Heart size within normal limits, stable mediastinal contours, mediastinal clips, left base pleural-parenchymal irregularity compatible with scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Chronic appearing left rib contour irregularities may be posttraumatic or postsurgical.


The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No interval change in the appearance of the XXXX opacities in the bilateral lower lobes. No pneumothorax. No pleural effusion. The thoracic spine appears intact.

1. No interval change in the appearance of the XXXX opacities in the bilateral lower lobes.


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

1. No acute radiographic cardiopulmonary process.


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


Density in the left upper lung on PA XXXX XXXX represents superimposed bony and vascular structures. There is calcification of the first rib costicartilage junction which XXXX contributes to this appearance. The lungs otherwise appear clear. The heart and pulmonary XXXX appear normal. In the pleural spaces are clear. The mediastinal contour is normal. There are degenerative changes of thoracic spine. There is an electronic cardiac device overlying the left chest wall with intact distal leads in the right heart.

1. Irregular density in the left upper lung on PA XXXX, XXXX artifact related to superimposed vascular bony structures. Chest fluoroscopy or XXXX would confirm this 2. Otherwise, no acute cardiopulmonary disease.


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


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


Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. The aorta is unfolded. There is left base streaky opacity due to XXXX scarring or discoid atelectasis. There is a midright lung small calcified granuloma. There are small nodular opacities projecting over the right base in the right costophrenic sulcus, posterior right 9th rib and the anterior T10 vertebral body. No XXXX focal airspace consolidation or pleural effusion.

1. XXXX indeterminant small nodular opacities. May be granulomas or bone islands. However, XXXX is recommended given the history of malignancy. 2. Otherwise no acute cardiac or pulmonary disease process identified.


Cardiomediastinal silhouette is within normal limits for size and contour. Lungs are hyperinflated with flattening of the diaphragms consistent with emphysematous change. No evidence of focal airspace disease, pleural effusion, or pneumothorax. Multilevel degenerative changes of the spine are noted.

1. Emphysematous change without evidence of acute cardiopulmonary process.


The heart is normal in size. The mediastinum is unremarkable. There is XXXX biapical scarring. The lungs are otherwise clear.


The heart size is within normal limits. After cirrhotic calcification of the thoracic aorta. Hyperexpanded lungs with flattened diaphragms and increased retrosternal clear space suggestive of emphysema. Streaky left basilar opacities are favored to represent scarring. No pleural effusions or pneumothorax. Exaggerated thoracic kyphosis. Scattered calcified granulomas bilaterally. No acute bony abnormalities.

1. No acute cardiopulmonary findings. 2. Chronic changes of emphysema and left basilar scarring.


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. Probable old lateral right rib fractures.

There is no radiographic evidence of acute cardiopulmonary disease.


No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal. Old rib fractures, healed. Stable increased density overlying the lower mediastinum, unchanged, is XXXX due to hiatal hernia seen on XXXX examination.


Heart size and mediastinal contours appear within normal limits. Patchy airspace opacities in the left lower lobe, compatible with infiltrate. No large pleural effusion. No pneumothorax. No acute bony abnormality.


Heart size is normal. Tortuous aorta. Irregular 1.2 cm opacity in the left upper lung is identified both on PA and lateral views and XXXX represents chronic scarring. She has a partial resection of the posterior fourth rib. No pneumothorax. No pleural effusion. No focal infiltrate. Anterior wedging of multiple vertebral bodies including T6, T8, T11 and T12.

XXXX scarring or pleural plaque in the left upper lobe with partial resection of the posterior fourth rib. No acute findings.


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


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


Normal heart size and mediastinal contours. No focal airspace consolidation. Tracheostomy tip approximately 5 cm above the carina. No pleural effusion or pneumothorax.


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


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


The heart size is normal with stable appearance of the cardiomediastinal silhouette. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. There are stable calcified right peritracheal lymph XXXX. The osseous structures are intact.


Stable cardiomediastinal silhouette. Right hilar surgical clips. Stable right-sided volume loss. Increasing density in the superior segment of the left lower lobe, XXXX seen on lateral view. No pneumothorax. Severe degenerative disease of the XXXX.

Increasing density in the superior segment XXXX the left lower lobe, XXXX seen on lateral view, consistent worsening of known tumor.


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


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


A XXXX XXXX lung volumes. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. cardiomegaly. Degenerative changes in the spine.

Cardiomegaly with low lung volumes which are grossly clear.


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 bone abnormality.


The heart and mediastinum are unremarkable. There is a calcified granuloma within the left upper lobe. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There are acute mild anterior XXXX deformities identified at L1-L2. There is retropulsion of the posterior vertebral body of L1. A CT of the lumbar spine was already ordered at the time of this dictation.

1. No acute cardiopulmonary disease. 2. Acute anterior XXXX deformities at L1-L2. Please see CT of the lumbar spine for further details.


The heart is normal in size. The mediastinum is stable. The lungs are hypoinflated. There are XXXX streaky opacities predominantly in the left lung base possibly related to scarring and atelectasis. XXXX B-lines are also noted. Definite infiltrate is not excluded. There is no large effusion.

1. Low lung volumes with streaky left basilar opacity, XXXX subsegmental atelectasis and scarring. Infiltrate is XXXX less XXXX but not entirely excluded. 2. Mild central vascular congestion and bronchovascular crowding.


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

Mild lung hyperexpansion, otherwise clear.


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


Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. The XXXX are unremarkable.


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.


Stable elevation of the right hemidiaphragm. Stable cardiomediastinal silhouette. No focal airspace disease. No pneumothorax or large effusion.


The heart size is mildly enlarged. The patient is post aortic valve replacement. The XXXX sternotomy XXXX are intact. 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 mild degenerative changes of the spine.

No acute cardiopulmonary disease. Critical result notification documented through Primordial.


No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact. There is a small calcified granuloma in the right midlung.


The lungs are hyperexpanded. There is a large rounded lucency in the right upper lung, XXXX large emphysematous XXXX. There are XXXX biapical opacities, XXXX scarring. No focal airspace consolidation to suggest pneumonia. There is no pleural effusion. No pneumothorax. Normal heart size. There are minimal degenerative changes of the spine.

Emphysema. Large right upper lobe XXXX. Biapical scarring.


Low lung volumes. Question patchy opacity left base. No pneumothorax. Osseous structures intact. Small right effusion.

1. Patchy opacity left base, may represent evolving infiltrate. 2. Small right pleural effusion. .


Heart size and pulmonary vascularity appear within normal limits. Innumerable bilateral lung nodules are present. These are seen diffusely throughout both lungs. No superimposed focal airspace disease is seen. No pleural effusion or pneumothorax is identified. Scoliosis is present.

