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


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

1. XXXX bilateral lower lobe opacities. The appearance XXXX subsegmental atelectasis. 2. Pneumoperitoneum, XXXX postoperative secondary to recent laparoscopic surgery.


The heart and mediastinal contours are stable. Aorta is tortuous and calcified, compatible with atherosclerosis. The lungs are clear without focal infiltrate. There is a calcified granuloma in the right lower lung. Severe degenerative changes of both XXXX. The medial lung apices are obscured by the patient's mandible.

1. Stable appearance of the chest. No acute pulmonary process.


Heart size is normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact.


Cardiac silhouette and mediastinal contours are within normal limits. Nodular opacity overlying the upper lungs bilaterally may represent overlying telemetry XXXX XXXX, correlate clinically. Otherwise, lungs are clear. No large pleural effusion no pneumothorax.


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


Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. XXXX are grossly unremarkable.


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, XXXX, and mediastinum are normal.

No acute disease. Left lower lobe nodule of uncertain identity. Chest CT may be of further XXXX. XXXX level Veriphy message sent.


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 XXXX. The bony structures of the thorax demonstrate degenerative changes of the right shoulder and a XXXX right humerus consistent with distal humeral amputation. No acute bony abnormality identified.

Changes of chronic lung disease without acute cardiopulmonary abnormality identified.


Normal heart size. The lungs are clear without pneumothorax or large pleural effusion. The trachea is midline and XXXX.


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.

No evidence of acute cardiopulmonary process. Stable appearance of the chest.


Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. No upper lobe airspace disease or cavitary lesions identified.

1. No acute abnormality. 2. No evidence of pulmonary tuberculosis.


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.


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.

1. Small left basilar parenchymal scarring and/or effusion. 2. Postsurgical changes of the mediastinum. 3. Otherwise unremarkable chest radiograph.


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.


The cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic XXXX. Minimal XXXX densities, left lung base. Hyperexpanded lungs. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.

Chronic lung changes without acute abnormality.


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


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.


Heart size is within normal limits. Aorta appears tortuous and ectatic, unchanged from comparison exam. There is a stable dual XXXX ICD/pacemaker. No focal consolidation, large pleural effusion, or pneumothorax is seen. Visualized osseous structures are grossly intact.

1. Stable left chest dual XXXX ICD/pacemaker. 2. Improved lung volumes without acute cardiopulmonary abnormality. .


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.

Changes of chronic lung disease with no acute cardiopulmonary finding.


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


Heart size, mediastinal contour, and pulmonary vasculature are within normal limits. Scattered granulomas and bilateral perihilar calcified lymph XXXX. Stable lingular scarring. No focal consolidation, large pleural effusion or pneumothorax is identified. No bony abnormality.

1. No acute cardiopulmonary abnormality.


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

Hand 1. Minimally displaced fracture through the XXXX of the scaphoid. 2. Lucency through the base of the fourth metacarpal. This may represent a vascular XXXX or if XXXX tenderness exists over this location then fracture is more XXXX. Chest 1. No acute cardiopulmonary findings. .


Normal heart size and mediastinal contours. Calcified aortic XXXX. XXXX opacities in the left lung base, XXXX atelectasis. The lateral view shows a XXXX left pleural effusion. No focal airspace consolidation. No pneumothorax. Stable bilateral apical pleural capping.


There are T-spine osteophytes. Small nodule projecting near the left heart XXXX is unchanged from XXXX and appears calcified. This XXXX 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.


Heart size within normal limits, stable mediastinal and hilar contours, coronary artery stent artifact, XXXX XXXX and clips suggest CABG. Mediastinal and hilar calcifications XXXX indicate a previous granulomatous process. Stable hyperinflation, bilateral upper lobe pleuroparenchymal near and nodular irregularities, right greater than left, XXXX opacities in the peripheral right lung most compatible with scarring. No XXXX abnormal pulmonary opacities, no definite pleural effusion seen. No typical findings of pulmonary edema. Osseous demineralization, stable appearance of T9 and T12 XXXX fractures.

Chronic changes as described, no acute findings


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

Chest. Resolving pulmonary interstitial edema and pulmonary venous hypertension.


Stable mild cardiomegaly. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures intact. Right humeral head bone anchor.

