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


Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascularity is unremarkable. Morgagni hernia, stable. Lungs are expanded and clear of air space disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals diffuse demineralization with stable anterior wedging at the lower thoracic levels.

1. No acute cardiopulmonary abnormality.


Heart size and pulmonary vascularity appears normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Callus or granulomas identified. Left XXXX-A-XXXX remains in XXXX.


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


The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are moderate degenerative changes in the thoracic spine. There are postsurgical clips in the right upper quadrant.


The heart size is within normal limits. Cardiomediastinal contour is normal. There is a right upper lobe nodule measuring 8 mm in diameter. Trachea is midline. The lungs otherwise clear. XXXX and soft tissues are unremarkable.

1. Right upper lobe pulmonary nodule, XXXX granuloma.


Heart size is enlarged, pulmonary vascularity within normal limits. Cardiac defibrillator generator projects over the left mid lateral lung. No visible pneumothorax or pleural effusion. Minimal streaky airspace opacities in the lower lobes.

1. Cardiomegaly without pulmonary edema. 2. Minimal bibasilar opacities which may reflect atelectasis or infiltrate.


Patchy airspace disease is noted within the right middle lobe. Subtle opacities are present within the lingula as well. There is no pneumothorax or pleural effusion. The heart size is normal.

Patchy right middle lobe and lingular airspace disease compatible with multilobar pneumonia. .


Stable cardiomegaly. Thoracic aortic atherosclerotic calcifications are noted. There is a prominence of the pulmonary vasculature. No consolidating airspace disease is seen. No pleural effusion or pneumothorax.

Cardiomegaly and pulmonary vascular congestion.


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


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


Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion or pneumothorax. There is hyperexpansion of the lungs. Mild degenerative changes are present in the spine.


Hyperinflated lungs with mildly flattened posterior diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. No pneumothorax.

Hyperinflated lungs, air trapping versus inspiratory XXXX.


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


The heart is normal in size. The mediastinum is stable. The lungs are hypoinflated with scarring in the left lung base. There is no focal consolidation or significant effusion.

Mild chronic changes in the left lung base without acute disease.


There is stable elevation of the right hemidiaphragm with questionable increased right basilar airspace opacities. The left lung is clear. Heart size normal. XXXX unremarkable.

Stable elevated right hemidiaphragm with questionable subtle increased right basilar airspace disease/atelectasis. Correlate clinically.


The heart is normal in size. The mediastinum is stable. There is again significant thoracolumbar rotatory scoliosis. The aorta is atherosclerotic. The lungs are hypoinflated but clear.


Evaluation for pneumothorax is limited due to exclusion of the superior-most pulmonary apices. No visible pleural XXXX. No focal air space opacities or pleural effusion. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air. Mild degenerative changes of the thoracic spine. Included osseous structures are grossly intact.


Cardiac and mediastinal contours are within normal limits. Right lung base granuloma. The lungs are otherwise clear. Thoracic spondylosis.


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


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


The XXXX examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes with XXXX XXXX atelectasis. The cardiac silhouette is unchanged. There is mild to moderate tortuosity of the thoracic aorta. No focal consolidation, pleural effusion, or pneumothorax identified. Thoracic spondylosis is again seen.

Low lung volumes with minimal bibasilar atelectasis. Overall no significant interval change.


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


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


The cardiomediastinal silhouette is within normal limits. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality. Large hiatal hernia.

1. No acute cardiopulmonary process. 2. Large hiatal hernia.


The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.


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


The heart size and pulmonary vascularity appear within normal limits. Vascular calcification is identified. Calcified granuloma is present in the right lower lobe. No XXXX nodules are seen. No pneumothorax or pleural effusion is seen. No focal airspace disease is identified.


Limited lateral projection. 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. Healed distal left clavicular fracture noted.


There is enlargement of the cardiac silhouette. There is a focal opacity within the right upper lung. There is dense calcification of the thoracic aorta. There is no pneumothorax. There is no large pleural effusion.

1. Right upper lobe opacity. Without comparisons, this may represent a focal area of infection/pneumonia. However, correlation should be XXXX for possible tuberculosis exposure as tuberculosis infection could have this appearance. If discordant from clinical suspicion, or does not resolve on follow up imaging, consider further evaluation with XXXX scan. 2. Enlargement of the cardiac silhouette.


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


Normal cardiac contours. No pneumothorax or pleural effusions. Clear left lung XXXX. Right middle lobe with increased opacities, XXXX representative of infiltrate.

1. No pneumothorax or pleural effusion. 2. Right middle lobe infiltrate.


Aorta is ectatic. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. Age-indeterminate anterior wedging deformity of lower thoracic vertebra.


There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Degenerative changes of the thoracic spine.


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


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

1. No active disease. Specifically, no radiographic evidence for tuberculosis.


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


1. No acute radiographic cardiopulmonary process.


Radiographic attenuation obscures detail. Grossly, the lungs are clear and expanded. Heart is large. Pulmonary XXXX are normal.

Stable cardiomegaly without gross evidence for failure or pneumonia.


Cardiomediastinal silhouette is within normal limits. Lungs are clear without areas of focal consolidation. Right hilar calcifications XXXX sequela of prior granulomatous disease. No pneumothorax or large pleural effusion. No acute bone abnormality.


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


No pleural effusion no pneumothorax. Normal cardiac contour. No focal consolidation. Lungs clear bilaterally.

1. No acute cardiopulmonary abnormalities.


Two-view chest. Both lungs are clear and expanded. Heart and mediastinum normal. Right foot. Hindfoot, midfoot, forefoot XXXX are intact with no fractures or bone destruction.

1. Chest. No active disease. 2. Right foot. Negative.


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


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


Right costophrenic XXXX is blunted. In the left lower lobe a patchy infiltrate is present. The pulmonary XXXX are normal.

Large right pleural effusion and patchy left lower lobe airspace disease.


The trachea is midline. The heart XXXX is slightly large. There are low lung volumes causing bronchovascular crowding. Otherwise the lungs appear clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.


XXXX XXXX sternotomy XXXX appear intact. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is within normal limits. There is no focal lung opacity. Clips overlie the right upper quadrant.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lungs are hyperexpanded without focal airspace consolidation, pleural effusion, or pneumothorax.. Degenerative endplate changes of the spine..


The lungs appear clear. There are no suspicious pulmonary nodules or masses. The heart and pulmonary XXXX appear normal. Mediastinal contours appear normal. There's no pneumothorax.


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. Large hiatal hernia is present. Osteopenia and degenerative changes are present in the spine. Vascular calcification is noted. Degenerative changes are present in the right shoulder.


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


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Left-sided PICC line has been placed in the interval with tip XXXX in the innominate vein.

1. No acute cardiopulmonary abnormality.. 2. Interval placement of left-sided PICC line with tip XXXX in the innominate vein.


there is a rounded opacity in the right lower zone measuring 2.0 cm which is XXXX to be in the posterobasal segment. There is of uncertain etiology but would benefit from followup at XXXX some concern for neoplasm. A XXXX is recommended. No airspace disease, effusion or cavitary nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.

2 cm noncalcified nodule in the right lower lobe would benefit from a XXXX.


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


Stable cardiomegaly with left-sided implanted ICD. Hilar pulmonary venous vasculature stable compared to prior examination. No focal consolidation, pneumothorax, or large pleural effusions identified. No acute osseous abnormality is identified.

Stable cardiomegaly without evidence of overt heart failure/pulmonary edema.


