Lobulated right middle lobe mass measuring 4.5 x 6.8 cm, increased in size compared to prior study, most compatible with neoplasm. Otherwise, the lungs are clear without focal consolidation. No pneumothorax or pleural effusion. Cardiomediastinal silhouette within normal limits.

1. Interval enlargement of right middle lobe mass, highly suspicious for malignancy. Recommend CT of the chest/abdomen with intravenous contrast for further evaluation. 2. Otherwise clear lungs. Dr. XXXX XXXX notified of the critical results at XXXX on XXXX, XXXX by telephone and acknowledged receipt of these results.


The heart is normal in size. The mediastinum is unremarkable. 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 are mild degenerative changes of the spine.


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


There has been interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. Moderate cardiomegaly is identified. There is mild calcification of the transverse XXXX. XXXX airspace opacities are identified with bilateral pleural effusions.

1. Interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. 2. Bibasilar airspace opacities and bilateral pleural effusions.


Normal cardiac size. Normal pulmonary vasculature. No airspace disease. Negative for pneumothorax. Negative for acute osseous deformity. The thoracic spine has a normal appearance.


No acute osseous abnormality. Scattered degenerative changes of the thoracic spine. Soft tissues are within normal limits. Normal heart size. Stable elevation right hemidiaphragm compared to exam on XXXX. Bilateral hilar lymph XXXX. No focal area of consolidation, pleural effusion, pneumothorax. Bibasilar atelectasis.

1. No acute radiographic cardiopulmonary process.


Chest. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. Ribs. There are no displaced rib fractures, or obvious nondisplaced rib fractures. Soft tissues appear normal.

Chest. No acute cardiopulmonary abnormality. Ribs. No displaced rib fractures, or obvious nondisplaced rib fractures.


Calcified granulomata are present in the right middle lobe and right upper lobe. These are unchanged since the previous examination. Both lungs are free of active infiltrates. Heart size normal.


Borderline cardiomegaly. Midline sternotomy XXXX. Enlarged pulmonary arteries. Clear lungs. Inferior XXXX XXXX XXXX.


Low lung volumes. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. Mild left lingular platelike atelectasis. XXXX are grossly unremarkable.

1. No acute cardiopulmonary disease. Clear lungs.


A calcified granuloma is present in the right costophrenic XXXX. Lungs are otherwise clear. Heart size normal.


The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Multilevel degenerative changes of the thoracic spine are noted.


Right mid lung nodule stable XXXX; etiology not determined. This is noncalcified, and is stable since a CT examination from XXXX and is XXXX benign etiology. The lungs are well inflated and without focal consolidation. The cardiomediastinal silhouette appears unremarkable. Costophrenic XXXX clear. Visualized spine vertebrae appear normal in XXXX and alignment. Overlying leads.


Elevated right hemidiaphragm. Clear lungs. No pleural effusions or pneumothoraces. heart size is upper limits of normal with tortuosity and ectasia of the aorta. Generative changes within the spine. In the upper lumbar spine there is an age-indeterminate wedge XXXX of a vertebral body.

1. Heart size upper limits of normal with clear lungs. 2. Age-indeterminate XXXX deformity of an upper lumbar spine vertebral body.


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


Cardiac and mediastinal contours are within normal limits. The lungs are clear. Mild prominence left hilar contour. Bony structures are intact.


Status post midline sternotomy with intact XXXX XXXX. Stable mild cardiomegaly. Normal lung vascularity. The lungs are clear.

Stable postop changes with stable mild cardiomegaly and normal lung vascularity.


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


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 mild prominence of the interstitial markings which are unchanged.


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

1. No focal airspace consolidation. 2. Mildly hyperexpanded lungs, suggestive of obstructive lung disease.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Small T-spine osteophytes.


Chest: 2 images. Heart size is normal. Mediastinal contours are maintained. There is a mild pectus excavatum deformity. The lungs are clear of focal infiltrate. There is no evidence for pleural effusion or pneumothorax. No convincing acute bony findings. Right shoulder: 3 images. There has been XXXX and screw fixation of the midshaft right clavicle. The lateral most screw is fractured. This is age-indeterminate as no prior studies are available for comparison. Otherwise, the surgical XXXX appears intact. The humeral head is seen within the glenoid, without evidence for dislocation. No bony fractures are seen. The visualized right ribs appear intact. Right clavicle: 2 images. No clavicle fracture is seen. Once again noted is the surgical fixation XXXX, with fracture of the lateral most fixation screw.

Chest: 1. No acute cardiopulmonary abnormality identified. 2. Pectus excavatum. Right shoulder and right clavicle: 1. No acute bony abnormality identified. 2. The lateral most screw of the clavicular fixation XXXX is fractured. This is age-indeterminate as no prior studies are available for comparison. Clinical correlation is XXXX.


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


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


There is prominence of the right heart XXXX, consistent with right atrial enlargement. A XXXX density is demonstrated on the frontal view with exaggerated posterior projection of the cardiac silhouette, suggesting left atrial enlargement. The cardiac silhouette is overall enlarged. The mediastinal contours are otherwise within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild pulmonary hyperexpansion. Mild left apical pleural thickening. Moderate degenerative changes of the thoracic spine. 19/33.

1. Right and left atrial enlargement with cardiomegaly. No acute pulmonary abnormality demonstrated. .


Lungs are clear. No focal infiltrate or effusion. No pneumothorax. Heart and mediastinal contours within normal limits. Visualized osseous structures intact.


Redemonstration of the left basilar patchy atelectasis, unchanged from last exam. Lungs are otherwise clear. No evidence of pneumothorax or pleural effusions present. There is a focal calcified nodules in the left upper lung, stable in appearance from XXXX of XXXX. The cardiomediastinal silhouette is unremarkable. No suspicion bony destruction identified.


Normal heart size and mediastinal contours. No focal airspace consolidation. No pneumothorax or pleural effusion. Mild dextro curvature of the lower thoracic spine, this may be positional. Visualized bony structures are otherwise unremarkable.


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.


The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. A calcified granuloma is identified in the peripheral aspect of the left lower lobe. Calcified lymph XXXX are identified in left hilar region. No pneumothorax. No pleural effusion. Minimal degenerative endplate changes of the thoracic spine.


Heart size and mediastinal contour within normal limits. Atherosclerotic calcification within the aorta. Calcified granulomas in bilateral XXXX and overlying the T9 vertebral body(lateral view). No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes of thoracic spine. No acute osseous abnormality.


The lungs are clear. The cardiomediastinal silhouette is within normal limits. There is ectasia of the thoracic aorta. No pleural effusion is identified.


Heart size and mediastinal contours appear within normal limits. There is a vague 1.6 cm nodular opacity in the right upper lobe between the anterior second and third ribs, which could represent focal infiltrate or lung nodule. No pleural effusion. No pneumothorax. No acute bony abnormality.

Vague nodular opacity in the right lobe, which could represent focal infiltrate or nodule. Recommend followup to resolution.


Stable cardiomegaly and mediastinal contour. Lungs are clear without focal consolidation, large pleural effusion, or pneumothorax. Left basilar airspace opacity XXXX secondary to epicardial fat and overlying soft tissues. DISH of the thoracic spine is noted. Otherwise, visualized osseous structures are unremarkable.


The lungs and pleural spaces show no acute abnormality. Nodular densities projecting over the posterior 9th ribs bilaterally are consistent with nipple shadows. Lungs are hyperexpanded. Heart size and pulmonary vascularity within normal limits.

1. Hyperexpansion without acute pulmonary abnormality.


Normal heart size. Aortic calcification. Granulomatous nodule left midlung, stable. No acute pulmonary abnormalities. Thoracic spondylosis.


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


The heart is normal in size. The mediastinum is unremarkable. Mild pectus excavatum deformity is noted. The lungs are clear.