Stable mild cardiomegaly without acute cardiopulmonary abnormality.


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

No acute findings. No evidence of pneumonia.


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


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


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

No acute cardiopulmonary abnormalities are seen. END OF REPORT.


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.


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


The 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 XXXX study..

1. No acute radiographic cardiopulmonary process.


The heart and mediastinum are unremarkable. There is tortuosity of the aorta, compatible with atherosclerosis. Low lung volumes. Minimal XXXX opacities within the lung bases, XXXX subsegmental atelectasis. The lungs are clear without infiltrate. There is no effusion or pneumothorax.

1. Low lung volume study with minimal subsegmental atelectasis in the lung bases. No acute pulmonary process.


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


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.

Multiple round opacities in the right upper lobe measuring up to 7 mm. Exact etiology of these is unclear.


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


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

Negative for acute cardiopulmonary abnormality.


Heart size moderately enlarged, stable mediastinal contours. XXXX XXXX opacity in the left lung base. Otherwise, no focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.

1. Cardiomegaly 2. XXXX XXXX opacity in the left base XXXX atelectasis


Lung volumes are mildly decreased. The cardiac silhouette and pulmonary vascularity are normal. There is bilateral lower lobe XXXX airspace opacities compatible with discoid atelectasis. There is no evidence of pleural effusion or pneumothorax.


The lungs appear clear. Lung volumes are low. The heart and pulmonary XXXX appear normal. Pleural spaces are clear.


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.


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 XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.

Streaky right lower lobe infiltrate versus atelectasis.


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


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.

1. Elevated left hemidiaphragm. No evidence of active disease.


The heart is normal in size. The mediastinum is stable. Postsurgical changes of esophagectomy and gastric pull-through are stable. Bibasilar air space opacities have significantly improved. The lungs remain hypoinflated with blunted costophrenic XXXX. There is no pneumothorax.

Stable postsurgical changes of esophagectomy with improved bibasilar airspace opacities/atelectasis.


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.


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 XXXX. To the pulmonary interstitium is not clear, making it the vasculature somewhat indistinct in the mid and lower lungs. This may reflect XXXX parenchymal nodules. XXXX nodules were identified on the prior chest CT. Mediastinal contours appear grossly normal. There are small calcified left hilar lymph XXXX. The heart and pulmonary XXXX otherwise appear normal. Pleural spaces appear clear.

1. XXXX 1 XXXX nodular density seen on the PA view only projecting in the right midlung. Recommend noncontrasted enhanced XXXX for evaluation of this nodule. Does this patient have known XXXX factors for malignancy? 2. Somewhat indistinct pulmonary interstitium possibly reflecting underlying pulmonary sarcoidosis


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


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


Again, the patient is mildly rotated, and there is a mild XXXX 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.

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.


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.


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.


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.

1. 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.


Stable cardiomediastinal silhouette. Elevated right hemidiaphragm. XXXX atelectasis in the right lung base. No focal pulmonary consolidation, pleural effusion or pneumothorax. No acute bony abnormality. Degenerative changes of the thoracic spine.

1. XXXX atelectasis in the right lung base. Elevated right hemidiaphragm. No acute cardiopulmonary abnormality.


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.


No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact. Mild degenerative change of the lower thoracic spine, anterior osteophytes.


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


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

1. Increased elevation right hemidiaphragm with right basilar atelectasis. Left basilar airspace disease and pleural effusion unchanged. 2. Interval removal of right chest tube, no pneumothorax. .


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


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

Borderline cardiomegaly and mild chronic changes. No acute infiltrate.


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


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. XXXX compared to the previous CT scan, there has been no significant interval change. No developing airspace opacity, or pneumothorax.

Stable groundglass and interstitial markings at the lung bases. Overall this is not XXXX to represent a significant change from XXXX.


Heart size and vascularity normal. These contour normal. Lungs clear. No pleural effusions or pneumothoraces.


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.


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.

Stable chronic lung changes without acute cardiopulmonary abnormality.


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


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


The XXXX examination consists of frontal and lateral radiographs of the chest. XXXX sternotomy XXXX are again seen. The cardiomediastinal contours are grossly unchanged. Right lung calcified granulomata are again seen. There is no consolidation, pleural effusion or pneumothorax.

