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

1. Vague nodular opacity near the anterior right first rib costicartilage junction. This may be calcification. 2. Minimal streaky atelectasis in the right lung base.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a small stable XXXX foreign body noted over the left chest. There are vascular calcifications over the aortic XXXX. There are mild degenerative changes of the spine.


Lungs are clear. No focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Osseous structures intact.


Heart size upper limits of normal but stable. Tortuous aorta. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..

1. No acute radiographic cardiopulmonary process.


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

1. Hyperexpanded lungs with flattened hemidiaphragm suggesting COPD. 2. Borderline enlarged heart. 3. No acute cardiopulmonary abnormality.


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


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


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.


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

1. Chest. Continued right hemidiaphragm elevation with right lower lobe airspace disease. 2. Right shoulder. Scapular fracture. 3. Clavicle. Acromioclavicular separation.


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


Normal heart and mediastinum. Clear lungs. Trachea is midline. No pneumothorax. No pleural effusion. Radiopaque foreign body overlying left chest.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is no pulmonary nodule identified. There is a left humerus prosthesis partly demonstrated.

No acute cardiopulmonary disease. No evidence for metastatic disease by radiographic evaluation.


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


Lung volumes remain XXXX. XXXX opacity is present in the right middle lobe. No focal infiltrates. Heart size normal.

Continued hypoinflation with right middle lobe focal atelectasis.


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


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


Heart size and pulmonary vascularity appear within normal limits. Descending thoracic aorta is tortuous. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.


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


Right chest XXXX tip low SVC. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Prosthetic right humeral head. Prior lower cervical spine surgery. XXXX deformity at the thoracolumbar junction with an acute kyphosis.


There is minimal scarring within the left lung base. The lungs are otherwise clear. Heart size is normal. No pneumothorax.


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


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

No evidence of acute cardiopulmonary process or significant interval change.


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.


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

No active disease.. No visible cardiopulmonary injuries.


There is scarring in the right mid and upper lung zone with surgical clips identified as well. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.


The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.


The heart size and pulmonary vascularity appear within normal limits. Right hemidiaphragm remains elevated. No pleural effusion is seen. No pneumothorax is identified. No discrete nodules or adenopathy are noted. Degenerative changes are present in the spine. Right XXXX-a-XXXX has been inserted since the previous study. The tip projects over the lower superior XXXX XXXX.


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


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


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


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


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. There is a vague right suprahilar density with elevation of the XXXX fissure most XXXX mild subsegmental atelectasis though superimposed infection cannot be entirely excluded. The remaining lungs are clear. The visualized osseous structures and upper abdomen are unremarkable.

Right upper lobe subsegmental atelectasis. No evidence of heart failure.


Normal cardiac contour. Clear lung XXXX bilaterally. No pleural effusion or pneumothorax. Degenerative seen throughout cervical spine.


Mildly low lung volumes. Lungs are clear without focal air space disease. Persistent mild elevation right hemidiaphragm. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

Stable appearance of the chest without focal air space disease.


XXXX diffuse right lower lobe airspace opacity is present. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.


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

Low lung volume exam. Otherwise, no acute findings. .


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


Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.

Negative for acute cardiopulmonary disease.


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


The lungs are clear 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 mildly enlarged with enlarged right atrium. No focal alveolar consolidation, no definite pleural effusion seen. No pneumothorax.

Cardiomegaly, no acute pulmonary findings


Heart size is normal. No pneumothorax or focal airspace disease. No pleural effusion. Eventration of the right hemidiaphragm. Mild degenerative changes of the thoracic spine without fracture.


Right subclavian catheter, distal tip posterior to the head of the clavicle, the level of the subclavian vein. Low lung volumes. No pleural effusion. Left lower lobe airspace disease, XXXX atelectasis. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact.

1. Right subclavian catheter, distal tip in the region of the subclavian vein at the level of clavicular head. 2. Low lung volumes, with left lower lung atelectasis. .


The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is a stable calcified granuloma within the left lower lobe. There are stable chronic degenerative changes of the thoracic spine.


Lungs are clear. No focal airspace consolidation or pleural effusion. Heart size is normal. No pneumothorax. Calcified lymph XXXX.

Clear lungs. No acute cardiopulmonary abnormality. .


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

No acute cardiopulmonary abnormality identified.


Minimal XXXX opacities at the posterior sulci. A few septal lines of the left lateral sulcus. Otherwise, The lungs are clear with granulomas and XXXX sulci. Heart size upper normal thin LV contour.Unfolded calcified aorta. T-spine small osteophytes.


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


Normal chest No evidence of tuberculosis


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


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


Normal heart size. Clear lungs. No pneumothorax. No pleural effusion.


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


The cardiomediastinal silhouette is within normal limits. There is rounded calcified density within the left lower lobe most consistent with granuloma. Remaining lungs are clear without evidence of focal opacification. No pneumothorax or large pleural effusion. No acute bone abnormality.


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

Mild emphysema. Negative for acute cardiopulmonary abnormality.


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

1. Pulmonary hypoinflation. Otherwise, no acute intrathoracic abnormality.


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


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

No acute cardiopulmonary abnormalities. .


The heart is borderline in size. The mediastinum is stable with changes of XXXX sternotomy and bypass graft. Aorta is atherosclerotic. There are postsurgical changes of the left hemithorax with mild left-sided volume loss as evidenced by diaphragm elevation. Left post thoracotomy rib changes are noted. The right lung is clear. There is no pleural effusion.

Stable left thoracotomy changes with left-sided volume loss. No acute interval change.


Chest  Comparison: There is a 2.6 cm diameter masslike density over the lingula partial obscuration left cardiac XXXX. There may be some ill-defined opacity in the right mid and lower lung zone. No pleural effusion is seen. The heart is borderline enlarged. The aorta is dilated and tortuous. Arthritic changes of the spine are present.  Pelvis and left hip There is an impacted and rotated fracture through the neck of the femur on the left. No pelvic fracture is seen. Arthritic changes are present in the lower lumbar spine. Large amount of stool and XXXX obscures portions of the pelvis.  Femur The femoral images do not XXXX the area of the hip fracture. The remaining portions of the femur appear to be intact with no fracture or destructive process. Extensive atherosclerotic vascular disease throughout the superficial femoral artery is present.  Left knee There is osteoporosis and mild arthritic changes. No fracture is seen. No dislocation is identified. Severe atherosclerotic changes of the superficial femoral and popliteal artery are seen.