There is a small area of scarring or atelectasis in the left base. Calcified granulomas seen in the posterior right lower lobe. Lungs are otherwise clear. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.

Minimal small area scarring of the left base.


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


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.

1. Low volume study without definite acute process.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is XXXX airspace opacity in the mid right lung radiating from the right hilum to the pleura and bordered inferiorly by the fissures. The XXXX fissure is convex upward. There is right base patchy airspace opacity. This appears chronic and may be due to scarring. There is no significant pleural effusion.

Right upper lobe airspace consolidation Please correlate clinically for pneumonia.


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


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


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


Calcified granulomas are noted within the lung bases and stable compared with prior study. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. There is no focal opacity. No large pleural effusion. XXXX is minimal retrolisthesis of two lower thoracic vertebral bodies.

No acute cardiopulmonary disease. Retrolisthesis of two lower thoracic vertebral bodies.


This radiograph was XXXX available for my interpretation at XXXX hours XXXX/XXXX. There are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.


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.


2 images. Small centrally calcified granuloma within the lateral right lung base. Otherwise the lungs are clear. Heart size is normal. No evidence for pleural effusion or pneumothorax.

No acute cardiopulmonary abnormality identified.


No acute osseous abnormality. Degenerative changes throughout the thoracic spine. Soft tissue structures are within normal limits. There is stable enlargement of the heart. Stable prominent mediastinal contours. Central vascular congestion. Mildly low lung volumes bilaterally. Bibasilar and left perihilar airspace opacities. XXXX bilateral pleural effusions. No pneumothorax.

1. Bilateral airspace disease. 2. Stable enlarged heart and prominent mediastinal contours.


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


The cardiomediastinal silhouette 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.


Normal cardiomediastinal silhouette. No airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No acute bony abnormality.


Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing right mid clavicle injury. Visualized bony structures otherwise unremarkable.


Heart size and pulmonary vascularity appear within normal limits. The patient is status post CABG. A few XXXX opacities are present in the left base, the appearance which XXXX scarring or atelectasis. No pneumothorax or pleural effusion is seen. Degenerative changes are present in the spine.

1. XXXX opacities in the left base, the appearance which XXXX scarring or atelectasis. Otherwise, clear.


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


There is borderline cardiomegaly. Mediastinum and pulmonary vasculature are unremarkable. Lungs are clear. No pleural fluid or pneumothorax is appreciated.

Borderline cardiomegaly. Otherwise unremarkable exam.


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

1. Cardiomegaly without acute cardiopulmonary abnormality.


The cardiac silhouette measures near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is stable eventration of the anterior right hemidiaphragm. The lungs are clear of focal airspace disease, pneumothorax, pleural effusion. There are no acute bony findings.


The heart and mediastinal contours are stable. Aorta is calcified and tortuous, compatible with atherosclerotic disease. Since the prior study, there's been interval development of left lower lobe airspace disease. The right lung is clear.

1. Interval development of left lower lobe airspace disease. This may be due to atelectasis or infiltrate.


Two left-sided chest tubes again noted. Interval improved aeration of the left lung compared to prior. Interval improvement in left lung pleural fluid. Right lung clear. Endotracheal tube noted with tip approximately 4.5 cm above the carina. Left internal jugular central venous catheter with tip approximating the high SVC. No evidence of pneumothorax.

Interval improvement in aeration of left lung with interval reduction in size of left pleural effusion. Persistent patchy left lung airspace disease is noted. Stable left-sided chest tubes. .


The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact. Calcification in the right upper quadrant of the abdomen XXXX consistent with gallstone.


The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. There are severe arthritic changes of the XXXX with mild arthritic changes of the thoracic spine.


Stable enlargement of the cardiac silhouette, lateral view interlobar fissural thickening. Interstitial opacities greatest in the central lungs and bases.

1. Cardiomegaly, question small bilateral pleural effusions 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, differential diagnosis includes infectious and inflammatory processes.


Heart size is mildly enlarged. Tortuous aorta. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.

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


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


The heart is normal in size. The aorta is tortuous. The lungs are hypoinflated. No focal consolidation or pleural effusion seen. Old right-sided rib fracture is noted.

1. Low lung volumes without acute infiltrate. 2. Aortic tortuosity and mild ectasia.


The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is mild tortuosity of the descending thoracic aorta. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. There are mild degenerative endplate changes in the thoracic spine.


Heart size and pulmonary vascularity appear within normal limits. The ascending aorta is prominent and descending thoracic aorta is is tortuous. Aorta appears unchanged as compared to the study. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules are identified. There is an oblong density projecting over the anterior left 7th rib. Appearance suggests an old rib fracture.

This is XXXX since the previous study. 1. Clear lungs. 2. Apparent old rib fractures in the left anterior chest.


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


There is a 22 x 14 mm calcified nodule in the left lower lobe. A moderate hiatal hernia is present. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.

1. No acute cardiopulmonary disease. 2. Calcified left paraesophageal versus intrapulmonary lymph node. 3. Moderate hiatus hernia.


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


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


Stable heart size and mediastinal contours. No focal airspace consolidation. Stable calcified granuloma in the right upper lobe. This low lung volumes. No focal airspace disease.

Low lung volumes, otherwise no acute cardiopulmonary abnormality.


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


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


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


Cardiac silhouette, pulmonary vascular pattern within normal limits. No focal infiltrate, pneumothorax or pulmonary edema. No pleural effusion. Osseous structures within normal limits.


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

1. No acute radiographic cardiopulmonary process.


XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. There is elevated right hemidiaphragm and evidence of right upper lobectomy. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.


The lungs and pleural spaces show no acute abnormality. There is a XXXX 10 XXXX nodule in the right apex projecting between the third and fourth posterior ribs. Lungs are hyperexpanded. Heart size and pulmonary vascularity within normal limits. Scattered XXXX densities throughout the chest from prior gunshot wound. Chronic blunting of the costophrenic XXXX. Healed right 10th and left 9th posterolateral rib fracture.

1. No acute pulmonary abnormality. 2. XXXX right apical nodule. Further evaluation XXXX chest should be considered to exclude the possibility of pulmonary malignancy. 3.Chronic findings as discussed below.


XXXX sternotomy XXXX are intact and unchanged position from prior exam. Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.

1. Unremarkable examination of the chest..


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 demonstrates stable mild multilevel degenerative disc disease of the thoracolumbar spine as well as chronic left-sided rib fractures without acute abnormality.


Chest. 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. Thoracic spine. The XXXX examination consists of frontal, lateral and swimmers lateral radiographs of the thoracic spine. There is no evidence of fracture or malalignment. The vertebral body XXXX and disc spaces are maintained. Sternum. The XXXX examination consists of 2 oblique and one lateral radiograph of the sternum. No displaced XXXX fracture demonstrated.

1. No radiographic evidence of acute thoracic XXXX.


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


Normal cardiomediastinal contours. Lungs are clear. No pneumothorax.


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. Oval sclerotic density projecting over the inferior right glenoid may represent synovial osteochondromatosis or cortical XXXX XXXX. This is unchanged 31 17 XXXX. The remaining osseous structures and visualized upper abdomen are unremarkable in appearance.

No evidence of acute cardiopulmonary process.


Apparent scarring within the lingula. Lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.

Apparent scarring within the lingula, otherwise unremarkable.


Cardiomegaly. No pneumothorax or pleural effusion. Clear lung XXXX bilaterally.


The heart size is normal and cardiomediastinal silhouette has normal contour. The left hilar calcified lymph XXXX appear stable. There is persistence of a left lower lobe calcified nodule XXXX representing a granuloma. The lungs are hyperinflated but otherwise clear bilaterally.