1. Continued innumerable bilateral small lung nodules. No change.


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


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


Clear lungs. Heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.


No pneumothorax, pleural effusion, or focal airspace disease. Heart size normal. Stable cardiomediastinal silhouette. Nodular opacities consistent with chronic granulomatous disease. Bony structures intact.

Negative for acute cardiopulmonary disease.


The lungs are clear. No suspicious pulmonary mass or nodule is identified. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are normal. There are sclerotic lesions within the XXXX, better visualized on the comparison XXXX scan. There are several bilateral rib fractures with evidence of the callus formation. The appearance is similar to the prior chest radiograph.

1. Clear lungs. 2. Several bilateral healing rib fractures, XXXX pathologic fracture.


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


Consolidation and costophrenic XXXX blunting persists in both lower lobes. Heart and pulmonary XXXX remain normal. No XXXX infiltrates.

Persistent bibasilar airspace disease and bilateral pleural fluid.


The heart is normal in size. The mediastinum is unremarkable. The chest XXXX is in satisfactory position. There is no pneumothorax. The lungs are clear.


There is 1.9 cm interruption of the tunneled left central venous catheter, at the level of the overlap of the clavicle and first rib. Catheter tip may be within the proximal SVC or azygos vein. Normal heart size. XXXX left perihilar and midlung densities. No pneumothorax or large pleural effusion.

1. Left central venous catheter fracture at the level of the overlap of the clavicle and first rib. Distal catheter tip may be within the azygos vein. 2. Similar-appearing left midlung scarring.


No focal areas of consolidation. No suspicious pulmonary opacities. Mild degenerative change thoracic spine. No pleural effusions. No evidence of pneumothorax. Heart size normal limits.


Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. Bandlike opacities are present in the right lung. Appearance suggest atelectasis. No pneumothorax or pleural effusion is seen.

Bandlike opacities in the right lung. Appearance XXXX atelectasis.


There is a left basilar airspace opacity. Right basilar atelectasis. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The XXXX are intact.

1.There is a left basilar airspace opacity, which is concerning for pneumonia. 2. Right basilar atelectasis.


The heart size is enlarged. The aorta is tortuous. The pulmonary vasculature appears normal. Lungs are otherwise clear bilaterally. No pleural effusions or pneumothorax. No bony abnormalities.


The cardiac silhouette is at the upper limits of normal for size. There are low lung volumes with bronchovascular crowding. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative endplate changes of the thoracic spine.

1. Pulmonary hypoinflation. Otherwise, no acute cardiopulmonary process.


Clear lungs. Normal heart. No pneumothorax. No pleural effusion. Old right rib fractures.


There are bilateral pulmonary nodules whose appearances suggest metastatic disease to lungs. In the right lung, there is a 1.9 x 2.1 cm nodule overlying the posterior right 6th rib. There is a 1.0 x 1.2 cm nodule XXXX above this in the interspace between the posterior 5th and 6th ribs on the right. There is a 1.0 x 1.1 cm nodule projecting through the left 9th and 10th interspaces on the PA view. If not already performed, contrast-enhanced XXXX would be XXXX suited to evaluate these findings. There are no focal airspace opacities to suggest pneumonia. To the stomach contours appear grossly clear. Heart size and pulmonary XXXX appear normal. There are left-sided axillary clips. There is a right internal jugular central catheter, the distal tip in right atrium.

1. Bilateral pulmonary nodules suggesting pulmonary metastases 2. Right internal jugular central catheter, the distal tip in the right atrium.


The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There are calcified granulomas within the left lower lobe. There is no pneumothorax or effusion.


The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is at the upper limits of normal in size but stable from prior exam. There is tortuosity of the thoracic aorta, stable. There is no pneumothorax or large pleural effusion.


Chest. Heart size normal. Lungs clear. XXXX unremarkable. Limited technique. Right elbow and forearm. No acute fracture, dislocation or joint effusion. Soft tissues unremarkable. Left ankle. Soft tissue XXXX around ankle. There are midfoot degenerative changes and plantar calcaneal enthesophyte. Ankle mortise intact. No acute fracture or dislocation.

Chest. No acute cardiopulmonary finding. Right elbow and forearm. No acute traumatic finding. Left ankle. 1. No acute traumatic finding. 2. Midfoot degenerative changes and calcaneal enthesopathy.


There are no acute osseous abnormalities. Degenerative changes throughout the thoracic spine. Normal heart size. Calcific aorta. Normal vascular markings. No focal area of consolidation, pleural effusion, or pneumothorax.

1. No acute radiographic cardiopulmonary process.


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


Intact XXXX sternotomy XXXX and CABG markers. Calcified granulomas. Heart size is normal. No focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. T-spine degenerative changes.

Postsurgical changes of CABG without acute cardiopulmonary abnormality.


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. is not diffuse interstitial prominence, which has chronic appearance. Cannot exclude early pulmonary edema. Two airspace consolidation or effusion. XXXX are osteopenic. No visible pneumothorax.

Mild interstitial prominence, XXXX chronic though could reflect early pulmonary edema.


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


Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.


Heart and mediastinal contours are unremarkable. The pulmonary vasculature is normal in appearance. The lung parenchyma is clear, without focal airspace opacity. There are no pleural effusions, and there is no pneumothorax. The visualized bony structures are grossly unremarkable.


2 images. Vague density within the lower lung XXXX is secondary to soft tissue overlap. 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 XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.


Heart is within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild streaky opacity lateral right lung, atelectasis versus scarring.

Small streaky opacity lateral right lung, subsegmental atelectasis versus scarring.


Heart size is XXXX within normal limits. There are surgical clips in the left mediastinum. There is no pneumothorax. There is a small left pleural effusion. Abnormal convexity within the mediastinum XXXX represents adenopathy which is better demonstrated on the prior XXXX.

1. Small left pleural effusion. 2. Mediastinal adenopathy noted but better evaluated on the XXXX XXXX CT.


The heart is top normal in size. The mediastinum is stable. The aorta is atherosclerotic. XXXX opacities are noted in the lung bases compatible with scarring or atelectasis. There is no acute infiltrate or pleural effusion.


The heart and mediastinum are normal. The lungs are clear. There is mild blunting of the right costophrenic XXXX. There is no infiltrate, mass or pneumothorax. The right internal jugular catheter has been removed.

Mild blunted right costophrenic XXXX which could be due to XXXX effusion or scarring.


