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400
Heart size moderately enlarged, stable mediastinal contours. XXXX XXXX opacity in the left lung base. Otherwise, no focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.
1. Cardiomegaly 2. XXXX XXXX opacity in the left base XXXX atelectasis
401
Lung volumes are mildly decreased. The cardiac silhouette and pulmonary vascularity are normal. There is bilateral lower lobe XXXX airspace opacities compatible with discoid atelectasis. There is no evidence of pleural effusion or pneumothorax.
Bilateral lower lobe focal atelectasis.
402
The lungs appear clear. Lung volumes are low. The heart and pulmonary XXXX appear normal. Pleural spaces are clear.
No acute cardiopulmonary disease.
403
The cardiomediastinal silhouette is within normal limits for appearance. The trachea is midline. No focal pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine.
1. No acute cardiopulmonary process. .
404
The heart size is normal. Tortuous aorta. Otherwise the mediastinal contour is within normal limits. Low lung volumes. Mild elevation of the right hemidiaphragm. There is streaky opacity within the right lower lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly ...
Streaky right lower lobe infiltrate versus atelectasis.
405
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.
No acute cardiopulmonary findings. .
406
Right thorax volume loss with some degree of left-to-right mediastinal shift. Relative hyperlucency of left lung, XXXX compensatory hyperinflation. Diminutive right hilar silhouette, compatible with absence of right XXXX pulmonary artery, as noted on prior CT. No focal consolidation, pneumothorax or large pleural effus...
Negative for acute abnormality.
407
The heart size and pulmonary vascularity appear within normal limits. The descending thoracic aorta is tortuous. Central venous catheter is again noted. The lungs are free of focal airspace disease. The left hemidiaphragm remains elevated. No pneumothorax or pleural effusion is seen.
1. Elevated left hemidiaphragm. No evidence of active disease.
408
The heart is normal in size. The mediastinum is stable. Postsurgical changes of esophagectomy and gastric pull-through are stable. Bibasilar air space opacities have significantly improved. The lungs remain hypoinflated with blunted costophrenic XXXX. There is no pneumothorax.
Stable postsurgical changes of esophagectomy with improved bibasilar airspace opacities/atelectasis.
409
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.
No acute cardiopulmonary abnormalities.
410
There are no focal airspace opacities within the lungs. There is a 1 cm nodular density projecting in the right midlung between the third and fourth right anterior ribs which does not appear to be present on the prior XXXX. To the pulmonary interstitium is not clear, making it the vasculature somewhat indistinct in the...
1. XXXX 1 XXXX nodular density seen on the PA view only projecting in the right midlung. Recommend noncontrasted enhanced XXXX for evaluation of this nodule. Does this patient have known XXXX factors for malignancy? 2. Somewhat indistinct pulmonary interstitium possibly reflecting underlying pulmonary sarcoidosis
411
Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.
No acute cardiopulmonary abnormality.
412
Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality.
No acute cardiopulmonary abnormality. .
413
Again, the patient is mildly rotated, and there is a mild XXXX curvature of the thoracic spine. Stable borderline cardiac enlargement. In the left lower lobe on the lateral view, there appears to be some patchy airspace disease which is probably mostly atelectasis from an elevated left diaphragm. The be difficult to co...
Underinflated lungs with elevation of the left diaphragm and patchy airspace disease in the left base, probably mostly atelectasis. It would be difficult to completely exclude a superimposed pneumonia. No pleural effusion.
414
Patchy subsegmental atelectasis is seen bibasilar region, no evidence of pneumothorax or pleural effusion is present. The cardiomediastinal silhouette is unremarkable. Old fractures seen the left 9th rib.
No acute cardiopulmonary abnormalities.
415
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. Mild degenerative changes of the thoracic spine.
No acute cardiopulmonary abnormality.
416
Several calcified granulomas in bilateral hilar regions. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal.
1. No acute cardiopulmonary abnormality.
417
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.
No acute cardiopulmonary abnormality. .
418
Stable cardiomediastinal silhouette. Elevated right hemidiaphragm. XXXX atelectasis in the right lung base. No focal pulmonary consolidation, pleural effusion or pneumothorax. No acute bony abnormality. Degenerative changes of the thoracic spine.
1. XXXX atelectasis in the right lung base. Elevated right hemidiaphragm. No acute cardiopulmonary abnormality.
419
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 multilevel degenerative changes of the spine.
No evidence of active disease.
420
No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact. Mild degenerative change of the lower thoracic spine, anterior osteophytes.
No acute cardiopulmonary abnormality. .
421
The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.
No acute pulmonary disease.
