Stable XXXX XXXX, including elongation of the left ventricle and tortuous thoracic aorta. Subcarinal calcified lymph XXXX. XXXX lung volumes. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.

Negative for acute abnormality. Left ventricular enlargement. Tortuous thoracic aorta.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardiomegaly is noted and is stable compared to prior examination from XXXX. Stable right basilar calcified granuloma. Visualized osseous structures of the thorax are without acute abnormality.

Stable cardiomegaly without acute cardiopulmonary abnormality..


The heart is not enlarged. The bilateral pulmonary arteries appear enlarged. The lungs are hyperexpanded the hemidiaphragms are flattened. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.

1. Pulmonary emphysema. 2. Large bilateral pulmonary arteries suggestive of pulmonary arterial hypertension. 3. No suspicious nodules or are identified.


Patient is status post CABG. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma is noted.


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


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


The heart is normal in size. The mediastinum is unremarkable. Small nodule seen in the left upper lung, possibly granuloma. The lungs are otherwise clear.

No acute disease. Left lung nodule. Correlate with prior films if available. If none are available, followup imaging in 6 months is suggested.


Unchanged elevation of the right hemidiaphragm. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is mildly enlarged. Mild degenerative changes throughout the thoracic spine anterior osteophytes noted inferiorly. Pulmonary artery prominence.

1. Mild cardiomegaly. No acute cardiopulmonary abnormality.


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


Mild cardiomegaly. Hypoinflation of the lungs. Right basilar XXXX opacity may represent atelectasis. Lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Sclerosis of the humeral XXXX bilateral, XXXX from prior AVN. Sclerotic vertebral body endplates with central depression. Calcifications in the right hemiabdomen may represent calcified gallstones.

1. Right basilar opacities favored to represent atelectasis. 2. Stigmata of XXXX cell disease. 3. Cholelithiasis.


There is opacity at posterior aspect of lower chest seen on lateral view which probably represents left lower lobe consolidation. There may also be small bilateral pleural effusion. Upper limits of normal heart size. Mild central vascular prominence. Old fracture deformities of multiple right ribs.

1. Question of left lower lobe pneumonia and/or pleural effusion. 2. Borderline heart size with mild central vascular congestive changes.


The cardiac silhouette mediastinal contours are within normal limits. There are low lung volumes. There is no focal consolidation. There is pneumothorax. There is no large pleural effusion. There is prominent right anterior first rib end.


There are bilateral opacities most prominent in the lower lobes bilaterally. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable. There is an embolization XXXX overlying left upper quadrant.

Bilateral opacities most prominent in the lower lobes XXXX representing airspace disease or edema.


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

Improving lung volumes with bibasilar atelectasis.


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


There is prominence of the left hilum which may represent adenopathy or engorged vasculature. Cardiac silhouette is within normal limits of size and contour. No pneumothorax or large pleural effusion. No acute bone abnormality.

Prominence of the left hilum may be secondary to adenopathy or enlarged pulmonary vasculature. Chest CT with contrast may be helpful for further clarification.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Multilevel thoracic spondylosis is again demonstrated..


The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. No pneumothorax or pleural effusion. XXXX lucency under the right hemidiaphragm may represent a focus of free air.

1. XXXX lucency under the right hemidiaphragm may represent free intraperitoneal air. Left lateral decubitus film may be helpful. 2. Clear lungs.


No focal lung consolidation. No pneumothorax or pleural effusion.Heart size and pulmonary vascularity are within normal limits.Minimal degenerative changes of the thoracic spine. The previously<BR>described XXXX deformity in the midthoracic spine is again seen. There is subcutaneous shunt catheter tubing along the anterior chest wall


Patient is rotated. Mild cardiomegaly. Low lung volumes with elevated hemidiaphragms, greater on the right. This is identified on a thoracic XXXX study from XXXX as well. No pneumothorax. No large pleural effusion. No focal infiltrate.

Cardiomegaly with elevated right hemidiaphragms and no acute findings.


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


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


Stable normal cardiomediastinal silhouette. Bilateral calcified hilar/perihilar lymph XXXX. Left lateral lung calcified granuloma. Lungs are grossly clear without focal consolidation, pleural effusion, or pneumothorax. Stable degenerative changes of the thoracic spine. No acute osseous abnormality.

Chest radiograph. 1. No acute radiographic cardiopulmonary process.


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

Negative for acute cardiopulmonary abnormality.


Examination was performed with nipple markers. The previously noted small nodule in the right lower lung is not well-seen on today's study and may have been secondary to summation of structures. The heart is normal in size. The mediastinum is unremarkable. The lungs are otherwise clear.

No acute disease. Previously visualized nodule in right lower lobe not well-seen on today's study, XXXX summation artifact.


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


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


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


Heart size and mediastinal contour within normal limits. Atherosclerotic calcification of the aorta. Stable scattered calcified granulomas are noted. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.


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


XXXX sternotomy XXXX unchanged in position from prior exam, with some disrupted. Cardiac XXXX generator overlies left chest with leads in unchanged position since prior exam. Lungs are clear bilaterally with no focal consolidation, pleural effusion, or pneumothoraces. Mild cardiomegaly. XXXX and soft tissues are unremarkable.

1. No acute cardiopulmonary abnormality. 2. Mild cardiomegaly unchanged from prior exam.


Low lung volumes. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.

Low lung volumes. No acute cardiopulmonary abnormalities.


Mild cardiomegaly is unchanged. Stable superior mediastinal contour appear normal pulmonary vascularity. No XXXX airspace opacity, pleural effusion, or pneumothorax. No acute bony abnormalities. Right upper quadrant surgical clips.

Stable appearance of the chest. No acute cardiopulmonary findings.


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


The lungs appear clear. Scattered calcified granulomas are stable as are calcified mediastinal lymph XXXX. The heart and pulmonary XXXX are normal. Mediastinal contours are normal. Pleural spaces are clear.


The lateral view is degraded by patient motion. Lungs are grossly clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

Mildly limited study with lungs grossly clear.


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


The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. Costophrenic XXXX are blunted, XXXX corresponding to small bilateral pleural effusions. There is no focal consolidation or pneumothorax.

Low lung volumes with blunted costophrenic XXXX, XXXX XXXX bilateral pleural effusions.


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. XXXX foreign body in the posterior soft tissues appear stable.


Rotated apical lordotic frontal projection, mild bronchovascular crowding and scattered chronic appearing irregular interstitial markings. No definite focal alveolar consolidation or pleural effusion seen. Accounting for technical factors heart size XXXX within normal limits, heavily calcified and mildly tortuous aorta. No typical findings of pulmonary edema.

Limited quality exam shows no definite acute findings.


The heart size is upper limits of normal. Aorta is tortuous. The lungs are clear without focal infiltrate. No pleural effusion or pneumothorax.

1. Upper limits of normal in size heart and mild tortuosity of the aortic XXXX. No acute pulmonary process.


Cardiomegaly. Prominent XXXX are stable. Low lung volumes. No pneumothorax. Minimal right costophrenic XXXX blunting. No focal infiltrates.