Left lung clear. Questioned some vague right lower lobe opacity on the frontal film. XXXX subsegmental atelectasis or scar seen on lateral view. Cardiac silhouette borderline in size within LV contour. XXXX sulci. XXXX unremarkable.

XXXX and vague opacity at the right lower lobe of uncertain significance. Could represent subsegmental atelectasis or scarring. Borderline heart size related to recent pregnancy. Consider followup chest radiographs to show clearing.


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


The cardiac silhouette pulmonary vascularity are normal. The lungs are clear. There is no evidence of pleural effusion or pneumothorax. Mild degenerative changes are present in the XXXX spine.

No evidence of acute cardiopulmonary disease.


The cardiac and mediastinal contours are normal. The lungs are well-inflated and clear. There is no focal consolidation, pneumothorax or effusion. No acute bony abnormalities are seen. No radiopaque foreign bodies are present.

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


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


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


The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.

No radiographic evidence of acute cardiopulmonary disease.


Mild cardiomegaly. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.


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


There is an irregular opacity projecting over the left apex. Additionally there is a more inferior left upper lobe opacity measuring approximately 6 mm in diameter. No pneumothorax. No pleural effusions. Heart size is normal limits. Degenerative changes thoracic spine.

Left upper lobe opacities, cannot exclude mass lesions. Recommend CT chest for further evaluation.


There are no acute osseous abnormalities. Soft tissues are within normal limits. There is stable enlargement of the heart. Calcific aorta. Stable bilateral calcified granulomas. The lungs are clear bilaterally without focal area of consolidation, pleural effusion, or pneumothorax.

No acute radiographic cardiopulmonary process.


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


No acute osseous abnormality. Stable scattered endplate degenerative changes and osteophyte formation in the thoracic spine. Normal cardiomediastinal silhouette and hilar contours. No focal area of consolidation, pleural effusion, or pneumothorax.

1. No acute radiographic cardiopulmonary or osseous process.


The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. The mediastinal contours are normal. There are mild degenerative changes of the thoracic spine.

1. No evidence of pneumonia or post primary tuberculosis infection 2. No acute cardiopulmonary disease


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Multiple calcified granulomas identified bilaterally. 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.

1. No acute radiographic cardiopulmonary process.


Interval performance of anterior cervical spinal fusion, XXXX intact without complicating features. There is stable cardiomegaly, with persistent bibasilar opacities XXXX atelectasis and/or infiltrate. No XXXX focal consolidations, pneumothorax, or pleural effusions. The visualized osseous structures demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine, without acute osseous abnormality.

Stable cardiomegaly and persistent minimal bibasilar atelectasis.


There are diffuse bilateral interstitial and alveolar opacities consistent with chronic obstructive lung disease and bullous emphysema. There are irregular opacities in the left lung apex, that could represent a cavitary lesion in the left lung apex.There are streaky opacities in the right upper lobe, XXXX scarring. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.

1. Bullous emphysema and interstitial fibrosis. 2. Probably scarring in the left apex, although difficult to exclude a cavitary lesion. 3. Opacities in the bilateral upper lobes could represent scarring, however the absence of comparison exam, recommend short interval followup radiograph or CT thorax to document resolution.


Low lung volumes with bronchovascular crowding at the bases. No focal opacity. No pneumothorax. No large pleural effusion. Cardiac silhouette mediastinal contours within normal limits.

Low lung volumes without acute cardiopulmonary disease.


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


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


The heart is normal in size and contour. There is no mediastinal widening. The lungs are hyperexpanded. Scattered granuloma. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.


Cardiomediastinal contours are unchanged. There are stable fractures of several XXXX XXXX. Lungs are hyperexpanded but clear. No pneumothorax or pleural effusion. Degenerative changes are seen in the spine.


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


The heart is enlarged. Changes of XXXX sternotomy and bypass graft are identified in the lungs are grossly clear. XXXX right pleural thickening versus XXXX pleural effusion is noted. There is no acute infiltrate. No pneumothorax is seen. Mild granulomatous sequela are noted.

Mild stable cardiomegaly without acute disease. Possible XXXX right pleural effusion.


The heart is normal in size and contour. There is no mediastinal widening. Low lung volumes. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.


Normal cardiomediastinal contours. Clear lungs bilaterally. No pneumothorax or large effusion.


There is no focal consolidation. Mild blunting of the posterior costophrenic XXXX XXXX represent small effusions. No pneumothorax is present. There is moderate cardiomegaly. The pulmonary vasculature is within normal limits.

1. Unchanged cardiomegaly. 2. Question XXXX pleural effusions.


There is a large hiatal hernia. The stomach is distended with an air-fluid level. This was incompletely demonstrated on the CT of the abdomen and pelvis. Heart is XXXX within normal limits. There is mild atelectatic change draped over the hernia sac. The lungs are otherwise grossly clear. There is no pneumothorax or pleural effusion. Heart size is XXXX within normal limits.

1. Large hiatal hernia with dilated intrathoracic stomach. This was incompletely evaluated on XXXX, however, radiographic and CT findings suggestive organoaxial gastric volvulus. A similar appearance was demonstrated on the XXXX exam and this is favored to represent a chronic finding. If clinically indicated, additional CT images through the mid to lower chest or upper XXXX XXXX be helpful for confirmation. 2. Otherwise, grossly clear lungs.


Heart size within normal limits. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.


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.


No focal lung opacity, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.

No focal lung opacity, pleural effusion of pneumothorax.


Heart size within normal limits. No focal airspace disease. No pneumothorax. No effusions. Multiple old right-sided rib fractures again noted.


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


PA and lateral views. stable postoperative changes with midline sternotomy XXXX and myocardial revascularization. Cardiac size remains mildly enlarged but stable. There is mild vascular congestion. Small bilateral pleural effusions are present, which are XXXX.

Mild pulmonary vascular congestion, with XXXX XXXX bilateral effusions. Constellation findings is most compatible with congestive heart failure.


The heart size and mediastinal contours appear within normal limits. There is blunting of the right lateral costophrenic sulcus which could be secondary to a small effusion versus scarring. No focal airspace consolidation or pneumothorax. No acute bony abnormalities.

Blunting of the right costophrenic sulcus could be secondary to a XXXX effusion versus scarring. No focal airspace consolidation.


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

No x-XXXX evidence of pulmonary metastatic disease. Stable appearance of the chest.


Prominent interstitial markings in the lungs are unchanged. No focal infiltrates. Heart and pulmonary XXXX are normal.

Chronic interstitial lung disease and scars unchanged. No acute disease.


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


Lungs are XXXX without focal airspace disease. No pleural effusions or pneumothoraces. heart size is normal status post XXXX sternotomy. Degenerative changes in the thoracic spine. incidental note is XXXX of previous left rotator XXXX repair.


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


Normal heart size mediastinal contours. No focal airspace consolidation. No hyperexpansion of the lungs. No pleural effusion or pneumothorax.


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


Low lung volumes with bronchovascular crowding. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits for technique, no typical mediastinal widening of vascular injury. No pleural line of pneumothorax.

Limited quality exam shows no definite acute findings.


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


Bilateral patchy pulmonary opacities noted. Interval improvement in left base consolidative opacity. Pulmonary vascular congestion again noted. Stable enlarged cardiomediastinal silhouette. Stable left XXXX. No evidence of pneumothorax. No large pleural effusions.

1. Interval improvement in consolidative left base opacity. Multifocal scattered bibasilar patchy and XXXX pulmonary opacities again noted, most consistent with atelectasis/infiltrate. 2. Stable enlarged cardiomediastinal silhouette. Stable pulmonary vascular congestion. .


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


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


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


Stable appearance of the left upper lung lobe with scarring, volume loss, and pleural thickening. Cardiomediastinal silhouette is within normal limits normal appearance, similar to prior. Volume loss in the left lung, stable. Right lung is clear. There is no XXXX focal airspace disease, pleural effusion, or pneumothorax. Mild scarring at the right apex. No acute bony abnormality.

