uid,MeSH,Problems,image,indication,comparison,findings,impression
1,normal,normal,Xray Chest PA and Lateral,Positive TB test,None.,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 pleural effusion. There is no evidence of pneumothorax.,Normal chest x-XXXX.
2,Cardiomegaly/borderline;Pulmonary Artery/enlarged,Cardiomegaly;Pulmonary Artery,"Chest, 2 views, frontal and lateral",Preop bariatric surgery.,None.,Borderline cardiomegaly. Midline sternotomy XXXX. Enlarged pulmonary arteries. Clear lungs. Inferior XXXX XXXX XXXX.,No acute pulmonary findings.
3,normal,normal,Xray Chest PA and Lateral,"rib pain after a XXXX, XXXX XXXX steps this XXXX. Pain to R back, R elbow and R rib XXXX, no previous heart or lung hx, non-XXXX, no hx ca",,,"No displaced rib fractures, pneumothorax, or pleural effusion identified. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified."
4,"Pulmonary Disease, Chronic Obstructive;Bullous Emphysema;Pulmonary Fibrosis/interstitial;Cicatrix/lung/upper lobe/left;Opacity/lung/apex/left/irregular;Opacity/lung/upper lobe/right/streaky;Opacity/pulmonary alveoli;Opacity/lung/bilateral/interstitial/diffuse","Pulmonary Disease, Chronic Obstructive;Bullous Emphysema;Pulmonary Fibrosis;Cicatrix;Opacity;Opacity;Opacity;Opacity","PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old XXXX with XXXX.,None available,"There are diffuse bilateral interstitial and alveolar opacities consistent with chronic obstructive lung disease and bullous emphysema. There are irregular opacities in the left lung apex, that could represent a cavitary lesion in the left lung apex.There are streaky opacities in the right upper lobe, XXXX scarring. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.","1. Bullous emphysema and interstitial fibrosis. 2. Probably scarring in the left apex, although difficult to exclude a cavitary lesion. 3. Opacities in the bilateral upper lobes could represent scarring, however the absence of comparison exam, recommend short interval followup radiograph or CT thorax to document resolution."
5,Osteophyte/thoracic vertebrae/multiple/small;Thickening/pleura/apex/bilateral;Lung/hyperdistention/mild,Osteophyte;Thickening;Lung,Xray Chest PA and Lateral,Chest and nasal congestion.,,"The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present. Small T-spine osteophytes. There is biapical pleural thickening, unchanged from prior. Mildly hyperexpanded lungs.",No acute cardiopulmonary abnormality.
6,normal,normal,"PA and Lateral Chest. XXXX, XXXX at XXXX ",Evaluate for infection,"XXXX, XXXX",Heart size and mediastinal contour are within normal limits. There is no focal airspace consolidation or suspicious pulmonary opacity. No pneumothorax or large pleural effusion. Mild degenerative change of the thoracic spine.,No acute cardiopulmonary findings.
7,Pulmonary Atelectasis/base;Spondylosis/thoracic vertebrae;Arthritis/cervical vertebrae,Pulmonary Atelectasis;Spondylosis;Arthritis,Xray Chest PA and Lateral,Preop lumbar surgery,"XXXX, XXXX",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.
8,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with XXXX on XXXX. Dyspnea. History of mitral valve prolapse.,Two views of the chest dated XXXX.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is an interim XXXX cervical spinal fusion partly evaluated.",No acute cardiopulmonary disease.
9,Calcified Granuloma/lung/upper lobe/right;Density/cardiophrenic angle/left,Calcified Granuloma;Density,Xray Chest PA and Lateral,Chest pain today. History of stent placement 7+ years ago.,"CT XXXX image XXXX, CT abdomen which included the lower thorax XXXX.","The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiac silhouette is not enlarged. There has been apparent interval increase in low density convexity at the left cardiophrenic XXXX. Calcified granuloma is again seen in the right upper lobe. There is no consolidation, pleural effusion or pneumothorax.","Increased size of density in the left cardiophrenic XXXX. Primary differential considerations include increased size of prominent epicardial fat, pericardial mass, pleural mass or cardiac aneurysm. CT chest with contrast is recommended. These findings and recommendations were discussed XXXX. XXXX by Dr. XXXX XXXX telephone at XXXX p.m. XXXX/XXXX. Dr. XXXX<XXXX>technologist receipt of the results."
10,Calcified Granuloma/lung/upper lobe/right,Calcified Granuloma,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old male, chest pain.",Chest radiographs XXXX.,"The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Stable calcified granuloma within the right upper lung. No acute bone abnormality..",No acute cardiopulmonary process.
11,normal,normal,Xray Chest PA and Lateral,"Fatigue, weakness, anterior chest pain",None,Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,No acute cardiopulmonary findings.
12,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,XXXX,None,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.
13,Cardiac Shadow/borderline,Cardiac Shadow,PA and lateral chest radiograph (2 views) (2 images) ,Chest pain.,"Chest radiograph from XXXX, XXXX.","The cardiac silhouette is borderline enlarged. Otherwise, there is no focal opacity. Mediastinal contours are within normal limits. There is no large pleural effusion. No pneumothorax.",Borderline enlargement of the cardiac silhouette without acute pulmonary disease.
14,Lung/hyperdistention/mild;Markings/lung/interstitial/scattered/irregular/chronic,Lung;Markings,Xray Chest PA and Lateral,"XXXX-year-old female, chest pain",,"Heart size within normal limits, stable mediastinal and hilar contours. Mild hyperinflation appears similar to prior. No focal alveolar consolidation, no definite pleural effusion seen. Scattered chronic appearing irregular interstitial markings, no typical findings of pulmonary edema.",No acute findings
15,Granulomatous Disease,Granulomatous Disease,"Chest, 2 views, XXXX XXXX ComparisXXXX/XXXX ",Dyspnea,,Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Evidence of prior granulomatous disease. No acute osseous findings.,No acute cardiopulmonary findings.
16,normal,normal,Xray Chest PA and Lateral,,,,
17,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old female, chest pain.",XXXX films of the chest dated XXXX.,No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.,No acute cardiopulmonary abnormality.
18,Pleural Effusion/borderline,Pleural Effusion,Xray Chest PA and Lateral,"XXXX-year-old male, pain",None,"Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",No acute cardiopulmonary findings
19,"Aorta, Thoracic/tortuous;Thoracic Vertebrae/degenerative","Aorta, Thoracic;Thoracic Vertebrae","PA and LAT view CHEST XXXX, XXXX XXXX PM","XXXX, preop for abdominal aortic aneurysm repair","CT chest angiography, XXXX","Heart size is normal. There is tortuosity of the thoracic aorta, stable compared with prior. No focal airspace disease or effusion. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.",No acute cardiopulmonary process.
20,normal,normal,"PA and lateral chest radiograph, XXXX at XXXX hours. ",XXXX-year-old female with XXXX.,"PA lateral chest radiograph, XXXX.",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 mild degenerative changes of the thoracic spine.,No evidence of acute cardiopulmonary process. Stable appearance of the chest.
21,Calcified Granuloma/lung/lingula;Breast Implants;Deformity/thoracic vertebrae/moderate,Calcified Granuloma;Breast Implants;Deformity,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.",Patient confused. Possible head injury.,None,,"Heart size normal. Mediastinal silhouettes and pulmonary vascularity are within normal limits. Calcified lingular granuloma. No focal consolidations or pleural effusions. No pneumothorax. Breast implants there is a moderate wedge XXXX deformity of the midthoracic vertebrae, XXXX T6, age-indeterminate."
22,normal,normal,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old woman with XXXX for 3 weeks.,None available,"The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax large pleural effusion.",No acute cardiopulmonary abnormality.
23,normal,normal,Xray Chest PA and Lateral,"Nausea, vomiting, preop for surgery",None,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,No evidence of active disease.
24,normal,normal,PA AND LATERAL VIEWS OF THE CHEST dated XXXX XXXX hours ,"XXXX, dyspnea",None.,Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality. There is incompletely evaluated lumbar levoscoliosis.,No acute cardiopulmonary abnormality.
25,"Sutures/lung/apex/right;Lung, Hyperlucent;Lung/hyperdistention;Pulmonary Emphysema;Airspace Disease/lung/lower lobe/left;Pleural Effusion/left/moderate;Pleural Effusion/right/small","Sutures;Lung, Hyperlucent;Lung;Pulmonary Emphysema;Airspace Disease;Pleural Effusion;Pleural Effusion",Xray Chest PA and Lateral,XXXX year old smoking on oxygen and nasal cannula caught XXXX. XXXX to the cheek and inside of nose.,PA and lateral chest XXXX and CTA XXXX.,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."
26,Spondylosis/thoracic vertebrae,Spondylosis,"Chest, 2 views, frontal and lateral",XXXX,None.,The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,No acute process.
27,Lung/hyperdistention;Diaphragm/flattened;Thoracic Vertebrae/degenerative,Lung;Diaphragm;Thoracic Vertebrae,"PA and LAT view CHEST XXXX, XXXX XXXX PM",Chronic XXXX XXXX,XXXX,Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.,Hyperexpanded but clear lungs.
28,Opacity/lung/base/bilateral/scattered/focal/patchy/multiple;Pulmonary Atelectasis;Consolidation/lung/base/left;Pulmonary Congestion;Cardiac Shadow/enlarged,Opacity;Pulmonary Atelectasis;Consolidation;Pulmonary Congestion;Cardiac Shadow,Xray Chest PA and Lateral,"XXXX-year-old male, shortness of breath.",Portable chest dated XXXX.,Bilateral patchy pulmonary opacities noted. Interval improvement in left base consolidative opacity. Pulmonary vascular congestion again noted. Stable enlarged cardiomediastinal silhouette. Stable left XXXX. No evidence of pneumothorax. No large pleural effusions.,"1. Interval improvement in consolidative left base opacity. Multifocal scattered bibasilar patchy and XXXX pulmonary opacities again noted, most consistent with atelectasis/infiltrate. 2. Stable enlarged cardiomediastinal silhouette. Stable pulmonary vascular congestion. ."
29,"Cardiomegaly/borderline;Diaphragm/left/elevated;Tube, Inserted/trachea, carina;Airspace Disease/lung/base/left/severe","Cardiomegaly;Diaphragm;Tube, Inserted;Airspace Disease","Chest, 2 views, frontal and lateral","XXXX, hypoxia.","XXXX, XXXX",,Borderline heart size. Elevated left diaphragm. Clear right lung. Tracheostomy tube tip above the carina. Extensive airspace disease in the left base. No large effusion or pneumothorax.
30,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old male with chest pain.,None,"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.
31,Markings/lung/interstitial,Markings,Xray Chest PA and Lateral,XXXX DYSPNEA,"Comparison XXXX, XXXX.",,"Suggestion of slightly more prominent interstitial markings, which may represent some bronchitic/bronchiolitis changes. No suspicious nodules, pneumonia, effusions, or CHF. Stable mediastinal contour."
32,Costophrenic Angle/right/blunted/mild,Costophrenic Angle,Xray Chest PA and Lateral,WEAKNESS OF MUSCLES; hx XXXX nodules; XXXX for changes in lungs,None,The heart is normal in size. The mediastinum is unremarkable. Mild blunting of right costophrenic XXXX. The lungs are otherwise grossly clear.,No acute disease.
33,Surgical Instruments/left,Surgical Instruments,Xray Chest PA and Lateral,Six months of XXXX.,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Left axillary surgical clips. Bony structures are intact.,No active pulmonary disease.
34,normal,normal,PA and lateral views of the Chest performed XXXX/XXXX.,XXXX year old with chest pain.,None.,"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.
35,Lung/hyperdistention;Diaphragm/bilateral/flattened;Thoracic Vertebrae/degenerative/multiple;Emphysema,Lung;Diaphragm;Thoracic Vertebrae;Emphysema,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old female with breast mass and smoking history.,PA and lateral chest redressed XXXX,"The heart size and cardiomediastinal silhouette are normal. There is hyperexpansion of the lungs with flattening of the hemidiaphragms. There is no focal airspace opacity, pleural effusion, or pneumothorax. There multilevel degenerative changes of thoracic spine.","Emphysema, however no acute cardiopulmonary finding."
36,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ","XXXX-year-old female with chest pain, rule out pneumonia..","Two-view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality..
37,Opacity/lung/middle lobe/right,Opacity,Xray Chest PA and Lateral,HYPOXIA;,None,The heart is normal in size. The mediastinum is unremarkable. XXXX XXXX opacities in right mid lung. The lungs are otherwise grossly clear.,No acute disease.
38,normal,normal,Chest x-XXXX XXXX ,"XXXX, XXXX and shortness of breath for 3 days",XXXX,Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,No acute cardiopulmonary process.