Cardiomegaly with XXXX right pleural effusion.


Chest. Normal heart size. Mediastinal silhouette is unremarkable. No focal infiltrates or masses. No pneumothorax or visible pleural fluid. No free intraperitoneal air in the diaphragm. Osseous structures unremarkable. Abdomen: There are no dilated loops of bowel to suggest obstruction. No air-fluid levels or free intraperitoneal air. No suspicious calcifications. There is XXXX XXXX curvature of the thoracolumbar spine. Otherwise the osseous structures are grossly unremarkable.

1. Chest. No radiographic evidence of acute cardiopulmonary abnormality. 2. Abdomen. Nonobstructive bowel XXXX pattern.


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


The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is stable from prior exam. There is no pneumothorax or large pleural effusion. Mediastinal surgical clips are again noted.


Low lung volumes with streaky bibasilar opacities, right greater than left. Bronchovascular crowding, indistinct central vascular margination. No findings to suggest pleural effusion. Accounting for technical factors heart size XXXX within normal limits.

Low lung volumes with bronchovascular crowding, bibasilar opacities XXXX due at XXXX in part to atelectasis, infiltrates, pulmonary edema difficult to entirely exclude.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Note is XXXX of an XXXX closure device which appears grossly appropriate The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.

1. No acute radiographic cardiopulmonary process.


Heart size within normal limits, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax. Small rounded bilateral axillary densities not seen on the previous exam most suggestive of artifacts, healed right lateral 10th rib fracture noted..


Minimal patchy bibasilar airspace opacities, XXXX atelectasis or evolving pneumonia. The heart pulmonary XXXX appear normal. Is minimal blunting of the pleural spaces, XXXX XXXX effusions.

1. Minimal patchy bibasilar opacities, XXXX evolving pneumonia or atelectasis 2. XXXX bilateral pleural effusions


There is a left-sided biventricular pacemaker. Leads overlie the right ventricle and a lateral cardiac vein. The leads appear intact. The cardiac silhouette is mildly enlarged. There are mild diffuse bilateral interstitial opacities, XXXX pulmonary edema. There are XXXX opacities overlying the left lung base on the frontal view. No large pleural effusion is seen on the lateral view. No pneumothorax is identified.

1. Left-sided biventricular cardiac pacemaker. Leads appear intact. No pneumothorax. 2. Cardiomegaly and mild interstitial pulmonary edema. 3. XXXX opacities overlying the left lung base on the frontal view, possibly lingular atelectasis or infiltrate. No large pleural effusion.


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


Stable mild cardiomegaly. Mediastinal contours are unchanged. Lungs are clear without focal consolidation. No visible pleural effusion or pneumothorax.


Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.


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


Left-sided XXXX/ICD device and leads are stable. Stable enlarged cardiac silhouette. No focal airspace consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.

Stable cardiomegaly without acute cardiopulmonary disease.


Lungs are clear. No pleural effusions or pneumothoraces. heart size is normal. There is some tortuosity of the aorta. Degenerative changes in the thoracic spine


Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Stable aortic tortuosity. Cardiomediastinal silhouette is otherwise unremarkable. Scoliosis and degenerative changes of the thoracic spine. Stent visualized in the right upper quadrant, XXXX biliary stent.


There is a XXXX airspace opacity in the left upper lung. Heart size within normal limits. Mild calcification of the aortic XXXX. No pneumothorax or pleural effusions.

XXXX airspace opacity in the left upper lung which may represent streaky atelectasis or resolving pneumonia.


There is a XXXX moderate layering right pleural effusion with air fluid level noted. XXXX airspace opacity at the superior segment of the right lower lobe. No visualized pneumothorax. The right lateral heart XXXX is obscured. The left lung is clear without focal consolidation. No visualized pneumothorax. No acute bone abnormality.

XXXX airspace disease within the superior segment of the right lower lobe with moderate layering right pleural effusion with air fluid level. Follow up to resolution or cross sectional imaging of the chest recommended to rule out malignancy.


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

Chest. 1. No acute cardiopulmonary abnormality. Abdomen. 1. No acute intra-abdominal process. Negative for obstruction.


Persistent cardiomegaly. No abnormal airspace consolidation. Resolved interstitial edema. No pneumothorax or pleural effusion.

Stable cardiomegaly without acute abnormality.


The trachea is midline. Cardiomediastinal silhouette is normal in size and contour. The lungs are clear without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.


Normal cardiomediastinal silhouette and hilar contours. Calcified bilateral lung and perihilar granulomas. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax.. XXXX XXXX are intact without acute osseous abnormality.

Chest radiograph. 1. No acute radiographic cardiopulmonary process.


The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. Catheter tubing overlies the left upper quadrant, appearance of the lateral projection suggest prior gastric banding procedure.


The lungs are clear. Heart size is normal. No pneumothorax. Calcified granuloma within the right lung base.

Clear lungs. No acute cardiopulmonary abnormality. .


Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.


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


There is stable cardiomegaly. Pulmonary vasculature is normal in caliber. Defibrillator XXXX is in stable position. There is no pneumothorax or pleural effusion. There is no focal airspace disease.


Heart size and mediastinal contours are within normal limits. There is no pneumothorax, pleural effusion, focal airspace consolidation.


Left lower lobe calcified granuloma. Heart size normal. No pleural effusion or pneumothorax. Mild medial right atelectasis. Mild emphysema.

Emphysema and mild medial right atelectasis. No acute process.


2 images. Moderate thoracic dextroscoliosis, similar to prior imaging. Heart size is normal. No focal airspace consolidation is seen within the lungs. No pleural effusion or pneumothorax.


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 a calcified granuloma in the left lung base. SOFT TISSUE NECK. There is reversal of the normal cervical lordosis which may indicate muscle spasm versus a positional phenomenon. There is no prevertebral soft tissue XXXX. The epiglottis is within normal limits. There is a 3 mm x 1 mm density identified on the lateral exam only, possibly within one of the piriform sinuses.

SOFT TISSUE NECK. Small 3 x 1 mm density possibly in a piriform sinus only seen on the lateral exam. CHEST. No acute cardiopulmonary disease.


Prominent interstitial markings. There are small bilateral pleural effusions. No pneumothorax or focal consolidation. Normal heart size. Catheter tubing present in the upper midabdomen. There is bilateral acromioclavicular degenerative joint disease, right greater than left.


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.


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

Negative for acute cardiopulmonary abnormality.


Heart size within normal limits, stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. A dense nodule in the right base suggests a previous granulomatous process. No typical findings of pulmonary edema. No pneumothorax.


Lungs are clear. blunting of the left costophrenic XXXX consistent with a small left pleural effusion and associated airspace disease. The right lung is clear. Sequelae of old granulomatous disease. Heart size is upper limits of normal. Degenerative changes in the spine.

1. Heart size upper limits of normal. 2. Small left pleural effusion with associated airspace disease.


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


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.


