representative of infiltrate.",,images/image_5007.png "No acute radiographic cardiopulmonary process. 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.",,images/image_5008.png "No acute abnormality. Low volumes for the opportunity to assist in the care of your patient. If there are any questions about this examination please . , certified radiologist, at . . 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.",,images/image_5009.png "Emphysema, however no acute cardiopulmonary finding. The heart size and cardiomediastinal silhouette are normal. There is hyperexpansion of the lungs with flattening of the hemidiaphragms. There is no focal airspace opacity, pleural effusion, or pneumothorax. There multilevel degenerative changes of thoracic spine.",,images/image_5010.png 1. No acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Mild degenerative changes of the spine.,,images/image_5011.png 1. Worsening bibasilar subpleural interstitial opacities suggestive of interstitial lung disease. High-resolution would be recommended to evaluate these findings 2. No evidence of acute pneumonia opacities in the lung bases are slightly worse compared to prior study. Lung volumes are low. Heart size and pulmonary are normal. There no focal airspace opacities to suggest pneumonia. The patient is status post sternotomy. There calcifications of the thoracic aorta.,,images/image_5012.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_5013.png "1. Stable AICD with intact replacement. 2. No acute radiographic cardiopulmonary process. . There is redemonstration of an AICD with the left chest wall with stable intact placement. Surgical cervical is redemonstrated. Cardiac and mediastinal appear normal. opacity in the left upper lobe, atelectasis or scarring. No visible pneumothorax or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact.",,images/image_5014.png Emphysematous changes without acute cardiopulmonary disease. Cardiac silhouette and mediastinal contours are within this. There is no opacity. There is no pneumothorax. No large pleural effusion. Hyperlucent right apex with hyperinflation consistent with emphysematous changes.,,images/image_5015.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_5016.png No active disease. Heart size within normal limits. Cardiomediastinal silhouette is normal in contour. Lungs are clear bilaterally. No focal consolidations. No pleural effusions. Bony structures are intact.,,images/image_5017.png "No evidence of acute cardiopulmonary process. The 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. Oval sclerotic density projecting over the inferior right glenoid may represent synovial osteochondromatosis or cortical . This is unchanged 31 17 . The remaining osseous structures and visualized upper abdomen are unremarkable in appearance.",,images/image_5018.png "1. Right upper lobe pulmonary nodule, granuloma. The heart size is within normal limits. Cardiomediastinal contour is normal. There is a right upper lobe nodule measuring 8 mm in diameter. Trachea is midline. The lungs otherwise clear. and soft tissues are unremarkable.",,images/image_5019.png "No acute cardiopulmonary abnormality.. 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.",,images/image_5020.png No acute cardiopulmonary process. . Normal heart size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable .,,images/image_5021.png "1. Cardiomegaly without pulmonary edema. 2. right medial basilar airspace disease. 3. Left lower lobe subsegmental atelectasis. Heart size is enlarged, pulmonary vascularity within normal limits. No visible pneumothorax . right pleural effusion blunting posterior costophrenic . There is a of subsegmental atelectasis of the left lung base. There is alveolar airspace disease in the medial right lung base. Multilevel degenerative disease of the visualized portions of the thoracolumbar spine.",,images/image_5022.png No acute cardiopulmonary abnormality. 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.,,images/image_5023.png Focal airspace disease in the right middle lobe. This is most concerning for pneumonia. Recommend follow up to ensure resolution. The heart is normal in size and contour. There is focal airspace disease in the right middle lobe. There is no pneumothorax or effusion.,,images/image_5024.png No acute cardiopulmonary abnormality. 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.,,images/image_5025.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. opacities in right mid lung. The lungs are otherwise grossly clear.,,images/image_5026.png 1. No acute pulmonary disease. and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,,images/image_5027.png "No acute cardiopulmonary abnormality.. 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.",,images/image_5028.png No acute cardiopulmonary findings. Clear lungs. No pneumothorax. No pleural effusion. Normal heart. Mild degenerative changes of the thoracic spine without acute bony abnormality. Prominent right epicardial fat ,,images/image_5029.png 1. Hyperexpanded lungs with flattened hemidiaphragm suggesting COPD. 2. Borderline enlarged heart. 3. No acute cardiopulmonary abnormality. 