Compared to prior examination, there is significant improvement in aeration bilaterally, with improved bilateral airspace opacities. Currently, there are only minimal streaky opacities in the bilateral midlung, which may represent mild residual airspace disease, atelectasis, or underlying changes of chronic lung disease. No large focal consolidations, pneumothorax, or definite pleural effusions identified. The mediastinal silhouette is stable and within normal limits for size and contour. No acute osseous abnormality is identified.

Significant improvement in bilateral airspace disease and improved aeration bilaterally as described above.


Stable cardiomediastinal silhouette with tortuous aorta. Prior granulomatous disease. No pneumothorax or pleural effusion. Stable retrocardiac airspace opacity.


Study is somewhat limited by body habitus. Cardiomegaly is noted, with central pulmonary vascular prominence and coarsened interstitial markings, suspicious for developing interstitial pulmonary edema. No focal consolidation, pneumothorax, or definite effusion identified. No acute bony abnormality seen.

Cardiomegaly with central pulmonary vascular prominence and coarsened interstitial markings, concerning for interstitial pulmonary edema.


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


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


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


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

Clear lungs. No acute cardiopulmonary abnormality. .


The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures show several old rib fractures unchanged in the prior study on the left.


3 images. The cardiac silhouette is enlarged, but stable. Stable moderate tortuosity of the thoracic aorta. Thoracic aortic atherosclerotic calcifications. Prior sternotomy and mediastinal surgery. Right upper extremity PICC terminates at the cavoatrial junction. No consolidating airspace disease is seen within the lungs. No pleural effusion or pneumothorax. Large left upper quadrant splenic calcifications noted, stable from prior.

Cardiomegaly. Thoracic aortic atherosclerosis.


Mild cardiomegaly is unchanged. Stable superior mediastinal contour which is within normal limits. Bilateral interstitial prominence. No focal airspace consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities.

Mild cardiomegaly with interstitial prominence, could represent mild interstitial edema, atypical infection, or chronic interstitial changes.


Lung volumes are low. No infiltrates. Heart and mediastinum are normal.

Hypoinflation with no visible active cardiopulmonary disease.


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


Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion.

No acute or active cardiac, pulmonary or pleural disease.


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


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


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


Normal heart size and mediastinal contours. Minimal blunting of the costophrenic XXXX. No focal airspace consolidation. No pneumothorax or pleural effusion.


The heart size and mediastinal contours appear within normal limits. Atherosclerotic calcification of the aorta. No focal airspace consolidation, pleural effusions or pneumothorax. Questionable thin-walled cavitary lesion in the right lower lobe, only seen on the AP view and may represent artifact. No acute bony abnormalities.


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


No stable cardiomegaly, without focal consolidation, pneumothorax, or pleural effusion. Stable right basilar calcified granuloma. No acute osseous abnormality identified.

Stable cardiomegaly without acute cardiopulmonary abnormality.


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


Normal heart size. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Left nipple silhouette visualized. Negative for acute bone abnormality.


Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity. Prior granulomatous disease appears stable.


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


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. PICC line is in XXXX. The tip is in the upper right atrium.


Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. No pulmonary nodules identified.

No acute abnormality. No pulmonary nodule identified. .


Heart size is moderately enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is suspected right lower lobe airspace opacity XXXX demonstrated on the lateral study. There is a fracture of superior sternotomy XXXX unchanged.

Possible right lower lobe pneumonia. Cardiomegaly


XXXX right basal airspace opacity. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The XXXX are intact.


The lungs are hyperinflated with coarse interstitial markings compatible with obstructive pulmonary disease and emphysema. There is chronic pleural-parenchymal scarring within the lung bases. No lobar consolidation is seen. No pleural effusion or pneumothorax. Heart size is normal.


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


Left anterior chest wall pacemaker/defibrillator. Stable cardiomediastinal silhouette. No focal consolidation, pneumothorax or large pleural effusion. Exaggerated thoracic kyphosis. Spurring of thoracic spine.


There are low volumes with bronchovascular crowding. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. No displaced fracture identified.

Low volumes with bronchovascular crowding. No acute abnormality.


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


Normal heart size mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Degenerative disc disease in the thoracic spine with osteophyte formation bridging.


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


Fracture deformity proximal right humerus. Hyperinflation lungs. No pulmonary consolidation. XXXX opacity left base compatible XXXX atelectasis or XXXX scarring. The cardiomediastinal silhouette appears unremarkable. Mild atherosclerotic calcification aorta. Prior chest surgery. Costophrenic XXXX clear. Visualized spine vertebrae appear normal in XXXX and alignment.

1. Fracture deformity proximal right humerus. 2. No pulmonary consolidation.


Normal heart. Clear lungs. Trachea midline. Scoliosis of lower thoracic spine. Degenerative changes of thoracic spine.


Normal heart size. Clear lungs. Multilevel degenerative disc disease with mild dextrocurvature near the thoracolumbar junction.


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


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


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


Cardiac silhouette is upper limits of normal in size. Normal mediastinal contour and pulmonary vasculature. There is evidence of healed granulomatous disease in the right hemithorax. Lungs are without focal airspace consolidation, large pleural effusion or pneumothorax.


Lungs are clear without focal airspace disease. Numerous XXXX calcifications are again noted. No pleural effusions or pneumothoraces. heart size is upper limits of normal.

Clear lungs with heart size upper limits of normal.


Lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. There are postoperative changes of cervical spine fusion.


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. Scoliosis and degenerative changes are present in the spine.


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


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


No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures appear intact.


Frontal and lateral views of the chest show normal size cardiac silhouette, allowing for an AP projection. Normal contour of the mediastinum and aorta. Grossly clear lungs. No obvious pneumothorax or hemothorax. No acute displaced clavicle or rib fractures.


Lungs appear to be clear other than a calcified granuloma on left. Heart is not enlarged. There are atherosclerotic changes of the aorta. There is increased kyphosis of the thoracic spine and there are multiple XXXX deformities. A stimulator is seen.

No acute pulmonary disease. Multiple thoracic XXXX deformities XXXX due to osteoporosis.


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


The lungs are clear. There is hyperinflation. Calcification is seen over the anterior mediastinum XXXX a calcified lymph node at is not identified on the PA projection. The heart is normal. Arthritic changes the spine are seen.


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


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


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


Heart size within normal limits. No focal airspace disease. Stable 4 mm lateral left midlung calcified granuloma. No pneumothorax or pleural effusion.


There is a XXXX in the left chest with catheter tip terminating in the superior XXXX XXXX. The cardiac silhouette is mildly enlarged, similar to prior study. There is minimal pulmonary vascular congestion. There is no acute pulmonary consolidation, pleural effusion or pneumothorax. There are stable mild interstitial lung changes, which could be related to chronic edema or fibrosis.

Stable cardiomegaly. No acute infiltrate or effusion.


The heart size is normal. There is prominent left epicardial fat. 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.


There is minimal XXXX opacity in the left lung base, XXXX representing atelectasis. The lungs are otherwise clear. Heart size is normal. No pneumothorax.

Left base atelectasis. Lungs otherwise clear. .


Lateral view, over the lingula, there is a 7mm diameter uncalcified nodule of uncertain origin. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Mild tortuosity aorta is redemonstrated.

1. 7mm non calcified nodule, XXXX in appearance, recommend CT chest without contrast.


The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. There is right middle lobe airspace disease, may reflect atelectasis or pneumonia. No pleural effusion. No pneumothorax. Elevated right hemidiaphragm.

Right middle lobe airspace disease may reflect atelectasis or pneumonia. .