1. No acute cardiopulmonary process. 2. Stable appearance of the left upper lobe.


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.


The lungs are clear. No pleural effusion is identified. The heart is normal. There are calcifications of the aortic XXXX. The skeletal structures are normal.


Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains markedly enlarged. There is aortic XXXX vascular calcification. No XXXX focal airspace consolidation or pleural effusion.

Continued severe cardiomegaly and/or pericardial effusion. No acute pulmonary disease process identified.


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 and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact.


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


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


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. XXXX closure device demonstrated projecting over the right heart. There are no acute bony findings.


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


Patchy interstitial infiltrates have developed in both lower lobes. Both costophrenic XXXX are blunted. Aorta is somewhat tortuous, with the heart size is normal. Pulmonary XXXX are normal.

Bibasilar patchy airspace disease with bilateral small pleural fluid collections.


Unchanged cardiomegaly. There is continued interstitial prominence bilaterally. Unchanged vascular appearance. There is patchy retrocardiac opacity. Negative for pneumothorax.

Unchanged appearance of the chest with interstitial prominence the differential of which is XXXX but could include interstitial edema, infectious process or interstitial disease.


No pneumothorax or large pleural effusion. Borderline cardiomegaly. Minimal retrocardiac airspace disease. Bony structures appear intact.

Bony structures appear intact. Minimal retrocardiac airspace disease.


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


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


Heart size within normal limits. No focal airspace disease. No pneumothorax, no pleural effusion. No displaced rib fractures.

No acute cardiopulmonary findings. No displaced fractures.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is an 8mm nodule identified within the left lateral midlung partially overlying the posterior left 7th rib. There are mild degenerative changes of the spine.

Left midlung pulmonary nodule. Comparison to a previous XXXX would be most helpful alternatively a noncontrast chest CT could be performed in the nonemergent setting for further characterization. No acute disease.


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


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


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.

Significant bilateral emphysematous changes. No acute cardiopulmonary abnormalities.


No acute osseous abnormalities. Mild thoracic spine degenerative changes. Soft tissues are within normal limits. No focal area of consolidation, pleural effusion, or pneumothorax.

1. No finding suggestive of active disease.


Moderate cardiomegaly. Bibasilar and perihilar interstitial opacities. No pneumothorax. No pleural effusions.

Cardiomegaly and mild interstitial pulmonary edema.


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


The heart is normal in size and contour. The aorta is calcified and tortuous. The lung volumes are low. There is elevation of the right hemidiaphragm. Minimal streaky opacities in the lung bases, XXXX subsegmental atelectasis. No pleural effusion or pneumothorax.

1. Low lung volume study with minimal bibasilar atelectasis. Stable chest.


The heart is mildly enlarged. Lung volumes are low. There is no focal consolidation, pneumothorax, or large pleural effusion. Bony structures are within normal limits. There is no free air under the diaphragm. There is a mild amount of XXXX seen in the transverse colon.


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


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

Borderline cardiomegaly without acute disease.


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.


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

1. Low volume study without acute process.


Streaky and patchy bibasilar opacities, triangular density projected over the heart on the lateral view. No definite pleural effusion seen, no typical findings of pulmonary edema. Considering differences in technical factors XXXX stable cardiomediastinal silhouette with normal heart size.

Bibasilar opacities, right greater than left, features suggest a combination of consolidation and atelectasis


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


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.


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


Right lower lobe infiltrate. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal. There has been interval placement of a left chest XXXX, with its distal tip in the Left sided SVC

1. Right lower lobe infiltrate, suggestive of pneumonia


No acute osseous abnormality. Scattered degenerative changes of the thoracic spine. Surgical clips overlying the right upper quadrant. Anterior cervical fusion XXXX. Tortuous and ectatic aorta. No focal area of consolidation, pleural effusion, or pneumothorax.

No acute radiographic cardiopulmonary process.


Heart is enlarged. There is prominence of the central pulmonary vasculature. Mild diffuse interstitial opacities bilaterally, predominantly in the bases, with no focal consolidation, pleural effusion, or pneumothoraces. XXXX and soft tissues are unremarkable.

Cardiomegaly with pulmonary interstitial edema and XXXX bilateral pleural effusions. .


Normal heart size. Stable tortuous aorta. No pneumothorax, pleural effusion or suspicious focal airspace opacity. Prior granulomatous disease.

Unchanged exam without acute abnormality.


Left PICC line remains in XXXX. The tip projects over the upper SVC. It has moved outward since the previous study. The heart size and pulmonary vascularity appear within normal limits. Previously present left base airspace disease has cleared. There is blunting of the right costophrenic XXXX which may represent small amount of pleural effusion or pleural reaction. Some scattered bandlike opacities are present which appear to represent scars. Degenerative changes are present in the right shoulder.

1. Blunting of the right costophrenic XXXX. This may represent pleural effusion or pleural reaction. 2. Clearing of left base airspace disease. 3. Outward XXXX of PICC line. Tip now projects over upper SVC.


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


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

No active disease. No evidence for heart failure.


The lungs and pleural spaces show no acute abnormality. Stable paratracheal soft tissue density dating back to exams in XXXX, XXXX confluence of vascular shadows. Lungs are hyperexpanded. Heart size and pulmonary vascularity within normal limits.


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

Normal chest No evidence of tuberculosis


Stable scoliosis XXXX. The lungs are clear. Heart size normal. No pneumothorax.

1. Clear lungs. No radiographic evidence of tuberculosis. 2. Stable scoliosis XXXX. .


CHEST. The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are minimal degenerative changes of the spine. There is flattening of the hemidiaphragms. ABDOMEN. There is a normal bowel XXXX pattern. There is an IVC XXXX identified. There are phleboliths in pelvis. There mild degenerative changes of the spine.

CHEST. No acute cardiopulmonary disease. ABDOMEN. Normal bowel XXXX pattern.


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 with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion.

No acute or active cardiac, pulmonary or pleural disease.


The heart 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.


Heart size and pulmonary vascularity appear within normal limits. There is mild tortuosity to the descending thoracic aorta. The 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.


Low lung volumes with bibasilar subsegmental atelectasis. No focal consolidations, pleural effusions, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the thoracic spine.


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

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


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


Stable cardiomediastinal silhouette with mild cardiomegaly and aortic ectasia and tortuosity. No alveolar consolidation, no findings of pleural effusion. Chronic appearing bilateral rib contour deformities compatible with old fractures. No pneumothorax.


No focal consolidation, pneumothorax or definite pleural effusion. Heart size within normal limits for technique, no mediastinal widening seen. No acute osseous injury XXXX demonstrated. Dextroscoliosis noted.

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


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


Heart size and mediastinal contour within normal limits. Multiple calcified granulomas in the bilateral XXXX and lung parenchyma. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.


The heart and lungs have XXXX XXXX in the interval. Both lungs are free of acute infiltrates and expanded. Strandy scarring in the left lower lobe is unchanged. Heart and mediastinum normal.


The trachea is midline. The cardiomediastinal silhouette is normal. There are low lung volumes, causing bibasilar atelectasis and bronchovascular crowding. There is a XXXX opacity in the left lingula. There is no pleural effusion or pneumothorax. Visualized bony structures reveal no acute abnormalities.

1. Low lung volumes. 2. Opacity in the lingula is favored to represent prominent pericardial fat, but lingular atelectasis or infiltrate cannot be ruled out. .


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


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


The heart is borderline in size. The aorta is mildly tortuous. XXXX right IJ catheter is in XXXX with tip in proximal right atrium/cavoatrial junction. There is no pneumothorax. Lungs are grossly clear. There is no large effusion.

Right IJ catheter tip in proximal right atrium. No pneumothorax.


