Normal cardiac contours. No pleural effusion or pneumothorax. No acute bony abnormalities. Clear lung XXXX bilaterally. No intervertebral disc narrowing or loss of vertebral body XXXX.

1. No acute bony abnormalities. 2. No acute cardiopulmonary abnormalities.


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

There is no radiographic evidence of acute cardiopulmonary disease.


There is persistent cardiomegaly with suggestion of left atrial enlargement as evidenced by cardiac contour the lateral image and XXXX density on the frontal image. The lungs are clear. No visible pleural effusion or pneumothorax.

1. Persistent cardiomegaly. 2. Clear lungs.


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.


Postop changes of CABG with mild cardiomegaly. There is an infiltrate in the right lower lobe. Thoracic spondylosis.

Right lower lobe infiltrate. In the appropriate clinical setting this appearance is compatible with pneumonia. Consider followup PA and lateral chest x-XXXX in 4-6 weeks to ensure resolution and exclude an underlying mass.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are unchanged. Pulmonary vascularity is within normal limits. Calcified right upper lobe nodule with a granuloma is again seen but unchanged. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.

No evidence of acute cardiopulmonary process.


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


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.


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


The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated. There is biapical scarring. No acute infiltrate or pleural effusion seen.


Borderline heart size. Worsening central vascular congestion interstitial edema. Small volume bilateral posterior recess pleural effusions. Elevated diaphragms.

Manifestations of decompensated congestive heart failure with basilar atelectasis.


A strandy infiltrate has developed in the left lower lobe. Right lung is clear. Heart size remains normal.

Patchy left lower lobe infiltrate and focal atelectasis, consistent with pneumonitis.


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

1. Changes of emphysema and left lower lobe scarring, both stable. 2. Unchanged degenerative and atherosclerotic changes of the thoracic aorta.


Heart size appears within normal limits. Pulmonary vasculature appears within normal limits. Radiodensity overlying the middle cardiac silhouette, XXXX representing a hiatal hernia. No focal consolidation, pleural effusion or pneumothorax. No acute bony abnormality.

1. No acute cardiopulmonary abnormality.


Stable cardiomediastinal silhouette. Low lung volumes. without focal consolidation, pneumothorax or pleural effusion. Limited lateral view given overlapping tissue silhouettes. Negative for acute bone abnormality.


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

1. No acute pulmonary disease. 2. Stable moderate hiatal hernia.


Mild cardiomegaly. Tortuous thoracic aorta with atherosclerosis. No pneumothorax or pleural effusion. Degenerative changes in the thoracic spine without evidence of XXXX deformity. The visualized osseous structures are intact. No displaced rib fractures. No edema or airspace consolidation


There is a stable appearing left-sided XXXX. Cardiomediastinal silhouette is unchanged. Stable sequela prior granulomatous disease. The lungs are normally inflated and clear. Degenerative endplate changes of the spine.

1. No acute radiographic cardiopulmonary process.


2 images. Heart size is enlarged, stable. Thoracic aortic atherosclerotic calcifications are present. There is XXXX dense consolidation within the retrocardiac left lower lobe. There is also patchy airspace opacity within the perihilar right lung. No pleural effusion or pneumothorax.

Left lower lobe and right perihilar airspace disease. In the appropriate clinical setting, this is compatible with infection/pneumonia and followup radiography is recommended following treatment to document resolution. If clinical findings are discordant, a XXXX is recommended.


Heart size normal. Stable cardiomediastinal silhouette. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures are in XXXX alignment without fracture.

Negative for acute cardiopulmonary disease.


The aortic XXXX is mildly tortuous. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There are T-spine osteophytes. Large body habitus.


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


No focal consolidation. No visualized pneumothorax. The heart size and cardia mediastinal silhouette is grossly unremarkable. No large effusions.


Lungs are XXXX. XXXX opacities are present in the left lung base. Heart size normal. Mediastinum normal.

Findings of COPD and left base focal atelectasis.


Both lungs are clear and expanded with no infiltrates. Basilar focal atelectasis is present in the lingula. Heart size normal. Calcified right hilar XXXX are present


There are low lung volumes with bibasilar opacities XXXX representing subsegmental atelectasis. The cardio the cardiac silhouette is of the XXXX of normal. There is no pneumothorax or pleural effusion.

Low lung volumes with bibasilar streaky opacities most XXXX representing subsegmental atelectasis.


The lungs and pleural spaces show no acute abnormality. Stable calcified granuloma in the left midlung. Heart size and pulmonary vascularity within normal limits.


Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. In the left midlung zone there is identified a 1.5 cm nodule. This appears somewhat dense and may contain calcium although this cannot be stated with certainty.

1.5 cm nodule in the left midlung zone. May contain calcium although this cannot be stated with certainty. Comparison to old films, if available would be useful to determine chronicity and stability. If old films are not available, XXXX scan could be XXXX to evaluate for the presence of calcium.


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


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


The heart is normal in size and contour. There is no mediastinal widening. Streaky bibasilar opacities, XXXX atelectasis. Vague opacity in the right midlung. Scattered calcified granulomas. No large pleural effusion or pneumothorax. The XXXX are intact.

Vague opacity in the right midlung, this could reflect a small focus of atelectasis or infiltrate. Bibasilar airspace opacities, XXXX atelectasis.


There is obscuration of the bilateral lung bases with lower lung volumes compared to prior examination. Stable atelectatic/fibrotic changes of the visualized lung, and stable left-sided calcified granuloma. No acute osseous abnormalities identified. Cardiomediastinal silhouette unremarkable.

Obscuration of the bilateral lung bases, XXXX combination of atelectasis, infiltrate, effusions.


The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. There are mild degenerative changes along the thoracic spine. No acute bony abnormality is identified.


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


The heart is slightly large. Pulmonary XXXX are normal. No infiltrates.

Slight cardiomegaly with no failure or pneumonia.


Minimal subsegmental atelectasis posteriorly. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.

No focal lung opacity, pleural effusion of pneumothorax.


There are XXXX sternotomy XXXX and mediastinal surgical clips XXXX secondary to a CABG procedure. Small T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There are cholecystectomy clips. There is eventration of right hemidiaphragm.


Mild cardiomegaly. Mediastinal normal width. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. XXXX scarring or atelectasis right midlung.

1. No acute cardiopulmonary disease. 2. XXXX scarring or atelectasis right midlung. 3. Mild cardiomegaly. .


The lungs are clear. There is hyperinflation of the lungs. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. mild arthritic changes of the spine are present.

Hyperinflation consistent with COPD. No acute pulmonary disease identified.


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


Mediport catheter seen on the right with the tip in the mid SVC. The lungs appear to be clear. No pleural effusion is seen. The heart and mediastinum are normal. The skeletal structures are normal.


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


In the interval, a 2 cm diameter nodule has developed in the posterior segment of the left lower lobe. It is not calcified. No other infiltrates or masses in the lungs. Heart and pulmonary XXXX are normal. XXXX are normal.

XXXX left lower lobe nodule. The differential diagnosis includes round pneumonia and parenchymal mass. CT may be of further XXXX.


In the interval, consolidations have developed in the left upper lobe and both lower lobes. Heart size remains slightly large. Pulmonary XXXX normal.