The lungs are clear. There is no focal airspace consolidation.  No pleural effusion or pneumothorax. Heart size is at the upper limits of  normal. Thoracic aorta is mildly ectatic, stable. Old right clavicular fracture is again noted.


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


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


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


Low lung volumes. Stable ectasia of the thoracic aorta. Stable right upper mediastinal Bilateral small pleural effusions and bibasilar airspace opacities. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax. Stable wedging of the anterior thoracic vertebral bodies.

Bilateral small pleural effusions and associated atelectasis. Stable right upper mediastinal opacity consistent with XXXX goiter.


The lungs appear clear. No evidence of focal pneumonia. The heart and pulmonary XXXX are normal. There is suture material at the left apex suggesting prior lung surgery. In the pleural spaces are clear. Mediastinal contours appear normal.

1. No evidence of pneumonia or aspiration 2. Suture material along left apex suggesting prior lung surgery


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.

Emphysema without superimposed pneumonia.


Aortic atherosclerotic calcifications. Large hiatal hernia. No pleural effusion or pneumothorax. No focal opacity. Cardiomediastinal silhouette is stable in size and appearance.

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


Cardiomediastinal silhouette is within normal limits. No focal consolidation. No pneumothorax or large pleural effusion. No acute bony abnormalities. Contrast is seen within the bilateral kidneys, from prior examination.


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


The heart is normal in size with normal appearance of the cardiomediastinal silhouette. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact, with mild degenerative changes in the thoracic spine.


Normal heart size and mediastinal contours. The lungs are hyperinflated but clear. No pneumothorax or pleural effusion. No acute bony abnormalities.


The lungs are clear. No pleural effusion or pneumothorax is identified. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.


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 calcifications projecting of the left midlung, unchanged from prior, this is is XXXX sequela of prior granulomatous disease. There are small T-spine osteophytes.


No focal airspace disease, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.


Stable position of right central venous catheter. Interval removal of nasogastric tube. Heart size is normal. Persistent prominent interstitial markings of the right upper lobe. There are no XXXX focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Normal pulmonary vascularity.


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.


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.

No acute cardiopulmonary abnormality. No radiographic evidence of metastatic disease in the chest.


Right middle lobe opacity is present. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. No large pleural effusion.

Right middle lobe opacity which may represent a focal area of consolidation or atelectasis.


Heart size is normal lungs are clear. No edema or effusions.


No evidence of airspace opacity. No effusion or noncalcified nodules. No evidence of pneumothorax. Normal heart size and mediastinum. Visualized XXXX of the chest are within normal limits.


Normal heart size and mediastinal contours. No focal airspace opacity. No pleural effusion or pneumothorax. Multiple healed posterior left rib fractures.


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


The heart 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.


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


Apical lordotic frontal view. Considering differences in technical factors XXXX stable cardiomediastinal silhouette with mild cardiomegaly. No focal alveolar consolidation, no definite pleural effusion seen. Dense left lower lung nodule suggests a previous granulomatous process. No typical findings of pulmonary edema.


The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Degenerative changes of the thoracic spine.

Negative for acute cardiopulmonary abnormality.


Heart size normal. Tortuous aorta. Calcified hilar lymph XXXX XXXX sequela of prior granulomatous disease. Hyperinflated lungs. The otherwise lungs are clear. The bilateral apices are partially excluded from the XXXX-of-view. There is the interval fixation of the right humeral fracture, XXXX appears grossly intact. Osteopenia. Exaggerated kyphosis of the thoracic spine.


Right lower lobe patchy opacities noted. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Mild degenerative changes of the thoracic spine.

Patchy right lower lobe opacities, XXXX infectious infiltrate.


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


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.


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. XXXX convexity also present on the previous exam.


There is an ovoid opacity 3.5 cm in the retrocardiac area on AP view, not well-seen on the lateral view, a dedicated XXXX scan is recommended. No pneumothorax or pleural effusion present. The heart is normal in size. No hilar lymphadenopathy. No destructive bony lesions.

1. No acute cardiopulmonary abnormalities. 2. An ovoid opacity in the left retrocardiac area, could be projectional or solid mass, further study XXXX is recommended. .


The cardiomediastinal silhouette is within normal limits for appearance. There are low lung volumes with bronchovascular crowding and scattered XXXX opacities in the bilateral lung bases. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. No acute, displaced rib fractures identified.

1. Pulmonary hypoinflation with bronchovascular crowding and minimal bibasilar subsegmental atelectasis.


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


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. Deformity of the right clavicle related to remote XXXX is again seen. Visualized upper abdomen grossly unremarkable.

No evidence of acute cardiopulmonary process.


The parenchymal scar in the left lower lobe is unchanged in the interval. No XXXX infiltrates or masses in the lungs. Heart and mediastinum are normal.


Normal heart size and mediastinal contours. No focal air space opacities. No pleural effusion. Visualized osseous structures are unremarkable.


Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. XXXX XXXX opacities XXXX reflecting atelectasis versus bronchovascular crowding.

Bronchovascular crowding versus atelectasis within the right lung base otherwise no acute cardiopulmonary disease.


The heart is XXXX within normal limits in size given the low lung volumes an AP portable technique. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.


There is a small area scarring lateral right mid to lower lung zone. No focal consolidation is identified. No cavitary lesions are seen. There is no pleural effusion. Mediport catheter seen in the mid SVC. The patient has a tracheostomy. The skeletal structures are normal.

Small area scarring in the right lower lung zone.


Lungs appear clear. Heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal. No pneumothorax.


The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is mildly tortuous and calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild degenerative changes of the thoracic spine. Mild levoscoliosis of the thoracolumbar spine.


There is a pacemaker left chest wall with stable intact XXXX placement. Heart size is enlarged. Calcifications are seen within the aortic XXXX. The mediastinal contour is within normal limits. There is a left basilar and retrocardiac opacity. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.

1. Stable cardiomegaly with left basilar infiltrate versus atelectasis.


There is a subtle left medial base opacity. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.

Subtle medial left basilar opacity could represent early pneumonia.


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

No acute cardiopulmonary abnormality identified.


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


The lungs are hyperexpanded, consistent with COPD. Mild cardiomegaly. No focal lung consolidation. No pneumothorax or pleural effusion. Pulmonary vascularity is within normal limits. Mild degenerative changes of the thoracic spine. Aortic calcifications consistent with atherosclerotic disease.


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


Stable heart size. Diffuse bilateral interstitial opacities. No pneumothorax. No effusions. No acute bony abnormalities.