39,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",diminished breath sounds throughout,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
40,Lung/hyperdistention/mild;Deformity/ribs/bilateral/multiple;Osteophyte/thoracic vertebrae/anterior/multiple/large;Emphysema,Lung;Deformity;Osteophyte;Emphysema,PA and lateral views of the chest. ,XXXX-year-old male with peripheral edema.,PA and lateral views of the chest from XXXX.,"Mild hyperexpansion of the lungs. Numerous bilateral rib deformities. No focal airspace disease. Heart size is normal. No pneumothorax or effusion. Large, flowing anterior endplate osteophytes of the thoracic spine.",Emphysema with no acute cardiopulmonary findings.
41,"Opacity/lung/bilateral/interstitial/diffuse;Opacity/lung/base/left/interstitial/diffuse;Volume Loss/lung/left/mild;Lung Diseases, Interstitial","Opacity;Opacity;Volume Loss;Lung Diseases, Interstitial",Xray Chest PA and Lateral,XXXX-year-old male with history of idiopathic pulmonary fibrosis presents for evaluation.,Comparison is XXXX to chest radiograph examination dated XXXX.,"The cardiomediastinal silhouette is stable in appearance. No interval change in the diffuse increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and left lung base. These opacities appear slightly increased as compared to prior examination. Mild left-sided volume loss redemonstrated, unchanged. No pneumothorax or pleural effusion. The thoracic spine appears intact.","1. Slight interval worsening of the diffusely increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and the left lung base. These findings are most consistent with slight interval worsening of the patient's known interstitial lung disease. 2. Stable, mild left-sided volume loss. ."
42,normal,normal,Xray Chest PA and Lateral,The patient is a XXXX-year-old female with chest pain.,None available.,"The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",No acute cardiopulmonary abnormalities. .
43,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",dyspnea,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
44,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with XXXX for 5 days. Previously seen for vomiting and ear pain.,None.,"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.",No acute cardiopulmonary disease.
45,Cardiomegaly;Pulmonary Congestion,Cardiomegaly;Pulmonary Congestion,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Edema.,"Radiograph Chest PA and Lateral XXXX, XXXX.",Stable cardiomegaly with vascular prominence without overt edema. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.,Stable cardiomegaly without overt pulmonary edema.
46,normal,normal,Xray Chest PA and Lateral,"V76.12 SCREENING MAMMOGRAM XXXX,no hx ca or implants,466.0 ACUTE BRONCHITIS",,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
47,Stents/coronary vessels;Thickening/pleura/apex/bilateral/mild,Stents;Thickening,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.",Kidney transplant evaluation,"XXXX, XXXX",,"Heart size is within normal limits. Coronary artery stent noted. No edema. No focal consolidation, pleural effusion or pneumothorax. Mild nonspecific biapical pleural thickening. Clips from prior cholecystectomy are noted."
48,Nodule/lung/base/left;Bone and Bones/thorax/degenerative/mild,Nodule;Bone and Bones,"PA and lateral chest radiograph, XXXX at XXXX hours. ",XXXX-year-old female with XXXX.,None.,"The cardiac and mediastinal contours are within normal limits. The lungs are well-inflated and clear. There is an 8mm nodule in the left lower lobe, XXXX calcified granuloma. There is no pneumothorax or effusion. Bony structures of the thorax are intact with minimal early degenerative change.","1. No evidence of acute cardiopulmonary process. 2. 8mm nodule in the left lung base, XXXX calcified granuloma."
49,Thoracic Vertebrae/degenerative;Calcified Granuloma/lung/hilum/right;Aorta/tortuous/mild;Thickening/pleura/apex/right,Thoracic Vertebrae;Calcified Granuloma;Aorta;Thickening,PA and lateral chest radiographs dated XXXX at XXXX hours.,XXXX-year-old with osteoarthritis of the hip scheduled for total hip replacement. Preoperative evaluation.,None.,"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 degenerative changes of the thoracic spine. There is a calcified granuloma identified in the right suprahilar region. The aorta is mildly tortuous and ectatic. There is asymmetric right apical smooth pleural thickening. There are severe degenerative changes of the XXXX.",No acute cardiopulmonary disease.
50,Cardiomegaly;Spine/degenerative;Lung/hypoinflation,Cardiomegaly;Spine;Lung,"PA and lateral views of the chest XXXX, XXXX XXXX PM ","pt with sob,",XXXX,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.
51,Calcified Granuloma/lung/bilateral/scattered,Calcified Granuloma,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",preop XXXX,"Chest 2 views from XXXX, XXXX. .",Heart size is normal and cardiomediastinal silhouette is normal. There are scattered calcified granulomas throughout both lung XXXX. Lungs are clear bilaterally otherwise. No bony or soft tissue abnormalities.,No acute cardiopulmonary abnormality.
52,normal,normal,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX p.m. ",XXXX-year-old male with chest pain,None,"The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.",No acute cardiopulmonary abnormality.
53,Lung/hypoinflation/severe;Opacity/lung/base/right;Pulmonary Atelectasis/base/right,Lung;Opacity;Pulmonary Atelectasis,"CHEST (PA AND LATERAL) on XXXX, XXXX.","Dizziness, hypoxia.","PA and lateral views of the chest on XXXX, XXXX.",There extremely low lung volumes. there is right basilar opacity. There is no pneumothorax. There is no large pleural effusion. Cardiac silhouette and mediastinal contours are within normal limits.,"Low lung volumes with right basilar atelectasis. Otherwise, no acute cardiopulmonary disease."
54,"Pulmonary Atelectasis/base/right/mild;Aorta, Thoracic/tortuous;Calcified Granuloma/scattered","Pulmonary Atelectasis;Aorta, Thoracic;Calcified Granuloma","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ","XXXX-year-old woman, prior to Enbrel therapy..",None.,"The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Minimal right basilar subsegmental atelectasis noted. Cardio mediastinal silhouette is unremarkable. Tortuosity of the thoracic aorta noted. Scattered calcified granulomas are seen without evidence of active granulomatous/tuberculous process. Visualized osseous structures of the thorax are without acute abnormality.",No acute cardiopulmonary abnormality.
55,Lung/hypoinflation,Lung,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,"XXXX, XXXX.","Lung lines remain low. However, no focal infiltrates are identified. Heart and pulmonary XXXX are normal.",XXXX change. Hypoinflation with no visible active cardiopulmonary disease.
56,normal,normal,Xray Chest PA and Lateral,"XXXX loss, XXXX",None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
57,"Tube, Inserted/trachea, carina;Opacity/lung/bilateral/interstitial/diffuse/prominent;Spine/degenerative/mild","Tube, Inserted;Opacity;Spine",Xray Chest PA and Lateral,"XXXX-year-old female with history of pneumonia, followup study",,"The tracheostomy tube tip is 5 cm above the carina. There are prominent diffuse bilateral interstitial opacities, stable from prior radiographs. There is no focal airspace consolidation. No pleural effusion. No pneumothorax. Heart size is within normal limits. There are mild degenerative changes of the spine.","1. No focal airspace consolidation. 2. Prominent bilateral interstitial opacities, stable from prior radiographs."
58,Thoracic Vertebrae/degenerative;Scoliosis/thoracic vertebrae/mild,Thoracic Vertebrae;Scoliosis,CHEST 2V FRONTAL/LATERAL ,Left arm numbness,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Mild scoliosis and degenerative changes of the thoracic spine noted.,No acute disease.
59,Diaphragm/left/elevated,Diaphragm,Xray Chest PA and Lateral,"XXXX-year-old male with history of XXXX cell, back pain","XXXX, XXXX","The cardiac silhouette, mediastinum, and pulmonary vasculature are unremarkable. There is stable elevation of the left hemidiaphragm. Lungs are clear. No pleural fluid or pneumothorax is appreciated. Cholecystectomy clips are noted in the right upper quadrant.",No acute abnormalities are seen. .
60,"Hernia, Hiatal;Density/lung/lower lobe/left/round;Mass/lung/lower lobe/left/round","Hernia, Hiatal;Density;Mass",Chest radiograph PA and lateral XXXX/XXXX at XXXX. ,XXXX-year-old male for preop evaluation.,Chest radiograph XXXX/XXXX.,"Stable appearance of hiatal hernia. Clear right lung XXXX.In the left superior lower lobe there is a 1.9 x 1.8 cm round area of density which has increased in size compared to prior chest radiograph and recommend a XXXX chest, abdomen and pelvis with contrast as this area is suspicious for potential malignancy. Normal cardiac contour. No pneumothorax or pleural effusion.","1. Round area of density measuring 1.9 x 1.8 cm in left superior lower lobe with interval increased size compared to prior imaging. Recommend XXXX chest, abdomen and pelvis with contrast for further evaluation. Dr. XXXX XXXX notified by the Veriphy critical result notification XXXX of the left pulmonary mass and recommended followup XXXX chest, abdomen and pelvis with contrast at XXXX XXXX/XXXX."
61,Calcinosis/lymph nodes/right/paratracheal,Calcinosis,PA and lateral chest,chest pain,,,3 cm calcified right paratracheal lymph node. This most XXXX due to old histoplasmosis. Heart size is normal. Lungs clear
62,Stents/coronary vessels;Spine/degenerative;Calcinosis/mediastinum/lymph nodes,Stents;Spine;Calcinosis,Xray Chest PA and Lateral,Chest pain,,Status post XXXX sternotomy and CABG. Heart size is normal. Coronary vascular stent. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are stable. Calcified mediastinal lymph XXXX. Normal pulmonary vascularity. Degenerative changes of the spine.,No acute abnormality. .
63,Diaphragm/posterior/flattened;Markings/lung/interstitial/scattered/irregular/chronic;Aorta/tortuous;Osteophyte/spine/multiple/mild;Calcinosis/spine,Diaphragm;Markings;Aorta;Osteophyte;Calcinosis,PA and Lateral Chest,"XXXX-year-old female, pain, short of breath",XXXX,"Stable flattening of the posterior diaphragm and scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation. Stable cardiomediastinal silhouette with normal heart size and aortic ectasia/tortuosity, stable mediastinal contours. No definite pleural effusion seen, no typical findings of pulmonary edema. Following spine ossifications and marginal osteophytes again noted.","Chronic changes as described, no acute findings"
64,Technical Quality of Image Unsatisfactory ;Pneumothorax/apex/right/moderate,Technical Quality of Image Unsatisfactory ;Pneumothorax,Xray Chest PA and Lateral,XXXX. MVC.,None. Clinical,"2 images. Heart size upper limits of normal. Mediastinal contours are maintained. The patient is mildly rotated. There is a small to moderate sized right apical pneumothorax which measures approximately 2.0 cm. No focal airspace consolidation is seen. Left chest is clear. No definite displaced bony injury is seen. Results called XXXX. XXXX XXXX p.m. XXXX, XXXX.",Small to moderate right apical pneumothorax.
65,normal,normal,"Chest 2 views dated XXXX, XXXX.",Chest pain.,XXXX.,"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.
66,normal,normal," Chest, 2 views; SPINE LUMBAR 3 VIEWS XXXX, XXXX XXXX PM ",Hematemesis; BACK PAIN 724.5,"XXXX, XXXX.","Chest. Both lungs are clear and expanded with no pleural air collections or parenchymal consolidations. Heart and mediastinum remain normal. Lumbosacral spine. XXXX, disc spaces, and alignment are normal. Sacrum and sacroiliac joints are normal.",1. Chest. No active disease. 2. Lumbar spine negative.
67,Lung/hypoinflation;Markings/bronchovascular,Lung;Markings,CHEST AP and lateral at XXXX XXXX/XXXX,"XXXX-year-old, MVA, chest pain",None.,There are low volumes with bronchovascular crowding. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. No displaced fracture identified.,Low volumes with bronchovascular crowding. No acute abnormality.
68,normal,normal," PA and lateral chest XXXX, XXXX at XXXX for comparisXXXX/XXXX. Additional rib films were taken to seen the left side ribs. Three views. ",rib pain. Left rib left chest pain.,,,Rib films. No fractures or dislocations. Chest. Heart size normal. Lungs are clear. No effusion or pneumothorax. Minimal degenerative disease thoracic spine
69,normal,normal,Xray Chest PA and Lateral,"XXXX year old chest pain, XXXX, sore throat.",PA and lateral chest XXXX.,"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.
70,Granulomatous Disease,Granulomatous Disease,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",chest pain,None,Sequelae of old granulomatous disease. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,Clear lungs.
71,normal,normal,Xray Chest PA and Lateral,XXXX year old right shoulder and back pain after a XXXX vehicle XXXX..,None.,"The heart is upper limits of normal in size. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",No acute cardiopulmonary disease.
72,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX. ",XXXX-year-old female with chest pain,"Chest x-XXXX, XXXX.","Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable.",Negative acute cardiopulmonary abnormality.
73,Pleural Effusion/bilateral/small;Pulmonary Atelectasis/base/left;Emphysema,Pleural Effusion;Pulmonary Atelectasis;Emphysema,Xray Chest PA and Lateral,cirrhosis.,Comparison XXXX.,,"Improved basilar aeration. Persistent small bilateral pleural effusions, XXXX on the right, small on the left with some associated left basilar atelectasis. Lungs otherwise clear. Unremarkable mediastinal contour. Changes of emphysema. No XXXX acute abnormalities since the previous chest radiograph."