No acute cardiothoracic disease or significant interval change.


The lungs remain hyperexpanded. There are persistent XXXX bilateral lower lobe opacities, XXXX subsegmental atelectasis and scarring. No XXXX focal infiltrate is identified. There is no pleural effusion or pneumothorax. Normal heart size. There are minimal degenerative changes of the spine.

1. No acute findings. 2. Bibasilar subsegmental atelectasis or scarring. 3. Emphysema.


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


No pneumothorax or pleural effusion. Clear lungs bilaterally. Normal cardiac contours. Multiple anterior endplate osteophyte formation along thoracic spine.

1. No acute cardiopulmonary abnormalities.


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

1. No acute cardiopulmonary disease 2. No suspicious pulmonary nodules or masses. No evidence of disease recurrence.


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

Hyperinflated lungs. No acute cardiopulmonary abnormality. .


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


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


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


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


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


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


XXXX XXXX and lateral views of the chest were obtained on XXXX. The lung volumes are normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.

No acute cardiopulmonary abnormalities are seen. END OF REPORT.


Lungs are clear without focal consolidation, effusion, or pneumothorax. Hyperinflated lungs. Cardiomegaly. Bony thorax and soft tissues grossly unremarkable

Cardiomegaly without 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.


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


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


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. The inferior posterior sulcus is excluded.

No acute or active cardiac or pulmonary disease process. Cannot exclude small pleural effusions.


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.

No acute cardiopulmonary abnormalities. .


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.


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

Basilar atelectasis. No confluent lobar consolidation or pleural effusion.


Borderline cardiac enlargement. Enlarged calcified thoracic aorta. Emphysema. No acute pulmonary abnormality. Mild spondylosis.


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

Negative for acute cardiopulmonary findings.


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.

1. Findings consistent with mild congestive heart failure.


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.


Right XXXX-A-XXXX tip overlies the mid SVC. Similar bronchiectatic changes with diffuse patchy airspace opacities. No pneumothorax or pleural effusion.

Similar exam with changes of cystic fibrosis. No XXXX focal 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.


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.

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.


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.

No evidence of acute cardiopulmonary disease.


There are no acute osseous abnormalities. There are surgical clips in the right upper abdomen, XXXX from cholecystectomy. Normal heart size. Normal hilar vascular markings. The lungs are grossly clear without focal area of consolidation, pleural effusion, pneumothorax.


Lung volumes are low. The heart is large, the pulmonary XXXX are engorged. No infiltrates. XXXX opacity is present in the left midlung.

Hypoinflation with cardiomegaly and pulmonary venous hypertension. Left mid lung focal atelectasis.


Normal cardiomediastinal contours. Lungs are clear bilaterally. No pneumothorax or pleural effusion.


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

1. Right chest XXXX catheter tip at cavoatrial junction. 2. Grossly clear lungs.


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


Dextroscoliosis of the thoracic spine. Clear lungs bilaterally. No pneumothorax or pleural effusion. No acute bony abnormalities.

1. Dextroscoliosis of the thoracic spine. 2.No evidence of acute bony abnormalities.


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.


No focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette unremarkable. Stable bilateral calcified granulomas/lymph XXXX. A bullet is present in the posterior soft tissues of the left chest wall, stable compared to prior examination.


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 XXXX prominent. No XXXX focal airspace consolidation or pleural effusion. There is XXXX spine spondylosis.

1. Unchanged cardiomegaly. 2. Interstitial prominence. Maybe due to technical factors.


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.

Low lung volumes without acute cardiopulmonary disease.


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

1. Improving bilateral interstitial edema pattern. 2. Small right-sided pleural effusion.


There is mild blunting of the right costophrenic XXXX 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.

Possible small right pleural effusion, without focal consolidation or pneumothorax.


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.

1. No acute pulmonary disease. No evidence for apical mass.


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.

Borderline heart size, no acute pulmonary findings


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.


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


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


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


The heart is normal in size. The mediastinum is within normal limits. Aorta is tortuous. Right chest XXXX 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.


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


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.


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


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.