Bilateral increasing consolidations, consistent with multifocal pneumonia.


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


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

No acute cardiopulmonary abnormalities. .


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


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


Trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures show no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.


Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. There has been interval development of some XXXX bandlike opacities in left base. These appear to be located in the lingula. The remainder of the lungs appear clear. No pneumothorax or pleural effusion is seen.

1. XXXX opacities in the lingula. The appearance XXXX scarring or atelectasis. XXXX since the earlier study.


Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. Multilevel degenerative changes are noted within the thoracic spine.

No acute cardiopulmonary abnormality identified.


Cardiomediastinal silhouette is within normal limits. No focal consolidation. There is right lower lobe scarring. No pneumothorax or large pleural effusion. Granulomas present. No acute bony abnormalities.

1. No acute cardiopulmonary abnormalities. 2. No acute bony abnormalities. .


Interval removal of cardiac XXXX generator. Cardiomegaly. Left base streaky opacities again noted. No large focal areas of consolidation. No pleural effusions. Osseous structures intact. No pneumothorax.

1. Streaky left basilar opacities, XXXX atelectasis versus infiltrate. 2. Cardiomegaly, stable.


Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. Calcified right upper lobe pulmonary granuloma and calcified right hilar lymph XXXX. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.


The heart is enlarged. The left subclavian ICD is again identified. There is again hilar enlargement, XXXX superimposes enlarged pulmonary vasculature. XXXX opacities are unchanged and compatible with subsegmental atelectasis or scarring. There is no large pleural effusion or focal consolidation.


Cardiac silhouette is within normal limits in size for AP technique. Lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax, or pleural effusion. Pulmonary vasculature is normal in caliber. There are no acute bony findings.

Mildly hypoinflated, grossly clear lungs. .


Low lung volumes. Elevation of the right hemidiaphragm. Patchy opacities right base again noted. Left lung clear. Heart size top normal. Aortic calcification. Granulomas. No evidence of pneumothorax. Blunting of the bilateral costophrenic XXXX. Degenerative changes of the thoracic spine.


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 are low lung volumes. The lungs are otherwise clear. Heart size is normal. No pneumothorax.


There is a dual-lumen right internal jugular central venous catheter, the distal tip projects over the right atrium. There is no apparent pneumothorax. There is no focal lung opacity or pleural effusion. There is stable right upper lung lucency. The cardiopulmonary mediastinal silhouettes are stable. The visualized osseous structures appear within normal limits.

1. Distal tip of the dual-lumen right internal jugular central venous catheter projects over the right atrium. 2. No apparent pneumothorax. 3. Stable right upper lung lucency. CT chest may be helpful to further characterize.


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. Both clavicles appear within normal limits on this limited radiographic evaluation.


Heart size borderline enlarged. Stable cardiomediastinal silhouette. No pneumothorax or large pleural effusion. No focal airspace disease. Low lung volumes. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Mild degenerative disease of the thoracic spine.

Negative for acute cardiopulmonary disease.


The heart size and mediastinal contours appear within normal limits. Calcified granuloma in the left midlung. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.


[<Heart size and pulmonary vascularity within normal limits. There is a large hiatal hernia seen projecting in the retrocardiac region. This is XXXX from prior examination. There is associated atelectasis in the left lung base. No pleural effusion or pneumothorax is identified.

1. XXXX large hiatal hernia. 2. Left base atelectasis.


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


Sternotomy XXXX noted. Suture material overlies the left upper lobe. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion or pneumothorax. Scarring left costophrenic XXXX, unchanged. Calcified granulomas noted.


There is mild cardiomegaly. Pulmonary vasculature is normal in caliber. There are mild XXXX opacities bilaterally, favoring scar or atelectasis. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. No acute, displaced rib fractures are demonstrated. Visualized vertebral body XXXX are grossly intact.

1. Mild cardiomegaly. 2. No acute cardiopulmonary findings. Specifically, no displaced rib fractures demonstrated. .


The lungs are clear. No pneumothorax or pleural effusion. Left-sided pacemaker again noted with 1-XXXX in right atrium, another right ventricle and third in the left ventricle. These are stable. There is stable cardiomegaly.

No significant changes from prior study..


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


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.


The cardiomediastinal silhouette is normal in size and contour. Biapical fibronodular thickening/scarring. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.

Hyperexpanded lungs. Negative for acute abnormality.


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. There is a 9 mm right lower lobe pulmonary nodule, not seen on prior exams. There are posttraumatic deformities of the right posterior ribs. No focal airspace consolidation or effusion. No pneumothorax.

1. Right lower lobe pulmonary nodule. XXXX for better characterization. 2. No acute pulmonary process.


Cardiomegaly with unfolded aorta. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no evidence of pneumothorax.


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. There are some minimal degenerative changes of the thoracic spine. Evidence of chronic granulomatous disease.


There are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. There is stable prominence of the right cardiac silhouette. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There are stable chronic degenerative changes of the thoracic spine.


Mediastinal contours are normal. Heart size is within normal limits. Lungs are clear. There is no pneumothorax or large pleural effusion.


The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is enlarged. There is no pneumothorax or large pleural effusion.

Cardiomegaly, but no focal consolidation.


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


The heart is normal in size. The mediastinum is unremarkable. Small calcified left upper lung granuloma is noted. The lungs are clear.


The cardiomediastinal silhouette is within normal limits for size and contour. There is lingular airspace disease.. Osseous structures are within normal limits for patient age..

1. Lingular airspace disease which in the setting of XXXX is concerning for pneumonia.


No pneumothorax. Heart size is normal. No large pleural effusions. No focal airspace opacities. No definite visualized rib fractures.

No acute cardiopulmonary abnormalities. No visualized rib fractures.


XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.


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


The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. No displaced rib fractures visualized. .


This examination is somewhat limited secondary to obscuration of the bilateral posterior costophrenic sulci on the lateral view. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. The thoracic spine appears intact.

1. Limited chest radiograph examination without demonstration of an acute intrathoracic abnormality.


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


Well circumscribed 11 mm right upper lobe nodule, unchanged appearance from previous examination 7 years ago. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal. Redemonstrated syndesmophyte.

1. No acute cardiopulmonary abnormality.


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


Cardiomediastinal silhouettes are within normal limits. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Grossly unchanged appearance of calcified hilar lymph XXXX and scattered calcified granulomas. Stable degenerative changes in the spine.


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.


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


Both lungs are clear and expanded. An old calcified granuloma is present in the left upper lobe. Heart and mediastinum normal.


Heart size is normal. The lungs are clear. There is no pneumothorax or large pleural effusion.


Both lungs are clear and expanded. Heart and mediastinum 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.


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


No focal consolidation. There are prominent interstitial markings, including focally in right upper lobe, which are similar from prior examination. No visualized pneumothorax. The heart size is normal. There are no pleural effusions.


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


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


Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal heart size. Normal pulmonary vascularity. Bony thorax intact.


Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Calcified right hilar lymph XXXX noted.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. There is right upper lobe airspace disease.. There is a rounded nodular opacity in the left upper lung measuring approximately 7 mm which may represent further sequela of infectious process versus other pathology. Osseous structures are within normal limits for patient age.