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.,,images/image_5030.png "Hyperexpanded lungs. right upper lobe scarring/atelectasis. No focal pneumonia. The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs, without focal consolidation, pneumothorax or large pleural effusion. right upper lobe scarring/atelectasis. Aortic calcifications.",,images/image_5031.png "Mild lung hyperexpansion, otherwise clear. The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Normal .",,images/image_5032.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_5033.png "No radiographic evidence of acute cardiopulmonary disease Heart , mediastinum, , bony structures and lung are unremarkable.",,images/image_5034.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,,images/image_5035.png No acute findings. No evidence of pneumonia. Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are clear. Bony structures are intact.,,images/image_5036.png "Stable changes of COPD. There is interstitial thickening bilaterally, more prominent in the bases. The cardiomediastinal silhouette is normal in size and appearance. There is hyperexpansion. No infiltrates. Two bullae are seen in the right upper lung. Small calcified granuloma stable from prior exam.",,images/image_5037.png Negative chest . The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion. Again seen is paraspinal foreign body which may represent a bullet fragment.,,images/image_5038.png "Suspected left hemidiaphragm paralysis. Consider a fluoroscopic evaluation for confirmation. Consider of the neck and nasopharynx with intravenous contrast if there is no known potential . Critical result notification documented through Primordial. The heart, pulmonary 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 chronic left hemidiaphragm elevation. The aorta is tortuous and ectatic with atherosclerotic calcifications.",,images/image_5039.png "Interval placement of right humeral orthopedic , incompletely evaluated. If attention is desired to this area, consider dedicated shoulder x-. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Interval placement of right humeral prosthesis, incompletely evaluated. Incompletely evaluated the lumbar spine fusion . cholecystectomy.",,images/image_5040.png No acute radiographic cardiopulmonary process. 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 are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,,images/image_5041.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_5042.png No acute cardiopulmonary finding. Heart size is normal. No focal airspace disease. No pneumothorax or effusion.,,images/image_5043.png 1. No acute cardiopulmonary disease 2. No suspicious pulmonary nodules or masses. No evidence of disease recurrence. The lungs appear clear. The heart and pulmonary 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.,,images/image_5044.png "1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. Mild tortuosity of the thoracic aorta, unchanged",,images/image_5045.png No acute cardiopulmonary findings. Heart size within normal limits. No focal airspace disease. Stable 4 mm lateral left midlung calcified granuloma. No pneumothorax or pleural effusion.,,images/image_5046.png 1. No evidence of active disease. 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.,,images/image_5047.png Mild cardiomegaly and atherosclerosis. No acute infiltrate. 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.,,images/image_5048.png "No acute cardiopulmonary abnormality identified. 3 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",,images/image_5049.png No acute findings. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_5050.png "No acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Spondylosis of the midthoracic spine with large anterior osteophyte formations.",,images/image_5051.png "No acute cardiopulmonary process. Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.",,images/image_5052.png "1. No acute cardiopulmonary abnormality. 2. Lucent lesion with thin sclerotic margin in the right humeral head. Considering the associated degenerative changes, a large geode is most . If further imaging is desired, dedicated views of the shoulder may be helpful for further characterization. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. There is a stable the electronic device any left anterior chest wall. There are advanced degenerative changes in the bilaterally. There is a 38 mm lucency in the right humeral head with geographic 1A margins.",,images/image_5053.png No acute cardiopulmonary abnormality. . No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures appear intact.,,images/image_5054.png "No acute cardiopulmonary finding. The heart and cardiomediastinal silhouette are normal in size and contour. There is no focal air space opacity, pleural effusion, or pneumothorax. There are multilevel degenerative changes in the thoracic spine.",,images/image_5055.png No acute cardiopulmonary abnormalities. Normal cardiomediastinal contours. No focal consolidation or pleural effusions. No pneumothorax.,,images/image_5056.png No acute cardiopulmonary abnormality. 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.,,images/image_5057.png "1. Cardiomegaly with bilateral interstitial opacities. 