422
Stable cardiomediastinal silhouette. There has been interval removal of right chest tube with increased elevation of the right hemidiaphragm and XXXX right basilar atelectasis. Left basilar consolidation and pleural effusions seen. No XXXX focal consolidation or pneumothorax. There is a stable left PICC with tip overly...
1. Increased elevation right hemidiaphragm with right basilar atelectasis. Left basilar airspace disease and pleural effusion unchanged. 2. Interval removal of right chest tube, no pneumothorax. .
423
The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.
No acute disease.
424
The heart is mildly enlarged. The aorta is atherosclerotic and ectatic. Chronic parenchymal changes are noted with mild scarring and/or subsegmental atelectasis in the right lung base. No focal consolidation or significant pleural effusion identified. Costophrenic XXXX are blunted.
Borderline cardiomegaly and mild chronic changes. No acute infiltrate.
425
The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.
Normal chest film.
426
Frontal and lateral views. The cardiac silhouette is on the upper limits normal for size. Interstitial opacities are persistent at both lung bases. Calcified granulomas are also identified. XXXX compared to the previous CT scan, there has been no significant interval change. No developing airspace opacity, or pneumotho...
Stable groundglass and interstitial markings at the lung bases. Overall this is not XXXX to represent a significant change from XXXX.
427
Heart size and vascularity normal. These contour normal. Lungs clear. No pleural effusions or pneumothoraces.
Normal chest.
428
The heart is normal in size. The mediastinum is stable with aortic tortuosity. Lungs are clear with no pleural effusion or pneumothorax. No displaced rib fractures are noted. There are multilevel degenerative changes of the thoracic spine.
No acute disease.
429
Cardiomediastinal silhouette is within normal limits of size and appearance. Lungs are hyperlucent and hyperexpanded. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals no acute abnormality.
Stable chronic lung changes without acute cardiopulmonary abnormality.
430
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. Cholecystectomy clips overlie the right upper quadrant. No acute bone abnormality.
No acute cardiopulmonary process.
431
The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .
1. No acute pulmonary abnormality.
432
The XXXX examination consists of frontal and lateral radiographs of the chest. XXXX sternotomy XXXX are again seen. The cardiomediastinal contours are grossly unchanged. Right lung calcified granulomata are again seen. There is no consolidation, pleural effusion or pneumothorax.
No acute cardiothoracic disease or significant interval change.
433
The lungs remain hyperexpanded. There are persistent XXXX bilateral lower lobe opacities, XXXX subsegmental atelectasis and scarring. No XXXX focal infiltrate is identified. There is no pleural effusion or pneumothorax. Normal heart size. There are minimal degenerative changes of the spine.
1. No acute findings. 2. Bibasilar subsegmental atelectasis or scarring. 3. Emphysema.
434
Normal heart size. Clear lungs. No pneumothorax. No pleural effusion. There is opacity at the base of the mediastinum which is XXXX a hiatal hernia.
No acute cardiopulmonary abnormality.
435
No pneumothorax or pleural effusion. Clear lungs bilaterally. Normal cardiac contours. Multiple anterior endplate osteophyte formation along thoracic spine.
1. No acute cardiopulmonary abnormalities.
436
The lungs appear clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Surgical clips and suture material are noted in the right hilar region suggesting prior lung surgery. The mediastinal contours are stable.
1. No acute cardiopulmonary disease 2. No suspicious pulmonary nodules or masses. No evidence of disease recurrence.
437
The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.
No acute disease.
438
The lungs are clear and hyperinflated. Heart size is normal. No pneumothorax.
Hyperinflated lungs. No acute cardiopulmonary abnormality. .
439
The lungs are clear. No pleural effusion is seen. The heart and mediastinum are normal. Arthritic changes of the spine are present.
No active disease.
440
Heart size and vascularity normal. Lungs are clear. No effusions. No pneumothorax. Visualized osseous structures unremarkable.
Normal chest.
441
Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.
No acute cardiopulmonary abnormality.
442
Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality.
No acute cardiopulmonary abnormality. .
443
The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.
No active disease.
444
No focal areas of consolidation. No suspicious bony opacities. Heart size within normal limits. No pleural effusions. No pneumothorax.
No acute cardiopulmonary abnormality.
445
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.
No acute cardiopulmonary findings. .
446
XXXX XXXX and lateral views of the chest were obtained on XXXX. The lung volumes are normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.
No acute cardiopulmonary abnormalities are seen. END OF REPORT.