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


The heart is large. Pulmonary XXXX are engorged. No infiltrates. Aorta is somewhat tortuous. Degenerative disc disease is present in the thoracic spine.

Cardiomegaly and pulmonary venous hypertension


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma in the left lung base.

No acute cardiopulmonary disease. Evidence of previous granulomatous infection.


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 heart size is within normal limits. There are calcified hilar lymph XXXX bilaterally. There are bibasilar airspace opacities with small bilateral pleural effusions, left greater than right. No pneumothorax. No acute bony abnormalities.

Small bilateral pleural effusions with bibasilar atelectasis and/or airspace disease, left greater than right.


The cardiac contours are normal. Calcified tortuous thoracic aorta. Emphysema. Mild apical scarring. The lungs are otherwise clear. Thoracic spondylosis.


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


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


The heart is normal in size. The mediastinum is unremarkable. The lungs are slightly hypoinflated but clear. There is no pleural effusion.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. No significant hilar process to suggest adenopathy. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.


The heart size and pulmonary vascularity appear within normal limits. There has been clearing of left base airspace opacities. The lungs now appear clear. No pneumothorax or pleural effusion is seen. The lungs appear hyperexpanded consistent with emphysema.

1. Hyperexpanded lungs consistent with emphysema. 2. No evidence of acute disease.


No focal consolidation, no definite pleural effusion seen. Exaggerated kyphosis with increased AP dimension of the thorax, curvilinear density projected over the right anterior 3rd and 4th ribs beyond which lung markings are seen XXXX skin fold artifact. Mild aortic ectasia/tortuosity, no typical mediastinal widening to suggest vascular injury. Contour irregularity of the lateral right 9th rib of indeterminate age.

1. No acute cardiopulmonary findings. 2. Age-indeterminate fracture of the right lateral 9th rib. If findings localize to this region, suspect acute fracture.


The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. Mild lung hyperinflation. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Degenerative changes seen within the midthoracic spine. There is no visible free intraperitoneal air under the diaphragm.


The heart is normal in size. The mediastinum is unremarkable. Mild emphysematous changes are noted. The lungs are otherwise clear.


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Minimal streaky atelectasis the left lung base. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Thoracic spondylosis.


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is noted. Degenerative changes are noted in the spine. The descending thoracic aorta is mildly tortuous. The mediastinum appears somewhat prominent.

1. Prominent mediastinum. May be due to mediastinal fat. Comparison films, if available, would be useful to determine if this is a chronic appearance. 2. Clear lungs.


Cardiac pacemaker is present the leads are unchanged. The heart is borderline enlarged. I believe the lungs are clear. The mediastinum is normal. The skeletal structures are normal for age.

Borderline cardiomegaly and cardiac pacemaker. No change from prior studies.


Lungs are overall hyperexpanded consistent with obstructive lung disease. Lungs are clear without focal consolidation. No suspicious pulmonary nodules or masses are noted. No pleural effusions or pneumothoraces. heart size is upper limits of normal.


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


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


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

No acute radiographic cardiopulmonary process.


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


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


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


There are midline sternotomy XXXX and mediastinal clips consistent with prior CABG. The heart is enlarged with unfolding of the aorta. There is prominence of the interstitial markings with fluid in the fissures consistent with interstitial edema. There is no focal airspace opacity, large pleural effusion, or pneumothorax. There multilevel degenerative spine changes.

1. Interstitial pulmonary edema. 2. Cardiomegaly.


There is a left chest XXXX with tip in the mid SVC. 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.


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 size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.


The cardiomediastinal silhouette is stable in appearance. No interval change in the diffuse increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and left lung base. These opacities appear slightly increased as compared to prior examination. Mild left-sided volume loss redemonstrated, unchanged. No pneumothorax or pleural effusion. The thoracic spine appears intact.

1. Slight interval worsening of the diffusely increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and the left lung base. These findings are most consistent with slight interval worsening of the patient's known interstitial lung disease. 2. Stable, mild left-sided volume loss. .


The trachea is midline. Cardio mediastinal silhouette is normal in contour with overlying sternotomy XXXX. The lungs are clear without acute infiltrate, effusion or pneumothorax. The visualized bony structures reveal no fractures or dislocations.


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 discrete nodules or adenopathy identified.


There are mildly diminished lung volumes. Cardiac silhouette is normal in size. Normal mediastinal contour and pulmonary vasculature. The lungs are without focal airspace consolidation, large pleural effusion, or pneumothoraces.


Heart size borderline enlarged, mediastinal contours appear similar to the XXXX from XXXX, XXXX XXXX noted. Right hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.


No focal consolidation, effusion, or pneumothorax. Normal heart size. Stable left subclavian chest XXXX catheter tip in mid SVC. Lungs are well expanded. Calcified granuloma posteriorly in the medial right lower lobe. Postsurgical changes of anterior lower cervical spine fusion. Thoracic spine demonstrates mild degenerative changes with some mild XXXX loss of T4 and T7 vertebral bodies.

Negative for acute cardiopulmonary abnormality


Low lung volumes. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Calcified bilateral hilar lymph XXXX, greater on the left. No acute osseous findings.

Low lung volumes. No acute cardiopulmonary findings.


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


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are 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.


Feeding tube noted with tip XXXX distal to the gastroesophageal junction. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. Osseous structures intact.

1. No acute cardiopulmonary abnormality. 2. Feeding tube tip XXXX distal to the gastroesophageal junction.


Heart size is normal. Mild XXXX XXXX atelectasis. Lungs are otherwise clear. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.

Bibasilar atelectasis. Otherwise, no acute abnormality


The lungs and pleural spaces show no acute abnormality. Heart size is mildly enlarged, pulmonary vascularity within normal limits. Atherosclerotic calcifications are present in the aortic XXXX.

1. No acute pulmonary abnormality. 2. Mild cardiomegaly, atherosclerotic disease.


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


Stable cardiomediastinal contour is mild cardiomegaly. No pneumothorax or significant pulmonary edema. Small left pleural effusion. No focal lung consolidation. Mildly low lung volumes.

1. Small left pleural effusion. 2. Stable mild cardiomegaly.


There is mild blunting of the costophrenic XXXX. There is right basilar airspace disease. There is no pneumothorax. The cardiac mediastinal silhouettes are normal. Pulmonary XXXX are slightly prominent. Calcified hilar lymph XXXX. No acute bony abnormalities.

Right basilar infiltrate or atelectasis, and XXXX bilateral pleural effusions.


Status post posterior spinal fusion with stable appearance of the orthopedic XXXX. Pectus carinatum. Stable mild cardiomegaly and increased lung vascularity. Clear lungs.


Heart size and mediastinal contour within normal limits. Calcified granuloma right midlung. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes in the thoracic spine.


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


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


Left-sided ICD is stable in position. XXXX XXXX sternotomy. There is stable cardiac enlargement. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Calcified right hilar granuloma and right pulmonary granuloma. Normal pulmonary vascularity. No overt pulmonary edema.

Postoperative changes of the chest. Stable cardiomegaly.


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


The heart is normal in size. The mediastinum is unremarkable. There is again biapical scarring. Small stable calcified left lower lobe granuloma. The lungs are otherwise clear.


Chest. The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left knee. The right total knee prosthesis remains in XXXX. The medial compartment is markedly narrow. Large osteophytes are present on the left femur and tibial lateral plateaus.

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


The heart size and pulmonary vascularity appear within normal limits. Left pleural effusion is present. A mass density is present in the left midlung zone. This measures approximately 3.2 cm in diameter. Air-fluid level is present behind the heart which probably represents a hiatal hernia. Some XXXX of right lung atelectasis are noted. Osteopenia and XXXX deformities are present in the spine. Multiple surgical clips are noted. No pneumothorax is seen.