2. Bilateral effusions and/or atelectasis, right worse than left. The heart size is enlarged. The mediastinal contour is within normal limits. Calcification is seen within the aortic . interstitial opacities. There are no nodules or masses. Stable appearing right perihilar calcified granulomas. No visible pneumothorax. Bilateral costophrenic blunting, left worse than right. The are grossly normal. There is no visible free intraperitoneal air under the diaphragm.",,images/image_5058.png "No acute radiographic cardiopulmonary process. 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.",,images/image_5059.png No acute cardiopulmonary disease The lungs are clear. The heart and pulmonary appear normal. Pleural spaces are clear. The mediastinal contours are normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.,,images/image_5060.png No acute cardiopulmonary abnormality. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,,images/image_5061.png "No acute cardiopulmonary finding. The heart is normal size with normal appearance the cardiomediastinal silhouette. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact with degenerative changes in thoracic spine.",,images/image_5062.png No acute findings. Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications and mediastinum. The lungs are clear. Bony structures are intact.,,images/image_5063.png Bihilar prominence may be secondary mild lymphoid enlargement. Followup chest x- versus further imaging may be indicated. Correlation with prior films would be helpful if available. The heart is normal in size. There is bihilar prominence. The lungs are clear.,,images/image_5064.png 1. No acute radiographic cardiopulmonary process. The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. Mild lung hyperinflation. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Degenerative changes seen within the midthoracic spine. There is no visible free intraperitoneal air under the diaphragm.,,images/image_5065.png 1. Very low lung volumes without definite acute cardiopulmonary finding. . There are very low lung volumes with associated central bronchovascular crowding. There is elevation of the left hemidiaphragm. There are -filled loops of mildly dilated colon in the left upper quadrant. The bowel pattern is not well evaluated secondary to incomplete imaging of the abdomen. There is no pneumothorax or definite pleural effusion. The streaky opacities in the lung bases may represent atelectasis. No definite infectious infiltrate is seen. There is scoliosis and exaggeration of the thoracic kyphosis.,,images/image_5066.png No acute cardiopulmonary abnormalities. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The are intact.,,images/image_5067.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The chest is in satisfactory position. There is no pneumothorax. The lungs are clear.,,images/image_5068.png "Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.",,images/image_5069.png "Normal chest Heart size normal. Lungs are clear. are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",,images/image_5070.png No acute cardiopulmonary abnormality. Normal heart size mediastinal contours. Eventration of the right hemidiaphragm. No focal airspace consolidation. No pleural effusion or pneumothorax.,,images/image_5071.png 1. No acute intrathoracic abnormality. The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. A calcified granuloma is identified in the right middle lobe. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute displaced rib fractures.,,images/image_5072.png "1. No acute abnormality. 2. Dextroscoliosis of thoracic spine unchanged. . The heart size is within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.",,images/image_5073.png No acute cardiopulmonary process. The cardiomediastinal silhouette is normal in size and contour. Lungs are clear without focal areas of consolidation. No pneumothorax or large pleural effusion. No acute bone abnormality.,,images/image_5074.png No acute pulmonary disease. There are numerous surgical clips at the thoracic inlet. Small areas of scarring are seen in the left base. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,,images/image_5075.png Clear lungs. Fracture-dislocation of the proximal right shoulder . 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.,,images/image_5076.png "No acute findings, no evidence for active TB. Heart size within normal limits. Small, nodular opacity in the right upper lobe. This does not look like an acute infiltrate, and more represents a granuloma. No pneumothorax or effusions.",,images/image_5077.png "Underinflated lungs with elevation of the left diaphragm and patchy airspace disease in the left base, probably mostly atelectasis. It would be difficult to completely exclude a superimposed pneumonia. No pleural effusion. Again, the patient is mildly rotated, and there is a mild curvature of the thoracic spine. Stable borderline cardiac enlargement. In the left lower lobe on the lateral view, there appears to be some patchy airspace disease which is probably mostly atelectasis from an elevated left diaphragm. The be difficult to completely exclude a superimposed pneumonia. No significant pleural effusion or pneumothorax. There is an extensive fusion of the posterior cervical spine.",,images/image_5078.png "Multifocal right-sided pneumonia. There is diffuse right-sided airspace disease, with dense consolidation in the right base. A right upper extremity PICC is seen with the tip in the right brachiocephalic vein, representing an interval retraction of approximately 6 cm. No pneumothorax or large effusions. Heart size within normal limits.",,images/image_5079.png 1. Hyperexpanded lungs. 