A cardiac defibrillator device is in XXXX over the left chest wall with a single XXXX projecting over the right ventricle. The cardiac silhouette is at the upper limits of normal for size. The thoracic aorta is mildly tortuous and calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative endplate changes of the thoracic spine. No acute, displaced rib fractures.


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


There is XXXX increased opacity within the right upper lobe with possible mass and associated area of atelectasis or focal consolidation. The cardiac silhouette is within normal limits. XXXX opacity in the left midlung overlying the posterior left 5th rib may represent focal airspace disease. No pleural effusion or pneumothorax. No acute bone abnormality.

1. Increased opacity in the right upper lobe with XXXX associated atelectasis may represent focal consolidation or mass lesion with atelectasis. Recommend chest CT for further evaluation. 2. XXXX opacity overlying the left 5th rib may represent focal airspace disease.


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


The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits. Right paratracheal density is stable from prior radiographs and may reflect tortuous vasculature. There is aortic atherosclerotic vascular calcification. There are mild degenerative changes of the spine. Surgical clips are noted in the region of the left breast. There is mild diaphragm eventration.


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


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.


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


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 slight wedge XXXX deformity of the mid to lower thoracic vertebral body unchanged from the comparison study.


Chest: The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. Left knee: There is no fracture-dislocation. There are degenerative changes with medial compartment osteophytes. There is no suprapatellar effusion. There is a XXXX.

Chest: No acute cardiopulmonary finding. Left knee: Minimal degenerative changes, however no acute bony abnormality.


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


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 calcified granuloma within the left midlung.


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


Cardiac silhouette is at the upper limits of normal. Lungs are clear bilaterally. There is no pleural effusion or pneumothorax. Interval worsening of the moderate thoracolumbar dextroscoliosis with mild exaggeration of normal thoracic kyphosis.

1. No acute cardiopulmonary process. 2. Interval worsening of moderate thoracolumbar dextroscoliosis. .


There is a calcified left upper lobe granuloma. No XXXX suspicious pulmonary mass or nodule is identified. There is no focal airspace consolidation. No pleural effusion or pneumothorax. The lungs remain hyperexpanded. Stable cardiomediastinal silhouette. Calcified mediastinal and hilar lymph XXXX are consistent with prior granulomatous disease. There are minimal degenerative changes of the spine.

No XXXX suspicious pulmonary mass or nodule identified. However, given the presence of small nodules on the XXXX chest CT scan and patient history of prostate cancer, recommend further evaluation with XXXX scan (unless already recently performed).


Heart size is normal. No focal airspace consolidations. No pneumothorax or effusion. No acute osseous findings.


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


Bilateral glenohumeral degenerative joint disease. Scattered degenerative changes of the thoracic spine. Stable mild heart enlargement.Prominence of soft tissue density in the upper mediastinum. It is increased from most recent prior exam on XXXX. However, it appears similar compared to XXXX exams performed in XXXX. No focal area of consolidation, pleural effusion, or pneumothorax. Focal opacity in the left upper lobe XXXX represents scarring or related to overlying rib opacity.

1. No acute cardiopulmonary abnormality. 2. Prominent soft tissue density in the upper mediastinum. Recommend follow PA and lateral radiograph XXXX XXXX or CT thorax for further evaluation.


The lungs are clear. No pleural effusion is seen. The heart is normal. Calcified right hilar and infracarinal lymph XXXX are seen. The skeletal structures are normal.

Old granulomatous disease. No acute pulmonary disease.


Vague increased opacity which appears to be within the left lower lobe. Question of this could be developing or resolving pneumonia. Lungs are otherwise clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable normal size heart. Atherosclerotic vascular disease. Degenerative changes in the thoracic spine.

Vague opacity at the left lung base which appears to be within the left lower lobe. This may represent resolving or developing pneumonia given the patient's history.


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


Heart size within normal limits. Prominent interstitial and nodular opacities are increased since comparison exam. There is a 1 cm nodular opacity in the right costophrenic XXXX, increased since comparison examination. A cystic lesion in the right upper lobe appears similar to prior examination. No pleural effusion or pneumothorax.

Findings of cystic fibrosis with increased interstitial and nodular opacities, XXXX representing acute exacerbation on chronic changes of cystic fibrosis. .


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.


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.


Normal cardiomediastinal contours. No pneumothorax or large pleural effusions. Small focal retrocardiac lung opacity.

Small left retrocardiac opacity, may represent minimal atelectasis or small focus of airspace disease.


Lungs are hyperexpanded. Bullae are present in the upper lobes. No focal infiltrates or masses in the lungs. Heart size normal.


Normal and stable cardiomediastinal contours. No pneumothorax, pleural effusions or significant pulmonary edema. No focal lung consolidation. Stable mild interstitial prominence and bilateral lung bases.

1. No acute cardiopulmonary abnormalities. Stable mild interstitial prominence.


Heart size normal. Prominent epicardial fat. Lungs are clear. No pleural effusion or pneumothorax.


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

1. Small right apical pneumothorax. 2. Right middle and lower lobe patchy opacities, XXXX residual atelectasis. 3. Near-complete resolution of right-sided pleural effusion with XXXX residual. .


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 for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.


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


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


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


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


Normal heart size. Stable position of 2 pacemaker electrodes, with a XXXX tip in the expected region of the right atrium and another XXXX tip in the expected region of the right ventricle. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax. XXXX are unremarkable.

There is no evidence of acute cardiopulmonary disease. .


Low lung volumes. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact. Left humeral head bone anchors.


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


The cardiac silhouette is mildly enlarged. There are scattered bilateral XXXX opacities, most notably in the right middle lobe, XXXX XXXX of subsegmental atelectasis. No pleural effusion. No pneumothorax is identified. There are diffuse degenerative changes of the spine.

1. Scattered XXXX of subsegmental atelectasis, most notably in the right middle lobe. 2. Mildly enlarged cardiac silhouette; cardiomegaly versus pericardial effusion.


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


The lungs are hyperexpanded, with flattened diaphragms. The cardiomediastinal silhouette is normal in size and stable from prior exam. There is mild tortuosity of the thoracic aorta. There is no pneumothorax or large pleural effusion. There are degenerative changes of the thoracic spine.

1. No acute cardiopulmonary abnormality. 2. Chronic changes consistent with emphysema.


There is interval removal of gastric suction tube. Otherwise lines and tubes are unchanged. XXXX tube has also been removed. There is no pneumothorax. There is interval decrease/improvement of pulmonary vascular congestion and interstitial edema with residual nodular opacity at the right lower lobe. No XXXX focal consolidation identified. Heart and mediastinum are normal. No large effusion. Osseous structures and soft tissues are normal.

Interval decrease of pulmonary vascular congestion and edema.


Interval removal of left-sided chest tube. Small residual left apical pneumothorax has increased slightly in size the prior exam, now measuring approximately 0.9 cm from the thoracic apex. Stable cardiomediastinal silhouette. No focal airspace consolidation. No pleural effusion.