74,Calcified Granuloma/lung/left;Atherosclerosis/aorta;Kyphosis/thoracic vertebrae;Deformity/thoracic vertebrae/multiple;Osteoporosis;Implanted Medical Device,Calcified Granuloma;Atherosclerosis;Kyphosis;Deformity;Osteoporosis;Implanted Medical Device,"PA and lateral chest XXXX, XXXX.",Bilateral rib pain and shortness of breath.,,Lungs appear to be clear other than a calcified granuloma on left. Heart is not enlarged. There are atherosclerotic changes of the aorta. There is increased kyphosis of the thoracic spine and there are multiple XXXX deformities. A stimulator is seen.,No acute pulmonary disease. Multiple thoracic XXXX deformities XXXX due to osteoporosis.
75,"Atherosclerosis/aorta, thoracic;Aorta, Thoracic/tortuous;Cicatrix/lung/lower lobe/left;Opacity/lung/bilateral/interstitial/prominent/mild;Pulmonary Emphysema;Calcified Granuloma","Atherosclerosis;Aorta, Thoracic;Cicatrix;Opacity;Pulmonary Emphysema;Calcified Granuloma","PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old XXXX with chest pain.,"XXXX, XXXX",The heart size is stable. The aorta is ectatic and atherosclerotic but stable. XXXX sternotomy XXXX are again noted. The scarring in the left lower lobe is again noted and unchanged from prior exam. There are mild bilateral prominent lung interstitial opacities consistent with emphysematous disease. The calcified granulomas are stable.,"1. Changes of emphysema and left lower lobe scarring, both stable. 2. Unchanged degenerative and atherosclerotic changes of the thoracic aorta."
76,Cicatrix/lung/lingula,Cicatrix,"PA and LAT view CHEST XXXX, XXXX XXXX PM","Pilonidal cyst, preop evaluation.",None.,Apparent scarring within the lingula. Lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,"Apparent scarring within the lingula, otherwise unremarkable."
77,"Thickening/pleura/apex/bilateral;Bone Diseases, Metabolic/degenerative/mild","Thickening;Bone Diseases, Metabolic",Xray Chest PA and Lateral,PAIN;,,,"Stable XXXX silhouette. No pneumothorax. No focal consolidation. No large pleural effusion. Unchanged pleural thickening at the visualized lung apices. Mild osteopenia, degenerative changes. No fractures."
78,Pulmonary Atelectasis/base/left/mild,Pulmonary Atelectasis,"XXXX PA and lateral chest 3 images XXXX, XXXX there comparison 20 XXXX ",History of XXXX.,,,Heart size normal. Right lung clear. Minimal basilar atelectasis on the left
79,normal,normal,Xray Chest PA and Lateral,Flank pain and dyspnea,None available.,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.
80,normal,normal,PA and Lateral Chest Radiograph ,XXXX,XXXX,"Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",No acute cardiopulmonary abnormality.
81,normal,normal,Xray Chest PA and Lateral,XXXX and XXXX.,,"2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",No acute cardiopulmonary abnormality identified.
82,Surgical Instruments/left,Surgical Instruments,Xray Chest PA and Lateral,PAIN IN THORACIC SPINE Pain started in leg area two weeks ago now having severe pain in upper XXXX back area rt side. HF,Chest x-XXXX XXXX,"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.",No acute cardiopulmonary abnormality.
83,normal,normal," PA and lateral chest, thoracic spine 3 views, and lumbar spine 3 views. ",pain and spine and chest after XXXX,None,,Lumbar spine. No fractures. No dislocations. Disc spaces are normal. No degenerative disease. Clips in the gallbladder region. Thoracic spine. No XXXX fractures or dislocations. No significant degenerative disease. Chest. Heart size is normal. Lungs are clear. No effusion or pneumothorax.
84,Lung/hypoinflation;Markings/bronchovascular,Lung;Markings,"PA and Lateral views of the Chest performed on XXXX, XXXX. ","XXXX year-old male with dyspnea, chemical exposure.",None.,"There are low lung volumes with bronchovascular crowding as a result. No pleural effusion, pneumothorax or focal airspace disease. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.",Low lung volumes. No acute pulmonary disease.
85,Calcified Granuloma/scattered;Spine/degenerative,Calcified Granuloma;Spine,Xray Chest PA and Lateral,Status post cardiac catheterization.,None,There are scattered calcified granulomas. No focal infiltrate. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.,No evidence of active disease.
86,normal,normal,PA and lateral views of the chest. ,"XXXX year old male, preoperative evaluation for hemorrhoidectomy.",None available.,Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,No acute cardiopulmonary findings.
87,normal,normal,"PA and Lateral views of the Chest performed on XXXX, XXXX. ",XXXX-year-old male with wheezing.,None.,"No focal airspace disease, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.",No acute pulmonary disease.
88,Cardiomegaly/mild;Markings/lung/interstitial/diffuse/mild;Spine/degenerative;Heart Failure/mild,Cardiomegaly;Markings;Spine;Heart Failure,Xray Chest PA and Lateral,"Worsening dyspnea, history of coronary artery disease",None,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.
89,normal,normal,Chest x-XXXX XXXX and lateral on XXXX XXXX hours. ,XXXX-year-old female chest pain.,Chest x-XXXX on XXXX,The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.,No acute cardiopulmonary abnormalities.
90,Spine/degenerative,Spine,Xray Chest PA and Lateral,"XXXX-year-old female, preoperative evaluation.",None,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 degenerative changes of the spine.,No evidence of active disease.
91,Pneumothorax/apex/right/moderate;Shift/mediastinum/mild,Pneumothorax;Shift,Xray Chest PA and Lateral,"Chest pain, right arm numbness",None,Minimal right-to-left cardiomediastinal shift. The cardiomediastinal silhouette is otherwise normal size and configuration. Pulmonary vasculature within normal limits. There is a moderate sized right pneumothorax. This measures 3.2 cm at the level the right apex.,"Moderate sized right pneumothorax. There is minimal right-to-left cardiomediastinal shift, suggesting XXXX."
92,Markings/bronchovascular,Markings,Xray Chest PA and Lateral,"XXXX-year-old female, XXXX bleed",None,,"Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusions seen. Bronchovascular crowding without typical findings of pulmonary edema."
93,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old female with chest pain,"Chest CT, XXXX.","Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Negative for pneumoperitoneum. Mild degenerative changes of the thoracic spine.",Negative for acute cardiopulmonary abnormality.
94,normal,normal,PA and lateral chest radiograph on XXXX at 02: 33 hours. ,XXXX-year-old XXXX with chest pain.,XXXX.,"Heart size, mediastinal contour, and pulmonary vascularity are similar to comparison exam and within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",No acute cardiopulmonary abnormalities.
95,Calcified Granuloma/lung/base/right;Osteophyte/thoracic vertebrae/multiple/small,Calcified Granuloma;Osteophyte,PA and lateral chest radiograph (2 views) (2 images) ,Dyspnea,"XXXX, XXXX",There is a single calcified granuloma in the right lung base. The lungs are otherwise grossly clear bilaterally. There is no pneumothorax or pleural effusion. Cardiac and mediastinal silhouettes are normal. There are cholecystectomy clips in the right upper quadrant of the abdomen. Small T-spine osteophytes are noted.,No acute cardiopulmonary abnormality.
96,normal,normal,Xray Chest PA and Lateral,",786.2",None,The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. The mediastinal contours are normal.,No acute cardiopulmonary disease
97,Spondylosis/thoracic vertebrae,Spondylosis,Xray Chest PA and Lateral,XXXX,None.,The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,No acute process.
98,Lung/hypoinflation;Pulmonary Atelectasis/base,Lung;Pulmonary Atelectasis,Xray Chest PA and Lateral,Chest pain shortness of breath for 3 days. The patient's lower abdomen was shielded for this exam.,"XXXX, XXXX.",Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Reduced lung volumes with basilar atelectasis. No XXXX focal airspace consolidation or pleural effusion.,"No acute or active cardiac, pulmonary or pleural disease."
99,Foreign Bodies/thorax/left,Foreign Bodies,Chest 2 views. ,XXXX-year-old with increasing dyspnea.,None.,Normal heart and mediastinum. Clear lungs. Trachea is midline. No pneumothorax. No pleural effusion. Radiopaque foreign body overlying left chest.,No acute abnormality.
100,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
101,Cardiomegaly/mild;Technical Quality of Image Unsatisfactory ;Lung/hypoinflation;Diaphragm/left/elevated;Opacity/lung/base;Pulmonary Atelectasis/base;Pulmonary Congestion;Dislocations/shoulder/left/chronic;Shoulder/bilateral/degenerative/severe,Cardiomegaly;Technical Quality of Image Unsatisfactory ;Lung;Diaphragm;Opacity;Pulmonary Atelectasis;Pulmonary Congestion;Dislocations;Shoulder,Xray Chest PA and Lateral,Chest pain,,The heart is again mildly enlarged. Mediastinal contours are stable. Patient is somewhat rotated. The lungs are hypoinflated with elevated left hemidiaphragm. XXXX XXXX opacities compatible with atelectasis. No large effusion is seen. There is no focal consolidation. Pulmonary vascularity is mildly accentuated. There are bilateral degenerative changes of the XXXX with probable chronic dislocation of the left humerus. Correlate clinically.,"1. Mild stable cardiomegaly and central vascular congestion. 2. Low lung volumes with elevated left hemidiaphragm and basilar subsegmental atelectasis. 3. Extensive bilateral shoulder degenerative changes with subluxation/dislocation left shoulder, possibly chronic. Suggest clinical correlation."
102,Lung/hyperdistention;Density/sternum,Lung;Density,Xray Chest PA and Lateral ,Syncope. XXXX attack.,None.,"Normal heart size. Clear, hyperaerated lungs. No pneumothorax. No pleural effusion. XXXX substernal density may be related to a pectus deformity.",No acute cardiopulmonary abnormality.
103,Mediastinum/prominent;Thoracic Vertebrae/degenerative/mild,Mediastinum;Thoracic Vertebrae,Chest 2 views dated XXXX at XXXX hours. ,XXXX-year-old female with XXXX.,Chest 2 view dated XXXX.,"The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac contour is within normal limits. Compared to prior exam, there is XXXX prominence of the mediastinal contour near the right hilum. This may represent the ascending aorta or mediastinal lymphadenopathy. CT chest with contrast may be helpful for further evaluation. There are mild degenerative changes of the thoracic spine.",XXXX prominence of the mediastinal contour near the right hilum possibly representing the ascending aorta or mediastinal lymphadenopathy. CT chest with contrast may be helpful for further evaluation.
104,Opacity/lung/base/left/mild;Implanted Medical Device;Atherosclerosis/aorta;Calcinosis/lung/hilum/lymph nodes;Calcinosis/mediastinum/lymph nodes;Spine/degenerative/mild;Granulomatous Disease,Opacity;Implanted Medical Device;Atherosclerosis;Calcinosis;Calcinosis;Spine;Granulomatous Disease,Xray Chest PA and Lateral,XXXX-year-old male with XXXX for 3 weeks. Possible pneumonia.,,"There are minimal XXXX left basilar opacities, XXXX subsegmental atelectasis or scarring. There is no focal airspace consolidation to suggest pneumonia. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. Cardiac defibrillator XXXX overlies the right ventricle. The XXXX appears intact. There is aortic atherosclerotic vascular calcification. Calcified mediastinal and hilar lymph XXXX are consistent with prior granulomatous disease. Multiple calcified splenic granulomas are also noted. There are minimal degenerative changes of the spine.",Minimal left basilar subsegmental atelectasis or scarring. No acute findings.
105,"Catheters, Indwelling;Costophrenic Angle/bilateral/blunted/mild;Pleural Effusion/bilateral","Catheters, Indwelling;Costophrenic Angle;Pleural Effusion",PA and lateral views of the chest. ,XXXX-year-old female with hypoxia.,Portable chest from XXXX.,Heart size within normal limits. Stable position of left subclavian central venous catheter. No focal airspace disease. No pneumothorax. Mild blunting of the costophrenic XXXX bilaterally.,XXXX bilateral effusions.
106,normal,normal,Xray Chest PA and Lateral,"XXXX, XXXX on anterior midline chest for one knee are",None.,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."
107,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old woman with chest pain.,"Two-view chest radiograph dated XXXX, XXXX.","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 acute cardiopulmonary abnormality.
108,Lung/hypoinflation;Markings/lung/hilum,Lung;Markings,CHEST 2V FRONTAL/LATERAL ,XXXX x3 weeks and history of bronchitis,None,The heart is normal in size. The mediastinum is Within normal limits the lungs are hypoinflated. There is mild increase in perihilar markings XXXX related to patient's history bronchitis. No acute infiltrate or pleural effusion are seen.,Low lung volumes with increased lung markings particularly in the left perihilar region XXXX related to history of bronchitis. No acute infiltrate.