Stable bilateral interstitial opacities, could represent scarring or infiltrate. CT may be helpful to further characterize.


Left retrocardiac airspace disease with blunted posterior costophrenic XXXX on lateral view suggesting small pleural effusion. Normal heart size. Right PICC is unchanged with tip at the caval atrial junction.

Left retrocardiac airspace disease could reflect atelectasis and possible scarring. Small left 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. Mild degenerative change is seen within the midthoracic spine. There is no visible free intraperitoneal air under the diaphragm.

1. No acute radiographic cardiopulmonary process.


The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. There is a right lower lobe pneumonia. No pleural effusion. No pneumothorax.

Right lower lobe pneumonia. Consider followup radiograph to document resolution. .


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 pleural effusion. There is no evidence of pneumothorax.


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


A patchy infiltrate has developed in the right middle lobe. Left lung is clear. Heart size normal. Aorta tortuous.

Right middle lobe infiltrate consistent with pneumonia.


The lungs are clear. Heart size is normal. No pneumothorax. Sternotomy XXXX overlie the heart.

Clear lungs. No acute cardiopulmonary abnormality. .


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


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


There is mild cardiomegaly and tortuous aorta. Mildly low lung volumes. No focal consolidation, pleural effusion, or pneumothorax. The XXXX XXXX are intact and without acute osseous abnormality. Mild degenerative changes of the thoracic spine.

Chest radiograph. No acute radiographic cardiopulmonary process.


The heart is normal in size. The mediastinum is stable. The previously visualized bilateral pneumothoraces have resolved. Right chest wall surgical XXXX have been removed. There is improved aeration in the lung bases with mild residual XXXX opacities compatible with scarring or atelectasis.

Mild XXXX XXXX opacities compatible with residual atelectasis/scarring.


Interval resolution of the left pleural effusion. Lungs are grossly clear. Postsurgical changes from CABG are noted. No pneumothorax or pleural effusion. No acute bony abnormalities are visualized.


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


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


Heart size, mediastinal and aortic contours are within normal limits. Normal pulmonary vasculature. The lungs are clear. No visible pneumothorax or large pleural effusion. Elevated right hemidiaphragm. Mild degenerative changes of the spine.

1. Elevated right hemidiaphragm. 2. No evidence of active disease.


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


Mild cardiomegaly. Lungs are clear. Calcified hilar XXXX. No pleural effusion or pneumothorax. Soft tissues and showed unremarkable.


The lungs and pleural spaces show no acute abnormality. Lower lung volumes on the AP projection. Heart size is upper limits of normal, pulmonary vascularity within normal limits. Implantable cardiac XXXX are visualized on the lateral projection in the region of the expected location of the mitral valve XXXX. XXXX sternotomy XXXX noted.


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.


Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. There is widening adjacent to the right paratracheal stripe, most XXXX represents the SVC with rotated position. XXXX are unremarkable.


There is no focal consolidation, pleural effusion, or pneumothorax. Stable left lower lobe scarring. Normal heart size and pulmonary vascularity. There are degenerative changes of the thoracic spine noted.


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 are within normal limits. No focal airspace consolidation. No suspicious pulmonary nodules or masses. No evidence of pleural effusion or pneumothorax. No evidence of acute osseous abnormality.

1. No evidence of active cardiopulmonary disease. 2. No suspicious pulmonary nodules or masses.


XXXX XXXX right-sided chest tube tip now projects outside the thoracic cavity. No definite residual pneumothorax. Stable cardiomediastinal silhouette. There are low lung volumes. No large pleural effusion. No focal airspace consolidation. Small amount of subdiaphragmatic free air.

1. XXXX XXXX right-sided chest tube tip projects outside the thoracic cavity. No residual pneumothorax. 2. Small residual pneumoperitoneum consistent with known colonic perforation. .


The heart is borderline size. Aorta is atherosclerotic. The mediastinum is stable. The lungs are clear.


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


Central vascular prominence and diffuse bilateral interstitial and alveolar opacities. Left basilar airspace opacities. No pneumothorax. Heart size XXXX large. XXXX unremarkable. No large pleural effusion.

XXXX pulmonary edema and left basilar atelectasis/airspace disease.


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


There is a large calcified granuloma in the right apex. Mild patchy opacities are seen in the upper lung zones bilaterally similar to prior studies. The heart and mediastinum are normal. Scoliosis and arthritic changes of the spine are present.

Persistent and biapical opacities. No acute pulmonary disease identified.


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


Cardiomegaly. No focal consolidation. No pleural effusions. No evidence of pneumothorax. Osseous structures intact. Levocurvature of the thoracic spine. Lumbar vertebral body stabilization XXXX.

1. No acute cardiopulmonary abnormality. 2. Cardiomegaly. .


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


The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. Degenerative disease of multiple midthoracic vertebral bodies.


No focal airspace disease, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. There are prominent lateral osteophytes along the right aspect of the mid thoracic spine which are stable. No free subdiaphragmatic air.


Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. Osseous structures are grossly unremarkable. Unchanged degenerative changes to the thoracic spine.

1. Unremarkable chest radiograph. 2. Unchanged degenerative joint disease of the thoracic spine.


An AICD is seen within the left chest wall with stable intact XXXX placement. Multiple surgical clips are seen within the upper midabdomen. The heart size is normal. Calcifications are seen within the aortic XXXX. Otherwise the mediastinum appears unremarkable. The lungs are hyperinflated with flattening of the diaphragms. 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.


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.


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


The lungs are XXXX. XXXX opacities are present in the right costophrenic XXXX. No focal infiltrates. Heart size normal.

Findings of COPD with right costophrenic XXXX focal atelectasis.


The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. No acute bony abnormality.


Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Degenerative disease is seen in the thoracic spine and left XXXX XXXX.


There is a left-sided PICC with tip at the caval atrial junction. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Stable short segment catheter tubing overlying the left XXXX, XXXX to reside within anterior chest soft tissues on recent chest CT. Stable remote posttraumatic changes of multiple right ribs.

1. Left PICC tip at cavoatrial junction. 2. No acute cardiopulmonary abnormality.


Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. XXXX are grossly unremarkable.


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


There are changes of XXXX sternotomy and CABG. Heart size is within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.


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


Stable appearance of lower cervical fusion XXXX. Heart size normal. No pneumothorax or pleural effusion. No focal airspace disease. Calcified nodules consistent with chronic granulomatous disease. Bony structures appear intact. DISH of the thoracic spine.

Negative for acute cardiopulmonary disease.


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


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


The lungs are clear. Heart size is normal. No pneumothorax. There is a left chest XXXX with tip projecting over the lower SVC. There is XXXX deformity within the midthoracic spine.