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

Mild cardiomegaly, no acute pulmonary findings


The trachea is midline. Cardiomediastinal silhouette is normal. The there are XXXX opacities in the left lower lobe of the lung, which are most XXXX dependent atelectasis. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.

Left base focal atelectasis, no infiltrates that would suggest active tuberculosis.


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


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.


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.


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 XXXX represents an old fracture..


No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.


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.

Left basilar airspace disease. Recommend follow up chest x-XXXX to document resolution XXXX for better characterization.


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


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


Central pulmonary vascular congestion and mild interstitial opacities are present. Negative for pneumothorax. Moderate volume bilateral pleural effusions are present. Mild cardiomegaly. Right upper extremity PICC terminates at the cavoatrial junction. Implantable cardiac device and leads appears unchanged.

1. Central pulmonary vascular congestion and mild interstitial edema, improved since the prior study. 2. Moderate volume bilateral pleural effusions. 3. Mild cardiomegaly. .


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

Mild, nonconsolidating right lower lobe airspace disease. This may represent an early pneumonia.


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


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.


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..

Chest radiograph. 1. No acute radiographic cardiopulmonary process.


Stable cardiomegaly, XXXX at XXXX partially accentuated by low lung volumes. Stable XXXX sternotomy XXXX, several of which are interrupted, and mediastinal clips. No focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.

Stable cardiomegaly without heart failure.


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

Lungs appear relatively clear on today's exam. No significant interval change since the prior study and XXXX.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is persistent stable appearing right apical scarring. There is persistent left basilar scarring. There are minimal degenerative changes of the spine.

Chronic lung disease without superimposed acute disease identified.


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.

No evidence of active cardiopulmonary disease.


The heart and lungs have XXXX XXXX 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.


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


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


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


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.


There is interstitial thickening bilaterally, more prominent in the bases. The cardiomediastinal silhouette is normal in size and appearance. There is hyperexpansion. No XXXX infiltrates. Two bullae are seen in the right upper lung. Small calcified granuloma stable from prior exam.


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.


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


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.


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


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


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


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.

Large left lower lobe opacity XXXX represents a large layering pleural effusion. Right lung is clear.


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

Lung lines without evidence of acute cardiopulmonary process.


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


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


Redemonstration of moderately-inflated lungs, consistent with COPD and unchanged. Atherosclerotic calcifications of the thoracic XXXX seen. No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.

Moderately hyperinflated lung XXXX, otherwise no acute cardiopulmonary abnormality.


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


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


Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact. XXXX and curvilinear XXXX densities over the breast shadows compatible with piercings.


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.


There is hyperinflation lungs. There appears to be fibrosis or central pulmonary vascular congestion more pronounced on the left in the right. Heart is mildly enlarged. There no pleural effusions. Cardiac pacemaker seen. The skeletal structures show senescent changes.

1. Pulmonary vascular congestion versus chronic fibrotic changes. 2. Cardiomegaly. 3. Senescent changes.


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


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.


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

No active/acute cardiopulmonary 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.


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

1. Round area of density measuring 1.9 x 1.8 cm in left superior lower lobe with interval increased size compared to prior imaging. Recommend XXXX chest, abdomen and pelvis with contrast for further evaluation. Dr. XXXX XXXX notified by the Veriphy critical result notification XXXX of the left pulmonary mass and recommended followup XXXX chest, abdomen and pelvis with contrast at XXXX XXXX/XXXX.


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 XXXX generator overlies the left upper thorax with XXXX XXXX tips overlying the right atrium and ventricles.


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

Round density within the anterior segment of the right upper lobe. This may represent XXXX pulmonary nodule. The primordial XXXX was employed to notify the referring physicians of this critical finding. .


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


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.


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


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


Heart size normal. No pleural effusions or pneumothorax. Lungs are clear. Soft tissues and XXXX are unremarkable.


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.

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 XXXX of bowel, a subpulmonic process is a consideration. If clinically indicated, XXXX scan would better define this.


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


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


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


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


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


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


Cardiomegaly is noted. No pleural effusions. No pneumothorax. There is perihilar prominence and interstitial opacification.

Stable cardiomegaly with prominent perihilar opacities which may represent scarring or edema.


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 XXXX. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.


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


Apparent cardiomegaly XXXX at XXXX 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.