Heart size within normal limits. No focal airspace opacities. No pneumothorax. No effusions. Mild degenerative changes of the thoracic spine. No XXXX deformities. Emphysematous changes.

Chronic lung disease, with no acute cardiopulmonary findings.


Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Right apical pleural retraction. Hyperexpansion, flattening of diaphragms, and increased AP diameter consistent with history of COPD. Degenerative disease of the thoracic spine is present.


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

No acute cardiopulmonary abnormality. No evidence of active tuberculosis. .


Lungs are clear. Heart size is normal. No pneumothorax. There are surgical clips seen within the upper abdomen.

Clear lungs. No acute cardiopulmonary abnormality. .


There is stable mild cardiac enlargement. 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.

Stable mild cardiomegaly. No acute cardiopulmonary findings.


The cardiomediastinal silhouette is normal in size and contour. Masslike opacification of right apex. No pneumothorax or large pleural effusion. XXXX are grossly normal.

Worsening masslike opacification of right apex, suggesting worsening malignancy or malignancy with postobstructive pneumonia.


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


There is moderate cardiomegaly. No interstitial edema or pleural effusion. No focal airspace consolidation. No pneumothorax. There is mild degenerative disc disease of the thoracic spine.

1. Cardiomegaly without radiographic evidence of heart failure. 2. No acute cardiopulmonary abnormality.


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


The lungs and pleural spaces show no acute abnormality. Heart size is moderately enlarged, pulmonary vascularity within normal limits. There is a XXXX ICD generator obscuring the left lateral midlung with the leads projecting over the expected location of the right atrium, right ventricle, and coronary sinus.

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


There has been interval sternotomy with intact midline sternotomy XXXX. The heart is near top normal in size with unfolding of the aorta. The lungs are grossly clear with no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are grossly normal.

Cardiomegaly, however no acute cardiopulmonary findings.


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


Cardiac and mediastinal XXXX appear normal. Low lung volumes and bronchovascular crowding. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. Surgical clips are seen within the right upper abdomen.

No acute radiographic cardiopulmonary process. .


The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The Heart and mediastinum are normal size and shape. XXXX and soft tissues are unremarkable.


Lungs are clear. Heart size normal. No pneumothorax.


The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Biapical fibronodular pleural thickening/scarring. There is a XXXX like deformity of the anterior cortex of the XXXX body (lateral view). Negative for retrosternal density. Prior cholecystectomy. Critical result notification documented through Primordial.

Buckling deformity of the anterior cortex of the XXXX body. Fracture is possible, if high energy XXXX was localized to this region. Correlate with focal tenderness. XXXX chest, if warranted.


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.


Normal cardiomediastinal silhouette and hilar contours. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax. Findings compatible with prior granulomatous disease. The visualized XXXX XXXX are intact without acute osseous abnormality.

Chest radiograph. 1. No acute radiographic cardiopulmonary process.


Heart size within normal limits. There is focal left lateral base airspace disease. There is a 6 mm nodular opacity in the right midlung. No pneumothorax. No pleural effusion. No displaced rib fractures. There is an apparent deformity of the right humeral surgical neck. This is not seen on the comparison. Correlate clinically with history of fracture.

Left base airspace disease and nodular opacity in the right midlung.


There has been interval XXXX sternotomy with mitral valve surgery. There is a small amount of scarring in the left midlung. No focal consolidation. No pleural effusions or pneumothoraces. there is continued cardiomegaly with especially enlarged left atrium.

1. Scarring in the left midlung. 2. Cardiomegaly with especially enlarged left atrium with postoperative changes of mitral valve surgery.


Cardiomediastinal silhouette demonstrates normal heart size with tortuosity and atherosclerosis of the thoracic aorta. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormality identified. Multilevel degenerative disc disease of the thoracic spine noted.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There are small calcified granulomata in the right lateral lung.


No focal consolidation. No pneumothorax. No pleural effusions. Heart size normal. Cardio mediastinal silhouette is unremarkable.


PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Mild nodular prominence of the right hilum, without significant change. Lung volumes are decreased, with crowding. There is no pneumothorax, pleural effusion, or focal air space consolidation.


The outside x-XXXX is normal except for slight cardiomegaly.

Heart size upper limits normal. Lungs are clear. No evidence of active tuberculosis. No change from prior exam.


Overall low lung volumes. Lungs are grossly clear. Pleural thickening along the inferior left lateral chest. This appears relatively stable compared to the prior examination. No pleural effusions or pneumothoraces. cardiomegaly. Degenerative changes in the spine.

1. Cardiomegaly. 2. Pleural thickening along the inferior left lateral chest wall stable since the prior examination.


Heart size is normal. No pleural effusions. No pneumothorax. No focal air space opacities. Mild degenerative osteophytes are noted in the thoracic spine.


Normal heart size. Tortuosity of the thoracic aorta. The lungs are free of any focal airspace disease. There is no pneumothorax or pleural effusion. Degenerative changes are present in the spine.


XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Cardiac pacemaker leads are within right atrium and ventricle. There is stable XXXX tube. Lungs demonstrate left lower lobe of he states he may be atelectasis or pneumonia. There is small left-sided effusion. No pneumothorax.

1. Left lower lobe atelectasis or pneumonia with small pleural effusion.


Low lung volumes and patient rotation. Given differences in technique, heart size XXXX within normal limits. Persistent right basilar opacity, XXXX atelectasis. No suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Mild degenerative change of the thoracic spine.

Persistent stable right basilar atelectasis.


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

No evidence of acute cardiopulmonary process.


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 a scoliosis of the thoracic spine. The ribs, as visualized, appear unremarkable.


Heart size is normal. There is tortuosity of the thoracic aorta, stable compared with prior. No focal airspace disease or effusion. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Sternotomy sutures and coronary bypass clips remain intact.


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


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


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


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

1. No acute cardiopulmonary 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.


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


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


Cardiac silhouette and pulmonary vascularity are normal. There is mild bibasilar focal atelectasis. No evidence of pleural effusion or pneumothorax. Minimal atherosclerotic changes are present in the thoracic aorta.


Normal cardiomediastinal contours. Marrow pneumothorax, focal lung consolidation or pleural effusions.


Lung volumes are low. The heart is large, and the pulmonary XXXX are engorged. Bibasilar interstitial infiltrates are present. Bilateral costophrenic XXXX blunting is present.

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


Upper mediastinal mass on the right has increased in opacity with some pressure on the right side of the trachea in the interval. No masses or infiltrates in the lungs. Heart and XXXX remain normal.

Increasing upper mediastinal mass, probably a goiter. Clear lungs.


Normal cardiomediastinal contours. Hyperexpansion of the lungs with flattening of the diaphragm. No focal lung consolidation, pneumothorax or pleural effusions.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. No definite pneumothorax. No displaced fracture. Small rounded radiopaque density within the posterior superficial subcutaneous fat XXXX represents projectile fragment..

1. No acute radiographic cardiopulmonary process.


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

No acute or active cardiac, pulmonary or pleural disease.


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


The heart and mediastinum are unremarkable. There are two subcentimeter hyperdense nodular opacities are noted within the right lung. These may represent XXXX on end or alternatively, calcified granulomas. The lungs are clear without infiltrate. There is no effusion or pneumothorax.


Normal heart size and mediastinal contours. Scattered calcified granulomas. Hyperexpanded lungs. No focal airspace disease. No pneumothorax or pleural effusion. Degenerative changes in the spine without acute bony abnormalities.


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


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


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is bilateral basilar XXXX opacity compatible with atelectasis. There are somewhat low lung volumes. There is a calcified right hilar lymph node.


Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. The right heart XXXX appears obscured and there are streaky right medial basilar airspace opacities, possibly due to airspace disease or atelectasis. Otherwise, no focal consolidation, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.