1. Right upper lobe pneumonia. 2. Rounded nodular opacity in the peripheral left upper lung which may represent further sequela infectious process versus other pathology including metastatic disease in a patient with thyroid cancer. Follow up to resolution recommended.


Stable cardiomediastinal silhouette. Atherosclerotic calcifications about the aortic XXXX. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Dextroconvex scoliotic curvature of the thoracic spine.


Normal heart size. Left chest XXXX tip mid SVC. Right axillary surgical clips. Stable pleural based nodule left mid chest. No acute pulmonary findings.

Stable appearance of the chest. No XXXX or acute finding on today's study.


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


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.


PA and lateral views the chest were obtained. Heart size is upper limits normal or mildly enlarged. The thoracic aorta is mildly tortuous. Pulmonary XXXX are within normal limits. No pneumothorax, pleural effusion, or focal air space consolidation.


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


Low lung volumes. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Mild degenerate change of the thoracic spine. Stable cholecystectomy clips in the right upper quadrant.


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


The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. Calcified lymph XXXX are identified in the left infrahilar region. No pneumothorax. No pleural effusion. No acute, displaced rib fractures identified.


Stable, nonenlarged cardiomediastinal silhouette. Left upper lobe calcified granuloma noted. Epigastric and right upper quadrant postsurgical changes. Interval increased bilateral interstitial opacities, with probable left lower lobe infiltrate.


No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. Calcified granuloma in the anterior left lower lobe. XXXX XXXX are intact.


Enlarged cardiomediastinal silhouette. Low lung volumes. Relative elevation of right hemidiaphragm. XXXX left base density. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.

Cardiomegaly without heart failure. Minimal XXXX left basilar scarring/atelectasis.


This is a stable normal cardiomediastinal silhouette. The lungs are mildly hyperexpanded. Some blunting of the left costophrenic XXXX XXXX represent scarring or atelectasis. No large pneumothorax or effusion. There are no acute osseous abnormalities.


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


There are T-spine osteophytes. There calcified costochondral cartilages. There is loss of disc XXXX of a midthoracic vertebral body. There are streaky opacities in both lung bases which may represent atelectasis or scarring. No pneumothorax. The heart is borderline enlarged.

1. Borderline cardiomegaly. 2. Age-indeterminate, XXXX chronic, XXXX deformity in the midthoracic spine.


Low lung volumes. Bibasilar atelectasis versus scarring. Stable left abdominal surgical clips. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The XXXX are intact.


PA and lateral views of the chest were obtained. Tracheostomy tube. Probable mild cardiomegaly. Prominence of the central vasculature, unchanged. No pneumothorax pleural effusion or focal consolidation.

1. No acute cardiopulmonary disease. 2. Stable mild cardiomegaly. 3. Prominent central vasculature.


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


Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. There are XXXX opacities in the left XXXX, XXXX subsegmental atelectasis or scar. Otherwise, the lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality.

1. No acute cardiopulmonary abnormality. 2. Left midlung subsegmental atelectasis versus scar.


Stable cardiomediastinal silhouette. Mild patchy right upper lobe opacities, similar to slightly improved from XXXX. Left lung clear. No pleural effusion or pneumothorax.

1. Persistent mild right upper lobe infiltrate, similar to slightly improved from XXXX. 2. Left lung grossly clear.


Heart size is normal. Lungs are clear. Low lung volumes. There is no pneumothorax or large pleural effusion.


Heart size appears upper limits of normal. Tortuous aorta. Otherwise normal mediastinum. Confluent and XXXX opacities seen within the left base. There are no visible nodules or masses. No visible pneumothorax. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.

1. Left basilar mixed interstitial and alveolar infiltrate. Interval followup to resolution is recommended.


Stable obscuration of the left cardiac XXXX, XXXX representing left pleural thickening. Stable nodular opacity within the left midlung. The lungs are clear bilaterally with no focal consolidation, pleural effusions, or pneumothoraces. Cardiomediastinal silhouette is stable. XXXX are unremarkable.

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


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 is normal in size. The mediastinum is unremarkable. Granulomatous sequela are noted. The lungs are otherwise clear.


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

No acute cardiopulmonary abnormality seen on chest x-XXXX. No pneumothorax.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated, without evidence of focal airspace disease, pneumothorax, or pleural effusion. Incidental note is XXXX of an azygos fissure. There are no acute bony findings.


Limited exam as the left costophrenic XXXX is excluded from the PA view. The heart size is normal. The mediastinal contour is within normal limits. Mild lung hyperinflation. The lungs are free of any focal infiltrates. There is large calcified granuloma within the medial right lung base. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Mild multilevel degenerative changes seen within the thoracic spine. No visible acute fracture. There is no visible free intraperitoneal air under the diaphragm.

1. No acute radiographic cardiopulmonary process. 2. Mild hyperinflation.


There has been previous aortic valve replacement. Heart is towards upper limits normal for size and may be mild pulmonary vascular congestion. The skeletal structures are normal. The soft tissues are normal.

Question mild pulmonary vascular congestion in a patient with prosthetic aortic valve.


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 radiographically apparent etiology for hemoptysis.


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


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

No x-XXXX evidence of metastatic disease.


Stable mild thoracic levoscoliosis. Stable cardiomegaly. Multiple scattered round calcific densities XXXX represent old granulomatous disease. No pneumothorax or pleural effusion. No focal consolidation. Moderate degenerative changes of the thoracic spine.

Stable cardiomegaly with no focal airspace disease.


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


The 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 noted.


The trachea is midline. The cardiomediastinal silhouette is normal. There are low lung volumes, causing bibasilar atelectasis and bronchovascular crowding. Pulmonary opacity seen in the right lung base, may indicate focal infiltrate. There is no pleural effusion or pneumothorax. The visualized bony structures reveal no acute abnormalities.

1. Right lower lobe opacity may represent focal infiltrate versus atelectasis. 2. Low lung volumes. .


Heart size within normal limits, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Chronic appearing contour deformity of the right posterolateral 7th rib again noted suggestive of old injury.


No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. XXXX XXXX is intact.

1. Negative for acute cardiopulmonary findings.


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.


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


The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Mild dextrocurvature the spine.


Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild degenerative changes thoracic spine.


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


The cardiomediastinal silhouette is normal in size and contour. Streaky perihilar opacities. Peribronchial cuffing also noted. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.

Findings most suggestive of infectious or reactive small airways disease. No focal pneumonia.


4 images. There is a large hydropneumothorax within the left chest. There is essentially complete collapse of the left lung. Within the right lung, there are increased interstitial opacities within the medial right lung base and right upper lobe, with patchy airspace opacity within the right lung apex. At the right lung apex, there is a more focal ovoid lucency which measures approximately 1.3 cm. This could indicate cavitation. Left-sided cardiomediastinal contours are obscured by collapse of the left lung. No convincing acute bony findings.

1. Large left hydropneumothorax, with complete collapse of the left lung. 2. Airspace and interstitial opacity within the right upper and lower lobes. Possible apical cavitation. Tuberculosis should be excluded clinically.


Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Low left paraspinal/retrocrural adenopathy is present. This appears unchanged.