1. Cardiomegaly without heart failure. 2. Low lung findings. Left retrocardiac opacities, XXXX subsegmental atelectasis.


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.


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.


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


Interstitial markings are diffusely prominent throughout both lungs. Heart size is normal. Pulmonary XXXX normal.

Diffuse fibrosis. No visible focal acute disease.


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


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.


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

No acute findings. Left mid lung subsegmental atelectasis.


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.

Mild cardiomegaly, no acute pulmonary findings


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..

1. No acute radiographic cardiopulmonary process.


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


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


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


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


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 XXXX opacity within the left lung base XXXX representing atelectasis. Otherwise, the lungs are clear. There is thoracic kyphosis. There is hyperinflation of the lungs.

Core irregularity along the anterior margin of the sternum may represent an age-indeterminate nondisplaced fracture. In addition, focal lentiform hyperdensity along the XXXX aspect of the sternum may represent callus formation. Left basilar atelectasis otherwise clear lungs.


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


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

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.


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.

Patchy airspace disease on the lateral view, probably within the right lower lobe, XXXX a pneumonia superimposed on XXXX severe underlying emphysema. Recommend following this process to resolution.


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

1. Findings consistent with emphysema with interstitial thickening. This could be due to edema superimposed on emphysema or pneumonitis or fibrosis. XXXX chest if warranted clinically given recent onset of dyspnea. .


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.

1. Cardiomegaly with diffuse interstitial opacities. Findings may be secondary to pulmonary edema. Atypical infection is another consideration.


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

1. Chest. No active disease. 2. Left knee. Advanced degenerative joint disease.


Patchy airspace disease in the left lingula. No significant effusion. Clear right lung. Normal heart size. Granulomatous mediastinal calcifications. Right chest XXXX tip at SVC.

Patchy airspace disease in the lingula without evidence of effusion. Pneumonia is in the differential. A followup exam in 4 to 6 weeks should be considered to ensure resolution of this process.


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


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.

1. No focal airspace consolidation. 2. Prominent bilateral interstitial opacities, stable from prior radiographs.


Borderline heart size. The lungs are hyperexpanded and hyperlucent compatible with chronic obstructive pulmonary disease. There are no XXXX focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Aortic vascular calcifications. Normal pulmonary vascularity. Bone demineralization.

Findings of chronic obstructive pulmonary disease.


Normal heart size. Diffuse bilateral reticulonodular interstitial opacities. There are no XXXX of a large pleural effusion. There is no evidence of pneumothorax. Heart is not enlarged. XXXX are unremarkable.

Compared to XXXX, there are XXXX extensive bilateral reticulonodular interstitial opacities, concerning for atypical infection. Result notification XXXX Primordial. .


Cardiomegaly and tortuous calcified thoracic aorta are unchanged. Normal pulmonary vascularity. Minimal streaky bibasilar opacities. Blunted left costophrenic XXXX. Bony demineralization. Degenerative changes of the spine. Verterbroplasty change near the thoracolumbar junction. Upper abdominal surgical changes. Chronic appearing deformity of the proximal right humerus. Old right rib fractures.

1. Mild cardiomegaly without pulmonary edema. 2. Minimal bibasal subsegmental atelectasis/scar. 3. Very small left pleural effusion.


The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Suspected XXXX artifact over the bilateral neck soft tissues and supraclavicular fossae. Normal XXXX.


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


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


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

No radiographic evidence of acute cardiopulmonary disease.


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


There is a vagal nerve stimulator with XXXX overlying the left chest. XXXX appears intact without fracture. There is a XXXX opacity within the right lung base, XXXX representing atelectasis. Lungs are otherwise clear. Heart size is normal. No pneumothorax.

Vagal nerve stimulator overlying the left chest. Minimal atelectasis in the right lung base. .


Normal cardiomediastinal silhouette. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.

There is no radiographic evidence of acute cardiopulmonary disease.


The trachea is midline. Cardiomediastinal silhouette is normal. There is a calcified density in the left mid lung, most XXXX 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.

No acute cardiopulmonary abnormalities. No active pulmonary disease.


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.

Moderate cardiomegaly with pulmonary vascular congestion early interstitial edema.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Old healed left 5th and 6th rib fractures are seen laterally.