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


The heart is normal in size. The mediastinum is stable. XXXX sternotomy changes are again noted. The lungs are clear of focal infiltrates. There is no pleural effusion.


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


The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is at the upper limits of normal. Calcified granuloma in the right lower lobe is stable in appearance XXXX compared to the previous examinations.


Low lung volumes noted. The heart size is within normal limits. Pulmonary vasculature is unremarkable. No focal consolidations, effusions, or pneumothoraces.

Low lung volumes without acute cardiopulmonary abnormality.


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 within normal limits. Aorta is tortuous. Remainder of the cardiomediastinal silhouette is normal. Lungs are clear bilaterally without pleural effusion or pneumothorax. No bony abnormalities.


The bony thorax is intact and the heart size is normal. The lung XXXX are free of infiltrate and there is no pleural effusion. We again note the left hilar calcifications that are unchanged from the prior studies.


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


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


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


Cardiac and mediastinal contours are within normal limits. Large calcified granulomas in the right hilum. The lungs are otherwise clear. Prior anterior cervical fusion.


Heart size is enlarged. The aorta is unfolded. Otherwise the mediastinal contour is normal. There are streaky bibasilar opacities. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.

Cardiomegaly with mild bibasilar infiltrates versus atelectasis.


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

1. Low lung volumes with subsequent bronchovascular crowding and bibasilar atelectasis. .


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


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


Lung volumes are XXXX. XXXX opacities are present in the angulate. No focal infiltrates. Heart size normal.

Hypoinflation with lingular focal atelectasis.


Heart size normal. Mild tortuosity of the thoracic aorta. There is no focal consolidation, pneumothorax, or pleural effusion identified. A bullet is noted in the soft tissues of the inferior right chest wall. No acute bony abnormality.


The heart size is normal and cardiomediastinal silhouette is normal in contour. Lungs are clear bilaterally. There is no pleural effusion or pneumothorax. No bony or soft tissue abnormalities.


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

No evidence of acute cardiopulmonary process.


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.


There your regular interstitial changes and possibly fibrosis in the left mid and lower lung zone and region of the right middle lobe. Hyperinflation is present. No focal consolidation is seen. There is no evidence for pleural effusion. The heart is not enlarged. Mediastinum is normal. There are arthritic changes of the spine.

XXXX of COPD and interstitial lung disease. No definite pneumonia. There does appear to be progression of changes since XXXX.


Hyperlucent hyperinflated lungs with flattened diaphragms. Granulomas. Small sized heart. Minimal apical capping slightly greater at the left. XXXX unremarkable.

Appearance suggests emphysema. Apical capping, slightly greater at the left. Recommend comparison with prior films or followup chest x-XXXX films to confirm stability and approximately 4 months in XXXX. Critical result notification documented through Primordial.


Overall low lung volumes with mild patchy bibasilar airspace disease. This most XXXX represents atelectasis given the low lung volumes. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.

Mild patchy bibasilar airspace disease most XXXX representing atelectasis given the low lung volumes.


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 is normal. There are densely calcified mediastinal and right hilar lymph XXXX which suggest prior histoplasmosis exposure. No consolidating airspace disease is seen within the lungs. No pleural effusion or pneumothorax. No convincing acute bony findings.


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

No acute cardiopulmonary process. If patient's symptoms persist recommend repeat study XXXX chest in one XXXX.


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


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


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. Surgical XXXX is noted in the right upper quadrant. Subcutaneous emphysema seen along the neck bilaterally, right lateral upper abdomen, and left chest.

1. No acute cardiopulmonary abnormality. 2. Subcutaneous emphysema of the neck, left lateral chest, and right lateral abdominal soft tissues noted. .


The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. VP shunt tubing is identified. The bony structures, as visualized, appear unremarkable.


Chest: The heart is normal size with normal appearance of the cardia mediastinal silhouette. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are mild degenerative changes and thoracic spine. Right knee: There are severe tricompartmental degenerative changes with obliteration of the joint spaces. There is no fracture or dislocation. Left knee: There is joint space loss most prominent in the medial compartment. The XXXX of lateral view and limits evaluation for an effusion or the patellofemoral joint space. There is no fracture or dislocation.

Chest: No acute cardiopulmonary finding. Right knee: Severe tricompartmental degenerative changes without fracture or dislocation. Left knee: Severe medial compartment degenerative changes.


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


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.


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


The cardiomediastinal silhouette is normal in size and contour. Negative for focal consolidation, pneumothorax or large pleural effusion. Middle lobe calcified granulomas. Normal XXXX.


There is mild XXXX opacification over both XXXX, XXXX secondary to soft tissue attenuation. There are no focal air space opacities. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Trachea is midline. No free subdiaphragmatic air.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.


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 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 spine.


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Calcified left coronary arteries noted. Visualized osseous structures appear intact.

No acute cardiopulmonary abnormality. Calcified left coronary arteries noted. .


There is stable XXXX scarring or atelectasis in the left midlung. The lungs are otherwise grossly clear. The heart size is near the upper limits of normal. Mediastinal silhouette is normal. There is no pneumothorax or pleural effusion. XXXX T-spine osteophytes are noted.


There has been interval development of a large right-sided pleural effusion. The left lung is clear. There is no pneumothorax. Heart size mediastinal contours are within normal limits. XXXX deformity is noted at the upper thoracic vertebral body.

Interval development of large right-sided pleural effusion. XXXX deformity noted at the upper thoracic vertebral body XXXX relates to XXXX deformity described on previous CT scan.


The heart is normal in size. The mediastinum is unremarkable. The costophrenic XXXX are blunted. The interstitial markings are slightly accentuated suggesting underlying chronic disease/emphysema. No focal consolidation is seen.

Mild costophrenic XXXX blunting suggesting XXXX bilateral pleural effusions and/or thickening. No acute infiltrate.


There are stable XXXX sternotomy XXXX. The heart and mediastinal contours are unchanged. The lungs are clear without focal infiltrate. There is no effusion or pneumothorax.

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


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.


Evaluation is limited by body habitus and AP technique. Enteric suction catheter courses below diaphragm and XXXX film. Stable heart size and mediastinal contours. Low lung volumes. No pneumothorax. Cardiac XXXX generator leads XXXX over the right atrium and right ventricle. Two XXXX bilateral pleural effusions.

1. Technically limited exam. 2. Low lung volumes with XXXX bilateral pleural effusions. .


The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.


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.


PA and lateral views were obtained. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact. A 5 mm stable right apical nodule.


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.


Stable enlarged cardiac silhouette. Persistent bilateral lower lobe airspace disease, not significantly XXXX compared to prior. No pleural effusion or pneumothorax. No acute bony abnormality.

No significant change compared to prior. Bibasilar airspace disease may represent infection or mild edema.


The heart is normal in size and contour. There is a vague area of airspace disease identified within the right midlung on the PA view. This is not well-demonstrated on the lateral view. There is no pneumothorax or effusion.