1. Left midlung mass. 2. Left base effusion. 3. Probable hiatal hernia.


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


Both lungs remain clear and expanded. Heart and pulmonary XXXX are normal. No change in the large hiatus hernia.

No change. No visible active cardiopulmonary disease.


Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, pneumothorax. No acute bony abnormality. No lymphadenopathy.


2 images. The cardiac silhouette is enlarged. Thoracic aortic atherosclerotic calcifications are present. There are finding status post sternotomy and CABG. XXXX atelectasis or scar is noted within the left midlung. There is blunting of the left costophrenic XXXX. No pneumothorax.

1. Cardiomegaly. 2. Minimal left midlung atelectasis. 3. Blunting of left costophrenic XXXX. This could indicate a small amount of pleural fluid versus pleural-parenchymal scarring.


The heart is enlarged. The mediastinal contours are stable. Large hiatal hernia is identified containing stomach and colon. Questionable small bowel loops are also visualized inthe large hernia. There is adjacent compressive atelectasis. The lungs are clear.

No acute disease. Stable appearance of large hiatal hernia containing stomach and large bowel as well as possible small bowel loops.


Heart size is enlarged but stable. Stable sequela prior granulomatous disease. Stable XXXX sternotomy XXXX with fracture of the superior-most sternotomy XXXX.. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.

1. Stable cardiomegaly without acute cardio pulmonary process.


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


The lungs are hyperexpanded. Cardiomediastinal silhouette is within normal limits. No pleural effusion, focal airspace opacities or pneumothorax. No free subdiaphragmatic air.

Lung hyperexpansion. No focal air space disease.


Mild cardiomegaly unchanged. Stable superior mediastinal contour with tortuous aorta. Normal pulmonary vascularity. Unchanged elevated right hemidiaphragm with minimal right base subsegmental atelectasis. Minimal XXXX left basal airspace opacity. Unchanged blunting of the right lateral costophrenic XXXX, scarring versus XXXX effusion. No pneumothorax. No acute osseous findings.

Minimal XXXX left base atelectasis/infiltrate. Otherwise, stable exam.


No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine. Degenerative changes of the XXXX. Tortuous aorta.


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

No acute cardiopulmonary abnormalities. .


The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. No evidence of active tuberculosis.


The trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. Lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.


Heart is large. Pulmonary XXXX are engorged. Bibasilar interstitial infiltrates and bilateral costophrenic XXXX blunting are present.

Congestive heart failure with basilar pulmonary interstitial edema and bilateral pleural fluid.


Stable cardiomediastinal silhouette with borderline cardiomegaly. No pneumothorax or large pleural effusion. No focal airspace disease. Diffuse interstitial opacities. Bony structures appear intact. Nodular densities consistent with chronic granulomatous disease.

Negative for acute cardiopulmonary disease.


Heart size remains slightly large. Aorta remains tortuous. Pulmonary XXXX remain normal. No infiltrates or masses in the lungs.

Continued slight cardiomegaly with no evidence for failure or pneumonia.


Heart size within normal limits. Tortuous aorta. There is an accessory azygos fissure in the right upper lung. No focal air space consolidations are noted. No pneumothorax or pleural effusion. There is severe degenerative change at the thoracolumbar junction with mild anterior wedging at approximately T12.


There is a right-sided chest XXXX identified whose distal tip projects over the SVC. Heart size is normal. Low lung volumes with elevated right hemidiaphragm. The lungs are grossly clear. No focal infiltrate. No pleural effusion or pneumothorax. Normal pulmonary vascularity. Normal mediastinal and hilar contours. Degenerative changes of the spine.


No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.


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.


Heart size within normal limits, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.


Heart size is normal. Cardiomediastinal contour is normal without mediastinal widening. Lungs are clear bilaterally. No pleural effusions or pneumothorax. No bony or soft tissue abnormalities.


There is a left subphrenic crescentic lucency, this is concerning for pneumoperitoneum. There are low lung volumes and bilateral moderate to large pleural effusions with bibasilar atelectasis/airspace disease that are larger in size in comparison to the prior exam. No pneumothorax. Heart size upper limits of normal. The left central venous catheter tip overlies the lower SVC. The feeding tube has been placed in the interval and extends below the diaphragm and below the XXXX-of-view.

1. Concern for left subphrenic free air. Verification with abdominal decubitus views is recommended for further evaluation. 2. Interval increase in size of the moderate to large bilateral pleural effusions with bibasilar atelectasis/airspace disease. 3. Left central venous catheter in unchanged position. 4. Interval placement of feeding tube the courses beneath the diaphragm and out of the XXXX-of-view.


No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.


The cardiac silhouette and upper mediastinum are within normal limits. There is no pulmonary venous congestion. There is prominence of the pulmonary arteries, right greater than left. There is no acute air space infiltrate, pleural effusion or pneumothorax.

1. No acute pulmonary infiltrate or effusion. There is no pneumothorax. 2. Prominent bilateral XXXX, right greater than left. This appears slightly increased from the prior studies. Findings could be related to hilar lymph XXXX or enlarged pulmonary arteries. If clinically indicated, further evaluation with contrast-enhanced CT of the thorax could be performed.


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.


Some hyperinflation appears to be present. There are small calcified granulomas. The lungs are otherwise clear. The heart is normal. The mediastinum is normal. The skeletal structures and soft tissues are normal.

Probable COPD and old granulomatous disease.


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

Negative for acute cardiopulmonary findings.


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


There is a lobulated contour to the right paratracheal stripe, possibly consistent with a vascular structure or lymph XXXX. The cardiomediastinal silhouette is otherwise within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.

1. Lobulated contour of the right paratracheal stripe. This may represent a vascular structure or enlarged lymph node and could be evaluated further with chest CT. Otherwise, no acute intrathoracic abnormality.


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


There is right basilar opacity with associated blunting of the costophrenic XXXX seen on lateral view. In addition, there is a interface along the left hemidiaphragm. This may represent attenuation artifact however further evaluation with right lateral decubitus views would better evaluate. There is no pneumothorax. The XXXX lungs are clear. Cardiac silhouette and mediastinal contours are within normal limits.

1. Right basilar opacity with associated blunting of costophrenic XXXX on lateral view may represent small pleural effusion, atelectasis, and/or consolidation. 2. Interface at the left hemidiaphragm may represent artifact however further evaluation with right lateral decubitus films would better evaluate.


The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. Fractures of the posterior left 4th, 5th, and 6th ribs, age-indeterminate.

1. No acute cardiopulmonary abnormalities. Specifically, no pneumothorax. 2. Fractures of the posterior left 4th, 5th, and 6th ribs, age-indeterminate.


The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. There are numerous calcified granuloma in the right perihilar region. There are multilevel degenerative changes in the thoracic spine.


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


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


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

Negative. No significant change from XXXX.


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


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


Mild cardiomegaly. Changes of chronic lung disease. No pneumothorax or pleural effusion. Accentuated thoracic kyphosis.

Chronic lung disease with no acute cardiopulmonary abnormality.


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. Stable left basilar atelectasis versus scarring.

Stable left basilar atelectasis versus scarring. No acute cardiopulmonary abnormalities.


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


Normal cardiomediastinal silhouettes. Mild hyperexpansion of the lungs. Stable appearance of scarring at lung bases. Prominent bilateral interstitial opacities are chronic in XXXX. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.

Chest radiograph. Stable emphysematous changes without acute cardiopulmonary abnormality.


Cardiomediastinal silhouettes are within normal limits. There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.