1. Severe hyperinflation. 2. Stable left calcified hilar lymph XXXX.


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. There is a rounded lucency seen above the diaphragm on lateral view, suggestive of small hiatal hernia. Visualized osseous structures appear intact. Degenerative changes of the thoracic spine seen.

No acute cardiopulmonary abnormality. Small hiatal hernia noted.


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. Biapical scarring noted. No pleural effusions or pneumothoraces.

Hyperexpanded lungs without focal air space disease.


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


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present. Small T-spine osteophytes. There is biapical pleural thickening, unchanged from prior. Mildly hyperexpanded lungs.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Reduced lung volumes with basilar atelectasis. No XXXX focal airspace consolidation or pleural effusion.

No acute or active cardiac, pulmonary or pleural disease.


Chest. Lung volumes are low, but no focal infiltrates are present. Heart and mediastinum remain normal. Abdomen. Multiple slightly distended loops are present from stomach to rectum. Formed stool is present in the rectum.

1. Chest. Hypoinflation with no visible active cardiopulmonary disease. 2. Abdomen. Negative. No mechanical obstruction.


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 mild biapical pleural thickening which is smooth. There is evidence of previous anterior cervical spine fusion. There are degenerative changes of the spine.


This study is limited secondary to patient body habitus. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.

Limited study but no acute pulmonary disease identified.


Three noncalcified lung nodules are present in the left lower lobe. The largest measures 3.5 mm in diameter. Another nodule is present near the right hilum. It is approximately 2 cm in diameter. The XXXX and mediastinum appear normal. Heart size normal.

Multiple nodules in both the left and right lungs consistent with neoplasm. Further workup could be initiated with contrasted CT of the chest, abdomen, and pelvis. Dr. XXXX XXXX I discussed the findings and further workup suggestions by telephone approximately XXXX hours XXXX, XXXX.


The cardiomediastinal silhouette is normal. The lungs are clear. There is no pneumothorax or pneumomediastinum. Visualized bony structures are normal.


There are XXXX left upper lobe opacities. Lungs otherwise appear clear. No pleural effusion or pneumothorax. Heart size is as is within normal limits.

1. No evidence of active tuberculosis. 2. XXXX left upper lobe opacities. The appearance XXXX subsegmental atelectasis or scarring.


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

Clear lungs with no suspicious pulmonary nodules or masses.


The lungs are clear 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.


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.


The heart is normal in size. The mediastinum is within normal limits. The study is somewhat limited. No focal consolidation is seen.


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

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


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.


There is some minimal patchy opacity in left base which may represent atelectasis or scarring. The lungs are otherwise clear. The heart and mediastinum are normal for age. There is some arthritic changes of the skeletal structures and there has been previous rotator XXXX repair on the right.

Minimal left basilar opacity most XXXX representing atelectasis or chronic scarring.


Normal heart size and pulmonary vascularity. There are changes of chronic lung disease noticed by hyperinflated lungs and streaky opacities compatible with scar. Interval placement of the chest XXXX with the tip in the superior XXXX XXXX. No focal infiltrate, pneumothorax or pleural effusion is identified.

Chronic changes with no acute cardiopulmonary disease.


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


Normal heart size and mediastinal contour. Right lung base airspace disease on frontal XXXX. XXXX opacities in the left lung base consistent with atelectasis. No pneumothorax. No pleural effusion. Mild wedge XXXX deformity of T12.

Right lung base airspace disease and left base atelectasis.


The 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. There is mild midthoracic dextroscoliosis, with the XXXX XXXX otherwise grossly intact.


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


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiac silhouette is not enlarged. There has been apparent interval increase in low density convexity at the left cardiophrenic XXXX. Calcified granuloma is again seen in the right upper lobe. There is no consolidation, pleural effusion or pneumothorax.

Increased size of density in the left cardiophrenic XXXX. Primary differential considerations include increased size of prominent epicardial fat, pericardial mass, pleural mass or cardiac aneurysm. CT chest with contrast is recommended. These findings and recommendations were discussed XXXX. XXXX by Dr. XXXX XXXX telephone at XXXX p.m. XXXX/XXXX. Dr. XXXX<XXXX>technologist receipt of the results.


Lungs are hyperexpanded. No infiltrates or masses. The eventration of the left hemidiaphragm identified previously is largely unchanged since the previous computed tomogram. Pulmonary XXXX are normal.


The tracheostomy tube is in stable position. Right subclavian catheter tip is in the lower SVC. The left upper extremity PICC tip is in the mid SVC. Surgical XXXX overlie the soft tissues of the neck. The lungs are clear. Heart size is normal. No pneumothorax.


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


The heart is normal in size. There is right paratracheal density concerning for lymphadenopathy. There are patchy right upper lobe streaky opacities. The remainder of the lungs are clear. There is no pleural effusion.

Patchy opacities in right upper lobe, concerning for pneumonia, given history. Right paratracheal density possibly reactive lymphadenopathy. Followup evaluation to resolution is recommended.


Heart size is normal. Prior calcified granulomatous disease. On the lateral view in the anterior costophrenic XXXX, there is a 2.1 x 2 cm nodular density which seems to be present previously but is more nodular in appearance on this examination. No pleural effusion or pneumothorax. Endplate degenerative changes of the thoracolumbar spine and mild scoliosis are unchanged.

2.1 cm nodular density in the anterior costophrenic XXXX on the lateral view, which could represent overlapping shadows or actual pulmonary nodule. Recommend followup with chest CT.


The cardiomediastinal silhouette is normal in size and contour. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.


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


The trachea is midline. Negative for pneumothorax, pleural effusion, or focal airspace consolidation. The heart size is normal.

1. No acute cardiopulmonary abnormality.


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


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


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


Stable cardiomediastinal silhouette with normal heart size and aortic ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. Mild bronchovascular crowding without typical findings of pulmonary edema. Distal clavicle shortening also present on the previous exam, possibly posttraumatic or postsurgical.


Lungs are overall hyperexpanded with flattening of the diaphragms. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. degenerative changes within the spine. There are expansile changes within the right clavicle which were seen on the previous XXXX/CT. Findings are consistent with changes of multiple myeloma.


Heart size is normal. The lungs are clear. There are no XXXX focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Again noted is tortuosity and unfolding of the thoracic aorta. Aortic vascular calcifications. Normal pulmonary vascularity. Bone demineralization.


Normal heart size and mediastinal contours. Stable calcification in the left upper lobe, XXXX representing a granuloma. No focal airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.

No acute cardiopulmonary abnormalities. No radiographic evidence of metastatic disease.


Stable cardiomediastinal silhouette. There is mild haziness in the right lung and left base, which could represent infiltrate. No pleural effusion. No pneumothorax. Stable XXXX deformity of a midthoracic vertebra.

1. Possible infiltrates in the right lung and left base. Consider CT for further evaluation, if clinically indicated.


Heart size and vascularity normal. Lungs are clear. No effusions or pneumothorax.


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


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


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


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


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. XXXX right lower lung opacity XXXX represents combination of soft tissue overlay and minimal atelectasis. No focal airspace consolidation, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age.

1. No acute radiographic cardiopulmonary process.


The heart is normal in size and contour. There is a focal area of scarring or XXXX atelectasis identified in the lingula. The lungs are otherwise clear without focal infiltrate. There is no pneumothorax or effusion.

Focal area of XXXX scarring or atelectasis within the lingula. No acute pulmonary process.