Chest. 1. Left lower lobe nodule which is worrisome. If there are no prior films available for comparison XXXX scan for further evaluation. Pelvis and left hip. Rotated subcapital fracture left hip. Femur. 1. No fracture the remaining portions of the femur. Left knee. 1. Normal for age.  Dr. XXXX- XXXX was called and informed of these critical results at XXXX.


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


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


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is bibasal interstitial opacity and left basal platelike opacity XXXX due to discoid atelectasis and/or XXXX scarring. There are emphysematous changes, particularly within the right upper lobe. No XXXX focal airspace consolidation or pleural effusion.

1. COPD. Basilar probable pulmonary fibrosis and scarring. 2. No acute cardiac or pulmonary disease process identified.


The heart and mediastinal silhouettes are within normal limits. The lungs are clear without focal airspace opacity, large effusion, or pneumothorax. The XXXX are grossly intact. Degenerative T-spine osteophytes.

No acute visualized cardiopulmonary abnormality.


There are low lung volumes with bronchovascular crowding as a result. No pleural effusion, pneumothorax or focal airspace disease. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.

Low lung volumes. No acute pulmonary disease.


The heart size and pulmonary vascularity appear within normal limits. Right pleural effusion is present and appears increased. No pneumothorax is identified. Some scattered XXXX of right base atelectasis are seen. Surgical XXXX remain in XXXX. The left lung appears clear.

1. Small right pleural effusion. Increased. 2. No pneumothorax is seen. 3. Scattered XXXX of right base atelectasis.


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.


Stable postsurgical changes. Heart XXXX, mediastinum and lung XXXX are unremarkable. Stable calcified small granuloma in left base.

No radiographic evidence of acute cardiopulmonary disease


Stable marked cardiomegaly. Cardiac XXXX generator projects over the left mid hemithorax with a XXXX terminating in the right ventricle. No focal airspace disease. Mild central pulmonary vascular congestion. The heart has the same configuration as seen previously with a pericardial effusion on an abdominal CT in XXXX.

Cardiomegaly with central pulmonary vascular congestion and no acute cardiopulmonary findings.


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


Low lung volumes are noted. Allowing for technical factors the heart size is XXXX normal. The mediastinum is unremarkable. There is increased bilateral predominantly perihilar interstitial opacity, XXXX consistent with pulmonary edema. There is no pneumothorax or pleural effusion. The XXXX are unremarkable.

1. Increased bilateral interstitial opacity, XXXX consistent with mild interstitial edema.


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


The heart is normal in size. The mediastinal contours are within normal limits. There is mild prominence of the superior mediastinum which is somewhat lucent and XXXX reflects mediastinal and vascular structures. No focal consolidation is seen. There is no pleural effusion.

1. Hypoinflation without acute parenchymal infiltrate. 2. Mild mediastinal prominence XXXX related to superimposed XXXX and mediastinal fat.


Heart size is unchanged. Aortic calcification is noted. No pneumothorax. No large pleural effusions. There are unchanged XXXX opacities throughout the lungs which XXXX represent scarring. Lungs are hyperexpanded.

No acute cardiopulmonary abnormalities. Stable chronic lung disease. .


Heart size within normal limits. Trachea is midline. The lung volumes are is somewhat low. Both lungs are otherwise clear bilaterally. No pleural effusion. No pulmonary nodules visualized.


The heart is normal in size. The mediastinum is stable. There are postsurgical changes of the left breast. The lungs are clear.


Stable cardiomediastinal silhouette. Mild congestion without edema. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Redemonstrated are endplate depressions of the vertebral bodies, compatible with XXXX cell changes.

1. Stable chest with no acute cardiopulmonary abnormality.


The heart size is normal. There is normal cardiomediastinal silhouette. Lungs are clear bilaterally. Thoracic spine shows anterior osteophyte formation.


The cardiomediastinal silhouette is within normal limits for appearance. Calcified right hilar lymph XXXX are demonstrated. Atherosclerotic calcifications of the aortic XXXX. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild to moderate degenerative changes of the thoracic spine.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are degenerative changes of the thoracic spine. There is a calcified granuloma identified in the right suprahilar region. The aorta is mildly tortuous and ectatic. There is asymmetric right apical smooth pleural thickening. There are severe degenerative changes of the XXXX.


Stable cardiomegaly. XXXX sternotomy XXXX are intact. No pneumothorax or pleural effusion. XXXX calcific density in the left mid to upper lung XXXX represents old granulomatous disease. No focal consolidation. Stable moderate thoracic levoscoliosis and mild thoracolumbar dextroscoliosis.

1. Stable cardiomegaly with no focal airspace disease. 2. Stable moderate thoracic levoscoliosis and mild thoracolumbar dextroscoliosis. .


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

1. Patchy left lower lobe airspace disease, concerning for pneumonia. 2. Right upper lobe opacity, favoring scarring and/or granulomas. .


XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Pacemaker leads are within the right atrium and ventricle. Lungs demonstrate there is right lower lobe airspace disease and small effusion suspicious for pneumonia. Left lung is clear. There is no pneumothorax.

1. Right lower lobe airspace disease and small effusion probably representing pneumonia.


The heart is normal in size. Mild fullness of the left hilum, small interval change from prior exam. Lucencies throughout the chest XXXX representing emphysematous change. Scattered bilateral calcified granulomas. No pneumothorax. Large hiatal hernia, increased from prior exam.

1. Increased left hilar fullness. This may represent superimposed XXXX, adenopathy cannot be excluded on this exam. If there is clinical concern, suggest reference to prior exam or CT chest. 2. Large hiatal hernia, increased in size from prior exam.


Normal heart size. Dilated pulmonary arteries. Atherosclerotic calcifications of the aorta. No focal airspace consolidation. Decreased biapical vascular markings with moderate hyperexpansion the lungs, consistent with obstructive pulmonary disease. No pleural effusion or pneumothorax.

1. Moderate hyperinflation of the lungs. 2. Dilated pulmonary arteries. This may reflect pulmonary hypertension.


Normal heart size and mediastinal contours. Calcified aortic XXXX. Calcified granuloma in the anterior segment of the right lower lobe. No pleural effusion or pneumothorax. Degenerative disc disease the thoracic spine. Coronary artery stent.


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


The lungs remain hyperexpanded. No masses or infiltrates in the lungs. No pleural or mediastinal air collections. Heart size normal.