No evidence of acute cardiopulmonary process.


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

No radiographic evidence for thoracic metastases.


There is a right pleural effusion which appears somewhat loculated. The cardiomediastinal silhouette is unchanged. The left lung is grossly clear. Unchanged sclerotic lesion in the left proximal clavicle. No pneumothorax. No left pleural effusion. There are T-spine osteophytes.

Loculated appearing right pleural effusion and right basilar airspace disease. The left lung is grossly clear.


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


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

1.Lucency in the left lateral clavicle near the acromioclavicular joint. Metastatic disease is possible. 2. Clear lungs


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 XXXX CT. No focal infiltrates

Emphysema. Recommend rib series to to establish that circular densities overlying ribs are in the ribs.


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

Clear lungs. No acute cardiopulmonary abnormality. .


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 XXXX deformity.

Low lung volumes, no acute cardiopulmonary findings.


The cardiac contours are normal. The lungs are clear. Stable granuloma in the left lower lung zone. Thoracic spondylosis.


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.

No evidence of acute cardiopulmonary process. Stable appearance of the chest.


The heart and mediastinal contours are unchanged. There is a moderate hiatal hernia. The lungs are clear without focal infiltrate. No effusion or pneumothorax.

1. Stable appearance of the chest with moderate hiatal hernia. No acute pulmonary disease.


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

XXXX change. Hypoinflation with no visible active cardiopulmonary disease.


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..


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

Diffuse reticulonodular pattern bilaterally. The this may represent heart failure, opportunistic infection, or idiopathic interstitial pneumonitis. XXXX of chest for further characterization.


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.

1. No acute radiographic cardiopulmonary process.


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.


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.

Generalized low lung lungs with eventration of the left hemidiaphragm. Question concomitant left basilar opacity, may represent atelectasis or infiltrate.


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

Diffuse interstitial lung disease with pleural effusion.


Heart size normal. No focal airspace disease. No pneumothorax or effusions. No bony abnormalities.


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


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

1. Small 3.3 mm right-sided pneumothorax.


The lungs appear clear. There are calcified nodules projecting in the right upper lung. Mediastinal contours appear normal. The heart pulmonary XXXX appear normal. Pleural spaces are clear. Surgical clips are identified in the right neck and left mediastinum.


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.


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


Heart and mediastinum are within normal limits. No focal consolidation. No large pleural effusion or pneumothorax. No acute bony abnormality.


Lung volumes remain low. No infiltrates. Heart and pulmonary XXXX are normal.


The lungs are hyperinflated with biapical pleural-parenchymal scarring and upward retraction of the XXXX, 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 XXXX, focal airspace disease. There is no pneumothorax or pleural effusion. Heart size is normal.

Hyperinflation with chronic upper lobe reticular-nodular pleural-parenchymal opacities and hilar retraction. No gross interval change from XXXX. .


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


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

There is no evidence of acute cardiopulmonary disease. No radiographic evidence for active tuberculosis a .


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.


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.


The cardiac silhouette is mildly enlarged and appears mildly increased in size from the XXXX 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.

Probable mild cardiomegaly, without evidence of acute failure. No focal airspace disease. .


Right XXXX-A-XXXX is in XXXX. 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.

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.


Normal heart size. No focal airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No focal bony abnormality.


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

No acute cardiopulmonary abnormalities. .


The heart is normal in size. The mediastinum is stable. Aorta is tortuous. Calcified lymph XXXX 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. XXXX deformity of T9 appears worse than prior study.

1. Emphysema without acute infiltrate. 2. Progressive XXXX deformity of midthoracic vertebral body, XXXX T9.


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


The lungs are clear. The heart and pulmonary XXXX appear normal. The pleural spaces are clear. There is XXXX 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.

1. Vague increased sclerotic focus overlying the posterior spine on lateral XXXX, XXXX from prior study. Although this may be artifact or a pulmonary density, a XXXX sclerotic focus within the thoracic XXXX cannot be excluded. Bone scan would be helpful to evaluate for metastatic disease to the bone.


The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a pleural effusion. There is no evidence of pneumothorax. Multilevel flowing anterior thoracic spine osteophytes, which could represent changes of diffuse idiopathic skeletal hyperostosis (DISH).