Vague area of focal airspace disease within the right midlung. There is raises concern for pneumonia. Recommend followup after appropriate treatment to document complete resolution.


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

Stable appearance of the chest. No acute cardiopulmonary findings.


Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. There is is a calcified XXXX opacity in the left lung base suggestive of old empyema, hematoma, or prior TB. No cavitary lesions are seen. XXXX are grossly unremarkable.

1. Clear lungs. No radiographic evidence of active TB.


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 cardiopulmonary abnormality.. Specifically, no evidence of active tuberculous process.


The lungs are hyperaerated suggestive of chronic obstructive pulmonary disease. No focal lung consolidation. No pleural effusion. No definite pneumothorax. Heart is not enlarged. Postsurgical changes with mediastinal clips and XXXX XXXX.


Normal heart size. Bibasilar patchy opacities, left greater than right. No pneumothorax or large pleural effusions. Left-sided subclavian central venous catheter with tip in the right atrium. No significant pulmonary edema. Low lung volumes. Exaggeration of the thoracic kyphosis with evidence of lower thoracic vertebral body the deep opacities. Multiple mild vertebral body wedge deformities in the mid thoracic spine. Moderate degenerative changes of the thoracic spine. Multiple bilateral rib fractures, some of which appear old. Interval XXXX deformity of the vertebral body XXXX XXXX the level of the two vertebroplasty XXXX.

1. Moderate left basilar lung consolidation with mild right basilar opacities, which may represent infection and/or atelectasis. 2. Bilateral rib fractures, most of which appear old. 3. Interval vertebral body XXXX deformity in the lumbar spine since XXXX. .


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


The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. There are degenerative changes throughout the thoracic spine.

No radiographic evidence of acute cardiopulmonary disease.


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

Cardiomegaly and increased interstitial opacities which may be compatible with mild pulmonary edema, differential diagnosis includes infection, inflammation, aspiration


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiac silhouette is moderately enlarged with a cardiothoracic ratio of 16.2/24.7. Diffuse coarse interstitial opacity seen throughout the lungs with perihilar and lower lobe predominance. There is right greater than left bibasilar consolidation. There are small pleural effusions, right larger than left. No evidence of pneumothorax. Dense atherosclerotic calcification seen involving the thoracic and upper abdominal aorta.

Enlarged cardiac silhouette with coarse perihilar and lower lobe interstitial opacities may be due to diffuse infection or heart failure. Small pleural effusions.


Stable appearance of the left axillary XXXX. No pneumothorax. 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. Stable appearance of the left-sided XXXX without acute complicating features.


Stable cardiomegaly. Stable tortuosity of the aorta. No focal airspace opacities, pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.


The cardiomediastinal silhouette is within normal limits. Calcified right lower lobe granuloma. No focal airspace consolidation.. No visualized pneumothorax or large pleural effusion. No acute bony abnormalities.


Soft tissue neck. The airway is XXXX. No laryngeal edema. Laryngeal XXXX intact. Cervical spine intact. Chest. The heart is large. Diffuse parahilar and alveolar consolidations are present. Bilateral costophrenic XXXX blunting is present.

1. Soft tissue neck negative. 2. Chest. Heart failure with pulmonary alveolar edema and pleural effusion.


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

1. Right pleural effusion with adjacent atelectasis. 2. No definite findings of pneumonia.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Right-sided aortic XXXX. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. There is right basal XXXX patchy opacity and bibasal atelectasis or scarring. There is no pleural effusion or pneumothorax. Right apical calcified granuloma noted.

1. Right basal acute airspace disease. Please correlate clinically for pneumonia. 2. Chronic interstitial pattern, may reflect COPD.


The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. There are emphysematous changes with increased interstitial markings, particularly in the periphery and lung bases. The lungs are clear of focal infiltrates. There is no pleural effusion.

Emphysema with increased lung markings markings, possibly superimposed chronic lung disease/fibrosis.


The heart size is persistently enlarged. Lung volumes are low. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.


The lungs and pleural spaces show no acute abnormality. Heart size upper limits of normal, predominantly left ventricular contour (XXXX visualized on lateral projection), pulmonary vascularity within normal limits. .


Chest. Both lungs clear and expanded. Heart and mediastinum normal. Ankle. Soft tissue XXXX is present around the malleoli. XXXX intact. Mortise radiographically stable.

1. Chest. No active disease. No evidence for cardiopulmonary injury. 2. Left ankle. Soft tissue edema with no visible bony injury.


Increased interstitial opacities non-specific. Question edema or atypical infection?

Heart size normal. Stable mediastinal silhouette. No lobar consolidation, large pleural effusion or pneumothorax. Mild increased reticular interstitial opacity.


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 is within normal limits. Mild prominence of the mediastinum. Bibasilar predominantly interstitial pulmonary opacities. No visualized pneumothorax. No pleural effusion.

1. Mild bibasilar airspace disease, probably atelectasis.


The postoperative cardiomediastinal silhouette is stable and upper limits of normal in size. There are XXXX sternotomy XXXX and surgical clips compatible with prior CABG. There is at XXXX one left-sided coronary artery stent. Pulmonary vasculature is normal in caliber. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.


Limited evaluation of the lateral view due to rotation and frontal view due to motion artifact. Stable mild cardiomegaly. Normal pulmonary vascularity. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusions. XXXX XXXX opacities are related to overlying soft tissues. The posterior sulci are clear. Degenerative changes of the spine.

1. Stable mild cardiomegaly. 2. No evidence of active cardiopulmonary disease.


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.


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


There is patchy opacity in the left base concerning for atelectasis versus pneumonitis. There is a curvilinear lucency that appears to be in the right hemidiaphragm and a small amount of free intraperitoneal air may be present. There is a small left pleural effusion. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.

1. Question small amount of free intraperitoneal air on the right. This is XXXX to be postprocedural due to the recent abdominal surgery. 2. Left basilar airspace opacity atelectasis versus pneumonitis.


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.


Right jugular XXXX catheter present with tip overlying the lower SVC. Curvilinear density projecting over the upper chest appears external on the lateral projection. Correlate clinically. Normal heart size and mediastinal contour appear normal pulmonary vascularity. XXXX scar/subsegmental atelectasis in the lingula. No focal airspace consolidation, pleural effusion, or pneumothorax. No acute osseous findings. Mild degenerative changes of the spine.


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


Cardiomediastinal silhouette is within normal limits in overall size and appearance. Aortic XXXX, cardiac apex, and stomach are left-sided. Central vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. Dextro-convex scoliotic curvature of the thoracic spine. No acute bony abnormality.


The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not enlarged. There are calcified mediastinal lymph XXXX. The skeletal structures are normal.


Frontal view kyphotic and rotated, low lung volumes with bronchovascular crowding. Otherwise, no definite airspace consolidation or pleural effusion. Accounting for technical factors heart size XXXX borderline enlarged.

Low lung volumes, otherwise, no definite acute findings.