1. Left paraspinal/retrocrural adenopathy.


There is interval placement of a XXXX on the left chest with the catheter tip in the cavoatrial junction. The heart size is within normal limits. Lung volumes within normal limits. Slightly prominent pulmonary vascularity noted. Increased peribronchial cuffing. No large consolidation, effusion, or pneumothorax. There is subpleural edema outlining the right XXXX fissure.

1. Stable and adequately placed XXXX. 2. Prominent pulmonary vasculature, subpleural edema, and peribronchial cuffing suggestive of volume overload versus viral bronchiolitis.


Two nodules are noted in the right XXXX XXXX measuring 13 mm and one measuring 16 mm in diameter. The smaller one appears to be within the right upper lobe and the large XXXX appears to be within the left lower lobe. No focal consolidation and no other pulmonary nodules are identified. However, if a full evaluation for lung nodules is desired consider XXXX for further evaluation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.

At XXXX 2 right lung pulmonary nodules concerning for<BR>metastatic disease


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


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


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 upper limits of normal. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is right basilar air space opacity.

Right middle lobe and lower lobe pneumonia. Followup radiographs in 8-12 weeks after appropriate therapy are indicated to exclude an underlying abnormality.


There is a moderate sized right pleural effusion. Severe slightly smaller than is compared to XXXX. There is a small left pleural effusion. This is unchanged as compared to the prior study. There is a right chest wall venous XXXX XXXX which appears accessed. No pneumothorax. Scaphoid abdomen.

1. Moderate sized right pleural effusion appears smaller than the prior study. 2. Small left pleural effusion appears unchanged.


There is XXXX opacity left lung base may represent atelectasis or early infiltrate. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.


Normal heart size and mediastinal contours. No focal airspace consolidation. Chronic appearing left greater than right lung base scarring with possible small effusions. No pneumothorax. Visualized osseous structures are unremarkable in appearance.

1. Chronic appearing bibasilar pleural abnormality with possible small effusions. 2. No evidence of pneumonia. TIPS shunt visualized. .


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

There is no radiographic evidence of acute cardiopulmonary disease.


The cardiac and mediastinal contours are within normal limits. Lungs are well-inflated and clear. There is no focal consolidation, pneumothorax or effusion. No acute bony abnormalities are seen.

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


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


Low lung volumes. Heart size and mediastinal contour within normal limits. No focal air space consolidation, pneumothorax, or pleural effusion. Mild thoracic spine degenerative change.


Stable appearance of the cardiomediastinal silhouette. The aorta is calcified and tortuous. There is dextroscoliosis of the thoracolumbar spine. Multiple thoracic XXXX deformities appear unchanged. There is no displaced rib fracture identified. There is no pneumothorax or large pleural effusion. Stable changes of chronic lung disease with flattening of the left hemidiaphragm. There is mild right basilar airspace disease which may represent atelectasis versus infiltrate.

1. No acute posttraumatic finding. 2. Mild right basilar airspace consolidation may represent atelectasis versus infiltrate. 3. Changes of chronic lung disease.


The XXXX examination consists of supine and crosstable 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.


Chest. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Pelvis. There are numerous clips overlying the pelvis and lower abdomen. Nonobstructive bowel XXXX pattern. No pathologic calcifications. Hip joint spaces are symmetric and normal. Sacroiliac joints are unremarkable. No fractures or dislocations.

1. Chest. No acute cardiopulmonary findings. 2. Pelvis. No acute osseous findings.


There are intact midline sternotomy XXXX and postsurgical changes of prior CABG. The aorta is unfolded. The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are mild degenerative changes in the thoracic spine.


There has been interval performance of CABG with multiple XXXX sternotomy XXXX, surgical clips, and CABG markers. All of the XXXX sternotomy XXXX are broken, and a fragment at a sternotomy XXXX appears to XXXX within the left posterior pleural space. Stable cardiomegaly and central pulmonary vascular prominence. No focal consolidation, pneumothorax, or effusion. Relative elevation of the left hemidiaphragm noted. No acute bony abnormality.

Cardiomegaly with surgical changes of CABG, with numerous broken XXXX sternotomy XXXX and a sternotomy XXXX fragment noted XXXX in the posterior left pleural space.


The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. Patchy right lower lung opacification is noted.


The cardiomediastinal silhouette is normal size and configuration. Tortuous aorta with atherosclerotic calcification. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. There are multiple overlying leads at the level of the left lower chest, with overlying XXXX XXXX or clothing there is this is thought to account for mild increased density the left lung base on AP view, with correlate on lateral view. Degenerative spine.


Normal heart size. Tortuous calcified aorta. Scattered granulomas. No lobar pneumonia. Probable XXXX post your recess effusions. Kyphotic degenerated osteopenic thoracic spine.

Probable XXXX posterior recess effusions with mild basilar atelectasis. No lobar pneumonia.


The lungs are clear. The cardiomediastinal silhouette is within normal limits. Small pleural effusion is identified.


Heart size appears enlarged. Mediastinal contours are within normal limits. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Osseous structures are within normal limits for patient age.

1. Low volume study without definite acute process. 2. Mild cardiomegaly.


The heart size is normal. 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 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.


Normal heart size. Stable unfolding the thoracic aorta. No focal air space consolidation. No pleural effusion or pneumothorax. Stable calcified granuloma in the left lower lobe. Visualized osseous structures are unremarkable appearance.


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


Cardiac silhouette is within normal limits. Bibasilar atelectasis/infiltrate. There is no pleural effusion or pneumothorax. Left chest XXXX with associated central venous catheter tip overlying the cavoatrial junction.

1. Bibasilar atelectasis/infiltrate. Improved from prior.


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


Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality.


Normal cardiac contour. Stable calcified granuloma left upper lobe. No pleural effusion or pneumothorax. Clear lungs bilaterally.

1. No acute cardiopulmonary abnormalities


Normal heart size and mediastinal contours. Lungs are clear. There is no pneumothorax or pleural effusion. Postoperative changes seen in the left humerus. No acute bony abnormalities.


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


The cardiomediastinal silhouette is within normal limits. Lungs are clear without areas of focal consolidation. No pneumothorax or large pleural effusion.


Cardiac and mediastinal contours are within normal limits. Atherosclerotic aorta. Mild blunting left costophrenic recess, possibly mild atelectasis or scarring. No confluent lobar consolidation or large volume pleural effusion. Thoracic spondylosis.


Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Vague nodular density right upper lobe overlying the right anterior 2nd and posterior 6th ribs. This could represent healing fracture or superimposed structures. Bony thorax is unremarkable.

1. No acute cardiopulmonary abnormalities. 2. Vague left upper lobe nodular density as described above. Further imaging XXXX may be helpful.


Blunting of the costophrenic XXXX XXXX represents scarring. No pleural effusion is identified on the lateral view. There is no focal consolidation. No pneumothorax is present. The cardiomediastinal silhouette is within normal limits are in the pulmonary vasculature is normal.

Scarring at the lateral costophrenic XXXX. Otherwise no significant radiographic abnormality.


Stable left chest cardiac XXXX generator with 2 distal leads in right atrium and right ventricle. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Emphysema. Stable calcified granulomas. Bony structures appear intact.

Emphysema without acute cardiopulmonary findings.