447
Lungs are clear without focal consolidation, effusion, or pneumothorax. Hyperinflated lungs. Cardiomegaly. Bony thorax and soft tissues grossly unremarkable
Cardiomegaly without acute cardiopulmonary abnormality.
448
Mediastinal contours are normal. Heart size is upper limits of normal. Lungs are clear. There is no pneumothorax or large pleural effusion. No bony abnormality.
No acute cardiopulmonary abnormality.
449
The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.
No acute disease.
450
The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.
No acute cardiopulmonary disease.
451
Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. The inferior posterior sulcus is excluded.
No acute or active cardiac or pulmonary disease process. Cannot exclude small pleural effusions.
452
The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals degenerative changes of the thoracic spine.
No acute cardiopulmonary abnormalities. .
453
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.
No acute cardiopulmonary disease.
454
The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.
No acute disease.
455
The cardiac contours are normal. XXXX basilar atelectasis. The lungs are clear. Thoracic spondylosis. Lower cervical XXXX arthritis.
Basilar atelectasis. No confluent lobar consolidation or pleural effusion.
456
Borderline cardiac enlargement. Enlarged calcified thoracic aorta. Emphysema. No acute pulmonary abnormality. Mild spondylosis.
Emphysema. No acute pulmonary findings.
457
Heart size and cardiomediastinal contours are normal. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures are grossly intact.
Negative for acute cardiopulmonary findings.
458
Heart is mildly heart enlarged. Mediastinal contour normal. There is mild diffuse interstitial prominence suggestive of edema. No focal airspace consolidation or pleural effusion. Degenerative changes of the the spine.
1. Findings consistent with mild congestive heart failure.
459
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 eventration of the right hemidiaphragm. The descending thoracic aorta is tortuous.
1. No evidence of active disease.
460
Right XXXX-A-XXXX tip overlies the mid SVC. Similar bronchiectatic changes with diffuse patchy airspace opacities. No pneumothorax or pleural effusion.
Similar exam with changes of cystic fibrosis. No XXXX focal abnormality. .
461
The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture. Bilateral nipple jewelry.
Negative for acute abnormality.
462
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. There is interstitial prominence and is basilar patchy air space opacity. No focal airspace consolidation or pleural effusi...
Nonspecific interstitial prominence and basilar patchy airspace disease. Maybe due to pulmonary fibrosis, scarring and/or atelectasis. Comparison with outside previous films may be useful.
463
The The cardiac silhouette and pulmonary vascularity are normal. Atherosclerotic changes are present in the thoracic aorta. The lungs are clear with no evidence of pleural effusion or pneumothorax . Deformity of multiple left anterior ribs are present from previous fractures. Lumbar scoliosis is noted.
No evidence of acute cardiopulmonary disease.
464
There are no acute osseous abnormalities. There are surgical clips in the right upper abdomen, XXXX from cholecystectomy. Normal heart size. Normal hilar vascular markings. The lungs are grossly clear without focal area of consolidation, pleural effusion, pneumothorax.
No evidence of active TB.
465
Lung volumes are low. The heart is large, the pulmonary XXXX are engorged. No infiltrates. XXXX opacity is present in the left midlung.
Hypoinflation with cardiomegaly and pulmonary venous hypertension. Left mid lung focal atelectasis.
466
Normal cardiomediastinal contours. Lungs are clear bilaterally. No pneumothorax or pleural effusion.
No acute cardiopulmonary abnormality.
467
There is a right chest XXXX with catheter tip at the cavoatrial junction. Heart size is at the upper limits of normal. Lungs are grossly clear. No pleural effusion or pneumothorax. There are diffuse degenerative changes of the spine.
1. Right chest XXXX catheter tip at cavoatrial junction. 2. Grossly clear lungs.
468
Heart size normal. No focal airspace consolidations. No pneumothorax or effusion. Degenerative changes in the midthoracic spine.
No acute cardiopulmonary findings.
469
Dextroscoliosis of the thoracic spine. Clear lungs bilaterally. No pneumothorax or pleural effusion. No acute bony abnormalities.
1. Dextroscoliosis of the thoracic spine. 2.No evidence of acute bony abnormalities.
470
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.
No acute cardiopulmonary disease. .
471
No focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette unremarkable. Stable bilateral calcified granulomas/lymph XXXX. A bullet is present in the posterior soft tissues of the left chest wall, stable compared to prior examination.
No acute cardiopulmonary abnormality..
472
Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains moderately enlarged, exaggerated by epicardial fat pads. Interstitium is XXXX prominent. No XXXX focal airspace consolidation or pleural effusion. There is XXXX spine spondylosis.