The cardiomediastinal silhouette is normal. Lungs are hyperexpanded but clear without evidence of effusion or infiltrate. There is a small right lower lobe calcified granuloma that is unchanged from prior examinations. No acute bony abnormality. No pneumothorax or pneumomediastinum.


Defibrillator XXXX is in stable position. The XXXX and soft tissue appear normal. The cardiac silhouette and mediastinum size are normal. The aortic XXXX is on the left. The trachea is well seen and appears normal. The lungs are clear.

Stable position of the defibrillator XXXX.


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

Clear lungs with no suspicious pulmonary nodules or masses.


The lungs are clear. There is no pleural effusion. The heart is normal. There are atherosclerotic changes of the aorta. Senescent changes of the spine are seen.


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


Stable left chest, XXXX-XXXX, cardiac pacemaker seen, sternotomy XXXX. Stable cardiomediastinal silhouette. No pneumothorax. No large pleural effusion. Low lung volumes. Streaky opacities at the lung bases, XXXX subsegmental atelectasis, unchanged. The visualized thoracic XXXX are unremarkable. Degenerative changes demonstrated within the left glenohumeral joint.


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


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


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


The trachea is midline. The cardiomediastinal silhouette is normal. Note is XXXX of calcifications in the aortic XXXX. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. There is calcification of the chondral portions of the ribs.

1. No acute cardiopulmonary abnormalities. 2. No displaced rib fractures are seen. .


The trachea is midline. The cardiomediastinal silhouette is normal. The superior thoracic spine is again noted, unchanged from prior. Lucent pulmonary parenchyma is consistent appearance with emphysema and appears unchanged from prior examinations. No evidence of pneumothorax. No focal airspace disease or pleural effusion. Vague density in the medial right lung apex most XXXX representing overlying shadows of bony structures, which is stable.

1. No acute cardiopulmonary abnormalities. 2. Emphysema and chronic bony abnormalities are unchanged from prior exams. .


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


Heart size and vascularity normal. Lungs are hyperexpanded but clear. Mediastinal contour normal. No pleural effusions or pneumothoraces.

Hyperexpanded lungs, suggesting chronic obstructive pulmonary disease. No acute pulmonary process.


The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. XXXX airspace disease within the left lower lung. The remainder of the lungs are clear. There is no pleural effusion or pneumothorax. Surgical clips overlying the right breast.


Normal cardiac contours. Clear lung XXXX bilaterally. No pneumothorax or pleural effusion.


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


The heart size and mediastinal contours appear within normal limits. Low lung volumes on the AP view with bronchovascular crowding and bibasilar atelectasis. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.


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


Heart size and mediastinal contours are stable. Stable calcification of the thoracic aorta. Pulmonary vasculature is within normal limits. There is no focal air space opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is demonstrated.


Normal heart size and mediastinal contours. Clear lungs besides scattered calcified granulomas. No pneumothorax or pleural effusion. No acute bony abnormalities.


The heart is normal in size. The mediastinum is unremarkable. Right chest XXXX tip is visualized in the distal SVC. There is no pneumothorax. The right cardiac margin is partially obscured and may be secondary to overlying cardiophrenic fat. The lungs are otherwise clear.


The cardiac and mediastinal silhouette is normal There is no evidence of pneumomediastinum or pneumothorax. Clear lungs There are no large pleural effusions No evidence of displaced fractures.

1. No evidence of pneumothorax or pneumomediastinum. 2. Clear lungs.


Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact. No evidence of abnormal radiodense foreign bodies.

No acute cardiopulmonary abnormalities. No evidence of abnormal radiodense foreign bodies.


XXXX sternotomy XXXX and numerous mediastinal clips appear stable in position. There is aortic atherosclerotic calcification. The thoracic aorta is tortuous. Stable widening of the upper mediastinum. Stable cardiomegaly. Prominent mitral annular calcification demonstrated on the lateral view. No pneumothorax, pleural effusion or airspace consolidation. XXXX XXXX appear intact.

1. No acute cardiopulmonary abnormality. 2. Stable cardiomegaly, tortuous thoracic aorta and atherosclerotic calcification. .


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


Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.


The heart size and pulmonary vascularity appear within normal limits. The thoracic aorta is prominent with calcification within the aorta. Azygos lobe is noted. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes noted in the spine.

Prominent transverse aorta. Otherwise clear.


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


No acute osseous abnormality. The soft tissues are within normal limits. Normal appearing cardiomediastinal silhouette and hilar contours. Left lower lobe XXXX density XXXX representing atelectasis. No focal area of consolidation, pleural effusion, pneumothorax.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Mild cardiomegaly without acute cardiac abnormality. Visualized osseous structures of the thorax are without acute abnormality.

Mild cardiomegaly without acute cardiopulmonary abnormality. No active infectious/tuberculous process.


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


The trachea is midline. Cardiomediastinal silhouette is normal and unchanged from prior examination. There are round calcific densities in the right lung consistent with prior granulomatous disease. Otherwise, the lungs are clear without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.


Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild levocurvature of thoracic spine. A 9 mm pulmonary nodule is noted partially overlying the posterior 6th right rib on the frontal view.


XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Lungs demonstrate left lower lobe air space opacity with XXXX atelectasis without significant change. There is no effusion or pneumothorax.

1. Left lower lobe air space opacities without significant change.


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


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


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 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 moderate sized hiatal hernia. There mild degenerative changes of the spine.

Cardiomegaly and hiatal hernia without an acute abnormality identified.


The lungs are clear. There is hyperexpansion of the lungs suggesting underlying emphysema. The heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.


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


In the interval, the interval, there has been development of multiple nodules in both the upper and lower lobes bilaterally. The previously identified left lower lobe nodule has increased in size. Left hemidiaphragm is slightly elevated, possibly from splinting. The mediastinum remains normal. Heart size normal.

Multiple pulmonary nodules consistent with metastases. Chest, abdomen, and pelvis CT with contrast would be helpful for further evaluation.


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


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


The lungs and pleural spaces show no acute abnormality. Stable right lower lobe calcified granulomas. Thin XXXX lingular scar, unchanged. Heart size and pulmonary vascularity within normal limits. Surgical clips are visualized in the right upper quadrant.


No focal consolidation, pneumothorax, or large pleural effusion identified. Stable blunting of the right costophrenic XXXX XXXX due to pleural thickening/sclerosis. Redemonstration and stable appearance of bilateral calcified granulomas/lymph XXXX. Changes in the lungs consistent with COPD/emphysema. Cardiomediastinal silhouette stable and unremarkable. No acute osseous abnormalities identified. Opacity in the left apex consistent with radiation change seen on prior CT.

1. No acute cardiopulmonary process identified. Specifically, no radiographic evidence of aspiration. 2. Stable emphysematous changes, right costophrenic XXXX pleural thickening, and bilateral calcified granulomas/lymph XXXX.


There is persistent, marked enlargement of the pulmonary arteries. Normal heart size. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.

1. Enlarged pulmonary arteries. This may be due to previous/chronic pulmonary embolism or XXXX pulmonary arterial hypertension. 2. No evidence of pneumonia or other acute cardiopulmonary abnormality.