The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. XXXX XXXX of the spine.


Unchanged cardiomegaly. Negative for pneumothorax or focal consolidation. No large effusion. Mildly prominent interstitial opacities.

Stable cardiomegaly with mild pulmonary interstitial edema.


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


There is redemonstration of an AICD in the left chest wall with intact stable XXXX placement. There are multiple intact XXXX sternotomy XXXX. There is persistent enlargement of cardiac silhouette. Mediastinal silhouette appears unremarkable. There is elevation of the left hemidiaphragm. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. Redemonstration of degenerative change in the thoracic spine.

1. Stable cardiomegaly without infiltrates.


Lungs are clear. Heart and mediastinum appear normal. No pleural effusion or pneumothorax.


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

Negative for acute cardiopulmonary disease.


Heart size and pulmonary vascularity appear within normal limits. There has been improvement in the previously identified right midlung zone airspace disease. Minimal residual opacities remain which may represent small areas of scarring. No XXXX focal airspace disease is seen. No pleural effusion is identified. Implantable defibrillator is noted. Calcified granuloma is present in the left base.

1. Near complete clearing of right midlung airspace disease. Minimal residuals from opacities remaining most XXXX represent small areas of scarring. Otherwise, clear.


The lungs appear clear. There are no suspicious pulmonary nodules or infiltrates. The heart and pulmonary XXXX appear normal. The pleural spaces are clear. Mediastinal contours are normal. There is a left-sided tunneled catheter, the distal tip at the mid superior XXXX XXXX level.


The opacity at the left lung base appears stable from prior exam. There is elevation of the left hemidiaphragm is stable. The cardiomediastinal silhouette is enlarged but unchanged. XXXX sternotomy XXXX are again noted. There is a large amount of XXXX distending the stomach, which incidentally was also seen on prior exam of 3 years ago. There is no pneumothorax.

1. Left basilar opacity XXXX represents atelectasis/scarring with associated elevated hemidiaphragm. 2. Stable cardiomegaly. 3. No XXXX airspace disease.


Chest: 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. Thoracic spine: Mild dextro curvature the upper thoracic spine. Evaluation of the upper thoracic bodies is limited secondary to osseous overlap. Vertebral body XXXX and disc spaces are maintained. Mild degenerative endplate changes. Lumbar spine: There are 5 nonrib-bearing lumbar type vertebral bodies. Alignment is within normal limits. Vertebral body XXXX and disc spaces are maintained. Mild degenerative change without acute displaced fracture or dislocation. Moderate amount of stool..

Chest. No acute radiographic cardiopulmonary process. Thoracic spine. Mild degenerative change without acute bony abnormality. Lumbar spine. Mild degenerative change without acute bony abnormality.


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


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains moderately enlarged. There is no focal airspace consolidation. There is no visible pneumothorax. The left costophrenic sulcus is blunted. However, no retrocardiac pleural fluid collection is seen on the lateral view. The right acromioclavicular joint is mildly widened with respect to the left. This is XXXX-XXXX and may be due to left XXXX XXXX osteoarthritis or a remote right XXXX XXXX mild XXXX.

1. Left-sided small pleural effusion versus extrapleural fat or scarring. 2. Cardiomegaly.


The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Scoliosis and arthritic changes of the skeletal structures are noted. There is increased kyphosis of the thoracic spine similar to the prior study

Senescent changes no acute pulmonary disease.


Left PICC line and NG tube remain in XXXX. Heart size and vascularity appear within normal limits. The lungs are free of focal airspace disease. Small bilateral pleural effusions are present. No pneumothorax is noted.


The heart is normal in size. The mediastinum is stable. The lungs are grossly clear. XXXX XXXX opacities in the lung bases. There are XXXX fragments overlying the posterior left chest, right neck base and XXXX fragments in the left costophrenic XXXX. There is no pleural effusion or pneumothorax.

XXXX bullet fragments, as described above. No evidence of acute parenchymal 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 is corticated irregularity of the right posterior 5th rib, XXXX secondary to old rib fracture. There are no gross acute bony findings.


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


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


Lungs are clear. No pleural effusions or pneumothoraces. Heart size is normal with postoperative changes consistent with CABG. Degenerative changes in the thoracic spine.


The heart size is upper limits of normal. Mediastinal contour appears normal and pulmonary vascularity is within normal limits. Otherwise, no focal consolidation, large pleural effusion, or pneumothorax. The visualized osseous structures appear intact.

Borderline heart size. Otherwise, no acute cardiopulmonary abnormality.


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


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

Emphysema without acute cardiopulmonary process.


No focal consolidation, pneumothorax or definite pleural effusion. Nodular density projected over the left base with no lateral view correlate XXXX secondary to soft tissue overlay. Heart size and pulmonary vascularity within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury XXXX demonstrated.

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


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is a single cardiac XXXX projecting over the right ventricle. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.

Cardiac XXXX projects over the right ventricle, without evidence of acute complication.


Lungs are clear. There is minimal atelectasis in the left base. No effusion or pneumothorax. Heart and mediastinal contours within normal limits. XXXX density foreign body present in the soft tissues overlying the left lateral chest wall. Visualized osseous structures intact.

Minimal atelectasis left base, no acute abnormality.


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

No acute radiographic cardiopulmonary process. .


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


There are broken 1st and 3rd-5XXXX XXXX XXXX. Normal cardiomediastinal silhouette. Pulmonary vasculatures are within normal limits. Left-sided aortic XXXX. Central airways are XXXX. No focal consolidation, pleural effusion or pneumothorax. Left hemidiaphragm is mildly elevated. Interposition of the colon in the left upper quadrant.


Stable appearance bipolar dual-XXXX cardiac pacemaker overlying the left hemithorax. No interval change in XXXX position. Cardiomediastinal silhouette appears within normal limits. Lungs are well-aerated. No areas of parenchymal consolidation or pleural effusion.

No acute cardiopulmonary disease. Stable appearance of pacemaker.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size and contour. There is a XXXX-A-XXXX terminating at the caval atrial junction, without evidence of pneumothorax. There is no focal airspace disease. There are small calcified nodules in the superior segment of the right lower lobe, XXXX old granulomatous infection. There are no acute bony findings.


There is an endotracheal tube at the level of the carina, recommend retraction. Heart size is normal. The mediastinal silhouette is unremarkable. XXXX shrapnel is overlying the right lower lobe. There is a round XXXX bullet overlying the T10 vertebral body. XXXX density is seen within the right lower lobe XXXX representing hemorrhage. There is a right-sided pneumothorax with 10 mm in maximal thickness. There is right axillary subcutaneous emphysema. Probable lateral right 8th rib fracture. The osseous structures are otherwise normal.

1. Moderate right-sided hemopneumothorax as detailed above. 2. Probable lateral right 8th rib fracture. 3. Endotracheal tube at the level of the carina, recommend retraction.


Minimally increased XXXX airspace opacities bilaterally, most prominent in the lung bases. Heart size is within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.

Minimally increased air space opacities bilaterally, most prominent in the lung bases. Findings are nonspecific, but may represent subsegmental atelectasis versus mild interstitial edema or an atypical infectious process.


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.


In the interval, the heart size has become normal. Pulmonary XXXX are normal. Lungs are clear and expanded.

Resolution of cardiomegaly. No active disease.


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


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

1. No acute cardiopulmonary abnormality.


Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.