Chronic obstructive pulmonary disease with no acute findings.


Chest. The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left and right XXXX. Osteophytes are present at the acromioclavicular joints bilaterally and also on the humeral necks. The right glenohumeral joint is normal, but the left is narrowed. No fractures or bone destruction.

1. Chest. No active disease. 2. Left and right XXXX. Bilateral degenerative joint disease, left worse than right.


The lungs are without focal air space opacity. There is no pneumothorax or large pleural effusion. The cardiomediastinal silhouette is normal in size and contour.


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


There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits. There are mild thoracic spine degenerative changes.


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


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

No acute radiographic cardiopulmonary process.


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

No acute cardiopulmonary abnormality identified.


There is a hiatal hernia. Right chest XXXX tip projects over the upper SVC. Stable granulomatous disease. Lungs are clear. Heart size is normal. No pneumothorax.


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


Lungs mildly hyperinflated with flattened posterior diaphragm and increased retrosternal airspace. No focal alveolar consolidation, no definite pleural effusion seen. Left hilar calcifications and dense left lower lobe nodules suggest a previous granulomatous process. Overall heart size within normal limits with prominent right atrial convexity, no typical findings of pulmonary edema. No pneumothorax.

1. Hyperinflated lungs, air trapping versus inspiratory XXXX. 2. Question mild right atrial enlargement, no findings to suggest pulmonary edema.


No acute osseous abnormality. Scattered degenerative changes throughout the thoracic spine. Normal heart size. Tortuous and dilated aorta. Chronic interstitial markings. Left base opacity. No pneumothorax or pleural effusion.


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


There are no acute osseous abnormalities. Questionable old left posterior third and fourth rib fractures. Visualized soft tissues are within normal limits. Normal heart size. Normal hilar vascular markings. Subtle prominence of interstitial markings in the bases, left worse than right. No focal area of consolidation, pleural effusion, or pneumothorax.

Subtle interstitial markings bilateral, may represent mild pulmonary edema or chronic interstitial changes.


Heart size is normal. Mediastinal contour and pulmonary vascularity within normal limits. No focal airspace consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.

Clear lungs, no acute cardiopulmonary abnormality.


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


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


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


The heart is normal in size. The mediastinum is grossly within normal limits. Moderate thoracolumbar scoliosis and patient rotation somewhat limits evaluation of the mediastinum. The lungs are clear.


No focal consolidation. No visualized pneumothorax. Heart size is normal. Cardiac and mediastinal silhouette is grossly unremarkable.


Heart and mediastinum are at the upper limits of normal size. There is no focal consolidation, pneumothorax, or large pleural effusion. There is no acute, displaced rib fracture. Bony structures are unremarkable.


Cardiac and mediastinal contours are within normal limits. The lungs are clear. Left axillary surgical clips. Bony structures are intact.


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. Mild bilateral acromioclavicular joint and thoracic spine degenerative changes are noted.


Stable cardiomediastinal silhouette. Pulmonary vascular is unremarkable lungs are expanded and clear of airspace disease. Negative for pneumothorax, pneumomediastinum, or pleural effusion. Limited evaluation reveals the XXXX XXXX to be grossly intact. Prominent rib cartilage of the anterior lower ribs seen on lateral view.

1. No acute cardiopulmonary abnormality.


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

1. Mild cardiomegaly. 2. Otherwise, no acute cardiopulmonary abnormalities.


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


Postsurgical changes of XXXX sternotomy with screw fixation of anterior XXXX plates. Heart size and cardiomediastinal silhouette are normal. No focal consolidation, suspicious bony opacity, pneumothorax, or pleural effusion. No acute osseous abnormality.

Interval postsurgical changes of XXXX sternotomy without acute cardiopulmonary abnormality.


Heart size and mediastinal contours appear within normal limits. Eventration of the right hemidiaphragm. No focal lung consolidation, pleural effusion or pneumothorax. No acute bony abnormality.


In the interval, consolidation has developed in the left upper lobe. Also, anterior segment XXXX opacity is present. Right lung remains clear. Heart size is normal.

Developing left upper lobe consolidation and focal atelectasis, consistent with pneumonitis.


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


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.


Hyperexpanded lungs with flattened hemidiaphragms, consistent with emphysema. There is streaky airspace opacities in the left suprahilar and lingular regions. No pneumothorax or effusions. Mild bilateral costophrenic XXXX blunting XXXX represents pleural thickening and scarring. Degenerative changes of the thoracic spine.

Emphysematous changes with streaky opacities in the left perihilar and lingular regions, XXXX focal atelectasis and scarring.


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


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

1. Elevated left diaphragm. 2. No focal airspace disease.


Stable left lower lung increased interstitial markings. No XXXX focal alveolar opacities. Low lung volumes. Heart size is normal. No pneumothorax or pleural effusions.

Stable left lower lung interstitial infiltrates or fibrosis. No acute cardiopulmonary findings.


Lung volumes are low. In the interval, a patchy infiltrate has developed in the right lower lobe. Heart and pulmonary XXXX are normal.

XXXX. XXXX patchy right lower lobe infiltrate consistent with pneumonia.


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


Heart size and mediastinal contour normal. Lungs are clear except for residuals of prior granulomatous infection. No pleural effusions or pneumothoraces.


Sequelae of old granulomatous disease. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.


XXXX sternotomy XXXX and mediastinal postsurgical changes. Stable cardiomegaly. Crowded bronchovascular and interstitial markings XXXX related to low lung volumes and technique. Grossly stable appearance of the lungs compared to prior exam without overt edema or gross airspace consolidation.


Normal heart size. Stable tortuous aorta. No pneumothorax or pleural effusion. No suspicious focal air space opacities. Levoscoliosis of the thoracolumbar spine. Hyperinflated lungs with flattened diaphragms are consistent with emphysematous lung changes. Prior granulomatous disease.

Stable emphysematous lung changes. No acute abnormality seen.


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


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

no radiographic evidence of tuberculosis or sarcoidosis.


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

No radiographic evidence of acute cardiopulmonary disease


This study is limited by the patient body habitus. Lungs appear to be clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.

Limited study but no evidence for acute pulmonary disease.


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.


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.


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


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


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


PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is within limits. Postoperative changes from spinal rods are demonstrated. There is elevation of the left hemidiaphragm. Multiple colonic loops are demonstrated in the left upper quadrant. The lungs are clear bilaterally. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation.