The lungs appear clear. The heart and pulmonary XXXX are normal. Mediastinal contours are normal. Surgical clips are identified in the mediastinum. Pleural spaces are clear. Soft tissue XXXX previously noted along the right lateral chest wall has resolved.


Marked enlargement of the cardiac silhouette, left infraclavicular cardiac XXXX generator, right atrial and right ventricular leads. Mild bilateral costophrenic XXXX blunting, left greater than right, interstitial opacities greatest in the central lungs and bases with indistinct vascular margination. Fluid noted in small bowel and stomach.

1. Cardiomegaly/pericardial fluid and small bilateral pleural effusions 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, differential diagnosis includes infection and aspiration, clinical correlation recommended


Heart size within normal limits. Tortuous aorta. Low lung volumes with no focal consolidations. No pneumothorax or effusion. Moderate degenerative disc disease in the midthoracic spine.


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.


There is a calcified granuloma in the left upper lung zone. The lungs are otherwise clear. There is hyperinflation. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal for age.


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


Heart size is within normal limits. Cardiomediastinal silhouette is normal. Lungs are clear bilaterally without effusion or pneumothorax. No bony or soft tissue abnormalities.


Cardiac and mediastinal contours are within normal limits. The lungs are clear. Acromioclavicular arthritis is present, XXXX severe.


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 unremarkable. The lungs are hypoinflated. No focal consolidation is seen. Postsurgical/biopsy changes overlying the right breast.

Mild hypoinflation without acute disease.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are well-inflated and grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. There is a XXXX-A-XXXX terminating in the superior XXXX XXXX. There are surgical clips in the left breast and axilla.


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


Stable cardiomediastinal silhouette. Stable XXXX opacity in the left base, XXXX scarring or atelectasis. Rounded calcified density in the left lung base, XXXX calcified granuloma. No XXXX consolidation. No pleural effusion or pneumothorax. Stable degenerative changes of the spine.


Heart size is enlarged, pulmonary vascularity within normal limits. No visible pneumothorax . XXXX right pleural effusion blunting posterior costophrenic XXXX. There is a XXXX XXXX of subsegmental atelectasis of the left lung base. There is XXXX alveolar airspace disease in the medial right lung base. Multilevel degenerative disease of the visualized portions of the thoracolumbar spine.

1. Cardiomegaly without pulmonary edema. 2. XXXX right medial basilar airspace disease. 3. Left lower lobe subsegmental atelectasis.


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


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


Heart size within normal limits. No focal airspace consolidations. No pneumothorax or effusions.


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


Stable cardiomediastinal silhouette. Tortuous aorta. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. Dual-XXXX cardiac pacing device is in XXXX, stable position with leads projecting over the right atrium and right ventricle. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.

Cardiac pacemaker in stable position. No evidence of acute complication.


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

No evidence of acute cardiopulmonary process.


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


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. A single XXXX cardiac defibrillator XXXX projects over the right ventricle, in stable position. There are XXXX sternotomy XXXX and surgical clips from prior CABG.


There are patchy alveolar and interstitial opacities within the lung bases bilaterally representing an infectious etiology versus chronic lung disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac silhouette is enlarged. There are atherosclerotic calcifications of the aortic XXXX. There are degenerative changes throughout the thoracic spine.

Patchy alveolar and interstitial opacities within the lung bases bilaterally representing an infectious etiology versus chronic lung disease.


Cardiac and mediastinal XXXX appear normal. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact.

No acute radiographic cardiopulmonary process. .


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


Hyperinflated lungs with mildly flattened posterior diaphragm. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits, no typical findings of pulmonary edema.

Hyperinflated lungs, air trapping versus inspiratory XXXX.


The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.


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


Two views of chest was obtained in AP projection. The cardiomediastinal silhouette is not enlarged. Lungs demonstrate segmental air space disease within the left lower lobe. There is no effusion or pneumothorax. There is evidence of CABG.

1. Left lower lobe airspace disease suspicious for pneumonia.


The lungs are clear. There are calcified left hilar lymph XXXX. The heart and mediastinum are normal. The skeletal structures are notable for an old apparent fracture at T12-L1 or congenital fusion unchanged from the prior study.

1. No acute pulmonary disease. 2. Possible old injury or developmental anomaly partially T12-L1.


Both lungs are clear and expanded. Heart and mediastinum normal. XXXX-A-XXXX XXXX has its tip at the caval atrial junction.


Heart size and cardiomediastinal silhouette are normal. Mild tortuosity of the aorta. Low lung volumes, however lungs are grossly clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures grossly intact.

Negative for acute cardiopulmonary findings.


There is an S-shaped scoliosis of the thoracic spine. Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.


The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear. Underlying emphysematous changes are noted.


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


The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. Mild degeneration of the thoracic spine without acute bony abnormality.


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


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


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


Normal heart size and mediastinal contours. There is interval improvement in the right lower lobe airspace disease. There is XXXX mild air space opacity in that distribution. No XXXX airspace disease. No pneumothorax or pleural effusion.

Improved right lower lobe consolidation with mild residual or recurrent pneumonia. Recommend radiographic follow up after appropriate therapy to confirm resolution. If there is no improvement consider XXXX for further evaluation. .


The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. There is mild scoliosis of the spine.


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


Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Elevated left hemidiaphragm with scarring at the left costophrenic XXXX. There is a bullet fragment overlying the left T7 vertebra. Retained XXXX bullet fragments noted within the left upper and lower lobes. No focal consolidation, visible pneumothorax or large pleural effusion. Mild degenerative changes of the thoracic spine.

1. No evidence of active cardiopulmonary disease. 2. Posttraumatic changes compatible with prior gunshot wound.


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


Heart size and mediastinal contours are stable. Atherosclerotic calcifications of the aorta. Moderate severe hyperexpansion of the lungs and decreased peripheral vascular markings, consistent with emphysema. Stable biapical pleural-parenchymal scarring. Scattered granulomas. No abnormal airspace consolidation. No pneumothorax or pleural effusion.

1. Stable emphysematous changes. 2. Stable biapical pleural-parenchymal scarring.


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.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. No XXXX focal airspace consolidation or pleural effusion.

No acute or active cardiac, pulmonary or pleural disease.


The heart is normal in size. The mediastinum is unremarkable. Mild emphysematous changes without focal consolidation. There is no pleural effusion. XXXX lingular scarring or atelectasis noted.


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.


There are XXXX sternotomy XXXX identified. The heart is within normal limits in size. The aorta is calcified and tortuous. There are scattered calcified granulomas throughout both lungs. No focal infiltrate, pleural effusion, or pneumothorax. Mild degenerative changes of the thoracic spine.

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


There is interval removal of the tracheostomy tube and right subclavian central venous catheter. The cardiac silhouette is mildly enlarged. There are XXXX XXXX pulmonary opacities with blunting of the bilateral costophrenic XXXX, on the right greater than left, with pleural thickening versus loculated pleural fluid along the peripheral aspect of the right upper lobe. Right perihilar opacities. No pneumothorax identified.

1. Enlarged cardiac silhouette, possibly consistent with mild cardiomegaly versus a small pericardial effusion. 2. Mild bibasilar atelectasis and/or infiltrates with probable small bilateral pleural effusions, on the right greater than left, and pleural thickening versus loculated pleural fluid along the peripheral aspect of the right upper lobe. .