The lungs appear clear. The thoracic aorta remains tortuous. The presence of an aortic aneurysm cannot be excluded on this study XXXX. A there are calcified mediastinal and hilar lymph XXXX suggesting prior histoplasmosis infection. The pleural spaces are clear.

1. Stable tortuosity of the thoracic aorta. The presence of an underlying aneurysm cannot be excluded. 2. Clear lungs


Cardiomediastinal silhouette within normal limits. No acute bony abnormality. There are XXXX XXXX opacities, atelectasis versus airspace disease. No large effusion or pneumothorax.


Normal heart size and mediastinal contours. There are reticular opacities in the medial right middle lobe with tubular airway ectasia which obscures the right heart XXXX. This was present previously and is most compatible with bronchiectasis. There is no XXXX focal airspace disease. No pneumothorax or pleural effusion. Unremarkable XXXX.

1. No acute cardiopulmonary process. 2. Stable right middle lobe bronchiectasis, XXXX postinfectious/postinflammatory. .


The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is mild degenerative changes of the thoracic spine.


The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. The mediastinal contours are normal. There is calcification of the thoracic aorta.

No acute cardiopulmonary disease. No evidence of pneumonia.


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


The cardiomediastinal silhouette is normal in size and contour. Aortic atherosclerosis. Hyperexpanded lungs. XXXX right perihilar/midlung density. Streaky bibasilar opacities, as well. Left upper lobe nodular opacity (anterior first rib interspace) may be exaggerated by overlapping bone silhouettes. Grossly similar midthoracic vertebral XXXX fracture.

1. No focal air space consolidation. 2. Nodular opacity at the left apex may be exaggerated by overlapping bone silhouettes. XXXX chest may provide further evaluation, if warranted.


The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact.

No acute cardiopulmonary abnormalities. Emphysematous changes of the lungs.


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 and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No change calcified aorticopulmonary XXXX node.


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 irregularity of the 7th posterior right rib with underlying pleural thickening.

1. No evidence of acute cardiopulmonary process. 2. Irregularity of the posterior right 7th rib with underlying pleural thickening. This may be related to XXXX XXXX, however, if there is no known history, consider comparison with prior studies if available XXXX of the chest for further evaluation


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


Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. There is aortic XXXX vascular calcification. And there is a hyper left lung calcified granuloma. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion. There are vascular and skeletal senescent changes.

No acute or active cardiac, pulmonary or pleural disease.


Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. There are stable degenerative changes of the spine.


Heart size and mediastinal contour within normal limits. Calcified granuloma in the left lung base. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.


There is stable cardiomegaly with XXXX pulmonary vascular congestion and probable mild interstitial edema. There are bilateral pleural effusions with bibasilar airspace disease, right greater than left. There is no pneumothorax. There are no acute bony findings.

1. Cardiomegaly, vascular congestion and probable mild interstitial edema. 2. Bibasilar airspace disease, bilateral pleural effusions, right greater than left.


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.

1. No acute cardiopulmonary abnormality. 2. No evidence of active or changes from chronic tuberculosis infection.


The heart size and cardiomediastinal silhouette are normal. The aorta is tortuous and atherosclerotic. The lungs are hyperexpanded with flattening of hemidiaphragms and increased retrosternal airspace. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.

1. No acute cardiopulmonary finding. 2. Emphysema and atherosclerosis.


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma is present in the right lung base. Bibasilar bandlike opacities are present. The appearance XXXX scarring or atelectasis.

1. Evidence of previous granulomatous infection. 2. Bibasilar bandlike opacities. The appearance XXXX atelectasis/scar.


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


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

1. No acute radiographic cardiopulmonary process.


The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. The patient is mildly rotated. No focal consolidations, pneumothorax or pleural effusions. Mild degenerative changes of the thoracic spine. No acute displaced fractures.

No acute cardiopulmonary abnormalities. No acute displaced fractures.


The heart size is on the upper limits of normal. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.


The lungs are hyperexpanded. There are XXXX opacities in the lingula, XXXX subsegmental atelectasis or scarring. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. There are degenerative changes of the spine.

1. No focal airspace consolidation. 2. Hyperexpanded lungs, suggestive of emphysema. 3. Lingular subsegmental atelectasis or scarring.


The mediastinal silhouette is widened with overlying sternotomy XXXX. The heart size is normal. The lungs are clear without evidence of effusion, infiltrate or pneumothorax. Visualized bony structures are intact with no acute abnormalities.

1. Wide mediastinal XXXX, consistent with history of aortic dissection. 2. Otherwise normal chest x-XXXX.


The lungs appear clear. There are no suspicious appearing pulmonary nodules or masses. There is no evidence of pneumonia. The heart pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.


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


Right paratracheal stripe is denser and XXXX than normal. The XXXX are normal. Heart size normal. Lungs clear and expanded with no infiltrates.

Right paratracheal mass, possibly lymphadenopathy. If there are no previous chest x-XXXX from elsewhere are XXXX scan with contrast XXXX be of further XXXX. Dr. XXXX XXXX I discussed these findings in the XXXX Department approximately XXXX hours XXXX, XXXX.


One XXXX are low. Both costophrenic XXXX are blunted. Pulmonary XXXX are normal. No visible infiltrates in the aerated lungs.

Bilateral large pleural effusion, possibly from pleuritis or sympathetic from the known pancreatitis.


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


There is a large airspace opacity in the right lower and middle lobes. There is no pneumothorax. Heart size is normal. Soft tissue and bony structures unremarkable.


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is a AP XXXX duct is calcified lymph node. The aorta is unfolded. Cardiac silhouette remains moderately enlarged. Low lung volumes due to exaggerated kyphosis. No focal airspace consolidation or pleural effusion. XXXX spine spondylosis.

Cardiomegaly. No acute pulmonary disease process.


There are very low lung volumes with associated central bronchovascular crowding. There is elevation of the left hemidiaphragm. There are XXXX-filled loops of mildly dilated colon in the left upper quadrant. The bowel XXXX pattern is not well evaluated secondary to incomplete imaging of the abdomen. There is no pneumothorax or definite pleural effusion. The streaky opacities in the lung bases may represent atelectasis. No definite infectious infiltrate is seen. There is scoliosis and exaggeration of the thoracic kyphosis.

1. Very low lung volumes without definite acute cardiopulmonary finding. .


Redemonstration of moderate left pneumothorax which is unchanged from comparison. Left pleural catheter is again seen overlying the left upper lung at the level of the left 5th and 6th ribs. No focal consolidation. Cardiomediastinal silhouette is normal.

No change in moderate left pneumothorax with left pleural drainage catheter again seen overlying the left upper lung.


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


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


Heart size near top normal, bilateral hilar fullness nonspecific in appearance, mild aortic ectasia/tortuosity. Diaphragm flattening and relative apical lucencies suggestive of emphysema, XXXX and irregular interstitial markings, right greater than left. Prominent left epicardial fat XXXX, no focal alveolar consolidation, no definite pleural effusion seen. Atrial septal occluder artifact. Mild spine curvature.

Borderline heart size and abnormal interstitial pulmonary pattern which may be compatible with chronic interstitial change, differential diagnosis is XXXX and includes asymmetric pulmonary edema, inflammation, atypical infection, infiltrative process. Comparison with previous exams would be of XXXX. Bilateral hilar fullness may indicate pulmonary hypertension and clinical correlation is recommended, differential diagnosis reactive lymphadenopathy, metastatic disease.