2. Otherwise normal chest x-. The heart size is normal. There is vascular congestion in bilateral hilar areas. The lungs are hyperexpanded with flattened diaphragms. No acute bony abnormalities. No effusion or infiltrate. No pneumothorax or pneumomediastinum.,,images/image_5080.png "1. No acute cardiopulmonary process identified. Specifically, no radiographic evidence of aspiration. 2. Stable emphysematous changes, right costophrenic pleural thickening, and bilateral calcified granulomas/lymph . No focal consolidation, pneumothorax, or large pleural effusion identified. Stable blunting of the right costophrenic due to pleural thickening/sclerosis. Redemonstration and stable appearance of bilateral calcified granulomas/lymph . Changes in the lungs consistent with COPD/emphysema. Cardiomediastinal silhouette stable and unremarkable. No acute osseous abnormalities identified. Opacity in the left apex consistent with radiation change seen on prior CT.",,images/image_5081.png 1. No acute cardiopulmonary findings. No focal consolidation. No visualized pneumothorax. The heart size is normal. There are no large pleural effusions.,,images/image_5082.png "Significant improvement in bilateral airspace disease and improved aeration bilaterally as described above. Compared to prior examination, there is significant improvement in aeration bilaterally, with improved bilateral airspace opacities. Currently, there are only minimal streaky opacities in the bilateral midlung, which may represent mild residual airspace disease, atelectasis, or underlying changes of chronic lung disease. No large focal consolidations, pneumothorax, or definite pleural effusions identified. The mediastinal silhouette is stable and within normal limits for size and contour. No acute osseous abnormality is identified.",,images/image_5083.png "No acute cardiopulmonary process. 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.",,images/image_5084.png No acute abnormality identified. 3 images. Heart size is normal. There is mild tortuosity of the thoracic aorta. There are costochondral calcifications. The lungs are clear of focal infiltrate. No pleural effusion or pneumothorax. Old left clavicle fracture noted.,,images/image_5085.png "Acute obliquely oriented lucency through the right 12th posterior rib, concerning for acute fracture. Recommend correlation with side of tenderness. No other fractures are identified. If there is high clinical concern, recommend further evaluation with dedicated views of the right ribs. The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. There is an obliquely oriented lucency through the posterior right 12th rib.",,images/image_5086.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_5087.png 1. No acute cardiopulmonary disease. The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is mild degenerative changes of the thoracic spine.,,images/image_5088.png "1. Vague density in right , related to scapular tip and superimposed ribs. Consider oblique images to exclude true nodule. 2. No acute cardiopulmonary abnormality. 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, related to scapular tip and superimposed ribs. Not visualized on lateral exam.",,images/image_5089.png No acute process. The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,,images/image_5090.png "No acute cardiopulmonary disease. The heart, pulmonary 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 minimal degenerative changes of the spine.",,images/image_5091.png No acute cardiopulmonary abnormalities. Normal heart size and mediastinal contours. No focal airspace opacity. No pleural effusion or pneumothorax. Multiple healed posterior left rib fractures.,,images/image_5092.png Emphysema without superimposed pneumonia. 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.,,images/image_5093.png "No acute cardiopulmonary findings Stable borderline cardiomegaly, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.",,images/image_5094.png No acute disease. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,,images/image_5095.png "No acute disease. The heart is normal in size. The mediastinum is stable. Innumerable bilateral nodules are identified, most of which appear calcified on examination. There is no acute infiltrate or effusion. lingular scarring and/or atelectasis.",,images/image_5096.png Small left pleural effusion with left basilar atelectasis. The heart size and mediastinal contours appear within normal limits. There are streaky left basilar opacities and blunting of the left costophrenic sulcus secondary to a small effusion. No pneumothorax. No acute bony abnormalities.,,images/image_5097.png 1. No evidence of active disease. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma is identified.,,images/image_5098.png "1. Chest. No acute cardiopulmonary findings. 2. Right knee. Stable advanced degenerative changes, most severe in the medial compartment. Chest. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Mild degenerative changes throughout the thoracic spine. Right knee. There has been prior ligamentous repair. There is tricompartmental joint space narrowing and marginal osteophyte formation which is severe in the medial compartment. No knee joint effusion. No fractures or dislocations.",,images/image_5099.