There are postsurgical and postradiation changes of the left lung with a spiculated, hyperdense scar in the left upper thorax. There is a loss of lung volume on the left due to postsurgical change. XXXX deviation towards the left. Right lung is hyperexpanded. The right lung is clear. Heart size and vascularity within normal limits.

Postsurgical and postradiation changes on the left with no acute abnormality.


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

1. No acute pulmonary disease. 2. No displaced rib fracture visualized.


Frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. Cardiac silhouette at the upper limits of normal in size. Tortuous ectatic aorta. The aortic XXXX is near 5 cm in diameter. There is a retrocardiac left paraspinal bulge concerning for a descending thoracic aortic aneurysm. There is biapical scarring. No XXXX focal airspace consolidation or pleural effusion. XXXX spine spondylitic changes.

1. Stable aneurysmal enlargement of the XXXX and descending aorta. Chest CTA could be obtained as a XXXX. 2. Borderline heart size. 3. No acute pulmonary disease process.


Heart size within normal limits. Mild XXXX left upper lobe atelectasis or scarring. No pneumothorax or pleural effusion. Tortuous aorta. Hiatal hernia.


There is distortion of the right hilum which may be postsurgical versus neoplastic. Volume loss of the right hand side. There is no evidence of focal infiltrate. No pneumothorax. No pleural effusion. Normal heart size.

Question prior right upper lobe resection, no acute abnormality.


The heart size is normal. 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 heart size is within normal limits. There is ectasia/tortuosity of the thoracic aorta. Calcified hilar lymph XXXX. Irregular calcific density projecting over the left lower lobe, stable since XXXX and may represent mitral annular calcifications. No focal airspace consolidation, pleural effusions or pneumothorax. Degenerative changes of the thoracic spine. No acute bony abnormalities.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. No pleural effusion. There are XXXX spine marginal osteophytes.

Stable chest. No acute disease process identified.


There is significant interval decrease in right middle and right lower lobe opacification. Persistent small right pleural effusion and XXXX XXXX atelectasis. No pneumothorax. Stable appearance of the cardiomediastinal silhouette. No acute bone abnormality.

1. Improved right mid lung and right basilar consolidation. 2. Decreasing right pleural effusion.


The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aorta identified. There is no focal consolidation, pleural effusion or pneumothorax. Degenerative changes of the thoracic spine are noted.


The lateral view is nondiagnostic due to patient positioning. Normal heart size and mediastinal contours. No focal airspace consolidation. No pneumothorax or large pleural effusion. Visualized osseous structures are unremarkable in appearance.

1. Technically limited exam. 2. No acute cardiopulmonary abnormalities. .


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


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 an interim XXXX cervical spinal fusion partly evaluated.


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.


Hyperexpanded lungs suggesting obstructive lung disease. Sequelae of old granulomatous disease. No focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.


Stable prominence of the cardiac apex, XXXX from ventricular hypertrophy. Mid sternotomy XXXX again noted. No pneumothorax, significant pulmonary edema or large pleural effusions. No focal lung consolidation. Clips in the right upper quadrant consistent with cholecystectomy. Dextroscoliosis of the thoracolumbar spine.

1. No acute cardiopulmonary abnormalities.


The cavity and the left upper lobe has decreased in size. Bilateral apical bullae and parenchymal scars are unchanged. No XXXX infiltrates in the lower lobes. Heart size remains normal.

Bullous disease and upper lobe scars. Decreasing right upper lobe cavity.


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

1. Hyperexpanded lungs. The pattern suggests emphysema. 2. No evidence of acute disease.


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Postsurgical changes include left chest pacemaker/ICD with XXXX tips over the right atrium and right ventricle, sternotomy XXXX, and graft markers, and upper anterior mediastinal surgical clips. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Specifically, no evidence of pneumonia. Visualized osseous structures appear intact.

No acute cardiopulmonary abnormality. Postsurgical changes as described above. .


There is hyperinflation of the lungs appear to be clear. There is no pleural effusion or The heart is normal. There are atherosclerotic changes of the aorta. The skeletal structures are normal.


Normal heart size. Normal mediastinal contour. No pneumothorax, airspace consolidation, or pleural effusion. No chest XXXX XXXX. No acute bony abnormality.


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


Heart size upper limits of normal. Pulmonary vascular engorgement appears within limits of normal. No consolidating airspace disease is seen within the lungs. No pleural effusion or pneumothorax. Bridging syndesmophytes are noted throughout visualized thoracolumbar spine. This could indicate diffuse idiopathic skeletal hyperostosis. This is similar to prior imaging.


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


The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are present within the spine.


There are no acute osseous abnormalities. Soft tissue structures are within normal limits. Normal heart size and hilar vascular markings. The lungs are clear without focal area of consolidation, pleural effusion, pneumothorax.

1. No acute radiographic cardiopulmonary process.


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


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


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


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


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


XXXX XXXX and lateral chest examination was obtained. One AP view is expiratory and was repeated. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no focal infiltrates. There is no effusion or pneumothorax.


Stable cardiomediastinal silhouette with tortuous thoracic aorta. No pneumothorax, pleural effusion or suspicious focal air space opacity. Stable right lung base scarring.

Stable exam with no acute abnormality seen.


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


The XXXX examination consists of frontal supine and lateral radiographs of the chest. Frontal view is lordotic in projection. The cardiomediastinal contours are within normal limits for supine film. No focal consolidation, pleural effusion, or pneumothorax identified. There is a calcified granuloma at the left lung base. The visualized osseous structures and upper abdomen are unremarkable.

No evidence of acute thoracic XXXX. XXXX chest radiograph is recommended if XXXX is not XXXX.


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


The cardiomediastinal silhouette is normal in size and contour. Peripheral right basilar calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Apparent nodular opacity on lateral projection, immediately retrocardiac, is XXXX to represent confluence of overlapping silhouettes. Negative for acute bone abnormality.


The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. There is a stable calcified granuloma in the infrahilar right lung. There are mild degenerative changes along the thoracic spine. No acute bony abnormality is identified.


Frontal and lateral views of the chest show an unchanged cardiomediastinal 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.


Left XXXX XXXX noted with tip approximating the high SVC, stable. No pleural effusions. No pneumothorax. Heart size is normal limits. Degenerative changes thoracic spine.


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

Hypoinflation with no visible active XXXX pulmonary disease.


The cardiomediastinal silhouette is stable. There is tortuosity the thoracic aorta. There is evidence of prior granulomatous disease. Chronic interstitial markings XXXX represents the sequela of emphysema. There is scarring in the lingula. There is no focal airspace consolidation. There is no pneumothorax or large pleural effusion. The left chest wall pacemaker device with dual intracardiac leads is again noted.

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


The heart size of the limits of normal. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There is a calcified granuloma right midlung and posterior costophrenic sulcus.