Left-sided medication injection XXXX has its tip projecting at the cavoatrial junction. The trachea is midline. Extensive bilateral bronchiectasis, cystic changes, and scarring represents sequela from the patient's cystic fibrosis. No evidence of focal pulmonary infiltrate or pleural effusion. No large pneumothorax has developed in the interim. The overlying bony structures reveal no acute abnormalities. The heart size is normal.

1. Extensive pulmonary bronchiectasis and scarring from cystic fibrosis, not significantly XXXX from prior. 2. Left-sided medication injection XXXX has its tip projecting over the cavoatrial junction. .


The heart is normal in size. The mediastinum is unremarkable. Left subclavian central catheter tip in distal SVC. No pneumothorax. The lungs are clear.


Heart size and mediastinal contour normal. There is a 2.5 cm vague nodular density in the right mid lung, probably within the middle lobe given the opacification on the lateral view. There is a subtle left retrocardiac density also noted, with obscuration of aortic contour. No pleural effusions or pneumothorax.

Right midlung and left basilar airspace densities. The most recent study is not available for comparison. Recommend further evaluation with XXXX.


Heart size and pulmonary vascularity appear within normal limits. Calcified granuloma is present in the right base. No pneumothorax or pleural effusion is seen. In the lateral right base is identified an ill-defined somewhat oblong opacity. This was not present on the previous study. The remainder of the lungs appear clear.

1. Ill-defined oblong opacity in the lateral right base. This may represent pleural based process. The exact XXXX is unclear. Followup exam is suggested to confirm clearing or stability.


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


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


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

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


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


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 lungs demonstrate low lung volumes but are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Mild streaky opacities in the left upper lobe on frontal projection are XXXX atelectatic or scar. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.

Low lung volumes without acute cardiopulmonary abnormality.


The lungs appear clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. The mediastinal contours are normal.


Heart size is mildly enlarged. Tortuous aorta. Lungs are normally inflated and clear. Mild degenerative changes of the spine.


Bilateral pleural effusions, left small, right moderate in size, abnormal opacities in the adjacent lung bases. Limited assessment of heart size due to obscured margins, stable mediastinal contours.

1. Bilateral pleural effusions, right larger than left 2. Abnormal pulmonary opacities which may be due to atelectasis, differential diagnosis includes infection, aspiration, atypical distribution pulmonary edema


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.


Low lung volumes with redemonstrated bronchovascular crowding. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The cardiac silhouette size is borderline enlarged.

1. Borderline enlargement of cardiac silhouette, otherwise no acute cardiopulmonary abnormality. No evidence for active TB.


Moderate-to-marked enlargement of the cardiac silhouette, mediastinal contours appear similar to prior. Mild bilateral posterior sulcus blunting, interstitial and alveolar opacities greatest in the central lungs and bases with indistinct vascular margination.

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


The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion. Again seen is XXXX paraspinal foreign body which may represent a bullet fragment.


The lungs are hypoventilated. There is no focal consolidation. Cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.

Hypoventilated lungs, but no focal consolidation.


Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. Scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.

Hyperinflated lungs, air trapping versus inspiratory XXXX.


Chronic bilateral emphysematous changes. 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 splenic artery embolism coils.


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.


PICC line catheter tip XXXX in the right atrium. Heart is not enlarged. Trachea and XXXX bronchi appear normal. Lungs are mildly under expanded. No pneumothorax. There are small areas of patchy density in the left lower lung XXXX. There is a larger area of XXXX patchy density in the right mid and lower lungs with right-sided pleural effusion.

In view of the history findings are strongly suggestive of XXXX acute pneumonia with right-sided pleural effusion.


The heart size and mediastinal contours appear within normal limits. There are streaky left basilar opacities and blunting of the left costophrenic sulcus XXXX secondary to a small effusion. No pneumothorax. No acute bony abnormalities.

Small left pleural effusion with left basilar atelectasis.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is stable XXXX scarring in the right upper lobe. Lungs are otherwise clear. There is no XXXX focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.


Calcified lymph XXXX in both XXXX. XXXX amount of focal atelectasis posterior to the left heart. The trachea is midline. Negative for pneumothorax, pleural effusion or large focal airspace consolidation. The heart size is normal.

1. Focal atelectasis to the left lung, posterior to the heart.


There is a calcified granuloma in the lateral left base. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified left hilar lymph XXXX. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted as well as scoliosis and lumbar region.

Old granulomatous disease and senescent changes but no acute pulmonary disease.


There is a XXXX 7 XXXX nodular density at the left lung base. Lungs are otherwise clear. The CT scan without IV contrast could be performed for further evaluation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.

XXXX 7 XXXX nodular density at the left costophrenic XXXX. Recommend CT scan for further evaluation.


Heart size is normal. No large effusions. No focal airspace opacities. No pneumothorax.


The heart is normal in size. The mediastinum is unremarkable. Emphysematous changes are identified. The lungs are otherwise grossly clear.


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


The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without focal consolidation or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine. No layering pleural effusion or pneumothorax seen on decubitus exam.

Chest x-XXXX, lateral, and decubitus. 1. No acute cardiopulmonary abnormalities. 2. No evidence of pleural effusion. .


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 lungs are clear. There are calcified granulomas. Heart size is normal. No pneumothorax.


Clear lungs. Normal heart mediastinum. No pneumothorax. No pleural effusion. No acute bony abnormality. Nipple ring on left.


The lungs and pleural spaces show no acute abnormality. Calcified right hilar lymph XXXX. Heart size is enlarged, pulmonary vascularity within normal limits. XXXX sternotomy XXXX and prosthetic aortic valve noted.

1. No acute pulmonary abnormality. 2. Mild cardiomegaly without pulmonary edema.


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


Lungs are hyperinflated with flattening of the diaphragms and increased AP chest diameter, compatible with emphysema. There is no evidence of focal infiltrate, pneumothorax, pleural effusion, or identified mass lesion. There is normal cardiomediastinal contours.

1. No acute cardiopulmonary abnormality, findings compatible with emphysema.


Heart size is within normal limits. Emphysematous changes. Focal pleural thickening in the left apex is XXXX scarring. Atherosclerotic calcifications of the aortic XXXX. There is no focal infiltrate. No pneumothorax or pleural effusion.

Emphysema without acute cardiopulmonary findings.


2 images. There is a poorly defined lung nodule in the right upper lobe measuring approximately 7 mm and partially superimposed upon anterior right second rib. Otherwise, the lungs are clear. No pleural effusion or pneumothorax. Heart size is normal. Critical result notification documented through Primordial.

7 mm right upper lobe lung nodule. Recommend followup characterization with XXXX.


Clear lungs bilaterally. No pneumothorax or large pleural effusion. Normal cardiac contour.

1. No acute cardiopulmonary abnormality.


The heart is normal in size. The mediastinum is unremarkable. Atherosclerotic calcifications of the aortic XXXX are noted. The lungs are clear.


Lungs are clear. Heart size normal. No pneumothorax. Left costophrenic opacity may represent pleural or pericardial fat.

Clear lungs. No acute cardiopulmonary abnormality.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is patchy airspace disease in the right lower lobe. The lungs are otherwise grossly clear. There is no pneumothorax or pleural effusion.

Patchy, right lower lobe airspace disease. This XXXX represents pneumonia. Recommend followup radiographs to ensure resolution.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Stable small right basilar calcified granuloma. 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. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. XXXX XXXX foreign body is noted in the soft tissues of the left chest wall.


PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is asymmetric opacity to left suprahilar chest. No discrete correlate is seen on lateral view. Findings may reflect focal airspace disease or adenopathy. No pleural effusion. No pneumothorax.