110,normal,normal,"Chest, 2 views, frontal and lateral",Preoperative bariatric surgery.,"XXXX, XXXX",Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,Negative preoperative chest x-XXXX.
111,"Pleural Effusion/right;Lung Diseases, Interstitial/chronic","Pleural Effusion;Lung Diseases, Interstitial",Not Available.,recent onset increased SOB,,,Unchanged loculated right pleural fusion. No change chronic interstitial lung disease.
112,"Spinal Fusion/cervical vertebrae;Lung/hyperdistention;Diaphragm/flattened;Pulmonary Disease, Chronic Obstructive;Spine/degenerative","Spinal Fusion;Lung;Diaphragm;Pulmonary Disease, Chronic Obstructive;Spine","PA and lateral views of the chest XXXX, XXXX XXXX XXXX ",PT C/O INCREASED SHORTNESS OF BREATH,None,Previous lower spine cervical fusion. Lungs are overall hyperexpanded with flattening of the diaphragms consistent with obstructive lung disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,Hyperexpanded but clear lungs.
113,Opacity/lung/right;Density/lung/right;Nodule/lung/right,Opacity;Density;Nodule,PA and lateral views of chest performed on XXXX at XXXX. ,Chest pain.,None.,"The heart and mediastinum are unremarkable. There are two subcentimeter hyperdense nodular opacities are noted within the right lung. These may represent XXXX on end or alternatively, calcified granulomas. The lungs are clear without infiltrate. There is no effusion or pneumothorax.",1. No acute cardiopulmonary disease.
114,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX",XXXX-year-old female with asthma.,None,The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact.,No acute cardiopulmonary abnormalities.
115,"Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive","Lung;Pulmonary Disease, Chronic Obstructive",Xray Chest PA and Lateral,Right arm pain since this XXXX.,None,The lungs are clear. There is hyperinflation of the lungs. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,COPD. No acute pulmonary disease.
116,Calcified Granuloma/lung/base/left/small,Calcified Granuloma,"Chest x-XXXX AP and lateral, 2 views. ",Chest pain.,"CT chest from 2, 23, XXXX.","Stable postsurgical changes. Heart XXXX, mediastinum and lung XXXX are unremarkable. Stable calcified small granuloma in left base.",No radiographic evidence of acute cardiopulmonary disease
117,normal,normal,Xray Chest PA and Lateral,",174.9 breast cancer. XXXX XXXX.",,,"Comparison XXXX, XXXX. No suspicious appearing lung nodules. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified. Stable chest."
118,Airspace Disease/lung/middle lobe/right/focal,Airspace Disease,Xray Chest PA and Lateral,XXXX year old with a XXXX.,None.,The heart is normal in size and contour. There is focal airspace disease in the right middle lobe. There is no pneumothorax or effusion.,Focal airspace disease in the right middle lobe. This is most concerning for pneumonia. Recommend follow up to ensure resolution.
119,normal,normal,Xray Chest PA and Lateral,Right arm numbness. Right-sided chest pain for 2 XXXX. XXXX for 7 years. The patient's lower abdomen was shielded for this exam.,"XXXX, XXXX.","Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.","No acute or active cardiac, pulmonary or pleural disease."
120,Lung/bilateral/hypoinflation;Markings/bronchovascular;Thoracic Vertebrae/degenerative,Lung;Markings;Thoracic Vertebrae,Xray Chest PA and Lateral,XXXX-year-old male with syncope.,Chest XXXX.,"Low lung volumes bilaterally with central bronchovascular crowding without focal consolidation, pleural effusion, or pneumothoraces.. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the thoracic spine..",Low lung volumes bilaterally with central bronchovascular crowding without focal cardiopulmonary disease. .
121,normal,normal,"PA and lateral chest x-XXXX, XXXX, XXXX p.m.","Correlation with ventilation/perfusion scan, chest pain, elevated CCK levels.",None.,Heart size and vascularity normal. Lungs are clear. No effusions. No pneumothorax. Visualized osseous structures unremarkable.,Normal chest.
122,Cicatrix/lung/lingula/mild,Cicatrix,Xray Chest PA and Lateral,TRANSPLANT/ EKG,,,"No comparison chest x-XXXX. Minimal lingular scarring. Overall, Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified."
123,Cardiomegaly/mild;Aorta/tortuous;Density/lung/apex/right;Opacity/lung/apex/right,Cardiomegaly;Aorta;Density;Opacity,Xray Chest PA and Lateral ,Frequent XXXX.,None available.,Mild cardiomegaly. Tortuous aorta. No focal infiltrate. No pneumothorax or large pleural effusion. Soft tissue density identified in the medial right apex which is asymmetric compared to left.,Asymmetric right medial apical opacity which may be attributable to the sternoclavicular joint. Upper lobe airspace disease or pulmonary nodule is not entirely excluded. Recommend XXXX XXXX chest and apical lordotic view of the chest to further evaluate. Findings and recommendations were discussed XXXX. XXXX in the XXXX department at XXXX a.m. XXXX/XXXX.
124,Pleural Effusion/left/large;Lung/left/hypoinflation;Pleural Effusion/right/small;Markings/lung/right/bronchovascular;Pulmonary Congestion/right,Pleural Effusion;Lung;Pleural Effusion;Markings;Pulmonary Congestion,Xray Chest PA and Lateral,"XXXX-year-old female, short of breath, hypoxia",None,,"Large left pleural effusion with minimal residual left lung aeration. Small right pleural effusion. Right lung bronchovascular crowding and indistinct vascular margination which may be secondary to crowding, infiltrates or pulmonary edema. Limited assessment of heart size due to obscured heart XXXX."
125,No Indexing,No Indexing,Xray Chest PA and Lateral,LYMPHOMA BMT W/U LAB;,XXXX,The heart is normal in size. The mediastinum is stable. XXXX sternotomy changes are again noted. The lungs are clear of focal infiltrates. There is no pleural effusion.,No acute disease.
126,Opacity/lung/base/left;Atherosclerosis;Thoracic Vertebrae/degenerative,Opacity;Atherosclerosis;Thoracic Vertebrae,PA and LAT view CHEST XXXX,Shortness of breath,XXXX,Vague increased opacity which appears to be within the left lower lobe. Question of this could be developing or resolving pneumonia. Lungs are otherwise clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable normal size heart. Atherosclerotic vascular disease. Degenerative changes in the thoracic spine.,Vague opacity at the left lung base which appears to be within the left lower lobe. This may represent resolving or developing pneumonia given the patient's history.
127,Calcified Granuloma/lung/base/left,Calcified Granuloma,PA and Lateral Chest Radiograph ,very mild episodes of dyspnea over XXXX year with L shoulder injury,None.,"Heart size and mediastinal contour within normal limits. Calcified granuloma in the left lung base. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",No acute cardiopulmonary abnormality.
128,Granulomatous Disease;Lung/hyperdistention;Diaphragm/flattened;Markings/lung/lower lobe/interstitial/prominent;Atherosclerosis;Thoracic Vertebrae/degenerative,Granulomatous Disease;Lung;Diaphragm;Markings;Atherosclerosis;Thoracic Vertebrae,"PA and LAT view CHEST XXXX, XXXX XXXX PM",Recent XXXX loss.,XXXX,Sequelae of old granulomatous disease. Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. Prominent interstitial markings are again noted which are predominantly lower lobe and peripheral suggesting pulmonary fibrosis. This appearance is overall not significantly XXXX. No pleural effusions or pneumothoraces. heart and mediastinum are stable with atherosclerotic vascular disease. Degenerative changes in the thoracic spine.,1. Overall stable appearance of the chest suggesting pulmonary fibrosis.
129,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,Hemoptysis,None available,"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.
130,"Deformity/thoracic vertebrae;Catheters, Indwelling","Deformity;Catheters, Indwelling",Xray Chest PA and Lateral,Multiple myeloma. BMT W/U;,None.,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. .
131,Calcified Granuloma/lung/middle lobe/right;Surgical Instruments/right,Calcified Granuloma;Surgical Instruments,Xray Chest PA and Lateral,Left-sided chest pain for 2 days.,,There is a calcified granuloma in the right midlung zone. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. Surgical clips are present in the right upper quadrant.,No acute pulmonary disease.
132,"Aorta, Thoracic/tortuous","Aorta, Thoracic","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. ",XXXX-year-old woman with chest pain.,None.,"The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Tortuosity of the thoracic aorta. Visualized osseous structures of the thorax are without acute abnormality.",No acute cardiopulmonary abnormality.
133,normal,normal,Xray Chest PA and Lateral,XXXX BMT W/U;,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
134,Calcified Granuloma/lung/middle lobe/right;Calcified Granuloma/lung/upper lobe/right,Calcified Granuloma;Calcified Granuloma," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ","XXXX, wheezing, copd, XXXX, edema","XXXX, XXXX.",Calcified granulomata are present in the right middle lobe and right upper lobe. These are unchanged since the previous examination. Both lungs are free of active infiltrates. Heart size normal.,No active disease.
135,normal,normal,"Chest 2 views XXXX, XXXX",Chest pain,None,"The lungs are grossly clear without focal pneumonic consolidation, large effusion or pneumothorax. Heart size is within normal limits.",Clear lungs
136,normal,normal, PA and lateral chest. ,chest pain,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
137,"Opacity/lung/left;Aorta, Thoracic/tortuous;Opacity/retrocardiac;Pulmonary Atelectasis/focal;Cicatrix/lung/left","Opacity;Aorta, Thoracic;Opacity;Pulmonary Atelectasis;Cicatrix","Chest, 2 views. ",Bronchitis.,No comparison chest x-XXXX.,,Some XXXX opacities left mid lung compatible with focal subsegmental atelectasis/scarring. No acute airspace disease or effusions. Heart appears prominent. Some tortuosity thoracic aorta. Midline retrocardiac opacity suggestive of a small hiatal hernia.
138,normal,normal,"Chest, 2 views, frontal and lateral",Preop bariatric surgery,"XXXX, XXXX",Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute preoperative findings.
139,"Cardiac Shadow/enlarged/mild;Opacity/supracardiac;Aorta, Thoracic/tortuous;Calcinosis/aorta, thoracic;Lung/hyperdistention;Diaphragm/bilateral/flattened;Thoracic Vertebrae/degenerative/severe;Cardiomegaly/mild;Pulmonary Disease, Chronic Obstructive","Cardiac Shadow;Opacity;Aorta, Thoracic;Calcinosis;Lung;Diaphragm;Thoracic Vertebrae;Cardiomegaly;Pulmonary Disease, Chronic Obstructive","Chest radiograph examination 2 views performed XXXX, XXXX at XXXX.",XXXX-year-old female with shortness of breath.,None available.,"The cardiac silhouette is mildly enlarged. A lobulated opacity is identified superior to the heart, in the anterior mediastinum on the lateral view, possibly consistent with a tortuous/ectatic thoracic aorta versus an anterior mediastinal mass. The thoracic aorta is tortuous and calcified. No focal areas of pulmonary consolidation. The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. No pneumothorax or pleural effusion. Severe degenerative changes of the thoracic spine.","1. Lobulated anterior mediastinal opacity on the lateral view, possibly consistent with a tortuous/ectatic thoracic aorta versus an anterior mediastinal mass. Contrast-enhanced XXXX examination would XXXX to further evaluate if clinically indicated. 2. Mild cardiomegaly with findings of chronic obstructive pulmonary disease."
141,normal,normal,PA and lateral chest radiograph on XXXX at 20: 26 hours. ,XXXX-year-old XXXX with shortness of breath.,XXXX.,"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.
142,normal,normal,"Chest, 2 views, XXXX XXXX ",Screening for pulmonary tuberculosis,XXXX,Cardiomediastinal silhouette and pulmonary vasculature are stable and within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,"No acute cardiopulmonary findings. Specifically, no radiographic evidence of active tuberculosis."
143,"Granulomatous Disease;Calcinosis/lung/hilum/lymph nodes;Calcinosis/trachea, carina/lymph nodes",Granulomatous Disease;Calcinosis;Calcinosis,"PA and lateral chest XXXX, XXXX and T no 2 hours.",Preop back surgery.,,The lungs are clear. No pleural effusion is seen. The heart is normal. Calcified right hilar and infracarinal lymph XXXX are seen. The skeletal structures are normal.,Old granulomatous disease. No acute pulmonary disease.
144,Lung/hypoinflation;Airspace Disease/lung/base/bilateral/patchy/mild;Pulmonary Atelectasis,Lung;Airspace Disease;Pulmonary Atelectasis,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",XXXX,None,Overall low lung volumes with mild patchy bibasilar airspace disease. This most XXXX represents atelectasis given the low lung volumes. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,Mild patchy bibasilar airspace disease most XXXX representing atelectasis given the low lung volumes.