Right upper lobe lung nodules. Recommend XXXX.


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


There is mild cardiomegaly. The transverse XXXX is calcified. There is a moderate hiatal hernia. The lungs are clear without focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes of the thoracic spine are noted.

1. Mild cardiomegaly and moderate hiatal hernia.


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 unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. No cavitary lesions. XXXX are grossly unremarkable.

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


Heart size within normal limits, stable mediastinal and hilar contours. Stable mild hyperinflation, right apical pleural-parenchymal irregularities compatible with scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.


Heart size is normal and the lungs are clear.


No acute cardiopulmonary abnormality. Extensive degenerative changes of the thoracic spine. Mildly enlarged heart. Tortuous aorta. Aortic calcifications. No focal area of consolidation, pleural effusion or pneumothorax.

No acute radiographic cardiopulmonary process.


The heart size is upper limits of normal. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is mild streaky perihilar opacity without confluent airspace opacity to suggest a bacterial pneumonia.

Minimal perihilar opacity which could indicate an atypical pneumonia.


There is a left-sided cardiac pacemaker identified whose leads are stable in position overlying the right atrial appendage and right ventricle. Persistent cardiomegaly. XXXX calcifications are noted of the mitral valve. There are bilateral pleural effusions. Mild subsegmental atelectasis of the right lung base. No pneumothorax. No pulmonary edema. Mild tortuosity of the thoracic aorta. Mild elevation right diaphragm. Bone demineralization.

1. Stable position a left-sided pacemaker leads. 2. Stable cardiomegaly. 3. Small bilateral pleural effusions, right greater than left.


The heart is mildly enlarged. The mediastinal contours are stable. The lungs are clear.

Mild stable cardiomegaly, no acute disease.


Normal heart size and mediastinal contours. No abnormal airspace opacities or large cavitary lung lesions. Visualized osseous structures are unremarkable in appearance.

No radiographic evidence of tuberculosis.


Redemonstration of interstitial opacities, consistent with patient's history of pulmonary fibrosis. Unchanged calcified granulomas at the left greater than right hilum, and in the pretracheal region. No pneumothorax, pleural effusion or focal airspace consolidation. Cardiomediastinal size is the upper limits of normal. Pulmonary vasculature is normal . XXXX XXXX intact.

Interstitial markings bilaterally, pulmonary fibrosis, unchanged. .


Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. Aortic vascular calcifications. Normal pulmonary vascularity. Fracture-dislocation of the right shoulder. Bone demineralization. Scoliosis which is possibly positional.

Clear lungs. Fracture-dislocation of the proximal right shoulder .


There is a single calcified granuloma in the right lung base. The lungs are otherwise grossly clear bilaterally. There is no pneumothorax or pleural effusion. Cardiac and mediastinal silhouettes are normal. There are cholecystectomy clips in the right upper quadrant of the abdomen. Small T-spine osteophytes are noted.


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

1. No acute radiographic cardiopulmonary process.


The heart size is moderately enlarged. There is evidence of previous aortic valve replacement. XXXX sternotomy XXXX are grossly intact. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There are chronically increased interstitial lung markings without superimposed focal airspace disease identified. There are degenerative changes of the spine.

Cardiomegaly without superimposed acute disease noted.


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

Cardiomegaly, no acute pulmonary findings


The lungs are hypoinflated with mild basilar bronchovascular crowding/atelectasis. There is a fracture of the left anterior 7th rib and XXXX the left anterior 6th rib, of uncertain acuity. Correlate with XXXX tenderness. There is mild XXXX atelectasis in the left lung base. There is corticated deformity of the right anterior 7th rib, XXXX remote fracture. There is no evidence of pneumothorax or large pleural effusion.

1. Suspected fractures of the left anterior 6th and 7th ribs, of uncertain acuity. Correlate with XXXX tenderness. 2. Low lung volumes with mild basilar atelectasis, left greater than right. .


The heart is top normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but grossly clear. Significant degenerative changes of the XXXX are again noted bilaterally.


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


The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Partial fusion of 2 vertebral bodies near the thoracolumbar junction.


Sequelae of old granulomatous disease. Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. Prominent interstitial markings are again noted which are predominantly lower lobe and peripheral suggesting pulmonary fibrosis. This appearance is overall not significantly XXXX. No pleural effusions or pneumothoraces. heart and mediastinum are stable with atherosclerotic vascular disease. Degenerative changes in the thoracic spine.

1. Overall stable appearance of the chest suggesting pulmonary fibrosis.


There's been interval enlargement in the cardiac silhouette. These XXXX't contours are within normal limits. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.

1. No acute radiographic cardiopulmonary process. 2. Interval development of cardiomegaly.


There are low lung volumes. The heart size and upper mediastinum have a normal appearance. There is no pulmonary vascular congestion. There is minimal right basilar atelectasis. There is no large effusion or pneumothorax. The osseous structures appear intact.

Low lung volume exam demonstrates small amount of right basilar atelectasis. There is no acute consolidation or pneumothorax.


Mild dextroscoliosis of the lower thoracic spine. Cardiomediastinal silhouette is within normal in size and appearance. Pulmonary vascular is unremarkable. Lungs are expanded and clear airspace disease. Negative for pneumothorax or pleural effusion. Limited evaluation of the XXXX XXXX to be grossly intact

1. No acute cardiopulmonary abnormality.


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.


Bibasilar airspace opacities, right greater than left. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The XXXX are intact.

Bibasilar airspace opacities, right greater than left. These findings are concerning for pneumonia.


Heart size mildly to moderately enlarged. Mild right hemidiaphragm elevation with mild bronchovascular crowding, right greater than left, indistinct vascular margination. No definite focal alveolar consolidation, no pleural effusion XXXX demonstrated.

1. Cardiomegaly 2. Indistinct vascular margination which may be secondary to bronchovascular crowding however differential diagnosis includes mild pulmonary edema, atypical infection, inflammation


Central venous catheter tip in the right atrium. Heart size and shape are normal. Trachea and XXXX bronchi appear normal. The lungs are reasonably well expanded. There XXXX and patchy nodular densities in both lower lung XXXX more marked on the right than the left. There is scattered areas of bronchial wall thickening, well-seen in the left upper lobe. There is loss of definition of part of the left heart XXXX. No effusions no pneumothorax.

Findings consistent with widespread changes from cystic fibrosis. It is difficult to differentiate acute from chronic change.


The trachea is midline. The cardiomediastinal silhouette is normal in size and unchanged from prior examinations with sternotomy XXXX and surgical clips overlying. There is blunting of the right costophrenic XXXX which appears unchanged from prior examination and may be secondary to scarring or pleural thickening of the right lung base. There is no evidence of acute infiltrate. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.

1. Hyperexpanded lung XXXX. 2. No acute cardiopulmonary abnormalities.


The left and right XXXX remain enlarged and unchanged. Lungs are free of infiltrates. Heart size normal.


Rotated examination. Tortuous aorta. Moderate right-sided pleural effusion, small left sided. No pneumothorax. Mixed nodular interstitial opacities distributed through bilateral lungs, right greater than left. Cardiomediastinal silhouette is mildly enlarged. Obliquely oriented left humeral neck fracture, transverse, with 5 mm displacement of the distal fragment. Limited evaluation of the aorto iliac stent. No cavitary lesion to suggest. active tuberculosis. Large hiatal hernia.

1. Moderate right-sided pleural effusion. 2. No cavitary lung changes to suggest active tuberculosis. The airspace opacities in right upper lobe seen on XXXX chest are not visualized on this study which could be due to difference in technique and patient rotation. 3. Cardiomegaly with prominent aorta which may be accentuated due to AP view. 4. Left humerus fracture. .