There is no evidence of acute cardiopulmonary disease. .


Consolidation is developing in the left lower lobe. A patchy infiltrate is also present in the right lower lobe. Heart size is normal.


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


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.


Cardiac and mediastinal contours are within normal limits. The lungs are clear. Thoracic spondylosis.

Negative chest x-XXXX. No evidence of pneumonia.


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


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


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


The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal.


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 XXXX focal airspace consolidation. No significant pleural effusion. No pneumothorax. There are mild degenerative changes of the spine.

1. No focal airspace consolidation. 2. Emphysema. 3. Stable biapical opacities, possibly scarring.


Compared to prior chest radiograph from XXXX, 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 XXXX. No XXXX nodules, focal consolidation, or pneumothorax identified. There are XXXX bilateral pleural effusions posteriorly. There is mild central pulmonary vascular congestion without XXXX pulmonary edema. No acute bony abnormality.

Central pulmonary vascular congestion without XXXX edema, consolidation. XXXX bilateral pleural effusions.


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

1. No acute cardiopulmonary abnormalities


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 XXXX due to low lung volumes. Elevated right hemidiaphragm.

1. Marked cardiomegaly. 2. Low lung volumes.


No pneumothorax, pleural effusion , or focal airspace disease. Heart size within normal limits. Cardiomediastinal silhouette is clear. Bony structures appear intact.

Negative for acute cardiopulmonary disease. No fractures identified.


Lung volumes are low. No focal infiltrates. Heart size normal.

Hypoinflation with no visible active cardiopulmonary disease.


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.

1. No acute radiographic cardiopulmonary process.


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.

1. No acute cardiopulmonary abnormality. 2. Mild cardiomegaly, stable.


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

Cardiomegaly with globular appearance of the cardiac silhouette. Considerations would include pericardial effusion or dilated cardiomyopathy.


Surgical XXXX 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. .


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


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.

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 XXXX examination.


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


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.

Mildly hyperinflated lungs, air trapping versus inspiratory XXXX.


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.

1. Mildly elevated right hemidiaphragm. Otherwise no acute cardiopulmonary abnormality seen.


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


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. Multiple small calcified bilateral hilar nodules XXXX sequela of prior granulomatous disease. Radiopaque contrast from recent esophagram projects over the left upper abdomen.


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.


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

Question left atrial enlargement, XXXX appreciated on lateral view. Clear lungs.


Heart size is mildly enlarged. There are diffusely increased interstitial opacities bilaterally. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.

Findings concerning for interstitial edema or infection.


Mediastinum is stable. Retrocardiac lucency XXXX 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 XXXX deformity.

1. No acute cardiopulmonary abnormalities. 2. Multiple chronic changes as described above. .


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


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.


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.


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


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.


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.


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 XXXX are unremarkable.


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


The heart and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, pneumothorax. The osseous structures are intact.


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


The heart is normal in size. The mediastinum is unremarkable. The lungs are mildly hyperlucent but clear. There is denser lumbar scoliosis.


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 XXXX. Lungs otherwise are clear. There is no pleural effusion. Left ribs. No fracture or focal bony destruction.

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 XXXX. If the patient has an outside chest radiograph, comparison can be XXXX and the report addended. 2. Ribs. Normal. Critical result notification documented through Primordial. If there are questions regarding this interpretation, please XXXX XXXX.


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


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 XXXX. XXXX curvature of the thoracic spine. Exaggerated kyphosis. XXXX are diffusely osteopenic. Multilevel degenerative changes of the thoracic spine with minimal anterior XXXX loss of several vertebral bodies.

Chronic changes without acute cardiopulmonary findings.


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 XXXX deformity that is not well-characterized. Arthritic changes are seen.

1. Probable small bilateral pleural effusions. 2. Possible lower thoracic XXXX deformity not well characterized on today's study.


Consolidation and some atelectasis are present in the left lower lobe. Patchy interstitial infiltrates are also present in the right lower lobe. Bilateral costophrenic XXXX blunting is present. Heart and pulmonary XXXX are normal.

Bibasilar airspace disease, left worse right. Bilateral pleural fluid.


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


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

Moderate hypoinflation with associated bibasilar atelectasis.