Obscured right heart XXXX with streaky right medial basilar airspace opacities, possibly due to airspace disease versus atelectasis. Otherwise, no acute cardiopulmonary abnormalities.


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

No radiographic evidence of acute cardiopulmonary disease


Calcified granulomas are present. There is an area of focal density overlying the right first rib and medial clavicle. This is approximately 1.2 cm in diameter. It may be secondary to overlapping structures. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart is normal. Calcifications of the aortic XXXX are seen. The skeletal structures are unremarkable. There has been a left mastectomy.

1. Focal density overlying the right first rib and medial right clavicle. This could be bony in origin but an underlying pulmonary lesion cannot be excluded. No prior images are currently available for comparison. If outside images are available comparison is recommended. Otherwise XXXX scan of the chest.


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


The cardiac contours are normal. The lungs are hyperinflated with flattened diaphragms. No acute pulmonary findings. Thoracic spondylosis.


The cardiac silhouette is mildly enlarged. Mediastinal contours are within normal limits. The pulmonary vasculaturity is increased. There is large right-sided pleural effusion and probable underlying associated compressive atelectasis. Mild perihilar XXXX opacities, XXXX edema. No pneumothorax is seen.

1. Cardiomegaly and central vascular congestion with perihilar opacities, possibly edema. 2. Large right pleural effusion.


Status post XXXX sternotomy and CABG. Heart size is normal. Coronary vascular stent. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are stable. Calcified mediastinal lymph XXXX. Normal pulmonary vascularity. Degenerative changes of the spine.


Heart size upper limits of normal. Small amount of left basilar airspace disease. The right lung is clear. There are no cavitary lesions seen. No pneumothorax. No pleural effusions.

Left basilar atelectasis and/or infiltrate, with no radiographic evidence of tuberculosis.


The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. Old right-sided rib deformities are noted.


Cardiomegaly is present. The upper lobe pulmonary vascularity appears mildly prominent consistent with pulmonary venous hypertension. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is eventration of the right hemidiaphragm. Bony changes of renal osteodystrophy are noted.

1. Cardiomegaly and mild vascular prominence. 2. No evidence of acute disease.


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


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


The trachea is midline. The heart size is normal. XXXX opacities are seen in the left lower lobe and left costodiaphragmatic XXXX, which could represent scarring or atelectasis. There is no pneumothorax. No acute bony abnormalities.

1. No acute cardiopulmonary abnormalities. .


Heart is mildly enlarged stable. Mediastinal contour is normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces.

1. Stable mild cardiomegaly. 2. Hyperexpanded but clear lungs.


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


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


Heart size within normal limits, stable mediastinal contours with aortic ectasia/tortuosity. Left hilar and left lower lobe calcifications XXXX indicate a previous granulomatous process. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.


The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. Mild dextro curvature of the thoracic spine, possibly positional.


Moderate cardiomegaly. Prominent vascular pedicle/upper mediastinal contour. Mild central vascular congestion. No overt edema or confluent lobar pneumonia. No pleural effusion. Thoracic spondylosis.


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


Heart size is normal. The aorta is tortuous, and cannot exclude ascending aortic aneurysm. The pulmonary vascularity is normal. There residual to prior granulomatous infection. Lungs are otherwise clear. Degenerative change of the spine.

1. No acute cardiopulmonary process. 2. Tortuous aorta, cannot exclude ascending aortic aneurysm.


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


The lungs are clear. Heart size is normal. No pneumothorax. There is a cardiac XXXX. There are sternotomy XXXX and bypass markers. There is a hiatal hernia. The aorta is tortuous.

No pneumonia. No acute cardiopulmonary abnormality.


Nasogastric tube tip XXXX within the stomach body, stable. Low lung volumes. Stable enlarged cardiomediastinal silhouette. Atherosclerosis of the thoracic aorta. No focal consolidation, pneumothorax or large pleural effusion. Relative elevation of right hemidiaphragm. Stable obscuration of lateral left diaphragm.

Stable subsegmental bibasilar atelectasis. Cardiomegaly without heart failure.


Heart size is stable. There is focal airspace consolidation in the lateral aspect of the right upper lobe. There is no pneumothorax or effusion. No acute bony abnormalities.


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality identified.


A right internal jugular XXXX this catheter has been exchanged for a large XXXX left internal jugular central venous catheter with the tip at the cavoatrial junction. No pneumothorax, pleural effusion or airspace consolidation. Stable thoracolumbar scoliosis. No acute bone findings. Stable cardiomegaly.

1. Interval central catheter exchange. No acute cardiopulmonary abnormality. 2. Stable cardiomegaly. .


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


Heart size is enlarged. Cardiomediastinal contours are unchanged since previous exam. There is blunting of the right costophrenic XXXX XXXX old pleural scar. Lungs are otherwise clear bilaterally. A left upper lobe granuloma appears unchanged. There is kyphosis of the thoracic spine with anterior osteophyte formations. Aortic ectasia is seen in the ascending aorta and the XXXX.

1. Cardiomegaly without failure 2. Ectatic aorta


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


The heart is mildly enlarged. Left hemidiaphragm is elevated. There is no acute infiltrate or pleural effusion. The mediastinum is unremarkable.

Borderline cardiomegaly without acute disease.


Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. Cervical fusion XXXX. Degenerative changes of the spine and the acromioclavicular joints.


Sequelae of old granulomatous disease is again noted. Lungs are clear without focal air space disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.


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


Negative for cardiac enlargement or vascular congestion. Minimal subsegmental atelectasis at the left base otherwise negative for focal confluent airspace disease. The visualized bony structures are intact. There are minimal degenerative disc changes of the mid/lower thoracic spine. No pneumothorax.

Negative for acute cardiopulmonary process.


The heart is normal in size and contour. There is a calcified granuloma in the right lower lung. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Osteopenia with mild degenerative changes of the thoracic spine is noted.

Stable appearance of the chest. No acute findings.


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


Calcified granulomas. Calcified hilar XXXX. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Question large pulmonary arteries. Lung XXXX are hyperexpanded. Prominent substernal air space. Aortic calcifications. Degenerative changes thoracic spine.

Hyperexpanded lung XXXX compatible with COPD. No evidence of acute cardiopulmonary abnormality. .


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


Normal cardiomediastinal contours, given patient position and technique. No pneumothorax or large pleural effusions. The lung volumes.

Low lung volumes. No acute cardiopulmonary abnormalities.


Given differences in patient rotation, heart size and mediastinal contours are grossly unchanged. Lungs appear clear without focal consolidation. No visible pleural effusion or pneumothorax. Stable degenerative changes of the thoracic spine with scattered XXXX deformities. Stable postsurgical changes of the left shoulder and marked degenerative changes of the right shoulder.


The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated compatible with emphysema. There is biapical scarring. No acute infiltrate is seen.


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. There are residuals of prior granulomatous infection. Lungs otherwise clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.


The heart is normal in size. The mediastinum is unremarkable. XXXX scarring is noted in the lingula. The lungs are clear.


The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes within the spine.


Stable appearance of chest with no findings of disease progression. Heart and mediastinum stable configuration. Stable elevation of left hemidiaphragm. Lungs clear of consolidation. No pneumothorax or pleural effusion. Bony thorax intact. Minimal spondylosis of the lower thoracic spine.

Stable appearance of chest without active process evident and without evidence of progression of disease in patient with history of Hodgkin's lymphoma . If one would like to discuss this case further, please XXXX. XXXX at XXXX. Thanks.


The heart is normal in size and contour. There is no mediastinal widening. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.


Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Postsurgical changes of the cervical spine are present.


No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. No acute bony abnormalities. There are stable anterior wedge XXXX deformities of 2 midthoracic vertebral bodies.

1. No acute findings. 2. Stable midthoracic vertebral body XXXX fractures.


No pneumothorax, pleural effusion or airspace consolidation. Heart size is upper limits of normal. Pulmonary vasculature appear within normal limits. XXXX XXXX are intact.