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


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Spondylosis of the midthoracic spine with large anterior osteophyte formations.


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


Normal heart. Clear lungs. Stable calcified granuloma left midlung. No pneumothorax. No pleural effusion. Midline trachea.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Right middle lobe calcified granuloma is unchanged. Heart and mediastinum unchanged. No change hiatus hernia.


Cardiomediastinal silhouette is within normal limits. No focal consolidation. No pneumothorax or pleural effusion. No acute bony abnormalities.

No acute cardiopulmonary abnormalities. .


The heart is normal in size. The mediastinum is unremarkable. Small nodular opacity left upper lobe may represent early infiltrate. The lungs are otherwise clear. There is no pleural effusion.

Small nodular opacity in left upper lung may be secondary to superimposed structures or early infiltrate. Followup evaluation in 2 weeks may be helpful.


Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. The lungs remain grossly clear, aside from mild biapical pleural-peripheral scarring and minimal chronic interstitial changes. No focal airspace consolidation, pleural effusion, or pneumothorax.


The cardiac silhouette is at the upper limits of normal for size. Stable, mild prominence of the bilateral hilar regions. No focal areas of pulmonary consolidation. No pneumothorax. Stable XXXX opacity in the left XXXX, XXXX representing a scar. No pleural effusion. Minimal degenerative changes of the thoracic spine. No acute, displaced rib fractures.

1. No acute intrathoracic abnormality. 2. Stable, mild prominence of the bilateral hilar regions, possibly consistent with enlarged pulmonary arteries/pulmonary hypertension. Please correlate clinically.


The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal. There is no pneumothorax.


Cardiomegaly is present. There is interstitial pulmonary edema with the presence of XXXX B-lines. There is no pneumothorax. There is an oval, 17 mm nodular opacity projecting between the posterior left 5th and 6th ribs. There is a 10 mm nodular density projecting over the right posterior 4th rib. There is a XXXX posterior effusion. Normal mediastinal silhouette. T-spine osteophytes.

1. Cardiomegaly with mild interstitial edema and XXXX posterior pleural effusion. 2. 17 mm nodular opacity in the left lung and 10 mm nodular opacity in the right lung. These lesions are XXXX and could be followed up radiographically after treatment of edema, or could be further characterized with CT.


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.


Stable cardiomegaly with vascular prominence without overt edema. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.

Stable cardiomegaly without overt pulmonary edema.


There is stable, mild cardiomegaly with normal caliber pulmonary vasculature. There are grossly intact XXXX sternotomy XXXX and mediastinal surgical clips. There is no focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.

Stable chronic changes. No acute findings. .


Mediastinal contours are normal. Unchanged XXXX opacity in the left lung base, XXXX scarring. Lungs are clear. There is no pneumothorax or large pleural effusion.


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


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

Normal chest No evidence of tuberculosis


The cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no pneumothorax. There is no large pleural effusion.


Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity. Umbilical piercing.


Heart size and mediastinal contours are within normal limits. Diffuse bilateral calcified sequelae of prior granulomatous infection. No pulmonary vascular congestion. No XXXX edema. No focal consolidation. There is no visible pleural effusion or pneumothorax. There is mild anterior wedging of a lower thoracic vertebral body, approximately T11 level.

1. No acute cardiopulmonary abnormality. 2. Mild age indeterminate anterior wedging at the T11 level.


3 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.


Chest. Mildly hyperexpanded lungs. The right lung base is excluded from view. No visualized consolidation. No pneumothorax. No large pleural effusions. Heart size is unremarkable. Abdomen. There are multiple air filled nondilated loops of small and large bowel. There is extensive stool XXXX seen throughout the descending colon. Supine examinations are limited for evaluation of pneumoperitoneum. There is bilateral hip degenerative change.

Chest 1. No acute cardiopulmonary findings. Abdomen 1. Nonspecific bowel XXXX pattern without evidence of obstruction.


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


the heart size is normal. There is tortuosity of aorta. Pulmonary vascularity is normal. No focal airspace disease or effusion. Degenerative changes in the thoracic spine.

Tortuous aorta, otherwise unremarkable exam.


There is some minimal biapical scarring. A calcified granuloma is present in the right middle lobe. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.


The heart and lungs have XXXX XXXX in the interval. 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. There is calcified granuloma in the left lingula. 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.


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


The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is an old healed fracture through the right 8th rib.


Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. The visualized osseous structures are unremarkable in appearance.


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


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.


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 is evidence of granulomatous disease.


The cardiac silhouette mediastinal contours are within normal limits. There is no pneumothorax. There is no large pleural effusion. There is no focal opacity.

After further review with staff radiologist there is a right upper lobe focal opacity XXXX reflecting pneumonia.


Heart size within normal limits. Prominent right perihilar density consistent with lymphadenopathy, previously partially demonstrated XXXX abdomen and pelvis XXXX, XXXX. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. TIPS noted.

1. No acute abnormality of the chest. 2. Right hilar prominence, corresponding to lymphadenopathy partially demonstrated XXXX abdomen and pelvis XXXX, XXXX. Consider XXXX of the chest for further evaluation. .


There is increased size of left pneumothorax, with XXXX partial collapse of the left upper and lower lobes. This pneumothorax measures up to 3.5 cm in maximum width at the apex. There is no significant mediastinal shift. The right lung remains clear. Cardiomediastinal silhouette is within normal limits. There is a small left pleural effusion/hemothorax. No focal air space opacities. No free subdiaphragmatic air.

1. Increased size of left pneumothorax, with XXXX partial collapse of the left upper and lower lobes. 2. Small left pleural effusion/hemothorax.


The heart is normal in size. Prominent right paratracheal soft tissue density. Rounded mass in the right middle lobe measures approximately 4.6 cm x 3.7 cm. There is mild surrounding airspace disease and/or atelectasis. No pleural effusions noted. The visualized bony thorax appears grossly intact.

Right mid lung mass with mild right paratracheal soft tissue may be secondary to associated lymphadenopathy. Further imaging with CT of the chest is recommended.


Cardiac silhouette is within normal limits in size. The lungs are hypoinflated with mild bronchovascular crowding. There is mild, XXXX opacity projected over the left lung base. This is partly due to overlying soft tissues, however, there is partial obscuration of the lateral left hemidiaphragm. The lungs are otherwise grossly clear. There is no pneumothorax or pleural effusion. There are no acute bony findings. There are degenerative endplate changes throughout the thoracic spine.

Low lung volumes with mild, XXXX left basilar opacity, atelectasis versus infiltrate. .


The cardiac and mediastinal silhouettes are normal. The lungs are well-expanded and clear. There is no focal airspace opacity. There is no pneumothorax or effusion. There is dextrocurvature of the thoracic spine. There is XXXX deformity of the T9 vertebral body. Levocurvature of the lumbar spine with significant degenerative change is also noted.

1. No evidence of acute cardiopulmonary process. 2. Scoliotic curvature of the spine with XXXX deformity of the T9 vertebral body.


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


Heart size is within normal limits. Trachea is midline. The lung volumes are slightly on the low side. Lungs are otherwise clear without pleural effusion or pneumothorax. No focal consolidations. No bony or soft tissue abnormalities.


The lungs are hyperexpanded. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal airspace opacities, pneumothorax or pleural effusion. A calcific density in the left midlung zone XXXX represents old granulomatous disease. No acute bony abnormalities.

Hyperexpanded lungs with no focal airspace disease.


Mild cardiomegaly, stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. Mild bronchovascular crowding without typical findings of pulmonary edema.