Hypoinflation with elevated left hemidiaphragm and possible left basilar infiltrate versus atelectasis. Followup evaluation is suggested in 2 to 4 weeks. IMPRESSION: Exam: CHEST 2V FRONTAL/LATERAL Date: XXXX, XXXX XXXX PM Comparison: CT chest XXXX History: Shortness of breath FINDINGS: The heart is mildly enlarged. The lungs are hypoinflated with mildly elevated left hemidiaphragm. There is patchy opacity in the left lung base which may be secondary to atelectasis and/or possible infiltrate. Increased markings are noted throughout and were present on prior CT. The study is limited secondary to moderate XXXX motion. Underlying emphysematous changes are identified. IMPRESSION: Hypoinflation with elevated left hemidiaphragm and possible left basilar infiltrate versus atelectasis. Followup evaluation is suggested in 2 to 4 weeks.


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


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


There is a right IJ central venous catheter with tip overlying the inferior SVC. Cardiac silhouette is normal size. Normal mediastinal contour and pulmonary vasculature. There is a small right pleural effusion. Otherwise, lungs are without focal airspace disease.


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


The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild chronic degenerative changes are present in the spine.


The cardiomediastinal silhouette is within normal limits for size and contour. There is a right middle lobe nodule which is denser than adjacent XXXX is most XXXX calcified. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.


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


Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Osteopenia and XXXX deformities, degenerative changes and scoliosis are present in the thoracic spine. Calcified granuloma is present in the left upper lobe. On XXXX component of a XXXX scan XXXX XXXX/XXXX, several nodules were identified. A nodule is seen in the right middle lobe which corresponds with one of the nodules present on the previous CT scan.

1. Right middle lobe lung nodule. Corresponds to one of those seen on the previous XXXX scan. The other nodules seen on the chest CT scan are not XXXX identified. This may be due to XXXX having resolved or simply not being visible on the chest x-XXXX. A chest CT scan would be needed to be XXXX to determine whether these have XXXX resolved or XXXX not visible on the chest x-XXXX.


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

Findings suggestive of emphysema. No acute cardiopulmonary process.


There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Stable left mid lung granuloma.


The lungs and pleural spaces show no acute abnormality. Heart size upper limits of normal, pulmonary vascularity within normal limits. Straightening of the normal thoracic kyphosis. Levocurvature the lumbar spine, incompletely imaged.


The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. Mild tortuosity of the descending thoracic aorta. XXXX sternotomy XXXX noted. Inferior sternotomy XXXX is disrupted.


The heart is normal size with normal appearance the cardiomediastinal silhouette. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact with degenerative changes in thoracic spine.


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


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


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


The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute pulmonary consolidation, large effusion or pneumothorax. There is minimal left basilar atelectasis. There are small bilateral pulmonary nodules measure approximately 5 mm in size in the right midlung and left upper lung XXXX. These are not well appreciated on the lateral projection.

1. No focal pulmonary consolidation or effusion. Minimal left basilar atelectasis. 2. Bilateral pulmonary nodules. These were not present on the prior study and may represent sequela of infection, but could represent neoplastic process. Correlation with history of primary malignancy is recommended. Further evaluation XXXX of the thorax could be performed, if clinically indicated.


Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. The visualized bony structures appear intact. There is a XXXX radiodensity overlying the right shoulder which is XXXX external to the patient however clinical correlation recommended. Scattered calcified granulomas.

No acute cardiopulmonary abnormality. No fracture visualized.


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


Stable right upper lobe calcified granuloma. No pneumothorax, pleural effusion or airspace consolidation. Normal heart size and pulmonary vasculature. XXXX XXXX are grossly intact. No thoracic XXXX fractures.


The cardiomediastinal silhouette is stable in appearance. There is redemonstration of complete opacification of the right middle lobe no significant associated volume loss. The left lung appears clear. No pneumothorax or pleural effusion demonstrated. The thoracic spine appears intact.

1. Stable right middle lobe consolidation, most consistent with pneumonia.


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


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is a right chest XXXX with central venous catheter tip overlying the high SVC. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.


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


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


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


Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable. No significant interval change compared to prior study, no XXXX infiltrates noted.

No radiographic evidence of acute cardiopulmonary disease


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


The lungs are clear. The cardiomediastinal silhouette is within normal limits. A right-sided Mediport catheter is noted. No pleural effusion is identified.


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

Negative for acute cardiopulmonary abnormality.


There are low lung volumes with bronchovascular crowding. There is no focal consolidation. No visualized pneumothorax. Heart size is within normal limits. The cardiomediastinal contours is grossly normal in size and contour.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum unremarkable. No change in the mediastinal surgical clips.


Normal heart size. Clear, hyperaerated lungs. No pneumothorax. No pleural effusion. XXXX substernal density may be related to a pectus deformity.


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


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.


Normal cardiomediastinal silhouette. Interval improvement in lung volumes bilaterally. Improved aeration of the right and left lung bases. Bilateral small pleural effusions and left base atelectatic change, with interval improvement. Visualized XXXX of the chest XXXX are within normal limits.

Interval improvement in aeration of lung bases and pleural effusions. Residual small left effusion and questionable small right pleural effusion.


The heart and mediastinum are unremarkable. Again identified are numerous calcified mediastinal lymph XXXX as well as large calcifications within the left upper and left lower lobes. These appear similar to the patient's previous chest CT and are XXXX the sequela of prior granulomatous disease. The lungs are otherwise clear without infiltrate. There is no effusion or pneumothorax.

1. Evidence of prior granulomatous disease, stable. No acute abnormality.


XXXX sternotomy XXXX appear intact. Surgical clips overlying the mediastinum. Mitral valve replacement seen. Low lung volumes. The interstitial markings appear prominent, which may represent interstitial edema. There is mild blunting of the posterior sulcus on the lateral view, which could represent a small effusion. No pneumothorax. No acute bony abnormality.

1. Mildly prominent interstitial markings, which could represent interstitial edema. 2. Mild blunting of the posterior sulcus, which could represent a small effusion.


PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or focal air space consolidation. Degenerative spine.


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


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


Technically limited study secondary to patient XXXX. Decreased lung volumes with associated bronchopulmonary crowding without evidence of focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.

No acute cardiopulmonary abnormality. Mild nonspecific prominence of mediastinum, consider repeat CXR XXXX if any concern for vascular process.


The left lung is grossly clear. The right lung demonstrates a large right pleural effusion with associated atelectatic collapse of the right middle lobe and partial collapse of the right lower lobe. XXXX opacities are seen within the aerated right lung, XXXX subsegmental atelectasis. No focal consolidation or pneumothorax identified. No acute osseous abnormality. Cardio mediastinal silhouette is stable compared to prior examinations.

Large right pleural effusion with associated passive atelectasis of the right middle and lower lobes. Grossly clear left lung.


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


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


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


The heart is normal in size. The mediastinum is unremarkable. Mild blunting of right costophrenic XXXX. The lungs are otherwise grossly clear.


There is blunting of the left costophrenic XXXX compatible with a moderate to large left pleural fluid collection. There are areas of airspace opacity within the left lung base which may represent atelectasis or infiltrate. Minimal bandlike atelectasis within the right lung base. Heart size is normal. Left-sided tunneled catheter terminates at the caval atrial junction. Right IJ venous catheter terminates at the proximal SVC.

Lines and tubes as above. Moderate-to-large left pleural effusion, with adjacent airspace disease or atelectasis.