Clear lungs. XXXX deformities within the midthoracic spine. .


Heart size and cardiomediastinal contours are normal. Low lung volumes without focal airspace opacity, pleural effusion, or pneumothorax. Multilevel degenerative changes in the spine.

Negative for acute cardiopulmonary findings.


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


On the right there is marked narrowing of the hip joint space uniformly throughout. Osteophyte formation is present with some sclerosis and subchondral cyst formation vertically along the superior acetabulum and femoral head. I do not see evidence for fracture or destructive process. AP view of the femur shows no femoral XXXX destructive process or other significant abnormality. For of the Left hip shows near-complete obliteration of the joint space with severe subchondral sclerosis and cystic formation in both the superior acetabulum and superior aspect of the femoral head. No fracture or destructive process is identified. Surgical markers were XXXX in the images and left hip for the purpose of surgical planning. PA and lateral chest show the lungs to be clear. There may be some hyperinflation. No pleural effusion is identified. The heart is normal in size. There are calcified mediastinal lymph XXXX. The skeletal structures appear normal.

1.Severe arthritic changes in both hips left worse than right. 2. Possible COPD but no acute pulmonary disease.


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


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Large bilateral hilar calcified lymph XXXX/granulomas. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.


Heart size and cardiomediastinal contours are normal. Aorta is mildly tortuous. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. Mild degenerative changes in the spine.


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


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


No pneumothorax, pleural effusion, or focal airspace disease. There is a discrete 1.4 cm nodule within the anterior segment of the right lower lobe. The additional nodular opacities consistent with chronic granulomatous disease. Heart size normal. Cardiomediastinal silhouette is clear. Bony structures appear intact. Right unilateral nipple ring.

1. Negative for acute cardiopulmonary disease. 2. 1.4 cm right lower lobe nodule, XXXX calcified granulomas disease. If patient high XXXX for pulmonary malignancy, consider cross-sectional imaging to verify.


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


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


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

1. No acute cardiopulmonary process. 2. Bilateral scapula appear unremarkable.


The XXXX examination consists of frontal and lateral radiographs of the chest. Again seen is evidence of prior CABG. The cardiomediastinal contours are unchanged. XXXX XXXX right and XXXX left pleural effusions. There is XXXX right greater than left bibasilar atelectasis. XXXX B-lines seen at the lung bases. No consolidation or pneumothorax.

XXXX XXXX bilateral pleural effusions, right larger than left. Early interstitial show pulmonary edema.


Sternotomy XXXX are present. Patient has XXXX cardiac valve replacement. Atherosclerotic changes of the aorta. No focal infiltrate. Heart size is normal. Stable ectatic aorta. No pleural effusion. No pneumothorax. There is a stable XXXX deformity of T7. However, there is XXXX loss of vertebral body XXXX at T9 compared XXXX thorax from XXXX.

1. No acute cardiopulmonary findings. 2. XXXX deformities of T7 and T9. T9 is XXXX compared to XXXX thorax from XXXX.


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


Normal heart size mediastinal contours. No focal airspace opacity. No pneumothorax or pleural effusion. Visualized XXXX are unremarkable in appearance.


Patient is slightly rotated. Normal heart size. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a pleural effusion. There is no evidence of pneumothorax.

There is no evidence of acute cardiopulmonary disease. .


The lungs and pleural spaces show no acute abnormality. Hyperexpanded lungs. Calcified right upper lobe granuloma, unchanged. Heart size and pulmonary vascularity within normal limits. No displaced rib fractures.

1. Hyperexpansion without acute pulmonary abnormality.


No focal consolidation, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, no mediastinal widening characteristic in appearance of vascular injury. Right paratracheal calcifications suggest a previous granulomatous process. No acute osseous injury XXXX demonstrated.

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


The heart is normal in size and contour. Scattered calcifications are noted, compatible with prior granulomatous disease. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.


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


XXXX XXXX and lateral views of the chest were obtained XXXX/XXXX. The lung volumes are normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary XXXX are normal. Positioning of the pacemaker generator is unchanged and in its 3 leads remain intact. The additional pacing XXXX over the left atrium also appear unchanged. Thoracolumbar scoliosis is again noted. The XXXX XXXX remain intact.

No acute cardiopulmonary abnormalities are seen. END OF REPORT.


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


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.


Heart size within normal limits and cardiomediastinal contours are normal. Lungs are clear bilaterally. No focal consolidations. No pleural effusions or pneumothorax. Bony structures and soft tissues are unremarkable.


Considering differences in technical factors XXXX stable cardiomegaly and stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema.


No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact. Chondral cartilages causing XXXX over the anterior lungs on lateral view.


XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate increased interstitial markings probably COPD. There is calcified hilar lymph XXXX. There is no effusion or pneumothorax.


Mediastinal contours are normal. No significant change in pneumothorax or right pleural fluid..

No significant change in right pneumothorax or pleural fluid.


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 lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There are calcifications in the aortic XXXX. There is a calcified granuloma at the left lower lung. There is no pneumothorax or large pleural effusion.


The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified.


Normal heart size and mediastinal contours. The lungs are free of any focal airspace disease. In the left lung base, there is a 9 mm nodule that not definitively calcified. No pneumothorax or pleural effusion. No acute bony abnormalities.

1. No acute cardiopulmonary process. 2. 9 mm left lower lobe pulmonary nodule not definitively calcified. Recommend comparison with prior images to document stability. If none are available consider nonemergent XXXX chest for further characterization. .


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


The XXXX examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes. Right greater than left bilateral hilar and subcarinal adenopathy is again seen. The cardiac silhouette is prominent but probably artifactually large due to diminished lung volumes. No focal consolidation, pleural effusion, or pneumothorax identified. There is a deformity of the left clavicle compatible with remote XXXX.

No evidence of acute cardiopulmonary process. Mediastinal and hilar adenopathy compatible with patient's known sarcoidosis.


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

No evidence of active pulmonary pneumonia on today's exam.


Cardiomediastinal contours within normal limits. Pulmonary vascularity is normal. There are scattered calcified testes bilaterally, consistent with prior granulomatous infection, stable. No XXXX focal airspace consolidation. No pleural effusion, no pneumothorax. Bony structures unremarkable.

No acute cardiopulmonary abnormality. Prior granulomatous infection.


Stable appearance of the right aortic XXXX. Normal heart size. No pneumothorax, pleural effusion or suspicious focal airspace opacity.

Stable exam with known right aortic XXXX.