145,Costophrenic Angle/right/blunted;Pleural Effusion/right/large;Infiltrate/lung/lower lobe/left/patchy,Costophrenic Angle;Pleural Effusion;Infiltrate," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",dyspnea,None,Right costophrenic XXXX is blunted. In the left lower lobe a patchy infiltrate is present. The pulmonary XXXX are normal.,Large right pleural effusion and patchy left lower lobe airspace disease.
146,Technical Quality of Image Unsatisfactory ;Lung/hypoinflation;Expansile Bone Lesions/ribs/right,Technical Quality of Image Unsatisfactory ;Lung;Expansile Bone Lesions,XR Chest PA and Lateral,"Mental status changes, and hospice for multiple myeloma",XXXX,,Heart size and mediastinal contour are stable and within normal limits allowing for rotation. Pulmonary vascularity is normal.&gt;] Lung volumes are low. No focal airspace disease or effusion. Expansile lesion of the right posterior 9th rib XXXX represents sequelae of known multiple myeloma.
147,normal,normal,"PA and lateral views of the chest, XXXX, XXXX XXXX PM",Preprocedure evaluation prior to bone marrow transplant,None,The lungs are clear. Heart and pulmonary XXXX appear normal. The pleural spaces are clear and mediastinal contours are normal. Nodular density overlying the anterior left 4th rib XXXX represents a healing rib fracture.,1. No acute cardiopulmonary disease
149,normal,normal, PA and lateral chest. ,XXXX dyspnea,None.,,Heart size normal. Lungs clear. No edema or effusions.
150,No Indexing,No Indexing,"PA and Lateral Chest: XXXX, XXXX at 952 XXXX",XXXX-year-old female without chest complaints. Allergic to TB test. Six months pregnant,None,"Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.",1. No acute cardiopulmonary abnormality. 2. No evidence of active or changes from chronic tuberculosis infection.
151,No Indexing,No Indexing, CHEST 2V FRONTAL/LATERAL XXXX,chest pain,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
152,"Cardiomegaly/mild;Aorta/tortuous;Deformity/ribs/bilateral/chronic;Fractures, Bone/ribs/bilateral/multiple/healed","Cardiomegaly;Aorta;Deformity;Fractures, Bone",Supine AP and lateral chest,"XXXX-year-old female, XXXX not otherwise specified",XXXX,"Stable cardiomediastinal silhouette with mild cardiomegaly and aortic ectasia and tortuosity. No alveolar consolidation, no findings of pleural effusion. Chronic appearing bilateral rib contour deformities compatible with old fractures. No pneumothorax.",No acute findings.
153,"Catheters, Indwelling;Pleural Effusion/right/small","Catheters, Indwelling;Pleural Effusion","Frontal and lateral views of the chest obtained at XXXX hours on XXXX, XXXX. ",XXXX-year-old male with HIV and syphilis on hemodialysis now with XXXX.,"XXXX, XXXX","There is a right IJ central venous catheter with tip overlying the inferior SVC. Cardiac silhouette is normal size. Normal mediastinal contour and pulmonary vasculature. There is a small right pleural effusion. Otherwise, lungs are without focal airspace disease.",XXXX XXXX right pleural effusion.
154,normal,normal," Chest radiograph, frontal and lateral views",,XXXX,"Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.",No acute cardiopulmonary disease.
155,Aorta/prominent;Calcinosis/lung/hilum/left,Aorta;Calcinosis,"PA and lateral chest XXXX, XXXX at XXXX comparison available from XXXX ",History of chest pain.,,,Heart size is normal. Lungs are clear. Prominent ascending aorta. Calcified left hilar XXXX.
157,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX XXXX edema and lung XXXX,"XXXX, XXXX.","In the interval, bibasilar interstitial infiltrates and pulmonary venous engorgement have resolved. Heart size is now normal. No XXXX infiltrates.",Chest. Resolving pulmonary interstitial edema and pulmonary venous hypertension.
158,normal,normal,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Dyspnea.,None.,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.
159,Osteophyte/shoulder/bilateral/multiple,Osteophyte, CHEST 2V FRONTAL/LATERAL; THREE-VIEW LEFT AND RIGHT XXXX. ,productive XXXX; shoulder pain.,"chest x-XXXX XXXX, XXXX.","Chest. The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left and right XXXX. Osteophytes are present at the acromioclavicular joints bilaterally and also on the humeral necks. The right glenohumeral joint is normal, but the left is narrowed. No fractures or bone destruction.","1. Chest. No active disease. 2. Left and right XXXX. Bilateral degenerative joint disease, left worse than right."
160,Opacity/retrocardiac/mild;Infiltrate/lung/lower lobe/right/patchy;Infiltrate/lung/base/left,Opacity;Infiltrate;Infiltrate,CHEST 2V FRONTAL/LATERAL ,Shortness of breath,None,The heart is normal in size. The mediastinum is unremarkable. There is patchy infiltrate within normal right lower lobe. Mild XXXX opacities in the retrocardiac region. No large effusions or pneumothorax.,Patchy right lower lobe infiltrate as well as probable left basilar infiltrate versus atelectasis.
161,"Lung/hypoinflation;Pulmonary Atelectasis/base/left/scattered;Catheters, Indwelling","Lung;Pulmonary Atelectasis;Catheters, Indwelling",PA and Lateral Chest X-XXXX dated XXXX.,Ovarian carcinoma.,None.,Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. No pleural effusion or pneumothorax is seen. Scattered XXXX of left base atelectasis are noted. Left XXXX-a-XXXX is in XXXX with the tip projecting over the caval atrial junction.,"1. XXXX of left base atelectasis. Otherwise, clear."
162,normal,normal, PA and lateral chest. ,XXXX.,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
163,"Technical Quality of Image Unsatisfactory ;Calcinosis/lung/hilum/lymph nodes/right;Calcinosis/trachea, carina/lymph nodes",Technical Quality of Image Unsatisfactory ;Calcinosis;Calcinosis,Xray Chest PA and Lateral,",724.5",None,There are no airspace opacities to suggest pneumonia. There is a vague nodular like opacity in the right midlung measuring 1.2 cm projecting through the posterior 7th and 8th ribs. This may be artifact. Chest fluoroscopy would confirm this. Heart and pulmonary XXXX appear normal. There are calcified subcarinal and right hilar lymph XXXX. The pleural spaces are clear.,Nodular density noted on recent PA chest radiograph XXXX represents an artifact. No nodules noted within the lungs on a recent outside XXXX from XXXX.
164,normal,normal,PA and Lateral of the chest ,XXXX-year-old with shortness of breath.,"XXXX, XXXX.",The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.,No acute cardiopulmonary findings.
165,Cicatrix/lung/apex/bilateral;Calcified Granuloma/lung/middle lobe/right;Atherosclerosis/aorta;Arthritis,Cicatrix;Calcified Granuloma;Atherosclerosis;Arthritis,Xray Chest PA and Lateral,XXXX since last XXXX,,There is some minimal biapical scarring. A calcified granuloma is present in the right middle lobe. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,No acute pulmonary disease.
166,Calcified Granuloma;Spine/degenerative/mild;Calcinosis/lymph nodes,Calcified Granuloma;Spine;Calcinosis,PA and Lateral Chest X-XXXX dated XXXX.,XXXX examination.,XXXX.,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified lymph XXXX and granuloma are noted. Mild degenerative changes are present in the spine.,1. No evidence of active disease.
167,Calcified Granuloma/lung/upper lobe/left,Calcified Granuloma,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ","starting treatment with humira, r/o tb",None,Both lungs are clear and expanded. An old calcified granuloma is present in the left upper lobe. Heart and mediastinum normal.,No active disease.
168,"Thoracic Vertebrae/degenerative/multiple/mild;Lumbar Vertebrae/degenerative/multiple/mild;Fractures, Bone/ribs/left/chronic","Thoracic Vertebrae;Lumbar Vertebrae;Fractures, Bone","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old woman with shortness of breath, XXXX.","Two-view chest radiograph dated XXXX, XXXX.","The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrates stable mild multilevel degenerative disc disease of the thoracolumbar spine as well as chronic left-sided rib fractures without acute abnormality.",No acute cardiopulmonary abnormality.
169,normal,normal,2 views Chest: XXXX,XXXX and congestion,None.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,1. No acute pulmonary abnormality.
170,Technical Quality of Image Unsatisfactory ;Lung/hypoinflation,Technical Quality of Image Unsatisfactory ;Lung,Xray Chest PA and Lateral,XXXX. Status post right total knee arthroplasty,,,"Exam is technically limited by patient's body habitus. Lung volumes are decreased. No evidence of acute airspace disease, large pleural effusion or pneumothorax. Heart size is stable."
171,normal,normal,Xray Chest PA and Lateral,"pa/lat cxr,786.2 XXXX",,,"Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified. Stable chest."
172,Diaphragm/right/elevated;Aorta/tortuous;Spine/degenerative;Deformity/lumbar vertebrae,Diaphragm;Aorta;Spine;Deformity,"PA and lateral views of the chest XXXX, XXXX XXXX XXXX ",worsening dyspnea,None,Elevated right hemidiaphragm. Clear lungs. No pleural effusions or pneumothoraces. heart size is upper limits of normal with tortuosity and ectasia of the aorta. Generative changes within the spine. In the upper lumbar spine there is an age-indeterminate wedge XXXX of a vertebral body.,1. Heart size upper limits of normal with clear lungs. 2. Age-indeterminate XXXX deformity of an upper lumbar spine vertebral body.
173,Lung/hypoinflation;Calcinosis/lung/hilum/lymph nodes/bilateral,Lung;Calcinosis,"Chest, 2 views, XXXX XXXX ",Chest pain,None,"Low lung volumes. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Calcified bilateral hilar lymph XXXX, greater on the left. No acute osseous findings.",Low lung volumes. No acute cardiopulmonary findings.
174,"Catheters, Indwelling;Deformity/ribs/right/multiple","Catheters, Indwelling;Deformity","2 views chest, XXXX hours, XXXX, XXXX ",XXXX,"CT chest XXXX, chest x-XXXX XXXX. Chest x-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.
175,Cardiomegaly/mild;Aorta/tortuous;Diaphragm/right/elevated;Pulmonary Atelectasis/base/bilateral/mild;Opacity/lung/base/left/mild;Costophrenic Angle/right/blunted;Infiltrate/lung/base/bilateral/mild,Cardiomegaly;Aorta;Diaphragm;Pulmonary Atelectasis;Opacity;Costophrenic Angle;Infiltrate,Xray Chest PA and Lateral,Nausea and vomiting,,"Mild cardiomegaly unchanged. Stable superior mediastinal contour with tortuous aorta. Normal pulmonary vascularity. Unchanged elevated right hemidiaphragm with minimal right base subsegmental atelectasis. Minimal XXXX left basal airspace opacity. Unchanged blunting of the right lateral costophrenic XXXX, scarring versus XXXX effusion. No pneumothorax. No acute osseous findings.","Minimal XXXX left base atelectasis/infiltrate. Otherwise, stable exam."
176,normal,normal,Xray Chest PA and Lateral,Preop anesthesia XXXX,"XXXX, XXXX",Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute findings.
177,Cardiomegaly;Opacity/lung/bilateral/interstitial;Pulmonary Atelectasis/bilateral;Calcinosis/aorta;Calcified Granuloma/lung/hilum/right;Costophrenic Angle/bilateral/blunted;Pleural Effusion/bilateral,Cardiomegaly;Opacity;Pulmonary Atelectasis;Calcinosis;Calcified Granuloma;Costophrenic Angle;Pleural Effusion,"PA and lateral chest, XXXX, XXXX XXXX XXXX ",XXXX-year-old female with dyspnea.,PA and lateral chest x-XXXX dated XXXX.,"The heart size is enlarged. The mediastinal contour is within normal limits. Calcification is seen within the aortic XXXX. XXXX interstitial opacities. There are no nodules or masses. Stable appearing right perihilar calcified granulomas. No visible pneumothorax. Bilateral costophrenic XXXX blunting, left worse than right. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.","1. Cardiomegaly with bilateral interstitial opacities. 2. Bilateral effusions and/or atelectasis, right worse than left."
178,"Atherosclerosis/aorta, thoracic;Markings/lung/interstitial/diffuse;Lung Diseases, Interstitial/chronic;Opacity/lung/apex/left/patchy;Opacity/lung/base/right/patchy;Airspace Disease/lung/apex/left/patchy;Airspace Disease/lung/base/right/patchy","Atherosclerosis;Markings;Lung Diseases, Interstitial;Opacity;Opacity;Airspace Disease;Airspace Disease","AP and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. ","XXXX-year-old woman, hypoxia.","Frontal chest radiograph dated XXXX, XXXX.","Cardiomediastinal silhouette stable with atherosclerosis of the thoracic aorta. Diffusely coarsened interstitial markings are noted consistent with chronic lung disease, with worsened patchy opacities and a left apex and right base. No pneumothorax or pleural effusion. No acute bony abnormality.",Changes of chronic interstitial lung disease with ill-defined patchy left apical and right basilar airspace disease. PA and lateral chest radiograph may be of benefit XXXX clinically feasible.
