The heart is normal in size. The mediastinum is unremarkable. Left perihilar scarring is noted in the upper lobe. Streaky opacities in the retrocardiac region XXXX reflect mild subsegmental atelectasis. There is no focal infiltrate or pleural effusion.

Mild left-sided scarring/subsegmental atelectasis. No definite infiltrate.


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


Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. 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.


Heart size is within normal limits. Tortuous thoracic aorta. There is patchy right base airspace disease. No pneumothorax or pleural effusion. There mild degenerative changes throughout the thoracic spine.


The lateral images limited secondary to motion artifact. No focal consolidation, large pneumothorax or large pleural effusion. Heart size normal. XXXX unremarkable.

Limited exam, no definite acute intrathoracic finding.


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


The lungs are clear. There is no pneumonia. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours appear normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.

No acute cardiopulmonary disease. No evidence of pneumonia.


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


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


Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.


Normal heart size and mediastinal contours. Lungs are clear. There is no pneumothorax or pleural effusion. Degenerative changes are seen in the spine.


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


Heart is mildly enlarged but stable. Pulmonary vascularity is normal. The patient is status post valve replacement. XXXX sternotomy XXXX intact. No focal airspace disease or effusion. Residuals of prior granulomatous infection. Degenerative change of the spine. No pneumothorax.

1. Stable cardiomegaly without evidence for acute pulmonary process.


Lungs remain hyperexpanded. No change in the right middle lobe opacification. No XXXX infiltrates or masses. Pulmonary arteries are prominent centrally.

XXXX change COPD. Chronic right middle lobe scar and atelectasis. Pulmonary arterial hypertension.


Heart size is normal. The lungs and costophrenic XXXX are clear. The bony thorax is grossly intact.


The lungs appear clear. There are no focal airspace opacities to suggest pneumonia. The pleural spaces are clear. The heart and pulmonary XXXX are normal. Mediastinal contours are normal. There is no pneumothorax.


The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Interval placement of right humeral prosthesis, incompletely evaluated. Incompletely evaluated the lumbar spine fusion XXXX. XXXX cholecystectomy.

Interval placement of right humeral orthopedic XXXX, incompletely evaluated. If attention is desired to this area, consider dedicated shoulder x-XXXX.


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


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


The heart is normal in size. The mediastinum is unremarkable. XXXX XXXX opacities in right mid lung. The lungs are otherwise grossly clear.


Cardiomegaly. Interstitial opacities consistent with edema in the lower lobes. No pneumothorax. No large pleural effusion.


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

No evidence of acute cardiopulmonary process.


Normal heart. Calcified right hilar granulomas. No focal infiltrate. Midline trachea.


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


Again noted and is blunting of the right pleural space, XXXX a XXXX effusion or scarring. Opacity in the right lung base also appears unchanged, XXXX scarring. Heart size appears normal, improved from prior study. There is no vascular congestion or edema. There's no pneumothorax.

1. Stable right basilar scarring and right pleural thickening


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. No pleural air collections. Heart and mediastinum normal. A vague lucency is present in left rib 7 anteriorly.

No active disease. No evidence for cardiopulmonary injuries. Possibility of left rib 7 anterior nondisplaced fracture as described.


No pneumothorax, pleural effusion, or focal airspace disease. Mild cardiomegaly. Cardio mediastinal silhouette unremarkable. Bony structures appear intact.


There is a moderate right-sided pneumothorax measuring approximately 3.3 cm in the right apex. There is a minimally displaced right lateral 8th rib fracture and probable nondisplaced right lateral 7th rib fracture. Cardiomediastinal silhouette is within normal limits. Left lung is clear.

1. Moderate right-sided pneumothorax measuring approximately 3.3 cm in the right apex. 2. Minimally displaced right lateral 8th rib fracture probable nondisplaced right lateral 7th rib fracture.


The heart size is moderate to severely enlarged. There is prominence of the central pulmonary XXXX suggesting pulmonary artery hypertension. There has been removal of the right-sided PICC line. There is persistent left basilar airspace opacity with left costophrenic XXXX blunting which is not evident on the lateral exam. There are mild degenerative changes of the spine. There is no pneumothorax.

Moderate-to-severe cardiomegaly with probable pulmonary artery hypertension. Persistent left basilar opacity without significant effusion.


Cardiomediastinal contour and pulmonary vascularity within normal limits. Clear lungs. No pleural effusion or pneumothorax. Mild age-indeterminate anterior wedging of a lower thoracic or upper lumbar vertebra on lateral view. Left-sided rib deformities consistent with old fractures. Mild degenerative changes about the thoracolumbar junction.

1. No acute cardiopulmonary findings. 2. Age-indeterminate mild anterior wedge deformity of a lower thoracic or upper lumbar vertebra. Correlate for focal tenderness and with prior imaging, if possible.


Heart size remains slightly large. Pulmonary XXXX are normal. Aorta tortuous.

XXXX change. No active cardiopulmonary disease.


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


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


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


PA and lateral views. The cardiomediastinal silhouette is normal. The lungs are clear. No effusions, consolidation or pneumothorax.