1. No active cardiopulmonary disease. 2. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation. This is XXXX related to the muscular dystrophy and decreased shoulder muscles support. 3. XXXX postoperative changes from the spinal XXXX placement.


Heart size mildly enlarged. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax. S-shaped spine curvature noted.

Cardiomegaly, no acute pulmonary findings


Irregularity within the right apex is consistent with patient's known cavitary lesion as a sequela of prior tuberculosis. No evidence of active infection. No focal consolidations, pneumothorax, or effusions identified. Paramediastinal silhouette is stable and within normal limits and no acute bony abnormality is identified.

Right apical cavitary lesion consistent with history of tuberculosis without active infectious process identified.


Heart size is normal. No focal airspace disease. Emphysema. Bibasilar pleural scarring. No pneumothorax or effusion.


Calcified thoracic aorta. Mild rightward deviation of the trachea, unchanged from comparison XXXX, XXXX secondary to a goiter. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Advanced degenerative change of the thoracic spine.


Minimal right sided perihilar atelectasis. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal.

1. No acute cardiopulmonary abnormality. No active disease.


Lungs are clear. Heart is normal size. Trachea is midline. No pneumothorax. No large pleural effusion.


Lucency crosses the 10th left posterior rib. Visualized portions of the thoracic spine are unremarkable. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.

Question of posterior 10 rib fracture, correlate with XXXX tenderness.


There is stable left costophrenic XXXX blunting. The patient has undergone prior left lobectomy. There are chronic appearing right basilar interstitial markings. Heart size normal. No visualized pneumothorax. There is stable appearing left upper and right upper lobe bullous disease.

1. No acute cardiopulmonary findings. 2. Unchanged chronic appearance of the left lung.


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


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


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


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


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

XXXX opacity in left lung base XXXX represents atelectasis or scarring.


No focal areas of consolidation. No pleural effusions. No pneumothorax. Degenerative changes thoracic spine. Heart size normal limits. Cholecystectomy clips.


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


Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. No suspicious pulmonary nodules or masses. Bony thorax and soft tissues grossly unremarkable.

No radiographic evidence of acute cardiopulmonary abnormality.


No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette is grossly unremarkable. There is motion artifact on the lateral radiograph.


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.


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


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.


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


There is an marked interval increase in heart size. The heart also demonstrates the XXXX XXXX configuration, compatible with pericardial effusion. A small right pleural effusion the present. The lungs are otherwise clear without focal infiltrates. Normal pulmonary vascularity. No pneumothorax.


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


The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. Emphysematous changes are identified. There is no acute infiltrate or effusion.


The lungs are hyperexpanded. Heart size normal. No mass or focal opacities seen. Stable degenerative changes of the thoracic spine.

1. No acute cardiopulmonary process. 2. Emphysematous changes in the lungs. .


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


Lungs are clear. No pneumothorax or pleural effusion. Normal heart and mediastinal contours. Normal pulmonary vasculature. Bony thorax intact.


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


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

1. No focal airspace consolidation. 2. Hyperexpanded lungs, suggestive of obstructive lung disease.


There is bibasilar airspace disease. Cardiac silhouette is within normal limits and stable. There is blunting of the right costophrenic XXXX unchanged XXXX scarring. No pneumothorax.


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


Scattered calcified pulmonary nodules, XXXX represents calcified granulomas. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Stable calcified hilar and mediastinal lymph XXXX, XXXX decreased in size from prior exam. Heart size is normal. XXXX are unremarkable.


PA and lateral views the chest were obtained. There are low lung volumes on the frontal view, which accentuates heart size and lung markings. The heart size is upper limits normal or mildly enlarged. Mediastinum normal width. The pulmonary vasculature is within normal limits. There is left lung base atelectasis on frontal XXXX XXXX secondary to low volumes. No pneumothorax, pleural effusion, or focal air space consolidation.

Low lung volumes with crowding. Mild left base atelectasis.


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


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


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.


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


No focal consolidation, pneumothorax, or pleural effusions. Stable calcified granulomas. Cardiomediastinal silhouette demonstrates mild tortuosity of the thoracic aorta and atherosclerotic calcifications of the aortic XXXX. No acute osseous abnormality identified.


There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits. The cardiac XXXX generator overlies left upper thorax with XXXX XXXX tips overlying the right atrium and ventricles.


Heart XXXX, mediastinum, XXXX, bony structures are unremarkable. Stable increased lung volumes consistent with chronic lung disease. No XXXX infiltrates noted.


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

1. No acute radiographic cardiopulmonary process.


The cardiac silhouette is at the upper limits of normal for size. Patchy opacities are demonstrated in the left lung base. No focal pulmonary consolidation. No pneumothorax. Minimal degenerative changes of the thoracic spine.

1. Patchy left basilar subsegmental atelectasis, infiltrates and/or small left pleural effusion. .


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


Overall low lung lines. There is scarring or subsegmental atelectasis at the right lung base. In the left lower lobe there is airspace disease consistent with pneumonia. No pneumothorax. Heart and mediastinum are stable given the lung volumes. Degenerative changes in the spine.

1. Left lower lobe pneumonia and minimal scarring or subsegmental atelectasis in the right lung base.


Frontal and lateral views of the chest show normal size of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.

No acute or active cardiac, pulmonary or pleural disease.


Lungs are clear. No focal infiltrate or effusion. No pneumothorax. Heart and mediastinal contours within normal limits. There are significant degenerative changes of the thoracic spine.


Heart size is normal. No focal consolidations. There is a 6 mm calcified granuloma at the medial right lung base. No pneumothorax or pleural effusion.


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


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

Cardiomegaly and pulmonary venous hypertension.


The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Mild scoliosis and degenerative changes of the thoracic spine noted.


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


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


The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Stable calcified granuloma in the left upper lung. No acute bony abnormality is identified.


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


Trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. There is dextroscoliosis of the lower thoracic spine.


No focal consolidation, pneumothorax, or pleural effusion identified. However, there is a 1.7 cm nodular opacity within the right hilum, which may represent partially calcified granuloma or lymphadenopathy. Scattered calcified granulomas also seen. Heart size is upper limit normal. No acute bony abnormality.

1. No acute cardiopulmonary abnormality. 2. 1.7 cm nodular opacity within the right hilum, there is XXXX large lymph node or partially calcified granuloma. Followup XXXX radiograph to assess stability may be of benefit.