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

1. Emphysematous changes. 2. Resolution of prior right midlung infiltrate.


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


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


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


Lungs are clear. A calcified small granuloma is present in the left lower lobe. Heart size normal. Mediastinum normal.


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.


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.


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

1. Cardiomegaly with bilateral interstitial opacities. 2. Bilateral effusions and/or atelectasis, right worse than left.


Heart size is normal. Low lung volumes. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures grossly intact.

Low lung volumes without acute cardiopulmonary findings.


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

XXXX change COPD with no acute findings.


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.


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.


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.

1. Hyperexpanded lungs. 2. Otherwise normal chest x-XXXX.


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 XXXX deformity of a midthoracic vertebral body. This is age-indeterminate.

1. No acute cardiopulmonary process. 2. Mild, age-indeterminate wedge XXXX deformity of a midthoracic vertebral body.


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

Clear lungs. No acute cardiopulmonary abnormality. .


No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.


There are 2 ICD leads, one with the tip in the expected region of the right atrium and the other with the tip projected over the midline in the expected region of the right ventricle. Calcified granulomas. Normal heart size. Tortuous aorta. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no evidence of pneumothorax.

There are 2 ICD leads, one with the tip in the expected region of the right atrium and the other with the tip projected over the midline on frontal view, somewhat atypical. However, on lateral view the XXXX is in the expected region of right ventricle. Correlate clinically. This is without significant change compared to XXXX. No significant change in position of the device overlying left chest wall. .


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

Normal chest No evidence of tuberculosis


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


There is stable cavity in the right apex, XXXX 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.

Right upper lobe cavity, consistent with prior tuberculous infection. There is increased right upper lobe opacities XXXX compared to the prior study. This could represent reactivation of tuberculosis or other infection.


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.

1. Focal opacity in the right midlung zone worrisome for pneumonitis. 2. Mild pulmonary vascular congestion.


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

Posterior airspace opacity consistent with developing infection.


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.


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


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.

COPD and probable right basilar scarring. No acute pulmonary disease identified.


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


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


No change lung XXXX. XXXX opacities are present in the right lower lobe. No focal infiltrates. Heart and mediastinum are unremarkable. Aorta normal.

Findings of COPD with right lung base focal atelectasis. No evidence for failure or pneumonia.


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

Mild bilateral streaky opacities, XXXX atelectasis. No acute infiltrate.


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.

No acute cardiopulmonary abnormalities. .


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.


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

1. No acute cardiopulmonary abnormalities.


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


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.


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.


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


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


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.

Low lung volumes with bronchovascular crowding otherwise lungs are clear.


There has been interval increase in size of the cardiac silhouette from XXXX. 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.

Cardiomegaly which appears XXXX from XXXX with probable mild pulmonary edema. .


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.


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.


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 XXXX and vasculature, central airways and lung volumes. No pleural effusion.

No acute or active cardiac, pulmonary or pleural disease.


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.

1. No acute cardiopulmonary finding. 2. Hiatal hernia.


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


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


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


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

Circumscribed structure in the AP XXXX could represent lymphadenopathy, mass, pulmonary arterial abnormality XXXX as aneurysm, or enlargement of the left atrial appendage. As prior chest x-XXXX are not available online at this XXXX should be considered.


Similar mild cardiomegaly. Of the pulmonary vascularity is prominent. No focal consolidations or effusions. No pneumothorax. No acute bony abnormality.

Mild cardiomegaly with XXXX of early failure.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. [Pulmonary vascularity is within normal limits>]. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.

No acute cardiopulmonary abnormality identified.


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 XXXX is noted incidentally, without evidence of XXXX complicating features.


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.


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.


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.


The XXXX examination consists of frontal and lateral radiographs of the chest. Atherosclerotic calcifications of the aortic XXXX 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.

No evidence of acute cardiopulmonary process.


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

1. Cardiac XXXX in stable position. 2. Increase in right and decrease in left basilar atelectasis.


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 XXXX 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.

Chronic changes of emphysema. No acute findings. .


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


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 XXXX fracture of T12.

1. No acute cardiopulmonary abnormality. 2. Wedge-shaped XXXX fracture of T12.


The heart is not enlarged. Lungs are clear. No pleural effusion.