1. Asymmetric left suprahilar opacity, consider focal airspace disease or adenopathy. Correlate clinically as to XXXX or symptoms of infection. Recommend followup radiograph to document resolution.


The heart is normal in size. The mediastinum is within normal limits. Pectus deformity is noted. Left IJ dual-lumen catheter is visualized without pneumothorax. The lungs are clear.


Right dual-lumen internal jugular central venous catheter seen with tip overlying the cavoatrial junction. Heart size at the upper limits of normal. Low lung volumes with bronchovascular crowding. Patchy bibasilar air airspace opacities right greater than left. No visualized pneumothorax. Prominence of the mediastinum consistent with history of sarcoid.

1. Bilateral lower lung airspace disease right greater than left, most XXXX representing acute infectious process. 2. Widening of the mediastinum, XXXX secondary to lymphadenopathy related to sarcoid, or possibly reactive adenopathy.


Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.


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


Borderline enlarged heart. Torturous/ectatic thoracic aorta. No focal pulmonary opacity, pleural effusion or pneumothorax. There are degenerative changes of the spine. There is fracture of distal right clavicle, better seen on the right shoulder radiographs dated XXXX. Small round lucency in the distal left clavicle, appears benign. Degenerative changes of both XXXX joints.

1. Borderline enlarged heart. 2. Tortuous/ectatic thoracic aorta. 3. Fracture of the distal right clavicle, better seen on today's radiograph of the shoulder.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. Lungs are mildly hypoinflated with minimal streaky atelectasis or scar in the lung bases. Lungs are otherwise grossly clear of focal airspace disease. There is a stable calcified granuloma in the posterior left midlung. There is no pneumothorax or pleural effusion. There are no acute bony findings.

Mildly low lung volumes with XXXX atelectasis or scarring in the lung bases.


The heart is normal in size. The mediastinum is unremarkable. There is XXXX patchy opacity in the left upper lobe. Possibility of tuberculosis should be excluded. No pleural effusion is seen. There is no pneumothorax the lungs are hyperinflated.


Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings. XXXX degenerative changes of the thoracic spine.


The heart is normal in size. The mediastinum is unremarkable. XXXX XXXX opacity in left midlung. The lungs are clear.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There mild degenerative changes of the thoracic spine. There is a slight XXXX deformity of the lower thoracic body which is age-indeterminate.

Age-indeterminate lower thoracic slight XXXX deformity otherwise negative exam.


Endotracheal tube and NG tube have been removed. Mild patchy bilateral airspace disease. There are small bilateral pleural effusions. No pneumothorax. Heart and mediastinum are stable with normal size heart. Degenerative changes in the spine.

Small bilateral pleural effusions with a few scattered areas of patchy bilateral airspace disease.


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


Degenerative changes of the thoracic spine. Heart size normal. Lungs are clear. No pneumothorax or pleural effusion. Low lung volumes.


Artifact in the region of the central upper abdomen. No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.

Limited exam secondary to artifact within the upper abdomen (this does not represent free intra-abdominal XXXX). Recommend repeat chest x-XXXX.


Heart size and mediastinal contour are within normal limits. Pulmonary vascularity is normal. No focal consolidation, large pleural effusion, or pneumothorax. The visualized osseous structures appear intact.


The heart is normal in size. The mediastinum is unremarkable. There is patchy infiltrate within normal right lower lobe. Mild XXXX opacities in the retrocardiac region. No large effusions or pneumothorax.

Patchy right lower lobe infiltrate as well as probable left basilar infiltrate versus atelectasis.


The heart is normal in size. The mediastinal contours are within normal limits. Aorta is mildly tortuous and demonstrates atherosclerotic calcifications. The lungs are mildly hypoinflated with increased peripheral lung markings noted predominantly in the right upper and lower lung. There is no acute infiltrate or significant pleural effusion. Mild eventration of left hemidiaphragm is noted.

Scattered XXXX opacities may be secondary to scarring and underlying emphysematous changes versus mild interstitial lung disease. No acute infiltrate.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Stable XXXX foreign body over the left breast (XXXX nipple piercing). Visualized osseous structures of the thorax are without acute abnormality.


Lung volumes are low. No focal infiltrates. Heart and pulmonary XXXX normal. An indwelling catheter from the left has its tip at the superior XXXX XXXX.

Hypoinflation with no visible active cardiopulmonary disease.


The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal osteophytes of the thoracic spine. No acute, displaced rib fractures. A calcified granuloma is demonstrated in the left upper lobe.

1. No acute intrathoracic abnormality. .


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


Heart size is mildly enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are mild degenerative changes of the spine. There are extensive vascular calcifications. There is a left midlung calcified granuloma.


Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. The right costophrenic sulcus is blunted. There is an the right base XXXX/fluid level. The left lung is clear.

1. Right-sided small pleural effusion. 2. Right base XXXX/fluid level. Atypical location for a hiatal hernia. Cannot exclude a right lower lobe cavity. Correlation XXXX scan recommended. Does not appear to be a hydropneumothorax or empyema.


The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. There is an obliquely oriented XXXX lucency through the posterior right 12th rib.

Acute obliquely oriented lucency through the right 12th posterior rib, concerning for acute fracture. Recommend correlation with side of XXXX tenderness. No other fractures are XXXX identified. If there is high clinical concern, recommend further evaluation with dedicated views of the right ribs.


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


XXXX XXXX and lateral views of the chest were obtained XXXX/XXXX. The lung volumes are low normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.

No acute cardiopulmonary abnormalities are seen. END OF REPORT.


Cardiomediastinal silhouette is within normal limits in size and appearance. Pulmonary vascularity is unremarkable. There are prominent coarse interstitial markings throughout the lungs, with more focal streaky bibasilar opacities, seen only on the frontal XXXX, XXXX atelectasis. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX are grossly intact.

1. No acute cardiopulmonary abnormality.


The cardiac silhouette is mildly enlarged. A lobulated opacity is identified superior to the heart, in the anterior mediastinum on the lateral view, possibly consistent with a tortuous/ectatic thoracic aorta versus an anterior mediastinal mass. The thoracic aorta is tortuous and calcified. No focal areas of pulmonary consolidation. The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. No pneumothorax or pleural effusion. Severe degenerative changes of the thoracic spine.

1. Lobulated anterior mediastinal opacity on the lateral view, possibly consistent with a tortuous/ectatic thoracic aorta versus an anterior mediastinal mass. Contrast-enhanced XXXX examination would XXXX to further evaluate if clinically indicated. 2. Mild cardiomegaly with findings of chronic obstructive pulmonary disease.


The heart is normal in size. The mediastinum is stable with tortuous aorta. There are chronic changes particularly noted in the lung apices. The XXXX are mildly prominent but stable. No acute infiltrate is seen. There is no pleural effusion.

Chronic parenchymal changes XXXX reflecting sequela of patient's known sarcoidosis. No acute disease.


Heart size within normal limits. Small, nodular opacity in the right upper lobe. This does not look like an acute infiltrate, and more XXXX represents a granuloma. No pneumothorax or effusions.

No acute findings, no evidence for active TB.


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 no pneumothorax. There is no pleural effusion. There is redemonstration of right rib deformities XXXX from old XXXX. XXXX of mild dextroscoliosis of the thoracic spine. There is no free intraperitoneal air under the diaphragm.

No acute radiographic cardiopulmonary process.


Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine. spinal stimulator is in XXXX with tip overlying the T9 vertebral body.