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


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

1. Bibasilar airspace disease left greater than right. 2. Stable postsurgical changes with colonic interposition overlying the mediastinum.


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


There is stable, mild enlargement of the cardiac silhouette. Stable mediastinal silhouette. There are low lung volumes with bronchovascular crowding. Scattered XXXX opacities in the right lung base XXXX representing foci of subsegmental atelectasis with scattered airspace opacities in the medial left lower lobe. No pneumothorax. No pleural effusion. Degenerative changes of the thoracic spine possibly consistent with DISH.

1. Low lung volumes with mild cardiomegaly and scattered right basilar subsegmental atelectasis and scattered retrocardiac airspace opacities.


The heart size and pulmonary vascularity appear within normal units. No pleural effusion or pneumothorax is seen. Bandlike opacities are present in the right base consistent with areas of atelectasis. Remainder of the lungs appear clear.

Bandlike opacities in the right base. Appearance suggests atelectasis.


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


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

Approximately 4.8 cm mass in the left lower hemithorax. This is favored to be arising from the chest wall and be pleural based. A CT of the chest is recommended for further evaluation. Critical result notification documented through Primordial.


No interval change is found in the bony thorax. The heart size remains normal with an ectatic tortuous aorta. The pulmonary vasculature is not engorged. Lungs are free of infiltrate and there is no pleural effusion. The fullness to the right hilum is again noted but this is unchanged suggesting no progression of the retrohilar nodule XXXX on the CT scan. No XXXX pulmonary nodule is found.

Stable chest radiograph with no acute or progressive abnormality. There is no suggestion of enlargement of the known right retrohilar pulmonary nodule or XXXX pulmonary nodularity.


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


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Multiple XXXX-filled loops of bowel are present. Gastrostomy is noted.


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


The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is minimal XXXX atelectasis or scar in the left lung base. The lungs are otherwise grossly clear. There is a small calcified granuloma in the left upper lobe. There is no pneumothorax or pleural effusion. No acute, displaced rib fractures are demonstrated.

1. Minimal left basilar atelectasis or scar. 2. No acute, displaced rib fractures demonstrated. .


There are biapical opacities, possibly scarring. Lungs otherwise appear clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. Right-sided chest XXXX catheter tip is at the lower SVC. Several right axillary surgical clips are noted. There are postoperative changes of right mastectomy.

No acute findings. Biapical opacities, XXXX scarring.


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


The heart is normal in size. The mediastinum is unremarkable. Small nodule in the right upper lung is stable. The lungs are otherwise clear.

Small right upper lobe nodule, stable. Otherwise, no acute disease.


The heart is top normal in size. The mediastinum is stable. Aorta is tortuous and atherosclerotic. Lungs are mildly hypoinflated. No acute infiltrate is seen.


The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. A calcified granuloma is redemonstrated in the right middle lobe. The thoracic spine appears intact.


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

Negative for acute cardiopulmonary abnormality.


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

1. No acute cardiopulmonary abnormality. 2. No suspicious masses or nodules.


There is a left base opacity. The right lung is grossly clear. Heart size is normal. Left venous catheter with tip in the right atrium. There is no pneumothorax.

1. Left base airspace disease. 2. Left venous catheter with tip in the right atrium.


The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Right chest wall surgical clips, compatible with prior lumpectomy. Negative for acute bone abnormality.


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

No acute process. No definite pulmonary nodules are seen. If clinically indicated, further evaluation with CT of the thorax can be performed to identify a small nodule. Correlation with prior radiographs would be helpful to identify the location of the previously described nodule.


Heart XXXX, mediastinum, XXXX, bony structures are unremarkable. Possible subtle increased opacity in right apex versus technique. Otherwise no significant interval change compared to prior study

Possible subtle increased opacity in right apex otherwise unremarkable appearance of lung XXXX


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


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


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


There are low lung volumes. The cardiac silhouette and mediastinal contours are within normal limits. There is tortuosity of the thoracic aorta. No pneumothorax. No large pleural effusion.

Low lung volumes without acute cardiopulmonary disease.


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

1. Marked bullous emphysematous changes and traction bronchiectasis, again most notable involving the bilateral upper lobes. Stable suspected superimposed left upper lobe aspergilloma - as more readily demonstrated on the previous CT chest study from XXXX.


The heart is top normal in size. The mediastinum is stable. There is a small retrocardiac density which may be secondary to small hiatal hernia. Left IJ catheter tip at cavoatrial junction. No pneumothorax is seen. The lungs are clear.


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

No radiographic evidence of acute cardiopulmonary disease.


The lungs are clear. No focal air space consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.


The lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. The heart is not enlarged. Some atherosclerotic changes of the aorta are seen. The skeletal structures are normal.


Surgical clips within the right upper quadrant. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.


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


Heart size within normal limits. No focal airspace disease. No pneumothorax or effusion. Mild degenerative change in the thoracic spine.


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


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


No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Heart size normal.

Negative for acute cardiopulmonary disease.


The heart and mediastinum are unremarkable. There is mild calcification of the aortic XXXX, consistent with atherosclerosis. The lung volumes are low, with bronchovascular crowding. The lungs are clear without infiltrate. There is no effusion or pneumothorax. Moderate degenerative changes of the spine.

1. Low lung volume study, no acute pulmonary process.


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


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


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

1. No acute radiographic cardiopulmonary process.


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


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


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


Prominent interstitial markings. There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.

Prominent interstitial markings, XXXX represent XXXX bronchiolitis. No focal areas of consolidation. .


Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Lungs are expanded and clear airspace disease. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX to be grossly intact.

1. No acute cardiopulmonary abnormality.


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

Clear lungs, no focal airspace consolidation.


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 several age-indeterminate left-sided rib fractures noted. There is a calcified right hilar lymph node. There basilar calcified granulomas. There minimal degenerative changes of the spine.

Multiple age-indeterminate left-sided rib fractures.


There is a cardiac pacemaker. Leads overlie the right atrium and right ventricle. The leads appear intact. There are XXXX left lower lobe opacities, XXXX subsegmental atelectasis or scarring. There are mild right apical opacities, XXXX scarring. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. There are mild diffuse degenerative changes of the spine.

1. No acute findings. 2. XXXX left basilar opacities, XXXX subsegmental atelectasis or scarring. 3. Right apical opacities; the appearance XXXX scarring.