Mild cardiomegaly, no acute pulmonary findings


The trachea is midline. The cardiomediastinal silhouette appears normal. There are no acute infiltrates, effusions. There is no evidence of pneumothorax. Visualized bony structures are intact with no acute abnormalities.


Heart size is within normal limits. Tortuous aorta. Clear lungs. No pneumothorax. No pleural effusion. Atherosclerotic calcification within the aorta. Right lower lung granuloma.


Heart size and pulmonary vascularity normal. The stomach contour normal. There is right hemidiaphragm elevation. Lungs are clear. Degenerative changes in the thoracic spine.

Right hemidiaphragm elevation. No acute cardiopulmonary process.


Normal and stable cardiomediastinal contours. Interval removal of left-sided intravenous catheter. No pneumothorax. XXXX XXXX opacities obscuring the hemidiaphragms, slightly improved from prior exam.. Right-sided rib fractures again noted.

Mildly improved XXXX XXXX opacities, which may represent atelectasis, infiltrate and/or pleural effusions.


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


Heart size and mediastinal contours appear normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. Degenerative changes of the spine.


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. Right XXXX-a-XXXX remains in XXXX.


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


No pneumothorax. Heart size is normal. Granulomas are seen within the right lung. No large pleural effusions. No focal airspace consolidation.


The lungs appear clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal. Patient status post XXXX sternotomy and CABG.


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.


Large calcified granuloma in the right lower lobe is unchanged. No pneumothorax. Heart size is normal. No large pleural effusions. No focal airspace opacification.


Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality. There is incompletely evaluated lumbar levoscoliosis.


There are postoperative changes of sternotomy. There is cardiomegaly. The contour of the ascending aorta is prominent, consistent with known ascending aortic aneurysm. The lungs appear clear. No focal airspace consolidation. No pleural effusion or pneumothorax. There are minimal degenerative changes of the spine.

1. No acute pulmonary abnormality demonstrated. 2. Stable cardiomegaly. 3. Prominent contour of the ascending aorta, consistent with known ascending aortic aneurysm.


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.


Feeding tube passes below the left hemidiaphragm. Left subclavian central line tip is at the upper SVC. Shunt tubing courses along the anterior left hemithorax. There is grossly stable left lower lobe consolidation. Stable mild residual medial right basilar airspace disease. There is no pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. There are diffuse degenerative changes of the spine.

1. Stable left lung consolidation, possibly infectious pneumonia and/or aspiration. Recommend followup radiographs after treatment to ensure complete resolution. 2. Stable mild residual medial right basilar airspace disease.


AP view was obtained due to patient condition. Low volume lungs. No focal lung consolidation. The heart is not enlarged. No pleural effusion.


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


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


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

Negative for acute cardiopulmonary findings.


The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.


Cardiac and mediastinal contours are within normal limits. Right chest XXXX tip in the low SVC. Right granulomatous disease. The lungs are clear. Bony structures are intact.


Normal heart size. Prominent contour of the ascending aorta, consistent with ectasia. Normal mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Minimal degenerative changes of the thoracic spine.


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


Heart size is within normal limits. 8mm calcified granuloma in the right base. No focal airspace consolidations. No pneumothorax or effusion.


Broken of the 4XXXX XXXX XXXX, similar to the prior study. Stable multiple surgical clips in the left hilar area. Stable cardiomediastinal silhouette. Pulmonary vasculatures are within normal limits. No XXXX focal consolidation, pleural effusion or pneumothorax. Unremarkable bony structure.


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

No acute cardiopulmonary abnormalities. .


Heart size mediastinal contours are normal in appearance. No focal airspace consolidation. No pleural effusion or pneumothorax. Mild degenerative changes of the thoracic spine.


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

Lungs are clear without suspicious pulmonary nodules or masses.


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

1. No acute radiographic cardiopulmonary process.


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

1. No acute cardiopulmonary abnormalities.


The heart is normal in size. Stable appearance of coronary stent. XXXX sternotomy changes are present. No focal consolidation, pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.


There is abnormal separation of the right XXXX XXXX. This is age-indeterminate. Corticated bony density over the lateral aspect of the clavicle may reflect sequela of old remote XXXX. The cardia mediastinal silhouette, pulmonary vascular pattern are normal. No pneumothorax. No pleural effusion. No pulmonary edema . There is minimal endplate degenerative changes of the midthoracic spine. Partial obscuration retrosternal space due to overlying XXXX.

1. There is abnormal separation of right XXXX XXXX, question very acute versus chronic injury. Correlate for focal pain. If indicated consider dedicated right shoulder films. 2. No acute cortical artery disease.


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


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


Stable appearance of aortic valve prosthesis. Sternotomy XXXX. Aortic calcifications. Mild interstitial edema. No focal infiltrate. No effusion or pneumothorax. Mild cardiomegaly.


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

No focal lung opacity, pleural effusion of pneumothorax.


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


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


Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. And scattered calcified granulomas. Left greater than right basilar opacity, probable atelectasis and/or scarring. No pleural effusion.

Basilar atelectasis. Otherwise, no acute cardiac or pulmonary disease process.


The cardiac and mediastinal contours are within normal limits. There are calcifications of the aortic XXXX. The lungs are hyperinflated with increased retrosternal airspace and flattening of hemidiaphragms. There is haziness in the right lung apex. There is a 1.7 cm nodular density in the medial right lung base seen on the frontal view, not identified on the lateral view. This may represent a vessel on end. There is no consolidation, pneumothorax, or effusion. There are mild degenerative changes of the spine.

1. Haziness in the right lung apex and questionable right middle lobe pulmonary nodule. These may be explained by overlapping structures, XXXX chest would be useful for further evaluation. 2. Emphysematous changes.


The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. Mild tortuosity of the thoracic aorta, unchanged


Rounded 1.4 cm projecting retrosternally on lateral view only. No focal consolidation, effusion, or pneumothorax. Normal heart size. Minimal degenerative changes of the thoracic spine. Negative for pneumoperitoneum.

1. Negative acute bone abnormality. 2. Indeterminate 1.4 cm opacity seen only on lateral view is of unknown clinical significance, and may be located in or on the patient. Clinical correlation, with possible followup chest x-XXXX recommended if clinically appropriate. Dr. XXXX XXXX was notified of the indeterminate rounded opacity at XXXX hours on XXXX and acknowledged receipt of the study finding.


Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. Interval development of mild patchy airspace opacities within the posterior aspect of the right upper lobe, concerning for underlying pneumonia. Stable mild background chronic interstitial changes. No evidence of associated pleural effusion or pneumothorax. Multilevel midthoracic degenerative changes, with prominent anterolateral marginal osteophytes.

1. Suspected mild patchy right upper lobe pneumonia, for which clinical correlation is recommended.


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

No acute cardiopulmonary abnormality identified.


Normal cardiomediastinal contours. Low lung volumes with minimal left basilar opacities. No pneumothorax or pleural effusions.

Minimal left basilar atelectasis versus infiltrate. Low lung volumes.


Again seen are platelike horizontal opacities in both lung bases through this is consistent with scarring or subsegmental atelectasis. There are T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There there is no lobar pneumonia. There are calcified right hilar granuloma. There are degenerative changes of the XXXX. There is a curvilinear density within and along the right costophrenic sulcus which most XXXX represents a skinfold. There is a unchanged fracture with callus at the left 9th lateral rib.

Unchanged platelike bibasilar opacities most XXXX representing scarring or subsegmental atelectasis. No acute cardiopulmonary abnormality.


The heart is normal in size. The aorta is tortuous and ectatic. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.