The lungs are mildly hyperinflated, with upper lobe areas of lung lucency suggesting obstructive pulmonary disease and emphysema. No superimposed focal airspace consolidation is seen. No pleural effusion or pneumothorax. Heart size is normal.


The heart is normal in size. The mediastinum is unremarkable. There are XXXX opacities in both lung bases compatible with scarring or atelectasis. Calcified granuloma in the left upper lung is noted as well as right retrocardiac calcified nodule. No significant pleural effusion is seen.

Mild XXXX XXXX opacities with scarring; no acute disease.


No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Minimal degenerative changes of the thoracic spine. There is anterior fusion XXXX at the cervicothoracic junction.


Sequelae of old granulomatous disease. No suspicious pulmonary nodules or masses. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.

Clear lungs without suspicious pulmonary nodules or masses.


The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. There are calcified hilar lymph XXXX suggesting prior granulomatous disease. The bony structures of the thorax are intact with no evidence of acute osseous abnormality.

No evidence of acute cardiopulmonary process.


No pleural effusion or pneumothorax. Stable XXXX opacity over the left lung base XXXX represents a combination of prominent pericardial fat and overlying breast XXXX. The lungs are otherwise clear. There is stable cardiomegaly. The mediastinal silhouette is within normal limits. Stable position of cardiac pacemaker and leads.

1. Stable position of cardiac pacemaker and leads. 2. No pleural effusion, pneumothorax or focal airspace disease.


Heart size within normal limits. Streaky airspace disease is demonstrated on the lateral examination. No pneumothorax or pleural effusion.

Streaky air space disease may represent infiltrate. .


The cardiac and mediastinal contours are within normal limits. There are calcified mediastinal lymph XXXX, with a calcified right lower lobe pulmonary nodule. The lungs are well-inflated and clear. There is no focal consolidation, pneumothorax, or effusion. There are degenerative changes of the first costochondral joints bilaterally. No acute bony abnormalities are seen.

1. No evidence of acute cardiopulmonary process. Stable appearance of the chest. 2. Evidence of prior granulomatous disease and degenerative changes of the costochondral junctions.


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

No acute cardiopulmonary abnormalities. .


The heart is normal in size. Mild convexity of right mediastinal contour XXXX superimposed vasculature/ aortic tortuosity. No focal consolidation or pleural effusion are seen.


No focal consolidation. No visualized pneumothorax. The heart size is normal. There are no large pleural effusions.


The cardiomediastinal silhouette is stable. Lung volumes remain low. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.

Low lung volumes. No acute cardiopulmonary findings.


Normal heart size mediastinal contours. Eventration of the right hemidiaphragm. No focal airspace consolidation. No pleural effusion or pneumothorax.


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are unchanged. There are diminished lung volumes with central bronchovascular crowding. Minimal atelectasis versus scarring seen in the left lung base. Right lung is clear. No focal consolidation, pleural effusion, or pneumothorax identified. There are XXXX degenerative changes of the thoracic spine.

Low lung volumes with minimal left basilar atelectasis versus scarring.


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


There is redemonstration of an AICD with the left chest wall with stable intact XXXX placement. Surgical cervical XXXX is redemonstrated. Cardiac and mediastinal XXXX appear normal. XXXX opacity in the left upper lobe, XXXX atelectasis or scarring. No visible pneumothorax or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact.

1. Stable AICD with intact XXXX replacement. 2. No acute radiographic cardiopulmonary process. .


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


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

Stable chest without acute cardiopulmonary abnormality.


The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. There is a calcified granuloma within the left lung base. There is suggestion of a deep sulcus sign on the right. No definite pleural line of pneumothorax visualized. There is age-indeterminate wedging of several midthoracic vertebral bodies.

1. No acute cardiopulmonary process. 2. Age-indeterminate wedging of several midthoracic vertebral bodies.


The cardiomediastinal silhouette is normal in size and contour. There are a few XXXX opacities in the lung bases bilaterally. No definitive pneumothorax or pleural effusion. Displaced fracture of the mid one-third of the right clavicle.

1. Previously identified small right pneumothorax is not visualized on today's exam. 2. Minimal bibasilar atelectasis/airspace disease.


Frontal and lateral views of the chest with overlying external cardiac monitor leads show reduced lung volumes with bronchovascular crowding of basilar atelectasis. No definite focal airspace consolidation or pleural effusion. The cardiac silhouette appears mildly enlarged.


The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.


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 lymph XXXX are present. Degenerative changes are present in the spine.


Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. No bony abnormality. Vague density in right mid lung, XXXX related to scapular tip and superimposed ribs. Not visualized on lateral exam.

1. Vague density in right XXXX, XXXX related to scapular tip and superimposed ribs. Consider oblique images to exclude true nodule. 2. No acute cardiopulmonary abnormality.


Intact XXXX sternotomy XXXX. Stable cardiomegaly with grossly unchanged rightward mediastinal shift. Unchanged appearance of left perihilar calcified lymph XXXX and left basilar calcified granuloma. Relatively unchanged appearance of prominent interstitial markings with patchy bibasilar atelectasis. The negative for pneumothorax, focal infiltrate, or large pleural effusion. No acute bony abnormalities.

1. Stable cardiomegaly with right mediastinal shift. 2. Stable interstitial markings and prominent bibasilar airspace opacities which XXXX represent atelectasis.


Cardiomediastinal silhouette are normal in size and contour. Again demonstrated are biapical bullous emphysematous changes. No focal consolidation, pneumothorax, or pleural effusion. Mild multilevel degenerative changes of the thoracic spine.

1. No acute cardiopulmonary abnormality. 2. Stable bullous emphysematous changes.


Cardiomediastinal silhouette is unchanged with mild cardiomegaly. There is relative elevation of the right hemidiaphragm consistent with history of right lower lobectomy, without focal consolidation, pneumothorax, or effusion identified. Irregularity of the right fifth and sixth ribs stable since at XXXX XXXX and XXXX postsurgical/post traumatic in XXXX. Left shoulder rotator XXXX bone anchor noted. No acute osseous abnormality identified.

Surgical changes of the right hemithorax and mild cardiomegaly without acute cardiopulmonary abnormality identified. .


The lungs are hyperexpanded, with increased AP diameter of the chest. The cardiomediastinal silhouette is stable and normal. There is no pneumothorax or large pleural effusion.

No acute cardiopulmonary abnormality. Chronic changes consistent with emphysema.


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 aeration of the lungs. No pleural effusion. There are gastroesophageal junction and epigastric postsurgical changes.

No acute or active cardiac, pulmonary or pleural disease.