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_5100.png 1. No evidence of active disease. 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. Scoliosis and degenerative changes are present in the spine.,,images/image_5101.png "No acute cardiopulmonary findings Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_5102.png "No acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Stable calcified granuloma within the right upper lung. No acute bone abnormality..",,images/image_5103.png Clear lungs. No acute cardiopulmonary abnormality. . The lungs are clear. Heart size is normal. No pneumothorax.,,images/image_5104.png "1. No acute radiographic cardiopulmonary process. There are no acute osseous abnormalities. Soft tissue structures are within normal limits. Normal heart size and hilar vascular markings. The lungs are clear without focal area of consolidation, pleural effusion, pneumothorax.",,images/image_5105.png "No acute cardiopulmonary disease. . 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.",,images/image_5106.png "No acute findings, no evidence for active TB. Heart size within normal limits. Small, nodular opacity in the right upper lobe. This does not look like an acute infiltrate, and more represents a granuloma. No pneumothorax or effusions.",,images/image_5107.png "No acute cardiopulmonary abnormality. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. are unremarkable.",,images/image_5108.png "Chronic changes without acute cardiopulmonary findings. Heart size at the upper limits of normal. There are scattered calcified granulomas. No focal airspace consolidation, large effusion, or appreciable pneumothorax. Tortuous, unfolded to descending aorta. Calcified aortic . curvature of the thoracic spine. Exaggerated kyphosis. are diffusely osteopenic. Multilevel degenerative changes of the thoracic spine with minimal anterior loss of several vertebral bodies.",,images/image_5109.png "Negative for acute cardiopulmonary abnormality. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues unremarkable.",,images/image_5110.png "No acute cardiopulmonary abnormality. 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.",,images/image_5111.png No acute preoperative findings. The cardiac contours are normal. Mild atherosclerosis. The lungs are clear. Thoracic spondylosis.,,images/image_5112.png "Bilateral interstitial opacities and central vascular congestion interstitial edema. Diffuse, right greater than left, interstitial opacities. Central vascular congestion. No pneumothorax or focal consolidation. No pleural effusion. Heart size normal.",,images/image_5113.png "Mild interstitial prominence, chronic though could reflect early pulmonary edema. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. is not diffuse interstitial prominence, which has chronic appearance. Cannot exclude early pulmonary edema. Two airspace consolidation or effusion. are osteopenic. No visible pneumothorax.",,images/image_5114.png "No acute abnormality seen. Normal heart size. Mild tortuosity of the aorta. No pneumothorax, pleural effusion or suspicious airspace opacity. Mild levoscoliosis of the lumbar spine.",,images/image_5115.png "Stable cardiomegaly without gross evidence for failure or pneumonia. Radiographic attenuation obscures detail. Grossly, the lungs are clear and expanded. Heart is large. Pulmonary are normal.",,images/image_5116.png "Low lung volumes. No acute cardiopulmonary abnormalities. Normal cardiomediastinal contours, given patient position and technique. No pneumothorax or large pleural effusions. The lung volumes.",,images/image_5117.png No acute or pulmonary abnormality. Normal heart size and mediastinal contours. Calcified aortic . No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable appearance.,,images/image_5118.png "1. Cardiomegaly and small bilateral pleural effusions 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, primary differential diagnosis atypical infection and inflammation Moderate cardiomegaly. Mild bilateral costophrenic blunting and fissural thickening, interstitial opacities greatest in the central lungs and bases with indistinct vascular margination. Dense right lower lobe nodule and right hilar calcifications suggest a previous granulomatous process.",,images/image_5119.png "No acute cardiopulmonary disease. Cardiac silhouette, pulmonary vascular pattern within normal limits. No focal infiltrate, pneumothorax or pulmonary edema. No pleural effusion. Osseous structures within normal limits.",,images/image_5120.png "Changes of chronic emphysematous lung disease without acute cardiopulmonary abnormality identified. There is hyperexpansion, hyperlucency of both lungs, as well as flattening of the diaphragm consistent with chronic emphysematous lung disease. No focal consolidation, pneumothorax, or large pleural effusion identified (blunting of costophrenic recesses bilaterally may represent small effusions or pleural thickening/scar. Stable calcified mediastinal and hilar lymph and a left basilar calcified granuloma. Acute osseous abnormality. The mediastinal silhouette stable.",,images/image_5121.png No acute pulmonary disease. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified right hilar and mediastinal lymph . There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,,images/image_5122.png "No acute cardiopulmonary disease. The heart, pulmonary 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 minimal degenerative changes of the spine.",,images/image_5123.png "No acute cardiopulmonary abnormality. Normal cardiomediastinal contours. Marrow pneumothorax, focal lung consolidation or pleural effusions.",,images/image_5124.png Normal chest exam. Normal heart. Clear lungs. No pneumothorax. No pleural effusion. Trachea is midline.,,images/image_5125.png "No acute cardiopulmonary abnormalities. . The trachea is midline. Cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal consolidation or pleural effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",,images/image_5126.png No acute abnormality. . Heart size is normal. Mild lung hyperexpansion. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,,images/image_5127.png "1. Chest. No active disease. 2. Left and right . Bilateral degenerative joint disease, left worse than right. Chest. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left and right . Osteophytes are present at the acromioclavicular joints bilaterally and also on the humeral necks. The right glenohumeral joint is normal, but the left is narrowed. No fractures or bone destruction.",,images/image_5128.png "Prior granulomatous disease. Negative for acute abnormality. The cardiomediastinal silhouette is normal in size and contour. Right suprahilar calcified lymph . Right lung base calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Mildly hyperexpanded lungs. Negative for acute bone abnormality.",,images/image_5129.png "Chronic interstitial and bullous disease. No acute findings. Lung volumes are low. Prominent increased interstitial markings in both lungs are unchanged in the interval. Bullae are present both upper lobes, right worse than left. No pleural air collections. Heart size normal.",,images/image_5130.png 1. No evidence of pneumothorax or pneumomediastinum. 2. Clear lungs. The cardiac and mediastinal silhouette is normal There is no evidence of pneumomediastinum or pneumothorax. Clear lungs There are no large pleural effusions No evidence of displaced fractures.,,images/image_5131.png "No acute cardiopulmonary abnormalities. Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",,images/image_5132.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_5133.png No acute disease. The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,,images/image_5134.png Hypoinflation with bibasilar focal atelectasis. Lung volumes remain . opacities are present in both lower lobes. Old rib fractures and pleural thickening are present on the right. Heart and pulmonary are normal.,,images/image_5135.png "Borderline cardiomegaly. No acute findings. . The cardiac silhouette is borderline enlarged. Pulmonary vasculature is normal in caliber. Nipple shadows and dense breast tissue overlie the lung bases. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",,images/image_5136.png "No acute findings Heart size within normal limits, stable mediastinal and hilar contours. Stable mild hyperinflation, right apical pleural-parenchymal irregularities compatible with scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",,images/image_5137.png "Enlarged cardiac silhouette with coarse perihilar and lower lobe interstitial opacities may be due to diffuse infection or heart failure. Small pleural effusions. The examination consists of frontal and lateral radiographs of the chest. The cardiac silhouette is moderately enlarged with a cardiothoracic ratio of 16.2/24.7. Diffuse coarse interstitial opacity seen throughout the lungs with perihilar and lower lobe predominance. There is right greater than left bibasilar consolidation. There are small pleural effusions, right larger than left. No evidence of pneumothorax. Dense atherosclerotic calcification seen involving the thoracic and upper abdominal aorta.",,images/image_5138.png No active disease. The heart and lungs have in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,,images/image_5139.png 1. No acute pulmonary abnormality. The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,,images/image_5140.png COPD and probable right basilar scarring. No acute pulmonary disease identified. There is hyperinflation. There is some subtle scarring in the lateral right base. 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.,,images/image_5141.png "No acute or active cardiac, pulmonary or pleural disease. Probable previous granulomatous disease. Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. There are scattered nodular opacities, calcified granulomas. No focal airspace consolidation or pleural effusion.",,images/image_5142.png "Borderline cardiomegaly without heart failure. Apparent cardiomegaly at partially accentuated by low lung volumes. No focal consolidation, pneumothorax or large pleural effusion. Right base calcified granuloma. Stable right infrahilar nodular density (lateral view). Negative for acute bone abnormality.",,images/image_5143.png "No acute cardiopulmonary abnormality. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Central left midlung granuloma with calcified left hilar adenopathy. Bony structures appear intact.",,images/image_5144.png "1. Right and left atrial enlargement with cardiomegaly. No acute pulmonary abnormality demonstrated. . 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. 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.",,images/image_5145.png No acute cardiopulmonary findings. Heart size is within normal limits. 8mm calcified granuloma in the right base. No focal airspace consolidations. No pneumothorax or effusion.,,images/image_5146.png "1. No acute cardiopulmonary abnormality. 2. Emphysema. Evaluation is limited due to obscuration by the patient's arm on the lateral view. Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascular is unremarkable. are chronic, coarse interstitial lung markings. Peripheral opacity along the right mid lung reflects scar or a small amount of loculated pleural fluid or thickening. Otherwise negative for focal airspace disease or consolidation. Hyperlucent lungs with apical . Negative for pneumothorax or pleural effusion. Limited evaluation reveals the to be grossly intact.",,images/image_5147.png "1. No acute cardiopulmonary abnormalities. 2. Multiple chronic changes as described above. . Mediastinum is stable. Retrocardiac lucency represents a large hiatal hernia, unchanged from prior. The lungs are clear, without focal infiltrate or pleural effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities. Stable thoracic deformity.",,images/image_5148.png "No acute cardiopulmonary abnormality. 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.",,images/image_5149.png "No acute cardiopulmonary disease. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.",,images/image_5150.png "1. Scattered of subsegmental atelectasis, most notably in the right middle lobe. 2. Mildly enlarged cardiac silhouette; cardiomegaly versus pericardial effusion. The cardiac silhouette is mildly enlarged. There are scattered bilateral opacities, most notably in the right middle lobe, of subsegmental atelectasis. No pleural effusion. No pneumothorax is identified. There are diffuse degenerative changes of the spine.",,images/image_5151.png "No acute cardiopulmonary abnormality. . Calcified left hilar lymph node. Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable.",,images/image_5152.png No acute cardiopulmonary abnormalities. Normal heart size. Mild unfolding of the thoracic aorta. No focal airspace opacity. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.,,images/image_5153.png "No acute cardiopulmonary abnormality. The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.",,images/image_5154.png "No acute cardiopulmonary disease. Cardiomediastinal silhouette is normal. Pulmonary vasculature and are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.",,images/image_5155.png "No acute or active cardiac, pulmonary or pleural disease. Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. No pleural effusion.",,images/image_5156.png No acute cardiopulmonary findings. Heart size normal. No focal airspace disease. No pneumothorax or effusions.,,images/image_5157.png No acute cardiopulmonary findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings. degenerative changes of the thoracic spine.,,images/image_5158.png "Generalized low lung lungs with eventration of the left hemidiaphragm. Question concomitant left basilar opacity, may represent atelectasis or infiltrate. Eventration of the left diaphragm is noted. Question left basilar atelectasis versus infiltrate. No evidence of pneumothorax. Generalized lung volumes. No definite pleural effusions. Heart size within normal limits. Osseous structures intact.",,images/image_5159.png Large left lower lobe opacity represents a large layering pleural effusion. Right lung is clear. Large left lower lobe opacity is present. There does not appear to be significant mediastinal shift. There is no pneumothorax. The cardiac silhouette is not definitively identified and not fully evaluated. The mediastinal contours are unremarkable.,,images/image_5160.png Mild interstitial edema. Stable appearance of aortic valve prosthesis. Sternotomy . Aortic calcifications. Mild interstitial edema. No focal infiltrate. No effusion or pneumothorax. Mild cardiomegaly.,,images/image_5161.png "No acute cardiopulmonary findings. . Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable.",,images/image_5162.png Hypoinflation with no visible active cardiopulmonary disease. Lung volumes are low. No focal infiltrates. Heart size normal. Mediastinum normal.,,images/image_5163.png "No acute cardiopulmonary abnormality. 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.",,images/image_5164.png No acute cardiopulmonary abnormality. No there is an dextroscoliosis of the thoracic spine. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_5165.png No acute cardiopulmonary abnormality. There is a prominent calcified head to the right anterior first rib. The aorta is tortuous. There are T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,,images/image_5166.png No acute disease. The heart is normal in size. The mediastinum is stable. Granulomatous sequela are noted. The previously visualized nodular density in the right upper lobe is not well-seen on today's study. There is no acute infiltrate or pleural effusion.,,images/image_5167.png