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


Lungs are clear. No focal infiltrate. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.


Heart size and mediastinal contours are unchanged. Stable right upper lobe scarring with pleural thickening. No XXXX consolidation. No visible pleural effusion or pneumothorax.

Stable chest. No acute cardiopulmonary abnormality.


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


The cardiac silhouette mediastinal contours are within normal limits. The lungs are clear bilaterally. No focal opacities. There is no large pleural effusion. No pneumothorax. There is XXXX deformities involving multiple vertebral bodies of the thoracic spine which appear stable compared to the previous exam.

No acute cardiopulmonary abnormality. Stable XXXX deformities of the upper thoracic segments.


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


The left hilum is retracted superiorly. In the collapsed left upper lobe are stranding and pneumatoceles. Additionally, pleural thickening is present in the left apex. No infiltrates are present in the left lower lobe or in the right lung. Heart size is normal. These findings are similar to the previous outside examination.

Stable left upper lobe collapse associated with parenchymal scarring and pleural thickening. Findings consistent with previous active pulmonary tuberculosis pneumonia.


The lungs are clear. Heart size is normal. No pneumothorax. Calcified left hilar node.

Clear lungs. No acute cardiopulmonary abnormality. .


Cardiomediastinal silhouettes are within normal limits. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Calcified left hilar lymph XXXX. A calcified granuloma is seen in the left lower lobe. Bony thorax is unremarkable.


Heart size is upper limits of normal. Aorta is tortuous. There is elevation of the left hemidiaphragm. There is a posterior basilar XXXX opacity seen on lateral XXXX XXXX representing subsegmental atelectasis, XXXX visualized on lateral view. No large pleural effusion or pneumothorax is identified. Scoliosis of the spine.

1. Posterior basilar XXXX opacity XXXX representing subsegmental atelectasis. The lungs are otherwise clear.


Heart size, aortic and mediastinal contours are within normal limits. The lungs are clear. No visible pneumothorax or large pleural effusion. 6 mm nodular opacity overlies the left anterior 5th rib on the frontal view. No focal bony abnormality identified.

1. 6 mm left lung nodular opacity. Recommend comparison with prior images. If prior images are not available than further evaluation with CT chest is recommended. Old chest film from XXXX / XXXX from XXXX was reviewed and the questionable nodule was not XXXX seen.


There are scattered XXXX opacities in the left lower lobe. Cardiac silhouette is within normal limits. There is prominence of the right and left hilum XXXX representing enlargement of the central pulmonary arteries. No pneumothorax or pleural effusion. No acute bone abnormality.

1. Left lower lobe opacities XXXX representing pneumonia. 2. Enlargement of the central pulmonary arteries raising the question of pulmonary hypertension.


There are postoperative changes of sternotomy and CABG. There is stable mild cardiomegaly. There are scattered XXXX of subsegmental atelectasis, decreased from the prior chest radiograph. No focal airspace consolidation. No pleural effusion or pneumothorax. There are minimal degenerative changes of the spine.

1. Scattered bilateral subsegmental atelectasis. Decreased from prior radiograph. 2. Stable mild cardiomegaly.


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 mild degenerative changes of the spine.


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


Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. XXXX XXXX are grossly intact.

1. No acute cardiopulmonary abnormality.


Normal heart size and mediastinal contours. Low lung volumes. No focal airspace consolidation. No pneumothorax or pleural effusion.

Low lung volumes, otherwise no acute cardiopulmonary abnormality.


There may be a subtle airspace opacity in the right base near the midclavicular line. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.

Possible area of pneumonitis right lower lobe.


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


Cardiomegaly is present. The pulmonary vascularity appears within normal limits. Some scattered XXXX opacities are present whose appearance XXXX scarring or atelectasis. No focal airspace disease is seen. No pleural effusion is noted. No pneumothorax is identified. The left hemidiaphragm is elevated. Scoliosis is present involving the lumbar spine. There has been previous surgical resection of the left 6th rib.

1. Cardiomegaly without overt heart failure. 2. Continued elevation of the left hemidiaphragm. 3. Scattered XXXX of left base scarring/atelectasis.


There is a calcified granuloma in the left upper lobe. Lungs otherwise are believed to be clear. The heart is normal. There are calcified left hilar and mediastinal lymph XXXX. The skeletal structures show some senescent changes.

Old granulomatous disease. No acute pulmonary disease.


There are are streaky retrocardiac left lower lobe opacities, in the correct clinical setting this could represent a pneumonia. There is no pneumothorax or pleural effusion. The cardiac silhouette is within normal limits.

Streaky left retrocardiac airspace opacities, in the correct clinical setting this could represent a pneumonia.


Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. Pectus carinatum is noted. Calcified lymph XXXX and granuloma are noted. No pleural effusion or pneumothorax is seen. Mild XXXX deformity is noted in the lower thoracic spine.