179,No Indexing,No Indexing,Xray Chest PA and Lateral,Dyspnea and XXXX,Radiograph from XXXX.,"No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.",No acute cardiopulmonary abnormality.
181,Diaphragmatic Eventration/right,Diaphragmatic Eventration,"PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old male, COPD, XXXX, XXXX.","Chest x-XXXX XXXX, XXXX",Normal heart size mediastinal contours. Eventration of the right hemidiaphragm. No focal airspace consolidation. No pleural effusion or pneumothorax.,No acute cardiopulmonary abnormality.
182,Opacity/lung/lower lobe/left/patchy;Infiltrate/lung/lower lobe/left,Opacity;Infiltrate,"PA and Lateral Chest. XXXX, XXXX XXXX PM . ",XXXX.,None.,"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.",Left lower lobe infiltrate.
183,Lung/hypoinflation;Markings/bronchovascular;Opacity/lung/base/right/mild;Spine/degenerative/multiple;Airspace Disease/lung/base/right,Lung;Markings;Opacity;Spine;Airspace Disease,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old male, XXXX.",None.,Heart size within normal limits. There are low lung volumes with bronchovascular crowding. There is mild increased airspace opacity within the right lung base which may represent atelectasis or infiltrate.. No visualized pneumothorax or large pleural effusion. Multilevel degenerative disease of the spine.,Low lung volumes with airspace disease within the right lung base. Followup radiographs following treatment is recommended to document resolution.
184,Nodule/lung/apex/right,Nodule,Xray Chest PA and Lateral,Body aches,,PA and lateral views were obtained. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact. A 5 mm stable right apical nodule.,No acute cardiopulmonary process.
185,Lung/hypoinflation/mild;Markings/bronchovascular;Opacity,Lung;Markings;Opacity,Xray Chest PA and Lateral,HYPERTENSION; preop hernia repair,,The heart is normal in size. The mediastinum is stable. Lungs are mildly hypoinflated. Increased XXXX opacities on lateral projection XXXX reflect bronchovascular crowding. There is no acute infiltrate or pleural effusion.,No acute disease.
186,normal,normal,PA and lateral chest radiograph on XXXX at 00:46 hours. ,"XXXX year old woman, question swallowed foreign body (XXXX XXXX).",None available.,"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 evidence of abnormal radiodense foreign bodies.",No acute cardiopulmonary abnormalities. No evidence of abnormal radiodense foreign bodies.
187,Aorta/tortuous;Granulomatous Disease,Aorta;Granulomatous Disease,Frontal and lateral chest on XXXX XXXX. ,Dizziness and confusion.,XXXX.,"Normal heart size. Stable tortuous aorta. No pneumothorax, pleural effusion or suspicious focal airspace opacity. Prior granulomatous disease.",Unchanged exam without acute abnormality.
188,Pleural Effusion/left/moderate;Pulmonary Atelectasis/base/left;Airspace Disease/lung/base/left,Pleural Effusion;Pulmonary Atelectasis;Airspace Disease,"Two-view chest x-XXXX, XXXX, 16: 27 hours ",Status post right thoracentesis,"Chest x-XXXX, XXXX",,"1. No residual right pleural effusion identified status post thoracentesis. No pneumothorax. 2. Mediastinum, cardiac size grossly stable. 3. Small to moderate left-sided pleural effusion, increased XXXX compared to prior chest radiograph. Left lung base atelectasis/airspace disease."
189,Opacity/lung/apex/right/focal;Opacity/lung/base/left/mild;Spine/degenerative;Cicatrix/lung/base/left/mild;Pulmonary Atelectasis/base/left/mild,Opacity;Opacity;Spine;Cicatrix;Pulmonary Atelectasis,Xray Chest PA and Lateral,XXXX-year-old with preop evaluation for a herniated disc.,None.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a 1 cm focal opacity in the right lung apex incompletely evaluated by this exam. There is minimal left basilar XXXX opacity compatible with scarring or atelectasis. There are degenerative changes of the spine.","1 cm of apical opacity, scarring versus nodule. A noncontrast XXXX is indicated for further characterization. Critical result notification documented through Primordial."
190,normal,normal,Xray Chest PA and Lateral,Right sided rib pain. Rule out infiltrate,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is no obvious lytic or destructive lesion. No displaced rib fracture is evident.,No acute disease.
191,normal,normal,Chest x-XXXX XXXX and lateral performed on XXXX ,XXXX.,None.,The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,No acute cardiopulmonary abnormalities.
192,Lung/hypoinflation;Thoracic Vertebrae/degenerative/mild,Lung;Thoracic Vertebrae,"PA and Lateral Chest. XXXX, XXXX at XXXX ",XXXX and congestion,"XXXX, XXXX","Low lung volumes. Heart size and mediastinal contour within normal limits. No focal air space consolidation, pneumothorax, or pleural effusion. Mild thoracic spine degenerative change.",No acute cardiopulmonary abnormality.
193,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,Xray Chest PA and Lateral,"Chest pain , right arm numbness",None.,This is an apical lordotic view the chest. Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,No acute cardiopulmonary process
194,Airspace Disease/lung/base/left/mild;Pulmonary Atelectasis/base/left;Infiltrate/lung/base/left,Airspace Disease;Pulmonary Atelectasis;Infiltrate,PA and lateral views of the chest. ,"XXXX-year-old male, rule out tuberculosis.",Two-view chest from XXXX.,Heart size upper limits of normal. Small amount of left basilar airspace disease. The right lung is clear. There are no cavitary lesions seen. No pneumothorax. No pleural effusions.,"Left basilar atelectasis and/or infiltrate, with no radiographic evidence of tuberculosis."
195,normal,normal,Chest radiograph PA and lateral XXXX/XXXX at XXXX. ,XXXX-year-old female with coughing and wheezing.,None.,Clear lungs bilaterally. No pneumothorax or pleural effusion. Normal cardiac contours,1. No acute cardiopulmonary abnormalities
196,normal,normal,Xray Chest PA and Lateral,Chest pain and shortness of breath.,,"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.",Unremarkable radiographs of the chest.
197,Lung/hyperdistention;Calcified Granuloma/lung/lower lobe/right/small,Lung;Calcified Granuloma,"Chest x-XXXX, frontal and lateral. XXXX. XXXX a.m. ",XXXX.,Two-view chest x-XXXX from XXXX.,The cardiomediastinal silhouette is normal. Lungs are hyperexpanded but clear without evidence of effusion or infiltrate. There is a small right lower lobe calcified granuloma that is unchanged from prior examinations. No acute bony abnormality. No pneumothorax or pneumomediastinum.,1. Hyperexpanded lungs.
198,No Indexing,No Indexing,Two-view chest. ,Chest pain.,,The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
200,normal,normal,Xray Chest PA and Lateral,Dyspnea and XXXX loss.,,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,1. No evidence of active disease.
201,"Opacity/lung/middle lobe/right/mild;Aorta, Thoracic/tortuous/mild;Atherosclerosis/aorta;Thoracic Vertebrae/degenerative;Pulmonary Atelectasis","Opacity;Aorta, Thoracic;Atherosclerosis;Thoracic Vertebrae;Pulmonary Atelectasis",XR Chest PA and Lateral,"Medical XXXX, aspiration.",None.,"The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal XXXX airspace opacity in the right middle lobe, XXXX atelectasis. The lungs are otherwise clear of focal airspace disease. There is no pneumothorax or pleural effusion. There is mild tortuosity of the thoracic aorta with atherosclerotic calcification of the aortic XXXX. There are moderate degenerative endplate changes in the thoracic spine. There are no acute bony findings.",No acute cardiopulmonary findings. .
202,Cardiomegaly;Pulmonary Congestion;Opacity/lung/interstitial;Pleural Effusion/bilateral/small,Cardiomegaly;Pulmonary Congestion;Opacity;Pleural Effusion,"AP and lateral view chest, XXXX",Back and chest pain.,Chest x-XXXX XXXX,AP and lateral view of the chest.,1. Cardiomegaly with central vascular congestion and increased interstitial opacities suggesting mild interstitial pulmonary edema. 2. Small bilateral pleural effusions. 3. No visible pneumothorax.
203,normal,normal,CHEST 2V FRONTAL/LATERAL ,Chest pain,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
204,normal,normal, XXXX PA and lateral chest. ,XXXX.,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
205,Diaphragm/right/elevated,Diaphragm,"PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX.",XXXX,,,Stable normal heart size. Elevated right diaphragm. Lungs are clear.
206,Density/lung/lingula;Cardiomegaly/borderline;Aorta/tortuous;Arthritis/spine;Nodule/lung/lower lobe/left,Density;Cardiomegaly;Aorta;Arthritis;Nodule,"PA and lateral chest XXXX, XXXX at XXXX hours. Pelvis and left hip XXXX at XXXX hours. Left femur XXXX. Left knee 4 views XXXX, XXXX.","XXXX on XXXX, increasing pain.",,Chest  Comparison: There is a 2.6 cm diameter masslike density over the lingula partial obscuration left cardiac XXXX. There may be some ill-defined opacity in the right mid and lower lung zone. No pleural effusion is seen. The heart is borderline enlarged. The aorta is dilated and tortuous. Arthritic changes of the spine are present.  Pelvis and left hip There is an impacted and rotated fracture through the neck of the femur on the left. No pelvic fracture is seen. Arthritic changes are present in the lower lumbar spine. Large amount of stool and XXXX obscures portions of the pelvis.  Femur The femoral images do not XXXX the area of the hip fracture. The remaining portions of the femur appear to be intact with no fracture or destructive process. Extensive atherosclerotic vascular disease throughout the superficial femoral artery is present.  Left knee There is osteoporosis and mild arthritic changes. No fracture is seen. No dislocation is identified. Severe atherosclerotic changes of the superficial femoral and popliteal artery are seen.,Chest. 1. Left lower lobe nodule which is worrisome. If there are no prior films available for comparison XXXX scan for further evaluation. Pelvis and left hip. Rotated subcapital fracture left hip. Femur. 1. No fracture the remaining portions of the femur. Left knee. 1. Normal for age.  Dr. XXXX- XXXX was called and informed of these critical results at XXXX.
207,normal,normal,Xray Chest PA and Lateral,"XXXX, right sided rib pain after falling on the XXXX.",None.,Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. No acute bony abnormalities.,No acute cardiopulmonary process. No obvious rib fractures. .
208,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX PM ",XXXX-year-old male with XXXX for 2 months unrelieved by conservative treatment.,None.,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.
209,Aorta/tortuous/mild;Calcinosis/aorta/mild,Aorta;Calcinosis,"PA and lateral chest XXXX, XXXX at XXXX ",History of XXXX vehicle collision,None,,Heart size normal. Slightly tortuous calcified aorta. No pneumothorax or effusion. No evidence of aortic transection.
210,Surgical Instruments/thorax;Cicatrix/lung/base/left/small,Surgical Instruments;Cicatrix,Xray Chest PA and Lateral,Vomiting beginning last XXXX. XXXX,,There are numerous surgical clips at the thoracic inlet. Small areas of XXXX scarring are seen in the left base. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,No acute pulmonary disease.
211,normal,normal,"Chest radiographs, 2 images. ",XXXX-year-old woman with pain and decreased range of motion.,XXXX.,Normal heart size. Clear lungs. Trachea is midline. No pneumothorax. No pleural effusion.,No acute cardiopulmonary abnormality.
212,"Lung, Hyperlucent/apex/bilateral;Fractures, Bone/ribs/left/healed","Lung, Hyperlucent;Fractures, Bone","PA AND LATERAL VIEWS OF THE CHEST, RIGHT SHOULDER 3 VIEWS dated XXXX at XXXX hours ","XXXX, shoulder pain",AP chest dated XXXX,Chest: Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Hyperlucent apices. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Healed remote left 9th rib fracture. Right shoulder: Negative for fracture or dislocation.,Chest. Right shoulder. 1. No acute cardiopulmonary abnormality. 2. Negative for right shoulder fracture or dislocation.
214,Cardiomegaly/moderate;Implanted Medical Device/pulmonary artery,Cardiomegaly;Implanted Medical Device,Xray Chest PA and Lateral,D transposition of the great XXXX,"XXXX, XXXX",,"The 3 XXXX XXXX remain intact, and the prosthetic pulmonic valve is unchanged in position. A fourth XXXX XXXX remains disrupted. There is persistent mild to moderate cardiomegaly. The lungs appear clear."
215,Cardiomegaly;Calcified Granuloma/lung/lingula;Calcified Granuloma/lung/upper lobe/left;Granulomatous Disease;Scoliosis/thoracic vertebrae/left/moderate;Scoliosis/lumbar vertebrae/right/mild;Scoliosis/thoracic vertebrae/right/mild,Cardiomegaly;Calcified Granuloma;Calcified Granuloma;Granulomatous Disease;Scoliosis;Scoliosis;Scoliosis,Xray Chest PA and Lateral,XXXX-year-old female with pulmonary regurgitation.,Chest x-XXXX XXXX and lateral from XXXX.,Stable cardiomegaly. XXXX sternotomy XXXX are intact. No pneumothorax or pleural effusion. XXXX calcific density in the left mid to upper lung XXXX represents old granulomatous disease. No focal consolidation. Stable moderate thoracic levoscoliosis and mild thoracolumbar dextroscoliosis.,1. Stable cardiomegaly with no focal airspace disease. 2. Stable moderate thoracic levoscoliosis and mild thoracolumbar dextroscoliosis. .