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. A few bandlike opacities are present which are XXXX to represent small areas of scarring or atelectasis. There is eventration of the right hemidiaphragm. Calcified granuloma is present in the left lung.


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

1. Limited low lung volume exam. 2. Otherwise, no acute cardiopulmonary abnormality.


There is mild cardiomegaly. The aorta is tortuous. There is XXXX opacities noted in the right lower lobe, XXXX subsegmental atelectasis. There is no pneumothorax or effusion. No displaced rib fractures. If there is high clinical concern, consider dedicated rib views for further evaluation.

Mild cardiomegaly, with subsegmental atelectasis in the right lower lobe.


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


Heart size and mediastinal contours are within normal limits given AP projection. The right lung appears clear. There is minimal patchy atelectasis or early infiltrate in left lung base. No visible pleural effusion or pneumothorax. There is a partially visualized IVC XXXX on the lateral view. There are partially visualized surgical changes the cervical spine compatible with prior fusion procedure.

Minimal patchy left basilar atelectasis or infiltrate.


The cardiomediastinal silhouette is normal. No focal airspace consolidation. No pneumothorax or pleural effusion.


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

Negative acute cardiopulmonary abnormality.


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


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


The aortic XXXX, cardiac apex, and stomach are left-sided. The cardiomediastinal silhouette is significantly enlarged. Pulmonary vascular markings centrally are within normal limits and symmetric. Increased interstitial markings bilaterally at the lung bases. This may be related to chronic interstitial changes or edema. No focal airspace disease. No pleural effusion or pneumothorax. No acute bony abnormality.

1. Marked cardiomegaly. 2. Increased interstitial markings in the lower lungs, edema versus chronic interstitial changes.


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


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


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


The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.


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

No acute cardiopulmonary findings. Specifically, no radiographic evidence of active tuberculosis.


The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis. Lower cervical degenerative arthritis.


Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Negative for pneumoperitoneum. Mild degenerative changes of the thoracic spine.

Negative for acute cardiopulmonary abnormality.


There is a XXXX opacity projecting over the left midlung, posterior on the lateral view. No pleural effusions. No evidence of pneumothorax. Heart size top normal. Degenerative changes thoracic spine.

XXXX opacity projecting over the left midlung. Comparison examinations would be useful. If no comparison examinations exist, XXXX would be helpful for further evaluation. .


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


Normal chest No evidence of sarcoidosis.


The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion or pneumothorax. The bony structures are normal.


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


The heart size is at the upper limits of normal. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild chronic degenerative changes are present within the thoracic spine..


Heart size is mildly enlarged. The 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.


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


Mild hypoventilation with bronchovascular crowding and prominent central and basilar interstitial markings. No focal alveolar consolidation, no pleural effusion demonstrated. Considering technical factors heart size XXXX within normal limits.

Prominent interstitial markings in the central lungs and bases which may be secondary to low lung volumes with bronchovascular crowding, differential considerations include interstitial infiltrates of inflammatory or infectious etiology and mild pulmonary edema. Clinical correlation is recommended.


There are low lung volumes. The cardiac silhouette, upper mediastinum pulmonary vasculature are within normal limits. There is no acute pulmonary consolidation, pleural effusion or pneumothorax.


The cardiac silhouette is borderline enlarged. Otherwise, there is no focal opacity. Mediastinal contours are within normal limits. There is no large pleural effusion. No pneumothorax.

Borderline enlargement of the cardiac silhouette without acute pulmonary disease.


Chest. Both lungs are clear and expanded with no pleural air collections or parenchymal consolidations. Heart and mediastinum remain normal. Lumbosacral spine. XXXX, disc spaces, and alignment are normal. Sacrum and sacroiliac joints are normal.

1. Chest. No active disease. 2. Lumbar spine negative.


There are stable postoperative changes of left thoracotomy and left upper lobectomy. The lungs are clear. No focal airspace consolidation. No suspicious pulmonary mass or nodule is seen. There is no pleural effusion or pneumothorax. Stable elevation of the left hemidiaphragm. Normal heart size and mediastinal contour.

Postoperative changes of left upper lobectomy. No acute findings.


Heart size and pulmonary vascularity are within normal limits. No focal infiltrate, pneumothorax or pleural effusion is identified.


The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax large pleural effusion.


The cardiac contours are normal. The lungs are underinflated, but XXXX given the underinflation, the XXXX appear enlarged, more XXXX than on the exam and XXXX. Osteophytic degeneration kyphotic thoracic spine. Mid and lower thoracic vertebroplasty has been performed. A right-sided chest XXXX is present with its tip in the upper SVC.

1. No active infiltrate. 2. Marked enlargement of the XXXX bilaterally, increased since the prior XXXX, XXXX adenopathy. 3. Underinflated lungs with basilar atelectasis.


Low lung volumes bilaterally with bibasilar airspace opacities, right greater than left. There is blunting of the bilateral costophrenic sulci. Cardiac device overlies left chest, leads intact, tips overlying right atrium and right ventricle. No pneumothorax. Cardiomegaly. Degenerative changes of the spine.

Cardiomegaly with bibasilar airspace disease and bilateral pleural effusions, right greater than left. .


Low lung volumes. Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascularity is within normal limits. Lungs are clear airspace disease. Negative for pneumothorax or pleural effusion. XXXX XXXX are grossly intact.

1. No acute cardiopulmonary abnormality.


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


The heart size and pulmonary vascularity appear within normal limits. Left XXXX-a-XXXX is in XXXX. No pleural effusion or pneumothorax is seen. Right upper lobe area of dense opacity is seen in the medial right apex. On a previous outside XXXX scan (XXXX), the right upper lobe was consolidated. Comparison to the XXXX XXXX from that exam shows this opacity to have decreased. No films were available, however, for direct comparison.

1. Right upper lobe opacity which appears improved as compared to previous XXXX scan.


Low lung volumes bilaterally, with lungs otherwise grossly clear. No focal consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal silhouette is unremarkable. No acute osseous abnormalities identified.

Low lung volumes without acute cardiopulmonary abnormality.


Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing left lateral rib deformities.

1. No acute cardiopulmonary abnormality. 2. Interval development of healing left sided rib fractures.


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


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


The cardiac contours are normal. Aortic calcification. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.


Heart size is mildly enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma in the right lung base. There are mild degenerative changes of the spine. There are some chronic increased interstitial markings noted.

Cardiomegaly without superimposed acute disease identified.


Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.

No acute or active cardiac, pulmonary or pleural disease.


Heart size is normal. The lungs are clear. No pneumothorax or pleural effusion.


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


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


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


Soft tissue and bony structures unremarkable. Heart size is upper limit of normal. Lung XXXX are clear. No effusion or pneumothorax. Calcified lymph XXXX stable from prior exam.


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


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


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


No acute osseous abnormalities. Left midlung, and basilar streaky opacity. There is elevation of the left hemidiaphragm. No pneumothorax. Small calcified 8 cm granuloma adjacent to the right diaphragm within the right chest. Cardiomediastinal silhouette is within normal limits.

No acute osseous abnormalities. If continued clinical concern for rib fracture dedicated rib films will be helpful. Left midlung, and left basilar streaky opacity may represent atelectasis.


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


Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion. There are degenerative changes of the midthoracic spine.


There is minimal scarring in the lung apices. The lungs are otherwise clear. Heart size is normal. No pneumothorax. There is dextrocurvature within the spine.


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


Heart size is mildly enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is biapical scarring noted. There is slight bilateral costovertebral XXXX blunting which may indicate XXXX effusions. No pneumothorax is identified. There is no focal air space opacity to suggest a pneumonia. There is a left-sided dual-XXXX XXXX unchanged from the comparison study with leads in expected position.

Left-sided dual-XXXX pacemaker as expected. Possible XXXX effusions.


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


Stable appearance of the esophagogastric tube and left PICC. Stable tubing overlying the midabdomen.. Persistent patchy retrocardiac airspace opacity XXXX atelectasis.. Severe stable scoliotic changes of the spine..


The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is no obvious lytic or destructive lesion. No displaced rib fracture is evident.


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


XXXX opacities in the lung bases are slightly worse XXXX compared to prior study. Lung volumes are low. Heart size and pulmonary XXXX are normal. There no focal airspace opacities to suggest pneumonia. The patient is status post XXXX sternotomy. There calcifications of the thoracic aorta.

1. Worsening bibasilar subpleural interstitial opacities suggestive of interstitial lung disease. High-resolution XXXX would be recommended to evaluate these findings 2. No evidence of acute pneumonia


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


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


The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac contour is within normal limits. Compared to prior exam, there is XXXX prominence of the mediastinal contour near the right hilum. This may represent the ascending aorta or mediastinal lymphadenopathy. CT chest with contrast may be helpful for further evaluation. There are mild degenerative changes of the thoracic spine.

XXXX prominence of the mediastinal contour near the right hilum possibly representing the ascending aorta or mediastinal lymphadenopathy. CT chest with contrast may be helpful for further evaluation.


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

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


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


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


The heart is near top normal in size with tortuosity of the aorta. The pulmonary vascular markings are symmetric and normal. There are low lung volumes with XXXX opacities consistent with focal atelectasis. There is no pleural effusion or pneumothorax. There are degenerative changes in thoracic spine and thoracic kyphosis.

Low lung volumes with XXXX opacities consistent with focal atelectasis.


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.


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

No acute cardiopulmonary process. No evidence of active tuberculosis.


Stable borderline enlarged cardiac contour. Calcified mediastinal lymph XXXX. Prominent right paratracheal stripe. Emphysema. No active pulmonary disease. Mild spondylosis.

Stable appearance of the chest, see above.


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


Lungs are hyperinflated with interstitial changes of severe emphysema. There is an ill-defined pleural parenchymal opacity in the left upper lobe. This may represent scarring but is incompletely evaluated on the outside study, without coronal and sagittal reformats. There is mild XXXX scarring and/or atelectasis in the lung bases. Lungs otherwise grossly clear. There is no pneumothorax or pleural effusion. Heart size is normal. There are mild degenerative endplate changes in the thoracic spine. There is generalized osteopenia.

1. Severe emphysema. 2. Irregular, pleural-parenchymal opacity in left upper lobe. This may irregular pleural-parenchymal scarring, however, recommend comparison with more remote outside imaging, if available to determine long-term stability. If none are available, recommend short-term XXXX in 3 to 4 months. Evaluation of coronal and sagittal reformatted images from the outside study would also be helpful. These were not XXXX available at the outside institution. Malignancy cannot be confidently excluded on the available images.


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

1. XXXX opacities at the lateral left base. The appearance XXXX atelectasis.


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


The heart size is normal. The mediastinal contour is within normal limits. Low lung volumes and bronchovascular crowding. Mild bibasilar opacities, XXXX atelectasis. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Stable degenerative change throughout the thoracic spine. Stable thoracolumbar retrolisthesis. There is no visible free intraperitoneal air under the diaphragm.

No acute radiographic cardiopulmonary process.


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


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


Redemonstration of azygos lobe. Redemonstrated left perihilar nodular opacity, similar in size from previous examination. Dense appearing, may be granulomatous. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. XXXX. Limited exam, for evaluation of fractures. However, no evidence for displaced rib fracture.

1. Left perihilar nodular opacity redemonstrated, appears dense, may be granulomatous, if desired one may consider CT for further characterization. 2. No acute cardiopulmonary abnormality. Redemonstrated azygos lobe. 3. No fracture visible. If clinical concern persists, consider dedicated rib series.


The heart is normal in size. There is bihilar prominence. The lungs are clear.

Bihilar prominence may be secondary mild lymphoid enlargement. Followup chest x-XXXX versus further imaging XXXX may be indicated. Correlation with prior films would be helpful if available.


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


Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable.

No radiographic evidence of acute cardiopulmonary disease


There is stable cardiomegaly. Right pleural effusion is slightly increased in size. Pulmonary vasculature is persistently enlarged. Prominent interstitium is stable. No XXXX focal infiltrate. No pneumothorax. Visualized osseous structures intact.

Stable cardiomegaly and XXXX of interstitial edema with small but increasing right pleural effusion.


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


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

1. Ill-defined opacity in the lingula. Increased since the previous study. May represent increased atelectasis or scarring.


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


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


Status post posterior spinal fusion. Status post XXXX sternotomy. Stable position of the cardiac XXXX and leads. The cardiac silhouette and mediastinum size are normal. The lungs are clear.

1. Stable position of the cardiac XXXX and leads. 2. Normal cardiac size with clear lungs.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated with flattening of the diaphragms and expansion of the retrosternal clear space. Compared with prior exam, there has been interval resolution of previously demonstrated bibasilar infiltrates. There is minimal XXXX scarring or atelectasis in the right midlung. There is no XXXX focal airspace disease. There is no pneumothorax or pleural effusion. There are no acute bony findings.