There is minimal hyperexpansion and hyperlucency of the lungs suggestive of chronic lung disease, without focal consolidation, pneumothorax, or effusion identified. XXXX opacity in the left XXXX XXXX subsegmental atelectasis. Cardiomediastinal silhouette is grossly stable and within normal limits, with mild tortuosity and atherosclerosis of the thoracic aorta. Multilevel degenerative disc disease of the thoracolumbar spine noted without acute bony abnormality.

Changes of chronic lung disease without acute cardiopulmonary abnormality.


There is a left chest wall cardiac XXXX generator with 2 leads, one projecting over the right atrium and one projecting over the right XXXX. The heart is near top normal in size with normal appearance of the cardiomediastinal silhouette. The lungs are clear without focal air space opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.


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


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.


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


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


Size is normal limits. Cardiomediastinal silhouette has normal contour. There is a vague opacity in the right infrahilar region. There is also a 5 mm well circumscribed nodule in the right upper lung XXXX. It is not well visualized on lateral view.

1. Right perihilar lung nodule. Recommend CT thorax with contrast to further assess. Dr. XXXX XXXX the findings XXXX.


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..


Heart size upper limits of normal. Low lung volumes with mild bronchovascular crowding and right basilar airspace disease. No pneumothorax or effusions.

Low lung volumes with right base airspace disease.


Pacemaker generator overlying the left chest in stable position with 2 leads terminating in the right atrium and right ventricle in stable position. Stable XXXX sternotomy XXXX. No pneumothorax, pleural effusion, or focal airspace disease. Minimal fluid within the right horizontal fissure.

Stable pacemaker generator within the left chest with 2 distal leads terminating in the right atrium and right ventricle, also in stable position. No pneumothorax.


2 images. Calcified granuloma, right lung base. 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.


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

Mildly hyperexpanded lungs without acute focal infiltrate.


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 focal airspace consolidation or pleural effusion. There is subphrenic intraperitoneal extraluminal XXXX free XXXX.

1. No acute or active cardiac, pulmonary or pleural disease. 2. Pneumoperitoneum, attributed to the patient's recent abdominal surgery.


The lungs and pleural spaces show no acute abnormality. Lungs are hyperexpanded. Minimal XXXX scarring in both lower lobes. Heart size and pulmonary vascularity within normal limits. Stable mild tortuosity of the descending thoracic aorta.


Heart size near top normal limits for technique. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense left lower lobe nodule suggests a previous granulomatous process.


Normal cardiac size, mediastinum, and central pulmonary vasculature. Grossly clear lungs, without focal airspace consolidation, pleural effusion, or pneumothorax. No evidence of displaced rib fractures. Normal thoracic vertebral body XXXX.

1. No acute cardiopulmonary abnormality.


The heart is normal in size. Atherosclerotic calcifications of the aorta. The mediastinum is stable. There is again soft tissue density projected over the right mid chest, XXXX patient's known large breast mass. The appearance is grossly stable to decreased from prior study. The lateral projection is suboptimal as patient could not raise XXXX. There is no pleural effusion.

Redemonstration of right chest wall mass compatible with patient's known breast carcinoma.


Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Central left midlung granuloma with calcified left hilar adenopathy. Bony structures appear intact.


The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Multiple punctate round XXXX XXXX over the abdomen on the lateral view. These may reside within, or outside of the patient.


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


The lung volumes are low. However as compared to the prior study, there are increased perihilar opacities bilaterally. Stable dextroscoliosis of the lower thoracic spine with limited evaluation of the spinal XXXX. The tracheostomy tube is in unchanged position.

Low lung volumes with slightly increased perihilar opacities bilaterally, XXXX infectious etiology.


Stable flattening of the posterior diaphragm and scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation. Stable cardiomediastinal silhouette with normal heart size and aortic ectasia/tortuosity, stable mediastinal contours. No definite pleural effusion seen, no typical findings of pulmonary edema. Following spine ossifications and marginal osteophytes again noted.

Chronic changes as described, no acute findings


The heart is normal in size. The mediastinum is stable. Innumerable XXXX bilateral nodules are identified, most of which appear calcified on XXXX examination. There is no acute infiltrate or effusion. XXXX lingular scarring and/or atelectasis.


Sternotomy XXXX mediastinal clips noted. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is XXXX deformity of T6, XXXX since X-XXXX thoracic spine XXXX, XXXX. Mild XXXX deformity of T12, stable. Prior cholecystectomy.

1. No definite evidence of metastatic disease. 2. Age-indeterminate XXXX deformity of T6, XXXX since study dated XXXX, XXXX. .


The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Mild XXXX XXXX curvature thoracolumbar junction.


There is stable cardiomegaly. The mediastinum is unremarkable. Atherosclerotic calcifications are present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are present in the thoracic spine.

1. Stable cardiomegaly without acute cardiopulmonary abnormality.


The heart is normal in size. The mediastinum is unremarkable. XXXX XXXX opacities in the left lung base are compatible with scarring. The lungs are otherwise clear.


Heart size is normal. Right lung is clear. Granulomatous disease in the bilateral. Subsegmental atelectasis in the left lower lung. No pneumothorax. No pleural effusion.

Subsegmental atelectasis in the left lower lobe.


There is prominence of the superior mediastinum which may be partially due to patient's known thyroid mass. There is increased tortuosity of the descending thoracic aorta. Cardiac silhouette is within normal limits. Lungs are clear without focal opacification. No pneumothorax or pleural effusion. There is scoliotic curvature the thoracic spine. No acute bone abnormality.

Increasing prominence of the superior mediastinum may be secondary to enlarging thyroid mass. With increasing tortuosity of the thoracic aorta and concern for dissection, chest CT is recommended for further evaluation.


Both lungs are clear and expanded area heart and mediastinum are normal. Incidental note XXXX of bilateral breast implants.


Heart size is upper limits of normal. Mediastinal contours and pulmonary vascularity are within normal limits. There is no focal infiltrate or suspicious pulmonary opacity. No pneumothorax or pleural effusion. There is a lucency along the peripheral right lung base, XXXX secondary to a skin fold. No acute bony findings.

Clear lungs. No acute cardiopulmonary findings.


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 is obese.


There are scattered calcified granulomas. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.


Heart size within normal limits. There are low lung volumes with bronchovascular crowding. There is mild increased airspace opacity within the right lung base which may represent atelectasis or infiltrate.. No visualized pneumothorax or large pleural effusion. Multilevel degenerative disease of the spine.

Low lung volumes with airspace disease within the right lung base. Followup radiographs following treatment is recommended to document resolution.


The lungs are relatively clear with XXXX sulci. Heart size normal in LV contour. Slightly unfolded ascending and descending aorta. T-spine unremarkable.


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


The lungs appear clear. The heart and pulmonary XXXX appear normal. There is severe kyphotic deformity of the chest involving prior fractures of thoracic vertebral bodies and the sternum. There are multiple XXXX fractures identified involving upper thoracic vertebral bodies and a single upper lumbar vertebral body. The patient is status post vertebroplasty at multiple levels. The pleural spaces appear clear. There is right-sided chest XXXX, the distal tip in the upper right atrium. Mediastinal contours appear normal.

1. No evidence of acute cardiopulmonary disease 2. Changes of acute kyphotic deformity and of the thorax as described above


Normal cardiac size and contour, unremarkable mediastinal silhouette. Normal pulmonary XXXX. Lungs clear, no airspace disease, pleural effusion, or pneumothorax.

No active or acute cardiopulmonary disease.


Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.


Lungs are clear bilaterally, with no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. Calcified densities within the right paratracheal region and left perihilar region, may represent calcified granulomas. There is a round opacity measuring 2 cm in diameter within the posterior mediastinum. XXXX are unremarkable.