There are several small calcified granulomas. The lungs are otherwise clear. No focal airspace consolidation. No suspicious pulmonary mass or nodule is identified. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are diffuse degenerative changes of the spine.


No acute osseous abnormality. The soft tissues are within normal limits. Normal cardiomediastinal silhouette and hilar contours. No focal area of consolidation, pleural effusion, or pneumothorax.

1. No acute radiographic cardiopulmonary process.


Chronic increased interstitial markings without evidence of focal infiltrate. Bilateral apical pleural thickening. No pneumothorax. No pleural effusion. Stable heart size. Marked degenerative change of the XXXX, status post remote right humerus fracture. XXXX deformity of a midthoracic vertebral body, also XXXX chronic.

Chronic lung disease without acute findings.


Cardiomegaly is present. The pulmonary vascularity appears within normal limits. Pacemaker is noted. Vascular calcification is seen. The lungs are free of focal airspace disease. No pneumothorax or pleural effusion is noted. Degenerative changes are present in the spine.

1. Cardiomegaly without overt heart failure.


There is persistent mild elevation right hemidiaphragm. There is suggestion of subtle patchy opacities in lower lung XXXX bilaterally. This is XXXX to be similar to XXXX scan. The heart is normal. The aorta is calcified and tortuous. The skeletal structures show scoliosis and arthritic changes.

COPD and chronic opacities more pronounced in the lower lung XXXX.


The cardiomediastinal silhouette is normal in size and contour. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.


The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Unchanged multiple XXXX foreign bodies overlying the left clavicle and midline in the posterior soft tissues. The bony thorax is grossly intact.

Negative for acute cardiopulmonary abnormality.


XXXX sternotomy XXXX remain in XXXX. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine.


The central airway is midline and is XXXX. The cardiomediastinal silhouette is within normal limits. There is no focal lung consolidation, pleural effusion, or pneumothorax seen. The osseous structures appear within normal limits.

1. No acute cardiopulmonary abnormalities. 2. Normal chest radiograph.


Sternotomy sutures and bypass grafts have been placed in the interval. Both lungs remain clear and expanded with no infiltrates. Pulmonary XXXX are normal.

Post operative chest with no acute disease.


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.


Lung volumes are decreased from XXXX, and there is resultant bronchovascular crowding. No evidence of focal airspace disease. No definite pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits given the low lung volumes. No free subdiaphragmatic air. Grossly stable mild degenerative changes of the right lower thoracic spine.


The heart is top normal in size. The mediastinum is Stable. The aorta is atherosclerotic. There are mild chronic changes without focal consolidation. No pleural effusion is seen.

Mild cardiomegaly and atherosclerosis. No acute infiltrate.


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


Lung volumes are low. No infiltrates in the lungs. No pleural air collections. Sternotomy sutures and bypass graft markers are present. Heart size normal.

Postoperative chest. Hypoinflation with no visible active cardiopulmonary disease.


The heart is not enlarged. The central pulmonary vasculature is not engorged. Visualized osseous structures are unremarkable. No pneumothorax or pleural effusion. Small right juxtahilar opacity may represent infiltrate. Lungs are otherwise well aerated.

Small right juxtahilar opacity may represent infiltrate in the setting of XXXX. Followup chest x-XXXX is recommended at an appropriate interval following treatment to document XXXX.


The heart is normal in size. The mediastinum is within normal limits. There is retrocardiac density which XXXX corresponds to patient's known hiatal hernia. The lungs are hypoinflated. No focal consolidation is seen.

No acute disease. Retrocardiac density XXXX corresponding to known hiatal hernia.


Left midlung opacity noted, not visualized on prior. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.

Left mid lung opacity noted, most compatible with atelectasis versus infiltrate. Recommend clinical correlation. .


The heart is normal in size. The mediastinum is unremarkable. Mild granulomatous sequela are noted. The lungs are grossly clear.


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


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


There is a left sided cardiac defibrillator. Leads overlie the right atrium, right ventricle, and left lateral coronary vein. The leads appear intact. Heart size is within normal limits. There is no pneumothorax. Lungs are mildly hyperexpanded. There are persistent mild bibasilar interstitial opacities. There is left mid lung subsegmental atelectasis. No pleural effusion. There are degenerative changes of the spine.

1. Cardiac defibrillator. Leads appear intact. 2. No pneumothorax identified. 3. XXXX XXXX opacities. Findings may reflect atelectasis and/or mild fibrotic change.


There is scattered calcified granulomas. The lungs are otherwise grossly clear. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.


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


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


Stable cardiomegaly with significantly low lung volumes and associated bronchovascular crowding and bibasilar atelectasis. No definite pleural effusion, consolidation, or pneumothorax identified. No acute bony abnormality.

Limited examination with stable cardiomegaly and low lung volumes without acute cardiopulmonary abnormality identified.


Lungs are hyperexpanded. No infiltrates or masses in the lungs. Heart size normal. No change calcified left hilar XXXX and left small granuloma.

XXXX change. COPD with no acute disease.


Stable scarring near the right lung apex along the lateral aspect. Lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

Stable appearance of the chest without acute abnormality noted.


Heart size is normal. There is left hilar enlargement with partial opacification of the left upper lobe suggestive of hilar mass with obstructive atelectasis. Questionable small right midlung nodule. Negative for pneumothorax or pleural effusion. Bony thorax is unremarkable.

Suspected left hilar mass with obstructive atelectasis. XXXX thorax for further characterization.


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 enlarged, stable compared to the previous exam. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.

1. Stable cardiomegaly without acute cardiopulmonary abnormality.


There is hyperexpansion of lungs and flattening of the diaphragm consistent with COPD. No focal lung consolidation. No pneumothorax or pleural effusion. Heart size and pulmonary vascularity are within normal limits. There is a kyphosis and osteopenia of the thoracic spine. No displaced rib fractures.

No focal lung consolidation. COPD. No displaced fractures.


KUB. Centered over the mid abdomen there are multiple air-filled dilated loops of small bowel measuring the XXXX of which measure up to about 3.7 cm in diameter. There is also an extremely dilated XXXX in the same region which measures 5.9 cm in diameter. There is extensive soft tissue pannus. Prior abdominal surgery. Chest. There is XXXX left basilar opacity. No visualized pneumothorax. The heart size is normal. There is mild elevation of the left hemidiaphragm. There are no large pleural effusions. There is thickening of the fissure.

KUB 1. There are numerous air-filled dilated loops of small bowel over the mid abdomen. These findings are consistent with small bowel obstruction. Chest 1. Left basilar airspace disease, XXXX atelectasis. .


The heart is mildly enlarged. Mediastinal contour and pulmonary vascularity are within normal limits. There are streaky left basilar airspace opacities, compatible with atelectasis as seen on comparison abdomen and pelvis CT. There is a left upper lung granuloma. Otherwise, no focal consolidation, large pleural effusion, or pneumothorax. XXXX appear intact.

Left basilar atelectasis. No acute cardiopulmonary abnormalities.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are mild degenerative changes of the spine.


The heart is enlarged. There is pulmonary vascular congestion with diffusely increased interstitial and mild patchy airspace opacities. The distribution XXXX pulmonary edema. There is no pneumothorax or large pleural effusion. There are no acute bony findings.

Cardiomegaly with vascular congestion and suspected pulmonary edema. .


Borderline heart size. Tortuous calcified aorta. No active pulmonary disease. Mild spondylosis.


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


There is a right upper lobe opacity. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. Osseous structures and soft tissues are normal.


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

No acute radiographic cardiopulmonary process.


The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Note XXXX of placement of a retention XXXX in the lower cervical spine.