216,Cardiac Shadow/enlarged;Pulmonary Atelectasis/base/bilateral/mild;Cardiomegaly,Cardiac Shadow;Pulmonary Atelectasis;Cardiomegaly,PA and lateral chest x-XXXX XXXX. ,XXXX-year-old woman with XXXX onset of chest pain,None,The cardiac silhouette is enlarged and has a globular appearance. Mild bibasilar dependent atelectasis. No pneumothorax or large pleural effusion. No acute bone abnormality.,Cardiomegaly with globular appearance of the cardiac silhouette. Considerations would include pericardial effusion or dilated cardiomyopathy.
217,normal,normal,"Radiographs of chest PA and lateral, two views. ",XXXX. Dyspnea.,None,,Normal heart size and normal mediastinal contours. Normal pulmonary vasculature. No XXXX of pleural effusions. No infiltrates. Normal X-XXXX of chest.
218,"Calcinosis/aorta;Opacity/lung/bilateral;Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive","Calcinosis;Opacity;Lung;Pulmonary Disease, Chronic Obstructive",Xray Chest PA and Lateral,XXXX-year-old female with XXXX,,Heart size is unchanged. Aortic calcification is noted. No pneumothorax. No large pleural effusions. There are unchanged XXXX opacities throughout the lungs which XXXX represent scarring. Lungs are hyperexpanded.,No acute cardiopulmonary abnormalities. Stable chronic lung disease. .
219,normal,normal,Xray Chest PA and Lateral,Melanoma,"XXXX, XXXX",Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No x-XXXX evidence of pulmonary metastatic disease. Stable appearance of the chest.
220,"Catheters, Indwelling;Nodule/lung/bilateral/multiple;Nodule/lung/lingula/prominent","Catheters, Indwelling;Nodule;Nodule",CHEST 2V FRONTAL/LATERAL ,Metastatic colon cancer,"XXXX, XXXX 10",The heart is normal in size. The mediastinum is stable. Left-sided chest XXXX is again visualized with tip at cavoatrial junction. There is no pneumothorax. Numerous bilateral pulmonary nodules have increased in size and number XXXX compared to prior study. The dominant nodule/mass in the left midlung is also mildly increased. There is no pleural effusion.,Interval increase in size and number of innumerable bilateral pulmonary nodules consistent with worsening metastatic disease.
221,Atherosclerosis/aorta;Costophrenic Angle/left/blunted/mild;Spondylosis/thoracic vertebrae,Atherosclerosis;Costophrenic Angle;Spondylosis,"Chest, 2 views, frontal and lateral",Preop lumbar spine surgery,None.,"Cardiac and mediastinal contours are within normal limits. Atherosclerotic aorta. Mild blunting left costophrenic recess, possibly mild atelectasis or scarring. No confluent lobar consolidation or large volume pleural effusion. Thoracic spondylosis.","Mild blunting left costophrenic recess, possibly mild atelectasis or scarring."
222,normal,normal,Xray Chest PA and Lateral,Chronic XXXX.,,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.,1. No evidence of active disease.
223,Markings/bronchovascular,Markings,Xray Chest PA and Lateral,"XXXX-year-old female, short of breath, chest pain",,"Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema.",No acute findings
224,normal,normal,"Chest radiographs, 2 images. ",XXXX-year-old with dyspnea.,XXXX.,Clear lungs. Normal heart. No pneumothorax. No pleural effusion. Old right rib fractures.,No acute cardiopulmonary abnormality.
225,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male with XXXX, shortness breath, and asthma.",None.,Cardiomediastinal silhouette is within normal limits. No focal consolidation. No pneumothorax or pleural effusion. No acute bony abnormalities.,No acute cardiopulmonary abnormalities. .
226,normal,normal,Xray Chest PA and Lateral,Preop anesthesia XXXX,None.,The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,No acute process.
227,Cardiomegaly;Pulmonary Congestion/prominent;Opacity/lung/base/bilateral/interstitial/diffuse/mild;Pulmonary Edema/interstitial;Pleural Effusion/bilateral,Cardiomegaly;Pulmonary Congestion;Opacity;Pulmonary Edema;Pleural Effusion,Xray Chest PA and Lateral,"XXXX-year-old male with dyspnea, chest pain",Chest XXXX,"Heart is enlarged. There is prominence of the central pulmonary vasculature. Mild diffuse interstitial opacities bilaterally, predominantly in the bases, with no focal consolidation, pleural effusion, or pneumothoraces. XXXX and soft tissues are unremarkable.",Cardiomegaly with pulmonary interstitial edema and XXXX bilateral pleural effusions. .
228,Subcutaneous Emphysema/neck/bilateral;Subcutaneous Emphysema/thorax/left;Subcutaneous Emphysema/abdomen/right;Surgical Instruments/right,Subcutaneous Emphysema;Subcutaneous Emphysema;Subcutaneous Emphysema;Surgical Instruments,Xray Chest PA and Lateral,"XXXX-year-old male, status post pyeloplasty.",None available.,"Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. Surgical XXXX is noted in the right upper quadrant. Subcutaneous emphysema seen along the neck bilaterally, right lateral upper abdomen, and left chest.","1. No acute cardiopulmonary abnormality. 2. Subcutaneous emphysema of the neck, left lateral chest, and right lateral abdominal soft tissues noted. ."
229,Calcinosis/mediastinum;Nodule/lung/upper lobe/right,Calcinosis;Nodule,Xray Chest PA and Lateral,"XXXX-year-old female, XXXX, XXXX of breath, chest pain",None,"Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mediastinal calcification and dense right upper lung nodule suggest a previous granulomatous process.",No acute cardiopulmonary findings
230,Nodule/lung/lingula,Nodule,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.","XXXX, dyspnea","XXXX, XXXX",,"Stable cardiomediastinal silhouette. Stable lingular nodule, presumably granuloma . No pleural effusion, pneumothorax or interval airspace consolidation to suggest pneumonia."
233,Density/lung/base/left;Opacity/lung/base/right/small;Pulmonary Atelectasis;Diaphragmatic Eventration/right;Technical Quality of Image Unsatisfactory ;Diaphragm/right/posterior/elevated;Markings/lung/apex/bilateral;Deformity/ribs/right/chronic;Costophrenic Angle/right/obscured,Density;Opacity;Pulmonary Atelectasis;Diaphragmatic Eventration;Technical Quality of Image Unsatisfactory ;Diaphragm;Markings;Deformity;Costophrenic Angle,PA and Lateral Chest,"XXXX-year-old female, post XXXX closure",None,"Atrial septal occluder artifact. Rotated frontal position, overall heart size within normal limits, no typical findings of pulmonary edema. XXXX densities in the left base, small focal XXXX opacity in the right base with focal posterior right hemidiaphragm elevation and obscured right costophrenic XXXX. Biapical pleuroparenchymal irregularities most compatible with scarring, chronic appearing right 5th rib contour deformity. No pneumothorax seen.","1. XXXX densities in left base may be compatible with scarring or subsegmental atelectasis 2. Abnormal opacity in the right base XXXX due at XXXX in part to atelectasis with right hemidiaphragm eventration, question small right pleural effusion"
234,normal,normal,Xray Chest PA and Lateral,The patient is a XXXX year-old male with left-sided chest pain.,"Chest x-XXXX, 2 views PA and lateral from XXXX.","The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without focal consolidation or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine. No layering pleural effusion or pneumothorax seen on decubitus exam.","Chest x-XXXX, lateral, and decubitus. 1. No acute cardiopulmonary abnormalities. 2. No evidence of pleural effusion. ."
235,Implanted Medical Device/left;Cardiac Shadow/enlarged/mild;Opacity/lung/bilateral/interstitial/diffuse/mild;Opacity/lung/base/left;Cardiomegaly;Pulmonary Edema/interstitial/mild,Implanted Medical Device;Cardiac Shadow;Opacity;Opacity;Cardiomegaly;Pulmonary Edema,Xray Chest PA and Lateral,Status post pacemaker implantation,None,"There is a left-sided biventricular pacemaker. Leads overlie the right ventricle and a lateral cardiac vein. The leads appear intact. The cardiac silhouette is mildly enlarged. There are mild diffuse bilateral interstitial opacities, XXXX pulmonary edema. There are XXXX opacities overlying the left lung base on the frontal view. No large pleural effusion is seen on the lateral view. No pneumothorax is identified.","1. Left-sided biventricular cardiac pacemaker. Leads appear intact. No pneumothorax. 2. Cardiomegaly and mild interstitial pulmonary edema. 3. XXXX opacities overlying the left lung base on the frontal view, possibly lingular atelectasis or infiltrate. No large pleural effusion."
236,normal,normal,PA and lateral views of the chest. ,XXXX-year-old female diffuse chest pain.,None available.,Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,No acute cardiopulmonary findings.
237,Calcified Granuloma/lung/hilum/right/multiple;Thoracic Vertebrae/degenerative/multiple,Calcified Granuloma;Thoracic Vertebrae,PA and lateral chest radiographs. ,XXXX-year-old female with XXXX.,None.,"The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. There are numerous calcified granuloma in the right perihilar region. There are multilevel degenerative changes in the thoracic spine.",No acute cardiopulmonary finding.
238,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX XXXX . ",Shortness of breath.,XXXX.,"Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality.",No acute cardiopulmonary abnormality.
239,normal,normal," XXXX PA and lateral chest XXXX, XXXX XXXX comparison XXXX XXXX ",XXXX x1 XXXX,,,Heart upper limits normal. Lungs are clear. No effusions. No nodules masses or infiltrates. No bony abnormalities.
240,Cicatrix/lung/apex/right/streaky;Calcinosis/aorta,Cicatrix;Calcinosis,"SPINE LUMBAR 2 OR 3 VIEWS; two-view chest. XXXX, XXXX XXXX PM ",low back pn,"XXXX, XXXX.","Chest. There is no change in the strandy scarring in the right apex. No XXXX infiltrates or masses in the lungs. Heart and mediastinum remain normal. Lumbosacral spine. disc spaces are old narrow, and large osteophytes present on the vertebral bodies, worst at L2-L3. XXXX elements from L4 through S1 are sclerotic. Sacrum and sacroiliac joints are normal. Calcific aortic disease is present.",1. Chest. No change right upper lobe scar. No acute disease. 2. Lumbosacral spine. Multiple levels of advanced degenerative disc disease and XXXX arthritis.
241,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,None,The trachea is midline. Cardiomediastinal silhouette is normal in size and contour. The lungs are clear without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.,No acute cardiopulmonary abnormalities.
242,normal,normal,Xray Chest PA and Lateral,XXXX-year-old female with syncope,None,"Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.",No acute cardiopulmonary findings. .
243,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX XXXX ",rule out infiltrates,,,Heart size normal and lungs are clear
244,normal,normal,"Chest x-XXXX AP and lateral, 2 views. ",Chest pain.,None.,"Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable.",No radiographic evidence of acute cardiopulmonary disease
245,Pneumonia/upper lobe/left;Airspace Disease/lung/upper lobe/left,Pneumonia;Airspace Disease,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",XXXX with XXXX,none,XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate left upper lobe airspace disease most XXXX pneumonia. There is no effusion or pneumothorax.,1. Left upper lobe pneumonia.
246,normal,normal,XR Chest PA and Lateral,Chest pain,None,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.
247,normal,normal,PA and Lateral Chest: XXXX at XXXX hours.,"Chest pain, dyspnea.",None.,The cardiomediastinal silhouette is normal in size and contour. Lungs are clear without focal areas of consolidation. No pneumothorax or large pleural effusion. No acute bone abnormality.,No acute cardiopulmonary process.
248,Calcified Granuloma/lung/middle lobe/right/small,Calcified Granuloma,Xray Chest PA and Lateral,The patient is a XXXX-year-old male with left upper abdominal pain.,None.,"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.",No acute cardiopulmonary abnormality. .
249,Mass/lung/middle lobe/right,Mass,"PA and Lateral Chest. XXXX, XXXX at XXXX ","XXXX-year-old male, chest pain.","XXXX, XXXX.","Lobulated right middle lobe mass measuring 4.5 x 6.8 cm, increased in size compared to prior study, most compatible with neoplasm. Otherwise, the lungs are clear without focal consolidation. No pneumothorax or pleural effusion. Cardiomediastinal silhouette within normal limits.","1. Interval enlargement of right middle lobe mass, highly suspicious for malignancy. Recommend CT of the chest/abdomen with intravenous contrast for further evaluation. 2. Otherwise clear lungs. Dr. XXXX XXXX notified of the critical results at XXXX on XXXX, XXXX by telephone and acknowledged receipt of these results."