1. Round opacity measuring 2 cm in diameter within the posterior mediastinum. Recommend further evaluation of this nodule with chest CT with IV contrast.


The cardiomediastinal silhouette is stable in appearance. There are extensive fibrotic changes in the right lung with rightward shift of the trachea, similar to the previous exam. The left lung is well-aerated without focal airspace consolidation, pleural effusions or pneumothorax. There is left apical pleural-parenchymal scarring. No acute bony findings.

1. No acute cardiopulmonary findings. 2. Extensive fibrotic changes of the right lung, similar to the previous exam.


Normal and stable cardiomediastinal contours. No pneumothorax, pleural effusions or significant pulmonary edema. No focal lung consolidation.

1. No acute cardiopulmonary abnormalities.


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


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


There is hyperinflation of the lungs. A small area scarring is seen in the left cardiophrenic XXXX region. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.


The heart is large. Lung volumes are XXXX. XXXX opacity persists in the right midlung. No focal infiltrates.

Persistent cardiomegaly. Right midlung scar. No visible acute failure or pneumonia.


Right lower lobe XXXX calcified granuloma. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.


The heart size and cardiopulmonary silhouette is normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. The obstruction are intact with mild degenerative change in the thoracic spine.


The heart size and cardia mediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There is an approximately 8mm opacity overlying the sixth anterior rib. There are other scattered calcified granulomas. The osseous structures are intact. There are mild degenerative changes in the thoracic spine.


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


The heart size is within normal limits. No focal air space opacities. No pneumothorax. No pleural effusion. No displaced rib fractures.


Stable appearing right-sided XXXX the opacities. There is persistent elevation of the right hemidiaphragm. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax.

Stable right-sided chronic lung scarring otherwise no acute cardiopulmonary disease.


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.


There is a stable closure device projected over the heart. The heart and mediastinum are otherwise normal. There is stable XXXX scarring of left mid lung. The lungs are otherwise clear. There is no infiltrate, effusion, mass or pneumothorax.


The cardiomediastinal silhouette is normal in size and appearance. No pleural effusion or pneumothorax. Lungs are clear.


Cardiac silhouette is enlarged but unchanged. There is left-sided XXXX central line with a XXXX lumen. Poly vasculature is within normal limits. Mediastinum is normal. Bibasilar opacity, left greater than right is appreciated. No pneumothorax.

1. Left pleural effusion with adjacent atelectasis. XXXX right effusion is also present. 2. Cardiomegaly without overt edema.


There is stable thick biapical scarring/pleural thickening. There is XXXX patchy airspace disease in the right upper lobe along the XXXX fissure. The lungs are hyperexpanded with COPD. Increasing large left pleural effusion with increased airspace opacity in the left lung base. There has been interval increase in size of a 4.9 cm masslike opacity in the periphery of the left lung base, which is not definitely identified on the lateral XXXX. XXXX sternotomy XXXX, mediastinal clips and prosthetic heart valve appear unchanged. No pneumothorax.

1. Right upper lobe pneumonia. 2. Increasing large left pleural effusion. Increasing left basilar opacity; atelectasis/airspace disease. 3. Increased size of masslike left lung base opacity seen only on PA view. This could represent loculated fluid, atelectasis or a lung mass. CT scan is recommended to further evaluate. Critical result notification documented through Primordial. .


The pulmonary nodules and masses masses on previous exam are smaller and not definitely seen. The lungs are otherwise clear. Heart size normal. No pneumothorax. There is a right chest XXXX with tip projecting over the lower SVC.

Interval decrease in size of numerous pulmonary nodules and masses. No nodules or masses are definitely seen on XXXX radiograph. .


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


There is mild cardiomegaly, similar to prior exams. No focal consolidation. No visible pleural effusion or pneumothorax.

Stable mild cardiomegaly. No acute pulmonary 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. No acute bony abnormality is identified.


There is a 1.5 cm nodular opacity projecting over left hilum. The cardiac silhouette is within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax. XXXX opacities XXXX representing surgical clips, in the midline at the level of the thoracic inlet.

1. Prominence of left hilum which could be due to nodule/lymph node or superimposing blood XXXX. In the absence of prior studies for comparison, XXXX chest for further evaluation. Result notification XXXX Primordial.


The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Mild degenerative changes at the lower thoracic spine.


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

No acute or active cardiac, pulmonary or pleural disease.


PA and lateral radiograph the chest demonstrate stable cardiomediastinal silhouette. No focal consolidation, large pleural effusion, or pneumothorax is identified. Evidence of prior granulomatous disease. Visualized osseous structures appear intact.


1. Cardiomegaly with central vascular congestion and increased interstitial opacities suggesting mild interstitial pulmonary edema. 2. Small bilateral pleural effusions. 3. No visible pneumothorax.


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


Scoliosis and focal eventration of the posterior left hemidiaphragm. No focal alveolar consolidation. Rotated position, considering technical factors heart size XXXX within normal limits. No definite pleural effusion seen, left bronchovascular crowding without typical findings of pulmonary edema. Exaggerated kyphosis with increased AP dimension of the thorax.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Multilevel degenerative changes are seen throughout the thoracic spine. XXXX anchors XXXX over the left humeral head. There is mild bilateral acromioclavicular joint osteoarthritis. Visualized upper abdomen is grossly unremarkable in appearance.

No evidence of acute cardiopulmonary process.


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


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


The heart is large. In the interval, pulmonary venous engorgement has developed. Also, bibasilar interstitial infiltrates are present.

Developing heart failure with pulmonary venous engorgement and bibasilar pulmonary interstitial edema.


The heart is normal in size. The mediastinum is Stable. Calcified AP XXXX lymph XXXX are seen. A small right-sided pleural effusion versus thickening. Right inferior rib deformities.

Stable blunting of right costophrenic XXXX with small pleural effusion versus thickening and associated healed right rib deformities.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrate stable, mild multilevel thoracolumbar degenerative disc disease without acute abnormality. Upper abdominal midline surgical sutures are likewise stable.


There is hyperexpansion, hyperlucency of both lungs, as well as flattening of the diaphragm consistent with chronic emphysematous lung disease. No focal consolidation, pneumothorax, or large pleural effusion identified (blunting of costophrenic recesses bilaterally may represent small effusions or pleural thickening/scar. Stable calcified mediastinal and hilar lymph XXXX and a left basilar calcified granuloma. Acute osseous abnormality. The mediastinal silhouette stable.

Changes of chronic emphysematous lung disease without acute cardiopulmonary abnormality identified.


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

No acute cardiopulmonary abnormalities. .


Borderline enlarged heart. Stable mediastinal contours. Aortic XXXX calcifications. Hyperinflated lungs with chronic appearing interstitial markings, compatible with emphysema. Bilateral streaky opacities. Increased vascularity compatible with pulmonary vascular congestion. No focal airspace disease. No acute bony abnormality.

1. Pulmonary vascular congestion. 2. Emphysema. 3. Bibasilar streaky airspace opacities.


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


The cardiomediastinal contours are stable and normal. Mid sternotomy XXXX again noted. Mildly low lung volumes. No significant pulmonary edema, focal lung consolidation, pleural effusions or pneumothorax seen.

1. No acute cardiopulmonary abnormalities.


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


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Degenerative changes of the spine..

1. No acute radiographic cardiopulmonary process.


Cardiomediastinal silhouette is normal in size and contour. Pulmonary vasculature is normal in caliber. Lungs are clear of focal airspace disease, pneumothorax or pleural effusion. There are no acute bony findings.


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