1. No evidence of active disease. 2. Evidence of previous granulomatous infection. 3. Pectus carinatum.


Normal heart size and mediastinal contours. No focal airspace consolidation. Minimal blunting of the left costophrenic XXXX. No pneumothorax. Visualized bony structures are unremarkable in appearance.


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


XXXX focal opacity in the medial right lung base XXXX seen on the frontal view. No definite pleural effusion. Stable cardiomediastinal silhouette with normal heart size, no typical findings of pulmonary edema.

Abnormal opacity in the right lung base which may be compatible with pneumonia in the appropriate clinical setting. Recommend clinical correlation for infection and followup to resolution. Or, if clinical findings are not compatible with XXXX may be of XXXX.


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

1. No acute radiographic cardiopulmonary process.


No pneumothorax, pleural effusion or airspace consolidation. Stable right lower lung granuloma. Interval to right clavicle XXXX procedure. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact.


Crowded bronchovascular markings in the hilar and perihilar region, right lower lung zones. Low lung volumes. No noncalcified pulmonary nodules seen. No pleural effusion or pneumothorax. No small heart size. There is a right diaphragmatic hump. The soft tissues seen in the left cardiophrenic XXXX, could represent an ectatic descending aorta or hiatal hernia. Visualized XXXX of the chest XXXX are within normal limits. Degenerative changes demonstrated within the visualized thoracic spine.


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


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


Evaluation is limited due to obscuration by the patient's arm on the lateral view. Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascular is unremarkable. XXXX are chronic, coarse interstitial lung markings. Peripheral opacity along the right mid lung XXXX reflects scar or a small amount of loculated pleural fluid or thickening. Otherwise negative for focal airspace disease or consolidation. Hyperlucent lungs with apical XXXX. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX to be grossly intact.

1. No acute cardiopulmonary abnormality. 2. Emphysema.


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


There is mild XXXX mentally without pulmonary edema. Tortuous thoracic aorta, unchanged. Stable positioning of the dual-XXXX cardiac XXXX device. No visible pneumothorax. There is a small left pleural effusion. Focal airspace consolidation is visualized in the superior segment of the left lower lobe, XXXX appreciated on lateral projection. Increased retrosternal clear space suggesting chronic obstructive pulmonary disease.

1. Left lower lobe, superior segment, airspace consolidation, radiographic appearance most typical for pneumonia. Based on patient's age, a followup chest x-XXXX to document resolution is recommended. 2. XXXX left parapneumonic pleural effusion.


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


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.


Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Stable left lower lobe calcified granuloma. Remote left clavicle fracture.


Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. There has been interval development of bibasilar opacities. The appearance of the right base opacity XXXX atelectasis. The left base opacities could represent early pneumonia or areas of atelectasis. No pneumothorax or pleural effusion is seen.

1. Low lung volumes. 2. XXXX XXXX opacities. Right base appears to represent atelectasis. Left base could be atelectasis or pneumonia.


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


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


A large pleural air collection is present on the right. Mediastinum is shifted to the left as compared to the previous examination. The right lower lobe is totally opaque.

Large right XXXX pneumothorax with associated complete collapse of the right lower lobe.


There is mild streakiness in the right base. No focal infiltrate or effusion. No pneumothorax. Calcified granulomatous disease noted. Heart and mediastinal contours within normal limits. Osseous structures intact.

Mild streakiness, subsegmental atelectasis versus early infiltrate right lower lobe.


The cardiomediastinal silhouette is normal in size and contour. Lungs are clear without focal areas of consolidation. No pneumothorax or large pleural effusion. No acute bone abnormality.


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

There is no radiographic evidence of acute cardiopulmonary disease.


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

No radiographic evidence of acute cardiopulmonary disease


Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. Elevated right diaphragm. The lungs are clear. XXXX degenerative spondylosis. There appears to be a mildly displaced fracture of the mid right clavicle.

Mildly displaced fracture of the mid right clavicle. No acute pulmonary findings.


Tortuosity of the aorta. No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact. Unchanged eventration of the left hemidiaphragm versus small hernia (Bochdalek).


Minimal left costophrenic XXXX airspace disease and/or pleural effusion. Lungs are otherwise clear. No pneumothorax. Heart and mediastinum are stable with normal sized heart. There is tortuosity and ectasia of the aorta. Degenerative changes in the spine.


Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. Right hilar calcification suggests a previous granulomatous process.

Hyperinflated lungs, air trapping versus inspiratory XXXX.


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. The right lung is clear. There is a recurrence moderate-sized left pleural effusion. No pneumothorax. Limited right base stringy density compatible with atelectasis. Dextroscoliosis of the thoracic spine.

Recurrent moderate sized left pleural effusion.


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

Clear lungs. No acute cardiopulmonary abnormality. .


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


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


The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There are calcified granulomas at the right perihilar regions appear stable. There are significant degenerative osteophytes of the thoracic spine also appear stable.


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.


Cardiomediastinal silhouette is within normal limits. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormalities. Degenerative changes of the thoracic spine.


Low lung volumes. XXXX normal heart size. No pneumothorax. No large effusion. No focal infiltrate.

Low lung volumes, no acute cardiopulmonary disease.