The cardiomediastinal silhouette is normal in size in appearance and stable from XXXX. The lungs are clear. Soft tissues and bony structures are unremarkable. No pneumothorax or pleural effusion.


There is a healing fracture involving the left posterolateral 7th rib. There is XXXX deformity of the 8th vertebral body. These bony lesions may be secondary to the patient's known multiple myeloma. The lungs appear clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.


Lungs are clear. Heart size normal. Scattered thoracic spine spurring.


Both lungs remain clear and expanded. No focal parenchymal infiltrates or pleural air collections. Heart and aorta are normal. No change in the large hiatus hernia. Pelvis. Bone density is decreased. Hips are normal and symmetric. No fractures, dislocations, or bone destruction. Note XXXX of a severe rotatory dextroscoliosis in the lumbar spine.

1. Chest. No change no active cardiopulmonary disease. No evidence for cardiopulmonary injury. 2. Pelvis and hips negative for recent bony injury.


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


Heart size is normal. Cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally without pleural effusion or pneumothorax. No pulmonary nodules. Bony structures are intact.


Cardiomegaly. Mediastinal contours are normal limits. Increased interstitial opacities. No pneumothorax or large pleural effusion. No acute osseous abnormality.

Cardiomegaly and increased interstitial opacities XXXX represent interstitial edema.


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.


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


Minimal right-to-left cardiomediastinal shift. The cardiomediastinal silhouette is otherwise normal size and configuration. Pulmonary vasculature within normal limits. There is a moderate sized right pneumothorax. This measures 3.2 cm at the level the right apex.

Moderate sized right pneumothorax. There is minimal right-to-left cardiomediastinal shift, suggesting XXXX.


Heart size is normal. No focal infiltrates. No pneumothorax. No large pleural effusion. Mildly tortuous aorta.


Normal heart size mediastinal contours. Subsegmental atelectasis versus scarring in the right midlung and left lower lobe. No focal airspace disease. No pleural effusion or pneumothorax. Low lung volumes. Visualized bony structures are unremarkable in appearance.

1. Low lung volumes with patchy bilateral scarring versus atelectasis. 2. Otherwise, no acute or XXXX pulmonary abnormality.


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


Heart size and mediastinal contours appear within normal limits. Hyperinflated lungs with flattening of diaphragms, compatible with emphysema. No focal consolidation, pleural effusion or pneumothorax. No acute bony abnormality.

1. Emphysema. 2. No acute cardiopulmonary abnormality.


The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated with XXXX XXXX opacities compatible with pleural-parenchymal scarring. There is no acute infiltrate or effusion.

Emphysema and scarring without acute disease


Lungs are hyperinflated but clear. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. Calcified mediastinal XXXX identified.


Frontal and lateral views of the chest demonstrate the cardiomediastinal silhouette normal. There is normal distribution of the pulmonary vascularity. The lungs are clear. No effusion, consolidation, or pneumothorax.

Stable chest x-XXXX, without acute cardiopulmonary findings.


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


There are persistent low lung volumes. There is stable streaky left lower lobe airspace disease. Probable XXXX residual left pneumothorax. No large pleural effusion. Stable cardiomediastinal contour. Left-sided rib fractures are better appreciated on the XXXX chest comparison.

1. Probable XXXX residual left pneumothorax. 2. Stable streaky left basilar airspace disease, possibly atelectasis.


There is hyperexpansion with mild flattening of diaphragm. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal. Contrast retained within the renal collecting XXXX.

1. No acute cardiopulmonary disease. 2. Emphysematous changes 3. Retained contrast within the renal collecting XXXX.


The XXXX examination consists of frontal and lateral radiographs of the chest. Upper thorax is poorly visualized due to patient's overlying head and chin. The cardiomediastinal contours are within normal limits. Background of mild coarse interstitial opacities seen throughout the lungs XXXX related to background of emphysema. Calcified granuloma is seen in the left medial lung base. There is no consolidation, pleural effusion or pneumothorax. Deformity of the right 6th rib laterally has appearance of acute or subacute fracture. Degenerative changes of the thoracic spine are again seen.

Age indeterminant but XXXX acute to subacute right 6th rib fracture.


Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Surgical clips are present in the abdomen.


The heart is upper limits of normal in size. Mild tortuosity of the thoracic aorta. The lungs are clear without infiltrate. There is no effusion or pneumothorax.


Cardiomediastinal silhouette is within normal limits in overall size and appearance. Central vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion or pneumothorax. No acute bony abnormality. Stable scarring in the right lung apex.


Heart and mediastinal contours are unremarkable. The pulmonary vasculature is normal in appearance. The lung parenchyma is clear, without focal infiltrate. There are no pleural effusions, and there is no pneumothorax. The visualized bony structures are grossly unremarkable. No displaced rib fractures. Right nipple ring noted.


Examination is somewhat limited, the costophrenic XXXX and posterior costophrenic sulci are excluded. Patient is rotated to the right. Heart size upper limits normal, but stable. Mediastinal contour is grossly unremarkable. Lung parenchyma is clear, no focal airspace consolidation. No large effusion, no visible pneumothorax within the limits of the study.

1. Exam somewhat limited, costophrenic XXXX excluded. 2. Stable mild cardiomegaly. 3. Clear lungs.


Consolidation, atelectasis, and costophrenic XXXX blunting in the left lower lobe have cleared in the interval. A persistent patchy infiltrate is present in the right middle lobe. No XXXX infiltrates. Heart is slightly large. Pulmonary XXXX are normal. Aorta remains tortuous.

Cleared left lower lobe airspace disease with persistent right middle lobe airspace disease.


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


The heart size and pulmonary vascular appear within normal limits. The lungs appear hyperexpanded consistent with emphysema. Calcified lymph XXXX and granuloma are noted. No acute appearing focal airspace disease is seen. No pleural effusion or pneumothorax is noted.

1. Hyperexpanded lungs consistent with emphysema. No evidence of active disease.


Left chest wall Mediport placement with venous catheter tip in superior XXXX XXXX. Normal cardiac contours. No pneumothorax or pleural effusions. Clear lungs bilaterally. XXXX fracture seen at T5 and L2 with areas of sclerosis throughout the thoracic and lumbar spine.

1. Pathologic fractures seen at T5 and L2. 2. Left venous catheter in SVC.


The heart is normal in size. The mediastinum is stable. Left-sided chest XXXX is again visualized with tip at cavoatrial junction. There is no pneumothorax. Numerous bilateral pulmonary nodules have increased in size and number XXXX compared to prior study. The dominant nodule/mass in the left midlung is also mildly increased. There is no pleural effusion.

Interval increase in size and number of innumerable bilateral pulmonary nodules consistent with worsening metastatic disease.


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


Heart size and vascularity are normal. Mild tortuosity of the aorta. No focal airspace disease or effusion. Degenerative change of the spine. No pneumothorax.


Stable borderline cardiomegaly, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.


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


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


The XXXX examination consists of frontal and lateral radiographs of the chest. There low lung volumes. There is pulmonary vascular congestion and indistinctness. Bibasilar airspace disease is also present. Probable XXXX left pleural effusion. No evidence of pneumothorax. Cardiac silhouette is upper lungs are normally accentuated due to low lung volumes.

Mild heart failure versus volume overload.


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


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

No acute cardiopulmonary abnormality identified.


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


Heart size is within normal limits. No focal consolidation. No pneumothorax or pleural effusion. No bony abnormalities.

No acute cardiopulmonary abnormalities. .


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


Changes post bilateral thoracotomy and XXXX sternotomy. Intact XXXX XXXX. Stable position of the epicardial XXXX XXXX. Mild cardiomegaly. The lungs are clear. Bilateral small pleural effusions.

1. Stable postop changes with mild cardiomegaly. 2. Small bilateral pleural effusions.


Large medial right upper lobe mass lesion, measuring approximately 5.8 cm x 6.0 cm in diameter. No pneumothorax. No pleural effusions. Lungs clear. Heart size within normal limits. Degenerative changes thoracic spine.