1. Interval resolution of bibasilar airspace disease. 2. Hyperinflation with chronic changes of emphysema. .


The heart is normal in size. The mediastinum is unremarkable. Mild hyperinflation is noted. There are granulomatous sequela. No acute infiltrate or significant pleural effusion are noted. The costophrenic XXXX are excluded.


Lumbar and are low. No infiltrates. Heart size normal. A large hiatal hernia is present. An age-indeterminate XXXX fracture is present in the lower thoracic vertebra. Scoliosis is present in the thoracic and thoracolumbar spine.

No visible active cardiopulmonary disease.


Cardiac and mediastinal contours are within normal limits. The lungs are clear. Multilevel cervical XXXX arthritis.


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


Sequelae of old granulomatous disease. Vague patchy opacity in the right midlung which may represent early pneumonia. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

Vague patchy opacity in the right midlung which may represent an early pneumonia given patient's history.


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

Clear lungs. No acute cardiopulmonary abnormality. .


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


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


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


There is a calcified granuloma in the right midlung zone. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. Surgical clips are present in the right upper quadrant.


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


Lungs remain clear and expanded. Heart and mediastinum normal.


The heart is normal in size and contour. There is no mediastinal widening. No focal air space disease. Prominent hilar XXXX. No large pleural effusion or pneumothorax. The XXXX are intact.


The heart is normal in size and contour. There is no mediastinal widening. No focal airspace disease. Left upper lobe granuloma. No evidence of active tuberculosis. Stable chronic blunting of the right costophrenic XXXX. No pneumothorax. The XXXX are intact.

No acute cardiopulmonary abnormalities. Specifically, no evidence of active tuberculosis.


The lungs and pleural spaces show no acute abnormality. Heart size within normal limits. There is tortuosity of the descending thoracic aorta, unchanged. There is right paratracheal thickening and bilateral hilar enlargement corresponding to lymphadenopathy and XXXX pulmonary arterial enlargement visualized on XXXX chest in XXXX. Radiographically, the findings are grossly stable.

1. No acute pulmonary abnormality. 2. Abnormal appearance of the mediastinum as discussed below.


Cardiac silhouette within normal limits. Central pulmonary vasculature is not engorged. No pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. No edema or focal consolidation in the lungs.

No evidence of acute cardiopulmonary process.


Cardiomegaly. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax.

Cardiomegaly similar to prior examination. Negative for evidence of acute pulmonary disease.


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

Stable chest with stable position right chest pacemaker and leads overlie the right atrium and right ventricle. No pneumothorax identified. .


The heart size and mediastinal contours appear within normal limits. There are low lung volumes with left basilar subsegmental atelectasis. No focal airspace consolidation, effusions or pneumothorax. No acute bony abnormalities.


Dual-XXXX cardiac pacemaker is in stable, XXXX position. There is no evidence of pneumothorax. There is a prominent epicardial fat XXXX. Heart size is within normal limits. Pulmonary vasculature is normal in caliber. There is stable tortuosity of the descending thoracic aorta. There is mild, smooth apical pleural thickening bilaterally. There are no acute bony findings.

Dual-XXXX cardiac pacemaker in stable, XXXX position. No evidence of acute complication.


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

Probable left midlung and left basilar atelectasis. Cardiomegaly.


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


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

Low lung volumes with bronchovascular crowding, no acute cardiopulmonary finding.


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


The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.


The XXXX examination consists of frontal and lateral radiographs of the chest. There has been interval CABG. Surgical clips are again seen in the epigastric region. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures are unremarkable.

No evidence of acute cardiopulmonary process. Interval CABG.


Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Scattered granulomatous changes. Mild unfolding of the thoracic aorta. Bony thorax is unremarkable

Negative for acute cardiopulmonary abnormality.


Heart size within normal limits, stable mediastinal and hilar contours, right chest XXXX tip in the low SVC. Monitoring device artifacts. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.


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

1. Suspected cardiomegaly, less XXXX pericardial effusion. Prior comparison studies would be helpful. 2. Low lung volumes. No evidence of focal airspace disease. .


The lungs are mildly hyperexpanded. There is no focal airspace consolidation. No suspicious pulmonary mass or nodule is identified. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.

1. No focal airspace consolidation. 2. Mildly hyperexpanded lungs, suggestive of emphysema.


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


The heart is normal in size. The mediastinum is stable. Mild biapical scarring is identified. There is a nodular density in the right midlung which is stable from prior studies and noted to represent a granuloma on XXXX of XXXX. However, additional foci in the right upper lung are questioned. There is no acute infiltrate or pleural effusion.

No acute disease. Vague right upper/mid lung nodular densities versus scarring and superimposed structures. CT may be warranted given patient's history.


XXXX sternotomy XXXX remain in XXXX. The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Moderate degenerative changes of the thoracic spine. No acute, displaced rib fractures identified.


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

No acute XXXX related findings. Please note that fractures may not be demonstrated and consider additional imaging if clinically indicated.


The lungs and pleural spaces show no acute abnormality. Heart size is enlarged, pulmonary vascularity within normal limits. Marked tortuosity of the thoracic aorta. There are advanced degenerative changes of the glenohumeral joints bilaterally with bone-on-bone articulation, remodeling of the glenoid, and extensive subchondral cystic change. No displaced rib fractures are visualized. Diffuse osteopenia of the thoracic spine with a mid thoracic and several lower thoracic XXXX deformities, age-indeterminate. There is an air-fluid level in the middle mediastinum, most XXXX secondary to a large hiatal hernia.

1. No acute thoracic abnormality. 2. Cardiomegaly with marked tortuosity of the thoracic aorta. 3. Probable large hiatal hernia. 4. Limited evaluation of the thoracic spine secondary to osteopenia, age-indeterminate XXXX fracture deformities.


The heart is normal in size. The mediastinum is unremarkable. There is slight elevation of left hemidiaphragm with XXXX left basilar subsegmental atelectasis. The lungs are otherwise grossly clear.


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


Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. No pleural effusion or pneumothorax is seen. Scattered XXXX of left base atelectasis are noted. Left XXXX-a-XXXX is in XXXX with the tip projecting over the caval atrial junction.

1. XXXX of left base atelectasis. Otherwise, clear.


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