Cardiomegaly is present. This is unchanged. There is mild prominence of the pulmonary vascularity which is unchanged. No XXXX focal airspace disease is seen. No pleural effusion or pneumothorax is identified.

1. Cardiomegaly with mild vascular prominence. No change.


Clear lungs. Heart size is normal. No pneumothorax or large pleural effusion.


The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture. No discrete XXXX projectile visualized. Contrast within the bilateral renal collecting systems. Contrast also probably within the left colon.

Negative for acute abnormality. Discrete XXXX projectile not seen.


The patchy right lower lobe and left lower lobe interstitial infiltrates are largely unchanged in the interval. No XXXX infiltrates. Heart size remains large. Tracheostomy tube remains in the trachea. A right central line has its tip at the superior XXXX XXXX.

Persistent cardiomegaly and patchy bibasilar interstitial disease.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. There are XXXX multilevel degenerative changes of the thoracic spine.

No evidence of acute cardiopulmonary process.


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


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


Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. There is a stable the electronic device any left anterior chest wall. There are advanced degenerative changes in the XXXX bilaterally. There is a 38 mm lucency in the right humeral head with geographic 1A margins.

1. No acute cardiopulmonary abnormality. 2. Lucent lesion with thin sclerotic margin in the right humeral head. Considering the associated degenerative changes, a large geode is most XXXX. If further imaging is desired, dedicated views of the shoulder may be helpful for further characterization.


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 aeration of the lungs. No pleural effusion.

No acute or active cardiac, pulmonary or pleural disease.


The heart size is normal. The mediastinal contour is within normal limits. There is a streaky opacity within the right upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.

Right upper lobe infiltrate consistent with pneumonia.


The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There is no focal air space opacity, pneumothorax, or effusion. The bony structures of the thorax are intact with no evidence of acute abnormality. .

No evidence of acute cardiopulmonary process. Unremarkable examination of the chest.


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


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.


Normal heart size and hilar vascular markings. Evidence of prior granulomatous disease. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax. There are no acute osseous abnormalities present. Mild degenerative changes of the thoracic spine. The soft tissues are within normal limits.


The heart is normal in size. The cardiomediastinal contours are stable. There are stable bilateral pleural effusions with partial right-sided loculation. Biapical scarring and pleural thickening appears stable. There is again right-sided superior hilar retraction and mild rightward XXXX deviation. No acute infiltrate is appreciated.

1. Stable bilateral pleural effusions and pleural thickening, right worse than left, with mild right-sided loculation. 2. Stable appearance of right apical thickening/atelectasis with volume loss, possibly related to prior radiation or surgery. Suggest clinical correlation.


Clear lungs. No pneumothorax. No pleural effusion. Normal heart. Mild degenerative changes of the thoracic spine without acute bony abnormality. Prominent right epicardial fat XXXX


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 unremarkable. The lungs are mildly hypoinflated but clear.


Enlarged cardiac contour, stable. Calcified vasculature. Sequelae of prior granulomatous disease. No confluent consolidation, pleural effusion, or overt pulmonary edema. Mild thoracic spondylosis.

No acute findings. Stable cardiac enlargement.


There is a moderate amount of retained contrast within the distal esophagus. There is no evidence of aspiration. A 3.0 cm nodule is present within the right hilum. No moderate to large pleural effusion or pneumothorax is identified. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is normal.

1. Retained contrast in the distal esophagus. 2. Unchanged right hilar mass.


Stable cardiomegaly. The lungs are clear. Stable left lung base calcifications. No focal consolidations. No pneumothorax or pleural effusions. The XXXX are intact.

No acute cardiopulmonary abnormalities. Stable cardiomegaly.


Trachea is midline. Normal heart. Clear lungs. No pneumothorax. No pleural effusion.


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.


Heart size normal. Tortuous aorta. Sequela primary granulomatous disease. Lungs clear. Minimal spurring in the thoracic spine.


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


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


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


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


Both lungs are clear and expanded. Heart and mediastinum normal. Surgical clips are in the epigastrium of the abdomen.


Stable cardiomediastinal silhouette with borderline heart size and aortic ectasia/tortuosity. Stable hyperinflation without focal alveolar consolidation. No definite pleural effusion seen. No typical findings of pulmonary edema. Healed left rib fractures again noted.


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


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. Cardiac defibrillator leads are stable.


There is hyperinflation lungs due to small calcification is seen posteriorly in the right which may be pleural. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.


There extremely low lung volumes. there is right basilar opacity. There is no pneumothorax. There is no large pleural effusion. Cardiac silhouette and mediastinal contours are within normal limits.

Low lung volumes with right basilar atelectasis. Otherwise, no acute cardiopulmonary disease.


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

Negative for acute cardiopulmonary abnormality.


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


XXXX onset right basal atelectasis with airspace disease and effusion suggestive of the chest infection. Stable cardiomegaly and features of CABG. Interval XXXX removal of left PICC line, no pneumothorax.


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

No acute cardiopulmonary abnormality. Specifically, no evidence of active tuberculous process.


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

1. No acute cardiopulmonary 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 bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Scattered calcified granulomas noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine without acute abnormality.


The heart is borderline in size. The mediastinum is stable. Small calcified lymph XXXX are seen. Dual-XXXX left subclavian pacemaker is identified in satisfactory position. The right hemidiaphragm is again elevated. There are XXXX streaky areas of atelectasis. No pleural effusion or pneumothorax are seen.

1. Borderline heart size, stable. 2. Interval left subclavian pacemaker placed in satisfactory position. No pneumothorax.


Heart size moderately enlarged. Mild left costophrenic XXXX blunting. Streaky and patchy bibasilar opacities, left greater than right. Right hemidiaphragm eventration noted. No typical findings of pulmonary edema.

1. Cardiomegaly and small left pleural effusion versus pleural thickening 2. Streaky and patchy bibasilar opacities may be compatible with atelectasis versus consolidation, aspiration, clinical correlation recommended


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


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


There are XXXX opacities within both lung bases, XXXX representing atelectasis. Heart size is upper limits of normal. No pneumothorax. No pneumothorax.


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


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.


ICD XXXX tip remains in the right ventricle. Stable calcified granulomas. No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact.

1. ICD XXXX tip overlying the right ventricle. 2. No acute cardiopulmonary abnormality.


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


The lungs and pleural spaces show no acute abnormality. Stable left upper lobe calcified granuloma. Heart size is mildly enlarged, pulmonary vascularity within normal limits. Mild tortuosity of the descending thoracic aorta.

1. No acute pulmonary findings. 2. Mild cardiomegaly.


Increased interstitial lung changes with superimposed pulmonary edema. Cardiomegaly. Negative for effusion or pneumothorax. Degenerative changes of the thoracic spine.

Cardiomegaly with pulmonary edema superimposed on chronic interstitial lung changes.


The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.


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..


There is a prominent calcified head to the right anterior first rib. The aorta is tortuous. There are T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.