1. Unchanged cardiomegaly. 2. Interstitial prominence. Maybe due to technical factors.
473
There are low lung volumes. Cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no large pleural effusion. There is no pneumothorax.
Low lung volumes without acute cardiopulmonary disease.
474
XXXX XXXX and lateral chest examination was obtained. There is improvement in bilateral pulmonary edema with mild residual. There is minimal right-sided pleural effusion. Heart silhouette is not enlarged. There is calcified mediastinal lymph XXXX. There is no pneumothorax
1. Improving bilateral interstitial edema pattern. 2. Small right-sided pleural effusion.
475
There is mild blunting of the right costophrenic XXXX which may represent a small right pleural effusion. No focal consolidation or pneumothorax identified. Cardiomediastinal silhouette demonstrates stable mild tortuosity of the thoracic aorta, and heart size within normal limits and stable. No acute osseous abnormalit...
Possible small right pleural effusion, without focal consolidation or pneumothorax.
476
The lungs are clear. There is no pleural effusion or pneumothorax. There is no evidence for mass lung apices. The heart is normal. There are atherosclerotic changes of the aorta. The skeletal structures are unremarkable.
1. No acute pulmonary disease. No evidence for apical mass.
477
Heart size borderline enlarged. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense nodule in the right lower lobe suggests a previous granulomatous process.
Borderline heart size, no acute pulmonary findings
478
The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is surgical clips projected over the left lung apex, as well as, over the right upper quadrant of the abdomen.
1. No acute cardiopulmonary disease.
479
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 acute cardiopulmonary abnormalities.
480
The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.
No acute cardiopulmonary abnormality.
481
The cardiomediastinal silhouette is normal in size and contour. Calcified left hilar lymph XXXX/granulomas. No focal consolidation, pneumothorax or large pleural effusion. Old fracture, right mid clavicle.
Negative for acute abnormality.
482
The heart is normal in size. The mediastinum is within normal limits. Aorta is tortuous. Right chest XXXX tip is visualized at the proximal right atrium. The lungs are grossly clear. No pneumothorax is seen. There are deformities of the left lateral 7th and 8th ribs possibly healing or old fractures.
No acute disease.
483
Normal cardiomediastinal contours. No pneumothorax, pleural effusions or focal lung consolidation.
No acute cardiopulmonary abnormality.
484
Normal heart size. Mild unfolding of the thoracic aorta. No focal airspace opacity. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.
No acute cardiopulmonary abnormalities.
485
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.
1. No evidence of active disease.
486
There is hyperinflation of the lungs but they are clear. The heart and mediastinum are normal. The skeletal structures are normal. There are bilateral breast prostheses.
COPD.
487
Heart size mildly enlarged, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.
Mild cardiomegaly, no acute pulmonary findings
488
The trachea is midline. Cardiomediastinal silhouette is normal. The there are XXXX opacities in the left lower lobe of the lung, which are most XXXX dependent atelectasis. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.
Left base focal atelectasis, no infiltrates that would suggest active tuberculosis.
489
Normal heart size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable XXXX.
No acute cardiopulmonary process. .
490
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.
No acute cardiopulmonary disease.
491
The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are present within the spine.
No acute cardiopulmonary abnormality.
492
The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is stable irregularity of the posterior left 6th rib which XXXX represents an old fracture..
No acute cardiopulmonary abnormality.
493
No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.
No acute cardiopulmonary process.
494
There is obscuration of the left hemidiaphragm, suggesting left retrocardiac airspace disease. This is not identified in the lateral view, which is limited by rotation. No evidence for effusion.
Left basilar airspace disease. Recommend follow up chest x-XXXX to document resolution XXXX for better characterization.
495
Sternotomy XXXX appear intact. Borderline heart size. Aortic calcification noted. Calcified mediastinal lymph XXXX unchanged. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is hyperexpansion of the lungs with flattening of the diaphragms. Degenerative changes are present in the spi...
No acute abnormality. .
496
Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.
No lobar pneumonia
497
Central pulmonary vascular congestion and mild interstitial opacities are present. Negative for pneumothorax. Moderate volume bilateral pleural effusions are present. Mild cardiomegaly. Right upper extremity PICC terminates at the cavoatrial junction. Implantable cardiac device and leads appears unchanged.
1. Central pulmonary vascular congestion and mild interstitial edema, improved since the prior study. 2. Moderate volume bilateral pleural effusions. 3. Mild cardiomegaly. .
498
Normal heart size and mediastinal contours. Patchy right lower lobe airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.
Mild, nonconsolidating right lower lobe airspace disease. This may represent an early pneumonia.
499
Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.
Normal chest