There are diffuse increased interstitial markings, suggestive of pulmonary fibrosis in bilateral lung XXXX. The fibrosis appears to slightly increased XXXX compared to previous examination, in XXXX. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal.

1. Redemonstrated pulmonary fibrosis without evidence for acute infiltrate.


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


Low lung volumes. Heart size normal. No focal airspace consolidations. No pneumothorax or effusions.


Lungs are clear without focal consolidation. No suspicious pulmonary nodules identified. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.


Heart size and cardiomediastinal contours are normal. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. No displaced rib fracture.

Negative for acute cardiopulmonary findings.


The heart is normal in size. The mediastinum is stable. Calcified right paratracheal lymph XXXX are seen. Aorta is atherosclerotic. The lungs are mildly hypoinflated without focal consolidation. There is no pleural effusion.


There are low lung volumes with bronchovascular crowding. There is patchy left lower lobe airspace disease. There are XXXX opacities in the right mid lung, XXXX subsegmental atelectasis. No significant pleural effusion. No pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification.

1. Patchy left lower lobe airspace disease, possibly atelectasis or pneumonia. 2. Right mid lung subsegmental atelectasis.


Heart size is within normal limits for AP technique. Low lung volumes with bronchovascular crowding. No focal infiltrate. No visible pneumothorax. No pleural effusion.

Low lung volumes with grossly clear lungs.


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


The heart is normal in size. The mediastinum is unremarkable. The right chest XXXX tip is visualized in the mid SVC. There is no pneumothorax. The lungs are clear.


Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. Left shoulder arthroplasty is noted. Old left rib fractures.


The cardiomediastinal silhouette appears irregular secondary to the diffuse bilateral pulmonary interstitial disease. The thoracic aorta is tortuous. Calcified lymph XXXX are demonstrated in the left hilum. No focal pulmonary consolidation. Diffuse increased bilateral pulmonary interstitial markings, consistent with the patient's history of known pulmonary fibrosis, with relative sparing of the bilateral lung apices. No pneumothorax or pleural effusion demonstrated. The thoracic spine appears intact.

1. Redemonstration of diffuse bilateral pulmonary fibrosis with relative sparing of the bilateral lung apices. No focal pulmonary consolidation. .


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

Negative for acute cardiopulmonary disease. No pulmonary nodules identified.


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. Specifically, no evidence of rib fractures.


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

1. No acute cardiopulmonary abnormalities. 2. No acute bony abnormalities. If there is continued concern for occult fracture, consider dedicated rib series. .


The heart is normal size. The mediastinum is unremarkable. Atherosclerotic calcifications present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild emphysematous changes are noted. Bilateral apical pleural scarring is present. Calcified granuloma is present within the right lower lobe. The XXXX are generally unremarkable.


Right-sided internal jugular central venous catheter with tip approximating the right atrium. Postsurgical changes of the mediastinum including sternotomy XXXX. Left base opacities again noted, stable. There is a left lung opacity, not well appreciated on prior. There is no evidence of pneumothorax. Low lung volumes. Degenerative changes thoracic spine.

1. Left midlung opacity, not well seen on prior exam, may represent focus of airspace disease. 2. Stable left base opacities, XXXX scarring or atelectasis. 2. Postsurgical changes as above. .


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


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


Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Soft tissues unremarkable

Negative for acute cardiopulmonary abnormality.


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


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


The lungs are clear. Heart size is normal. The thoracic aorta is unfolded and tortuous. No pneumothorax. There are surgical clips overlying the neck. There are scattered calcified granulomas.


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 1 cm focal opacity in the right lung apex incompletely evaluated by this exam. There is minimal left basilar XXXX opacity compatible with scarring or atelectasis. There are degenerative changes of the spine.

1 cm of apical opacity, scarring versus nodule. A noncontrast XXXX is indicated for further characterization. Critical result notification documented through Primordial.


Lungs are clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable with ectasia of the aorta. Heart size is upper limits of normal. Degenerative changes in the spine.

Stable appearance of the chest without acute abnormality.


The cardiomediastinal silhouette is normal in size and contour. Stable right lower lobe calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Spurring of the thoracic spine.


Mild cardiomegaly. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.

Mild cardiomegaly without heart failure.


Stable enlargement of the cardiac silhouette, stable mediastinal and hilar contours, surgical clips and CABG markers. Stable XXXX densities in the left base compatible with scarring or chronic subsegmental atelectasis. No focal alveolar consolidation, no definite pleural effusion seen. Right hilar calcifications suggest a previous granulomatous process. No typical findings of pulmonary edema.


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


Postsurgical changes of the right chest. Mild elevation of the right hemidiaphragm. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.


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

1. No acute radiographic cardiopulmonary process.


Cardiomegaly is present. The pulmonary vascularity appears within normal limits. Thoracic aorta is tortuous. Patient is status post XXXX sternotomy. Surgical clips are present in the left axilla. Lungs are free of focal airspace disease. No pneumothorax or pleural effusion is seen. There is eventration of the right hemidiaphragm. Degenerative changes are present in the spine.


The heart size is normal. The mediastinal contour is within normal limits. There are no focal infiltrates. There is prominent epipericardial fat. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Right 7th and 8th rib deformities are noted. There is no visible free intraperitoneal air under the diaphragm.

No radiographic evidence of 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 calcified granuloma in the left lung.


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 acute bony changes.

No acute cardiopulmonary abnormality identified.


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


There are low lung volumes. There is bronchovascular crowding. Heart and mediastinal contours within normal limits. No focal infiltrate or effusion. No pneumothorax. Visualized osseous structures intact.

No acute abnormality. Low volumes XXXX XXXX for the opportunity to assist in the care of your patient. If there are any questions about this examination please XXXX. XXXX XXXX, XXXX certified radiologist, at XXXX. .


There is a 6 mm nodular opacity in the right upper lobe. This appears XXXX from the prior study. The lungs otherwise appear clear. No pleural effusion or pneumothorax is seen. Heart size and mediastinal contour appear within normal limits.

1. No acute traumatic findings. 2. Right upper lobe 6 mm nodular opacity. This may be artifactual secondary to overlapping vascular structures. However, true pulmonary nodule is a possibility. This appears XXXX from XXXX. Consider further evaluation with dedicated PA and lateral chest radiographs XXXX the patient is XXXX.


The patient is status post CABG. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. Ureteral stents are noted on the right.


Heart size within normal limits. Stable position of left subclavian central venous catheter. No focal airspace disease. No pneumothorax. Mild blunting of the costophrenic XXXX bilaterally.


There is a minimally displaced fracture of the right lateral 7th rib. There is a small right pleural effusion with associated atelectasis of the right lower lobe. There appears to be a healing fracture of the posterolateral right 8th rib. There is questionable cortical defect involving the sternum seen XXXX on lateral view. XXXX would be XXXX to evaluate this finding. As the small right-sided pleural effusion is visible on both PA and lateral views. There is a XXXX left-sided pleural effusion as well. The left lung appears grossly clear. Heart size and pulmonary XXXX appear normal. There is a mild scoliosis involving the thoracic spine.

1. Minimally displaced fracture involving the lateral right 7th rib, XXXX acute. There is and associated small right pleural effusion and right basilar atelectasis. 2. Questionable anterior XXXX cortical disruption seen XXXX on lateral view. XXXX would be needed to evaluate this. 3. XXXX left-sided pleural effusion


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


Low lung volumes with magnified appearance of the heart, XXXX normal heart size. Negative for consolidation, effusion, or pneumothorax. Bony thorax and soft tissues grossly unremarkable.


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