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


Low lung volumes. No focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable

No radiographic evidence of acute cardiopulmonary disease.


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


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


Normal heart size mediastinal contours. No focal airspace consolidation. No pneumothorax or pleural effusion. Stable, mild dextro curvature of the spine.


The cardiac silhouette is borderline enlarged. Pulmonary vasculature is normal in caliber. Nipple shadows and dense breast tissue overlie the lung bases. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.

Borderline cardiomegaly. No acute findings. .


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal XXXX atelectasis or scar in the left lung base. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.


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


Heart size is upper limits of normal for AP projection. Mediastinal contours and pulmonary vasculature are unremarkable. The patient's chin obscures the bilateral lung apices. There is no focal airspace consolidation. No visible pleural effusion or pneumothorax. No displaced rib fractures are seen. There are moderate degenerative changes along the thoracic spine.

1. Moderate thoracic spondylosis. 2. No acute cardiopulmonary abnormality.


There is no acute osseous abnormality. Soft tissues are within normal limits. Borderline enlargement of the heart. Normal vascular markings. Left basilar retrocardiac opacity. No pneumothorax.

Findings consistent with left base airspace disease.


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


No focal lung consolidation. A XXXX density overlying the left costophrenic XXXX is XXXX due to overlying soft tissues. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.


Chest: Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Hyperlucent apices. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Healed remote left 9th rib fracture. Right shoulder: Negative for fracture or dislocation.

Chest. Right shoulder. 1. No acute cardiopulmonary abnormality. 2. Negative for right shoulder fracture or dislocation.


Moderate sized right loculated pleural effusion with right lower lobe atelectasis. Normal cardiac contour with atherosclerotic changes throughout the aorta. Clear left lung XXXX.


Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. The distal tip of a right IJ dual-lumen central venous catheter is at the XXXX which junction.


Heart size within normal limits. Right paratracheal prominence XXXX represents tortuous XXXX. XXXX lung volumes. Mild streaky bibasilar opacities. No pleural effusion or pneumothorax.

1. No evidence of pulmonary tuberculosis. 2. Low lung volumes with minimal streaky basilar airspace disease, XXXX atelectasis. 3. Right paratracheal prominence XXXX represents tortuous XXXX. Comparison with prior imaging studies could confirm this if available. .


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. Calcified granuloma, right base. Normal XXXX.


The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.


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


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


Heart size is normal. There is mild tortuosity of the thoracic aorta. No consolidating airspace disease is seen. No pleural effusion or pneumothorax.


There are scattered calcified granulomas. No focal infiltrate. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.


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


Low lung volumes with bronchovascular crowding. Otherwise, no focal alveolar consolidation, no definite pleural effusion seen. A dense nodule in the right base suggest a previous granulomatous process. Heart size within normal limits, bronchovascular crowding without typical findings of pulmonary edema.

Low lung volumes with no definite acute findings.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. No change in the small calcified granuloma in the right upper lobe. Heart and mediastinum normal.


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


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


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


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

Mild streaky left basilar airspace disease, XXXX atelectasis. .


Overall hyperexpanded lungs with flattening of the diaphragms consistent with obstructive lung disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.


The heart is top normal in size. The mediastinum is stable. Surgical clips again seen overlying the superior mediastinum.There is an retrocardiac density compatible hiatal hernia. The lungs are mildly hypoinflated. No acute infiltrate or pleural effusion are seen.

1. Mild hypoinflation without acute disease. 2. Retrocardiac density compatible with hiatal hernia.


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


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


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


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


The heart and mediastinum are normal in size and contour. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.

No acute cardiopulmonary finding. Specifically there is no evidence of active tuberculosis infection.


Borderline enlarged heart. Pulmonary vasculature appears within normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. Possible right shoulder calcific tendinitis. Calcifications of the abdominal aorta are seen.

1. Borderline enlarged heart without acute abnormality.


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


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal suggests possible right XXXX versus dextrocardia. Visualized osseous structures of the thorax are without acute abnormality.

1. No acute cardiopulmonary abnormality.. 2. Abnormal configuration of the heart and mediastinum suggestive of right aortic XXXX versus dextrocardia.


There are lower lung volumes. There is central bronchovascular crowding. Volume loss in the medial right upper lobe seen on XXXX is not as well-demonstrated on radiography. No lobar consolidation. No pleural effusion or pneumothorax.


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


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 is normal. No pneumothorax or pleural effusions. There is an 8 mm calcified nodule in the left midlung. There is also a 7 mm calcified nodule near the left hilum. Hyperexpanded lungs consistent with chronic obstructive pulmonary disease.


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


No acute osseous abnormality. Scattered degenerative changes throughout the thoracic spine. Stable normal cardiomediastinal silhouette and hilar contours. Scattered bilateral granulomas. Patchy left basal airspace opacity. Bilateral small effusions.

1. Left base opacity may represent early infection or atelectasis. Recommend followup PA and lateral chest x-XXXX in 6 weeks to ensure resolution. 2. Bilateral small pleural effusions.


XXXX XXXX and lateral chest examination was obtained. There is enlarged heart silhouette. Decreased lung volumes. Lungs demonstrate bibasilar airspace opacities better visualized on lateral view. There is no effusion or pneumothorax. Degenerative changes of the bilateral XXXX.

1. Decreased lung volumes. Bibasilar airspace opacities seen on lateral XXXX XXXX be atelectasis or possibly pneumonia.


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 trachea is midline. The cardiomediastinal silhouette is normal. Lung XXXX are clear without evidence of effusion, infiltrate, or pneumothorax. Visualized bony structures are intact. Visualized soft tissues appear normal.


Flattening of the bilateral hemidiaphragms. Lungs are clear. Soft tissues and bony structures unremarkable. No pneumothorax or effusion.


The trachea is midline. The cardiomediastinal silhouette is normal. There are small round calcific density nodules consistent with prior granulomatous disease bilaterally. Otherwise, the lungs are clear without evidence of acute infiltrate or effusion. There are no masses seen. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.


A right-sided chest XXXX remains in XXXX with the distal tip at the level of the mid SVC. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pulmonary nodules or mass lesions identified. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.

1. Right-sided chest XXXX in XXXX without demonstration of an acute cardiopulmonary abnormality. .


Stable mild rightward curvature of the thoracic spine. Heart size is normal. No focal airspace disease. No pneumothorax or pleural effusion. No acute osseous findings.


Normal chest No evidence of tuberculosis.


There is severe dextroscoliosis of the thoracic spine with chronic deformity of the bilateral ribs. The lungs are chronically hypoinflated. There is XXXX visualization of the hemidiaphragms, which may be due to basilar airspace disease/atelectasis. Evaluation of the lungs is markedly limited. Overall, the appearance is similar to the prior study from XXXX. There is no evidence of pneumothorax or large pleural effusion.

Low lung volumes with probable mild bibasilar airspace disease/atelectasis. Markedly limited exam, without significant interval change from XXXX. .