There are no airspace opacities to suggest pneumonia. There is a vague nodular like opacity in the right midlung measuring 1.2 cm projecting through the posterior 7th and 8th ribs. This may be artifact. Chest fluoroscopy would confirm this. Heart and pulmonary XXXX appear normal. There are calcified subcarinal and right hilar lymph XXXX. The pleural spaces are clear.

Nodular density noted on recent PA chest radiograph XXXX represents an artifact. No nodules noted within the lungs on a recent outside XXXX from XXXX.


The cardiac and mediastinal contours are within normal limits. The lungs are well-inflated and clear. There is an 8mm nodule in the left lower lobe, XXXX calcified granuloma. There is no pneumothorax or effusion. Bony structures of the thorax are intact with minimal early degenerative change.

1. No evidence of acute cardiopulmonary process. 2. 8mm nodule in the left lung base, XXXX calcified granuloma.


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


There has been interval CABG. Sternotomy and XXXX cerclage XXXX appear intact. No focal air space opacity. No pleural effusion or pneumothorax. Stable, mild degenerative disc disease of the thoracic spine. Visualized bony structures are otherwise unremarkable in appearance. Atherosclerotic calcifications of the thoracic aorta.

1. Clear lungs. No acute chest findings. 2. Peripheral vascular 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. No acute bone abnormality.


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


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.


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


Normal heart size. Stable tortuous thoracic aorta. Prior granulomatous disease. Healed rib fractures appear stable. Focal opacity is noted in the left midlung overlying the 9th posterior rib which XXXX represents healing rib callus. No pneumothorax or pleural effusion.


The heart is mild enlarged. Central pulmonary vascularity is again accentuated. There are also mild increased interstitial markings without focal consolidation or pleural effusion.

Mild stable cardiomegaly with mild central pulmonary vascular congestion and interstitial accentuation, XXXX edema.


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


The XXXX examination consists of frontal and lateral radiographs of the chest. Sternotomy XXXX and surgical clips are again seen. The cardiomediastinal contours are unchanged. There is a background of marked centrilobular emphysema. Streaky opacities in the lung bases may represent atelectasis or scarring. There is no consolidation, pleural effusion or pneumothorax.

No evidence of acute cardiopulmonary disease or significant interval change.


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 minimal degenerative changes of the spine.


There are a few small nodular opacities in the left lung, XXXX seen on the frontal view overlying the left 6th posterior rib. Lungs otherwise appear clear. No focal airspace consolidation. No overt pulmonary edema. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. Calcified mediastinal and hilar lymph XXXX are consistent with prior granulomatous disease. There are mild degenerative changes of the spine.

Few small nodular opacities in the left upper lung. These small nodules are relatively dense, suggestive of chronic granulomatous disease. Comparison with an XXXX chest radiograph would be helpful to establish stability.


Normal heart size. Clear lungs. Trachea is midline. No pneumothorax. No 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.


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


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


Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. There are scattered nodular opacities, XXXX calcified granulomas. No XXXX focal airspace consolidation or pleural effusion.

No acute or active cardiac, pulmonary or pleural disease. Probable previous granulomatous disease.


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


The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. Arthritic changes are seen throughout the spine and both XXXX.


Stable appearance of the cardiomediastinal silhouette. There is no pneumothorax, pleural effusion, or focal airspace consolidation.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There are 3 cardiac pacing leads in stable position. There is no evidence of pneumothorax or pleural effusion. There is minimal XXXX scarring or atelectasis in the right lung base. The lungs are otherwise clear.

Cardiac pacing leads in stable position, without evidence of acute complication.


The mediastinal and hilar lymph XXXX are less prominent than previously. Heart size remains normal. Lungs are clear.

Decreasing bilateral hilar adenopathy. Continued clear lungs.


In the interval, consolidation and atelectasis have developed in the right lower lobe. Costophrenic XXXX blunted on the right. Left lung clear. Heart size normal.

Left lower lobe airspace disease consistent with pneumonia. Associated right pleural effusion.


No pneumothorax or pleural effusion. Normal cardiac contours. Clear lungs bilaterally. Redemonstration of transmetatarsal amputation. No evidence of acute fracture-dislocations. No evidence of any bony erosions or osseous infections.

Right foot 1. No evidence of the bony erosions or osseous infection. Chest radiograph 1. No acute cardiopulmonary abnormalities.


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


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


Calcified granuloma is noted in the left upper lobe. There are low lung volumes, with bronchovascular crowding as a result. Heart size is within normal limits. Normal mediastinal contours. No pleural effusion, pneumothorax or focal airspace disease. No free subdiaphragmatic air. The osseous structures are grossly intact.

Low lung volumes. No acute pulmonary disease.


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


Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications are present. The lungs are otherwise clear. Bony structures are intact. Prior cholecystectomy.


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


Low lung volumes bilaterally with central bronchovascular crowding without focal consolidation, pleural effusion, or pneumothoraces.. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the thoracic spine..

Low lung volumes bilaterally with central bronchovascular crowding without focal cardiopulmonary disease. .


The heart is normal in size and contour. There is focal airspace disease in the right middle lobe. There is no pneumothorax or effusion.

Focal airspace disease in the right middle lobe. This is most concerning for pneumonia. Recommend follow up to ensure resolution.


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


No there is an dextroscoliosis of the thoracic spine. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.


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


Stable appearance of previous XXXX sternotomy. Stable cardiomegaly. Stable mild bilateral interstitial opacities in which may represent mild pulmonary edema. No evidence of large pleural effusion or pneumothorax.

Stable cardiomegaly and mild bilateral interstitial opacities which represent mild pulmonary edema.


The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. The mediastinum is normal. Arthritic changes of the skeletal structures are noted.

No acute pulmonary disease. No gross evidence for rib fracture.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. The aorta is tortuous, but the heart and mediastinum otherwise normal.


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


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


Heart size is normal. Stable mediastinal contour. No focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. Mild thoracic spine degenerative change.


The heart is again enlarged. Aorta is tortuous. The lungs are hypoinflated but clear. No pleural effusion or pneumothorax is seen.

1. Stable cardiomegaly without acute disease.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Chronic appearing interstitial marking. Right upper lobe granuloma, stable The lungs are normally inflated and clear. Degenerative changes of the spine.

1. Chronic changes without acute process


Heart size normal. Mediastinum unremarkable. Pulmonary vascularity within normal limits. Lungs symmetrically aerated without focal infiltrate or consolidation. Multiple scattered calcified granulomas are present bilaterally. No focal volume loss evident. No pneumothorax or pleural effusion. Bony thorax unremarkable.

Multiple bilateral calcified granulomas most XXXX sequela of granulomatous process. No focal infiltrate or consolidation. . If one would like to discuss this case further, please XXXX. XXXX at XXXX. Thanks.


Lungs are clear. No pleural effusions or pneumothoraces. heart size is upper limits of normal.

Heart size upper limits of normal with clear lungs.


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 clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. The previously seen right upper lobe mass lesion is not seen in XXXX study. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.


The lungs focal airspace consolidation. There is atelectasis of the left lung base. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion. Cervical vertebral XXXX is partially visible at the top of the radiographs.

1. Left basilar atelectasis. 2. No focal airspace consolidation.