The heart size is within normal limits. Prominent right paratracheal soft tissues XXXX representing adenopathy. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.

1. Clear lungs. 2. Prominent right paratracheal opacities XXXX representing adenopathy.


Spinal stimulator in XXXX. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.


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

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


Heart is normal in size. No focal consolidation, pleural effusion or pneumothorax. No acute or destructive bone abnormality.


The heart is within normal limits in size. Surgical suture material projects over the right lung apex. The lungs are hyperlucent and hyperinflated compatible with emphysema. There is left lower lobe airspace disease identified. There is moderate left pleural effusion and small right pleural effusion. No visualized pneumothorax.

1. Left lower lobe airspace disease and bilateral pleural effusions, left greater than right. This may be secondary to inhalational injury. Recommend followup to ensure complete resolution.


The heart is is at the upper limits of 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.


Cardiomediastinal silhouette and central pulmonary vasculature are within normal limits. There is no focal air space opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is demonstrated.


No acute osseous abnormality. Soft tissues are within normal limits. Borderline enlargement of the heart. Normal hilar vasculature. No focal area of consolidation, pleural effusion, or pneumothorax.

1. No acute radiographic cardiopulmonary process.


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


There is mild cardiomegaly. The thoracic aorta is tortuous. Lung volumes are low with asymmetric elevation of the right hemidiaphragm. There is platelike atelectasis in the right midlung along with bibasilar airspace disease, either atelectasis or infiltrate. No pneumothorax.

1. Bibasilar airspace disease, greater on the right, either atelectasis or infiltrate. 2. Platelike right midlung atelectasis. .


There is a cardiac XXXX generator identified with 1-XXXX projected over the right ventricle. Stable moderate cardiomegaly is demonstrated. The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.


Normal heart size. Density surrounding superior mediastinum reflex combination of vascular, osseous common pleural structures. No focal airspace consolidation. Moderate degenerative disc disease with osteophyte formation bridging.


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


Heart size moderately enlarged, stable mediastinal contours. Lateral view curvilinear densities over the heart suggestive of coronary artery stents. Diaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.

Cardiomegaly, no acute pulmonary findings


The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. The bony structures of the thorax are intact with no evidence of acute osseous abnormality.

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


The lungs appear clear. Heart and pulmonary XXXX appear normal. Mediastinal contours are normal. Pleural spaces are clear. There appears to the contrast XXXX within small colonic diverticula in the splenic flexure region.


Heart size and pulmonary vascularity appear within normal limits. Right PICC line is in XXXX. The tip has moved into the left innominate vein. There has been interval development of several ill-defined focal opacities in the left and right mid lung zones. No pneumothorax or pleural effusion is seen.

1. Malpositioned right PICC line tip. Now located in left innominate vein. 2. XXXX ill-defined focal opacities. These may represent small areas of pneumonia.


The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Multiple healed bilateral rib fractures. No acute bony abnormality is identified.


The aortic XXXX, cardiac apex, and stomach are left-sided. Cardiomediastinal silhouette is within normal limits in overall size and appearance. Pulmonary 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.


Normal heart size and mediastinal contour. Atherosclerotic calcification of the aortic XXXX. No abnormal airspace consolidation. No pleural effusion or pneumothorax. Stable biapical lucency and apical scarring, consistent with emphysema. Visualized osseous structures are unremarkable.


Chest. A minimally displaced fracture is present on right rib 4. The small amount of pleural fluid is XXXX deep to the fracture. No pleural air collection. Both lungs clear and expanded. Heart and mediastinum normal. Note XXXX of a levoscoliosis of the thoracolumbar spine. Right shoulder. XXXX, soft tissues, and alignment are normal. Right humerus. XXXX and soft tissues are intact.

1. Chest. Right 4th rib fracture. No cardiopulmonary injury. No pleural air collection. 2. Right shoulder negative. 3. Right humerus negative.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is a region of left upper lobe perihilar opacity identified.

Left upper lobe pneumonia. Followup radiographs after appropriate therapy in 8-12 weeks are indicated to exclude an underlying abnormality.


There is a 1 cm nodule within one of the lung bases, seen only on the lateral view. There is a calcified right hilar lymph node and right granuloma. Heart size is normal. No pneumothorax.

1 cm nodule within the lung base, seen only on the lateral view. Consider imaging correlation with XXXX abdomen study, if available. .


Right upper lobe airspace disease consistent with pneumonia given patient's history. The lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.


The heart and mediastinum are unremarkable. The lung volumes are low. There is a calcified granuloma in the right hilum. Minimal XXXX atelectasis or scarring in the left lower lobe. There is no effusion or pneumothorax.


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


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


Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Atherosclerotic calcifications identified within the aortic XXXX. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusion. Flowing thoracic spine osteophytes noted.

1. No evidence of active cardiopulmonary disease.


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


The heart is normal in size. Left-sided pacemaker XXXX and associated XXXX are unchanged in position. There is also an unchanged incompletely visualized XXXX arising below the left hemidiaphragm. No pneumothorax or pleural effusion. There is XXXX streaky opacification in the right midlung. There is mild levocurvature involving the thoracolumbar spine.

1. XXXX right midlung opacification XXXX representing atelectasis or infiltrate. 2. Mild thoracolumbar spine levocurvature. .


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

Negative for acute cardiopulmonary abnormality.


There are changes of prior midline sternotomy with surgical clips consistent with CABG, and stable mild cardiomegaly. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.


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


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


The heart is normal in size. The mediastinum is stable. Right chest XXXX tip is again seen at the cavoatrial junction. There is no pneumothorax. There is again elevation of right hemidiaphragm with right-sided pleural effusion. Vague opacities are noted in the right upper lobe, XXXX from prior study. These may be related to overlying rib lesions versus true pulmonary nodules. The left lung appears grossly clear. Drainage catheter seen overlying the right upper quadrant.

1. Redemonstration of elevated right hemidiaphragm with associated basilar airspace disease and effusion. 2. Ill-defined XXXX right upper lung opacities, possibly related to superimposed rib lesions versus developing pulmonary nodules. Further imaging XXXX of the chest may be indicated.


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. Mild dextrocurvature of the spine again noted.


Normal cardiac contours. Clear lung XXXX bilaterally. No pneumothorax or pleural effusions.

1. No acute cardiopulmonary abnormalities.


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


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

No acute cardiopulmonary process. If there is concern for soft tissue bone or bony abnormality of the thorax, XXXX.


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


Calcified left lower lobe granuloma. No focal areas of consolidation. No pleural effusions. No pneumothorax. Degenerative changes noted of the thoracic spine.


No focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is stable and unremarkable. No acute osseous abnormalities are identified.


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


The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated with blunted costophrenic XXXX. No focal consolidation is seen.


The central venous line has been removed. An inflammatory defibrillator is noted. The heart is enlarged. The patient is status post XXXX sternotomy. Right pleural effusion is present and unchanged. No pneumothorax is seen. There has been clearing of the left base airspace disease. Some continued right lung opacities are present which may represent areas of scarring.

1. Cardiomegaly without overt heart failure. 2. Small right pleural effusion. No change. 3. Clearing of left base airspace disease. 4. Improvement in right lung airspace disease.


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


The XXXX examination consists of frontal and lateral radiographs of the chest. Cardiac silhouette is at top limits of normal. Aortic and mediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Partially visualized ORIF XXXX involving the left proximal humerus. Deformity of the left distal clavicle compatible with remote XXXX. No displaced rib fractures on this chest examination.

No evidence of acute cardiopulmonary process.


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

Hypoinflation with no visible active cardiopulmonary disease.


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

1. No acute radiographic cardiopulmonary process.


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


The XXXX examination consists of frontal and lateral radiographs of the chest. there are diminished lung volumes with XXXX XXXX hypoventilatory changes. The cardiac silhouette is not enlarged. There is mild tortuosity of the thoracic aorta. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Surgical clips are seen in the upper abdomen. No acute osseous abnormalities demonstrated.

Low lung volumes without evidence of acute cardiopulmonary process.


Heart size mildly to moderately enlarged, distal tip dual-lumen catheter near the caval atrial junction. Mild vascular cephalization, no definite interstitial changes of pulmonary edema, no focal alveolar consolidation. No pleural effusion XXXX demonstrated.

1. Mild to moderate cardiomegaly. 2. Vascular redistribution without definite findings of pulmonary edema


Normal heart size and mediastinal contours. Atherosclerotic calcifications of the thoracic aorta. No focal airspace opacity. No pleural effusion or pneumothorax. The visualized bony structures are unremarkable in appearance.


Heart size near top normal limits, mild aortic ectasia size tortuosity. Mediastinal calcifications and dense nodule in the lingula suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.


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


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


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


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


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


The heart is mildly enlarged. Pulmonary vascularity is increased. There is again mild elevation of the right hemidiaphragm. Air space disease and/or atelectasis is noted in right lung base. There is also XXXX streaky opacity in the left base. The costophrenic XXXX are blunted.

1. Cardiomegaly and pulmonary vascular congestion. 2. Eventration of right hemidiaphragm with basilar atelectasis.


There is stable mild cardiomegaly without significant pulmonary vascular congestion. They're stable tortuosity of the aorta. There is no acute pulmonary consolidation, large effusion or pneumothorax.


Normal chest No evidence of tuberculosis


Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Heart size is normal. Stable right paratracheal prominence, consistent with known calcified lymph node, seen on prior CT chest dated XXXX. XXXX are unremarkable.


Moderate cardiomegaly. Mild bilateral costophrenic XXXX blunting and fissural thickening, interstitial opacities greatest in the central lungs and bases with indistinct vascular margination. Dense right lower lobe nodule and right hilar calcifications suggest a previous granulomatous process.

1. Cardiomegaly and small bilateral pleural effusions 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, primary differential diagnosis atypical infection and inflammation


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


The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal. There is stable lucency in the right mid clavicle dating back to XXXX.


No pneumothorax or large pleural effusion. Mildly prominent perihilar opacities, XXXX due to bronchovascular crowding. Heart size within normal limits. Cardiomediastinal silhouette is XXXX. The bony structures appear intact.


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.


No pneumothorax. No large pleural effusions. Heart size is normal. No acute focal space opacities.


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


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

No acute cardiopulmonary process, specifically no evidence of active tuberculosis.


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. .


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


The cardio mediastinal silhouette, pulmonary vascular pattern are within normal limits. No pneumothorax. No pneumonia. No pleural effusion. Mild degenerative changes mid thoracic spine.


The cardiomediastinal silhouette is normal in size and contour. Right suprahilar calcified lymph XXXX. Right lung base calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Mildly hyperexpanded lungs. Negative for acute bone abnormality.

Prior granulomatous disease. Negative for acute abnormality.


Lung volumes are low. No focal infiltrates. Pulmonary XXXX are normal.

XXXX change. Hypoinflation with no visible active cardiopulmonary disease.


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

Negative acute cardiopulmonary abnormality.


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. Prominent pericardial fat XXXX is again noted. There is a stable granuloma overlying a lower thoracic vertebral body. The XXXX are unremarkable.

No radiographic evidence of acute cardiopulmonary disease.


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


The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. A wedge-shaped opacity has developed in the right upper lobe. There is also XXXX patchy opacification identified in the left upper lobe. No acute bony abnormality.

Interval development of bilateral upper lobe consolidation, right greater than left, XXXX representing pneumonia.. Followup imaging to document resolution is recommended.


There is bilateral lower lung airspace disease. There are small to moderate sized bilateral pleural effusions, left greater than right. There is no pneumothorax. Mediastinal silhouette normal. Calcified left hilar lymph XXXX.

Small to moderate sized bilateral pleural effusions with adjacent infiltrate or atelectasis.


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


Heart size and pulmonary vasculature are normal. Lungs are clear. No pneumothorax large effusion. No acute bony abnormality.


The heart and mediastinal contours are stable. The lungs are clear without focal infiltrate. There is no pleural effusion or pneumothorax.


The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is mild eventration of right hemidiaphragm. No pleural effusion is seen.


Calcified left hilar lymph XXXX XXXX from prior granulomatous disease. The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. No acute bony abnormality.


XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Removal of 2 left-sided chest tubes. There is no pneumothorax. Lungs demonstrate no acute findings. There is minimal posterior pleural effusions.

1. No pneumothorax following removal of left-sided chest tubes.


Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes of thoracic spine.

No acute cardiopulmonary abnormality, specifically no evidence for acute tuberculosis.


Heart size is upper limits of normal but stable. Mediastinal contours are within normal limits.. Chronically increased interstitial markings without focal airspace consolidation, pleural effusion, pneumothorax. Degenerative changes of the spine.


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


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


There is a rounded dense opacity in the lateral left midlung zone probably the left upper lobe most suggestive of a rounded pneumonia. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures are normal.

Opacity XXXX representing left upper lobe pneumonia. Recommend followup radiographically until cleared to ensure that there is no underlying mass.