Large medial right upper lobe mass highly concerning for primary lung cancer. XXXX chest with intravenous contrast for further evaluation. XXXX XXXX XXXX. XXXX's XXXX was notified of this result at XXXXPM XXXX/XXXX and accepted receipt. Results were faxed. .


There is increasing primarily basilar interstitial reticular opacity. Lung volumes are low. There are no focal airspace opacities to suggest lobar pneumonia. Heart size appears normal. The thoracic aorta is calcified. Since the prior study, there has been placement of an electronic cardiac device overlying the left chest wall, the distal leads overlying the right heart. There's no pneumothorax.

1. Findings consistent with worsening interstitial lung disease. High resolution XXXX is recommended to confirm this. Prior XXXX from XXXX reveals no evidence of interstitial lung disease.


Compared to prior examination, XXXX stent has been removed. Cardiomediastinal silhouette is stable and within normal limits. Stable mild atherosclerotic calcifications of the aortic XXXX are noted. There are mildly low lung volumes without focal consolidation, pneumothorax, or effusion identified. No acute bony abnormality seen.

Interval removal of XXXX stent without acute cardiopulmonary abnormality.


The cardiac contours are normal. The lungs are hyperinflated with flattening of the diaphragms and tapering of the distal pulmonary vasculature. There is no focal consolidation. Thoracic spondylosis. Mild dextroscoliosis of the spine. Prior anterior cervical fusion.

Emphysema without superimposed pneumonia.


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. Surgical clips are seen the right upper quadrant.

1. No acute radiographic cardiopulmonary process.


Lung volumes remain low. No infiltrates. Heart and pulmonary XXXX remain normal.

XXXX change. Hypoinflation with no visible active cardiopulmonary disease.


Bilateral emphysematous again noted and lower lobe fibrotic changes. Postsurgical changes of the chest including CABG procedure, stable. Stable valve artifact. There are no focal areas of consolidation. No large pleural effusions. No evidence of pneumothorax. Degenerative changes noted of the visualized thoracic spine. Nodular right lower lobe opacity, XXXX nipple XXXX. Contour abnormality of the posterior aspect of the right 7th rib again noted, stable.

1. No acute cardiopulmonary abnormality. 2. Stable bilateral emphysematous and lower lobe fibrotic changes.


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


The lungs are hyperexpanded. There are stable scattered XXXX bilateral opacities, most notable in the left upper lobe, XXXX scarring. No focal airspace consolidation to suggest pneumonia. No large pleural effusion. No pneumothorax. Heart size is normal. Thoracic aorta is mildly tortuous and demonstrates atherosclerotic vascular calcification. There are degenerative changes of the spine.

1. No acute findings. 2. Emphysema. 3. Scattered XXXX of scarring, most notably in the left upper lobe.


Clear lungs. No infiltrates or suspicious pulmonary opacity. No pleural effusion or pneumothorax. Cardiomediastinal silhouette within normal limits.


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


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


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. There is mild blunting of the right costophrenic XXXX on the frontal view. There is also mild obscuration of the right cardiac XXXX. Airspace disease in expected location of right middle lobe also noted on the lateral view to No pleural effusion. Left lung clear. Degenerative changes spine. No pneumothorax.

Right middle lobe airspace disease, which could represent pneumonia in the appropriate clinical setting.


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, large pleural effusion, or pneumothorax is identified. Minimal thoracic spondylosis.


Heart size and mediastinal contour normal. Lungs are clear. Pulmonary vascularity normal. No pleural effusions or pneumothoraces. Minimal degenerative changes thoracic spine.


Heart size and pulmonary vascularity normal. There is a small right pleural effusion. There is infrahilar interstitial prominence which may represent bronchovascular crowding lung. Small left pleural effusion. No pneumothorax.

Small bilateral pleural effusions and right infrahilar infiltrate versus bronchovascular crowding.


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


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


Normal heart. Clear lungs. No pneumothorax. No 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.


Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion. Incidental note XXXX of an azygos fissure. There are surgical clips, perhaps from cholecystectomy, in the right upper quadrant.

No acute or active cardiac, pulmonary or pleural disease.


Normal heart size and mediastinal contours. Low lung volumes. No focal airspace consolidation. No pneumothorax or pleural effusion. Visualized bony structures are unremarkable in appearance.


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


The trachea is midline. The heart XXXX is large, unchanged from prior exam. Slightly widened mediastinum, secondary to cardiomegaly and a tortuous aorta, is accentuated by AP portable technique. There are low lung volumes causing bibasilar atelectasis and bronchovascular crowding. The lungs do not demonstrate focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.

1. Low volume study without acute cardiopulmonary abnormalities. .


Normal heart size. Clear lungs. Degenerative this disease within the spine. Prosthetic right shoulder. Possible XXXX body in the axillary recess of the left shoulder. Degenerative left glenohumeral osteoarthritis.


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


Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. There are minimal degenerative changes of the spine.


Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense nodule again noted in the right lower lobe suggesting a previous granulomatous process.


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


Mild hyperexpansion of the lungs. Numerous bilateral rib deformities. No focal airspace disease. Heart size is normal. No pneumothorax or effusion. Large, flowing anterior endplate osteophytes of the thoracic spine.

Emphysema with no acute cardiopulmonary findings.


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


The heart size is normal. The cardiomediastinal silhouette is stable in appearance. The lungs are clear without focal airspace opacity, pneumothorax, or pleural effusion. The XXXX are normal in appearance.


Heart and mediastinum are normal. No focal consolidation. No pleural effusion or pneumothorax. Bony structures are intact.


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


Mild cardiomegaly. Pulmonary vasculature is within normal limits. Costophrenic XXXX are XXXX. There is increased kyphotic curvature of the thoracic spine. Within the heart XXXX, there is a small area of oval-shaped density measuring 2.2 x 1.6 cm without correction for magnification. There is a calcified lymph node in the right hilum. No pneumothorax.

Lingular nodule measuring 2.2 x 1.6 cm. Recommend XXXX to further evaluate. The above findings and recommendations were discussed with XXXX XXXX at XXXX p.m. XXXX, XXXX XXXX telephone.


Cardiac silhouette and mediastinal contours are within normal limits. There are low lung volumes. There is no focal opacities. No pneumothorax. No large pleural effusion.

Low lung volumes without acute cardiopulmonary disease.


The heart size is within normal limits. The thoracic aorta is tortuous, stable from the prior radiograph. Aortic stent graft overlies the descending thoracic aorta and upper abdominal aorta, grossly stable from the prior chest radiograph. There are scattered calcified granulomas. There is no focal airspace consolidation. No pleural effusion or pneumothorax. The left hemidiaphragm remains mildly elevated. There are mild degenerative changes of the spine.


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


Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality identified.


Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. There are increased lucencies in the bilateral apices along with horizontal oblique scarring in the left upper lobe. This could suggest emphysematous bullae. XXXX are grossly unremarkable.


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


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

There is no radiographic evidence of acute cardiopulmonary disease.


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

No focal lung opacity, pleural effusion of pneumothorax..


Cardiomediastinal silhouette stable and unremarkable. Stable eventration of the right hemidiaphragm. There is redemonstration without significant interval change of mild subsegmental atelectasis of the left base. Pneumonia seen on CT examination dated XXXX, XXXX (not seen on prior chest x-XXXX) is not seen either on XXXX chest x-XXXX.


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


No acute osseous abnormality. Mild degenerative changes of the thoracic spine. Stable normal cardiomediastinal silhouette and hilar contours. Prominence of superior mediastinal, XXXX superimposed structures. No focal area of consolidation, pleural effusion, or pneumothorax. Mild bibasilar atelectasis.


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

There is no evidence of acute cardiopulmonary disease. .


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