250,Spine/degenerative/mild,Spine,Xray Chest PA and Lateral,XXXX-year-old female with persistent XXXX for 6 months.,None,The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal. There are minimal degenerative changes of the spine.,No evidence of active disease.
251,Lung/hyperdistention/mild;Granulomatous Disease,Lung;Granulomatous Disease,CHEST 2V FRONTAL/LATERAL ,Chest pain,None,The heart is normal in size. The mediastinum is unremarkable. Mild hyperinflation is noted. There are granulomatous sequela. No acute infiltrate or significant pleural effusion are noted. The costophrenic XXXX are excluded.,No acute disease.
252,normal,normal,Xray Chest PA and Lateral,"XXXX year old chest pain, sent from XXXX Lab.",PA and lateral chest XXXX.,"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.
253,"Pneumothorax/left/moderate;Catheters, Indwelling/left","Pneumothorax;Catheters, Indwelling",PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old male, status post chest tube with pneumothorax","XXXX, XXXX at XXXX hours",Redemonstration of moderate left pneumothorax which is unchanged from comparison. Left pleural catheter is again seen overlying the left upper lung at the level of the left 5th and 6th ribs. No focal consolidation. Cardiomediastinal silhouette is normal.,No change in moderate left pneumothorax with left pleural drainage catheter again seen overlying the left upper lung.
254,Osteophyte/thoracic vertebrae/scattered,Osteophyte,"PA and lateral views of the chest XXXX hours &lt;XXXX, XXXX&gt;. ","XXXX-year-old female MVA, chest pain",None,Lungs are clear. Heart size normal. Scattered thoracic spine spurring.,No acute cardiopulmonary finding.
255,normal,normal,PA AND LATERAL CHEST X-XXXX at XXXX XXXX/XXXX ,Chest pain,None,"Lungs are clear. No focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Osseous structures intact.",No acute cardiopulmonary disease.
256,Sutures/lung/upper lobe/left;Cicatrix/ribs/left,Sutures;Cicatrix,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ","hx tumors removed lungs XXXX, possible nodular denisities at OSH",None,Postoperative changes are present in the left fifth rib. Residual radiopaque sutures are also present in the left upper lobe. The lungs are clear with no infiltrates or masses. Heart and mediastinum are normal.,Postoperative left upper lobe. No visible active cardiopulmonary disease.
257,Opacity/posterior,Opacity,PA and lateral chest radiographs. XXXX/XXXX at XXXX hours. ,XXXX-year-old male with XXXX.,None.,Midline sternotomy XXXX identified. Heart size and cardiomediastinal silhouette are grossly normal. Airspace opacity in posterior segment on the lateral view. Osseous structures are grossly intact.,Posterior airspace opacity consistent with developing infection.
258,"Lung/hyperdistention;Diaphragm/flattened;Pulmonary Disease, Chronic Obstructive;Spine/degenerative","Lung;Diaphragm;Pulmonary Disease, Chronic Obstructive;Spine",PA and lateral views of the chest XXXX,pt is a XXXX who presents with fatigue,None,Overall hyperexpanded lungs with flattening of the diaphragms consistent with obstructive lung disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,Hyperexpanded but clear lungs.
259,normal,normal,PA and lateral chest radiographs. ,XXXX-year-old male with history of prolonged intubation and XXXX XXXX anesthesia induction.,CT thorax with intravenous contrast XXXX.,"The heart and cardiomediastinal silhouette or normal in size and contour. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",No acute cardiopulmonary finding.
260,Medical Device/thorax/left;Lucency/humerus/right;Sclerosis/humerus/right;Cysts/humerus/right/large,Medical Device;Lucency;Sclerosis;Cysts,PA and lateral chest radiograph (2 views) (2 images) ,Hypertension,"XXXX, XXXX.",Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. There is a stable the electronic device any left anterior chest wall. There are advanced degenerative changes in the XXXX bilaterally. There is a 38 mm lucency in the right humeral head with geographic 1A margins.,"1. No acute cardiopulmonary abnormality. 2. Lucent lesion with thin sclerotic margin in the right humeral head. Considering the associated degenerative changes, a large geode is most XXXX. If further imaging is desired, dedicated views of the shoulder may be helpful for further characterization."
261,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, dyspnea.",Chest x-XXXX dated XXXX.,No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures appear intact.,No acute cardiopulmonary abnormality. .
262,normal,normal,Xray Chest PA and Lateral,Preop evaluation for surgery.,None.,The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules or adenopathy are noted. Degenerative changes are present in the spine.,No evidence of active disease.
263,normal,normal,"PA and lateral views of the chest XXXX hours XXXX, XXXX. ",Chest pain,"XXXX, XXXX",Lungs are clear. Heart size normal. The XXXX are unremarkable.,No acute cardiopulmonary finding.
264,normal,normal,"Chest x-XXXX AP and lateral, 2 views. ",Productive XXXX,XXXX,"Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable. No significant interval change compared to prior study, no XXXX infiltrates noted.",No radiographic evidence of acute cardiopulmonary disease
266,Cardiomegaly/mild;Atherosclerosis/aorta,Cardiomegaly;Atherosclerosis,2 views Chest: XXXX,"Hypertension, dizzy",None.,"The lungs and pleural spaces show no acute abnormality. Heart size is mildly enlarged, pulmonary vascularity within normal limits. Atherosclerotic calcifications are present in the aortic XXXX.","1. No acute pulmonary abnormality. 2. Mild cardiomegaly, atherosclerotic disease."
267,Airspace Disease/lung/bilateral/scattered/patchy/multiple/mild;Pleural Effusion/bilateral/small;Spine/degenerative,Airspace Disease;Pleural Effusion;Spine,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",pt with XXXX.please XXXX for infiltrates,XXXX,Endotracheal tube and NG tube have been removed. Mild patchy bilateral airspace disease. There are small bilateral pleural effusions. No pneumothorax. Heart and mediastinum are stable with normal size heart. Degenerative changes in the spine.,Small bilateral pleural effusions with a few scattered areas of patchy bilateral airspace disease.
268,Opacity/lung/upper lobe/right;Pneumonia/upper lobe/right,Opacity;Pneumonia," Chest radiograph, frontal and lateral views",,None,There is a right upper lobe opacity. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. Osseous structures and soft tissues are normal.,Right upper lobe pneumonia.
269,normal,normal,Xray Chest PA and Lateral,Difficulty breathing and XXXX,,"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. .
270,normal,normal,Xray Chest PA and Lateral,"Chest pain, renal failure. Anterior chest pain. Dehydrated, EtOH.",None.,"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. .
271,normal,normal,"Radiographs of the chest, 2 views, PA and lateral views.",XXXX-year-old male. Left chest pain. Alleged physical assault.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.",Negative for acute abnormality.
272,normal,normal,"Chest x-XXXX and Lateral views, dated XXXX, XXXX XXXX PM ",XXXX-year-old male with XXXX,None,The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.,No evidence of active disease.
273,Cardiomegaly/moderate;Diaphragm/right/elevated/mild;Pulmonary Congestion;Markings/bilateral/bronchovascular/mild,Cardiomegaly;Diaphragm;Pulmonary Congestion;Markings,PA and Lateral Chest,"XXXX-year-old female, chest pain",None,"Heart size mildly to moderately enlarged. Mild right hemidiaphragm elevation with mild bronchovascular crowding, right greater than left, indistinct vascular margination. No definite focal alveolar consolidation, no pleural effusion XXXX demonstrated.","1. Cardiomegaly 2. Indistinct vascular margination which may be secondary to bronchovascular crowding however differential diagnosis includes mild pulmonary edema, atypical infection, inflammation"
274,"Aorta, Thoracic/tortuous;Calcinosis/aorta, thoracic;Thoracic Vertebrae/degenerative;Deformity/thoracic vertebrae/mild","Aorta, Thoracic;Calcinosis;Thoracic Vertebrae;Deformity","Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old male with XXXX.,None.,"The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous and calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Degenerative endplate changes of the thoracic spine with an age-indeterminate, mild wedge XXXX deformity of a midthoracic vertebral body.","1. No acute cardiopulmonary process. 2., Mild, age-indeterminate wedge XXXX deformity of a midthoracic vertebral body."
275,normal,normal,"Chest 2 views PA and lateral XXXX, XXXX XXXX a.m. ","Chest pain, dyspnea","Chest 2 views PA and lateral XXXX, XXXX a.m.","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.
276,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ","XXXX-year-old XXXX, XXXX, preop..","Two-view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality.
277,Cicatrix/lung/apex/bilateral/mild;Granuloma/lung/middle lobe/right;Density/lung/upper lobe/right/round;Density/lung/middle lobe/right/round,Cicatrix;Granuloma;Density;Density,Xray Chest PA and Lateral,"Breast cancer, XXXX r/o XXXX",,"The heart is normal in size. The mediastinum is stable. Mild biapical scarring is identified. There is a nodular density in the right midlung which is stable from prior studies and noted to represent a granuloma on XXXX of XXXX. However, additional foci in the right upper lung are questioned. There is no acute infiltrate or pleural effusion.",No acute disease. Vague right upper/mid lung nodular densities versus scarring and superimposed structures. CT may be warranted given patient's history.
278,Opacity;Granulomatous Disease;Nodule,Opacity;Granulomatous Disease;Nodule,Chest XXXX and lateral ,XXXX-year-old female with XXXX,XXXX,"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.
279,normal,normal,Xray Chest PA and Lateral,XXXX XXXX. Swimmer.,None.,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.,1. No evidence of active disease.
280,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",chest pain,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
281,normal,normal, CHEST 2V FRONTAL/LATERAL ,dyspnea,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
282,normal,normal,"PA and lateral views of the chest, 3 images. ","Preop hernia repair, asthma.",None.,"Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion.",No acute cardiopulmonary abnormality.
283,normal,normal,CHEST- PA AND LATERAL ,Palpitations,Radiograph from XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,Normal chest film.
284,normal,normal,"Radiographs of the chest, 2 views, AP and lateral views.",XXXX-year-old male. Gunshot wound.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture. No discrete XXXX projectile visualized. Contrast within the bilateral renal collecting systems. Contrast also probably within the left colon.",Negative for acute abnormality. Discrete XXXX projectile not seen.
285,Aorta/tortuous;Pulmonary Atelectasis/left/patchy;Pulmonary Atelectasis/upper lobe/right;Pulmonary Atelectasis/base/right;Surgical Instruments/lung/hilum/right,Aorta;Pulmonary Atelectasis;Pulmonary Atelectasis;Pulmonary Atelectasis;Surgical Instruments,Xray Chest PA and Lateral,Altered mental status,None,,Heart size is top normal. Tortuous aorta. No edema. Patchy left upper right basilar atelectasis. No pneumothorax. Right hilar surgical clips.
286,Calcinosis/lung/hilum/left,Calcinosis,Chest x-XXXX. XXXX ,XXXX,XXXX,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.,No acute cardiopulmonary process.
287,normal,normal, Frontal and lateral views of the chest dated XXXX,"Dyspnea, nausea and vomiting, XXXX","XXXX, XXXX",Heart size is normal. The lungs are grossly clear. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are stable. Normal pulmonary vascularity. No overt edema.,No acute abnormality.
288,"Hernia, Hiatal;Density/thorax","Hernia, Hiatal;Density","PA and Lateral Chest. XXXX, XXXX. &gt;] ",XXXX.,None.,"Heart size appears within normal limits. Pulmonary vasculature appears within normal limits. Radiodensity overlying the middle cardiac silhouette, XXXX representing a hiatal hernia. No focal consolidation, pleural effusion or pneumothorax. No acute bony abnormality.",1. No acute cardiopulmonary abnormality.
289,"Catheters, Indwelling;Medical Device","Catheters, Indwelling;Medical Device",Xray Chest PA and Lateral,"XXXX-year-old female, infection, XXXX",,"Heart size within normal limits, stable mediastinal and hilar contours, right chest XXXX tip in the low SVC. Monitoring device artifacts. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",No acute findings
290,Surgical Instruments/shoulder/right;Surgical Instruments/thorax/bilateral;Surgical Instruments/cervical vertebrae,Surgical Instruments;Surgical Instruments;Surgical Instruments,"XXXX and lateral chest XXXX, XXXX at XXXX hours.",Occasional chest pain and shortness of breath.,,The lungs are clear. There are multiple surgical XXXX seen near the apical regions and lower cervical region bilaterally. The heart and mediastinum are normal. There is a screw in the right shoulder. The soft tissues are normal.,1. No active disease. 2. There are numerous small surgical clips seen overlying the upper thorax bilaterally and the lower cervical region of uncertain significance.
291,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old woman with chest pain.,"Two-view chest radiograph dated XXXX, XXXX.","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 acute cardiopulmonary abnormality.
292,Airspace Disease/lung/middle lobe/right/focal,Airspace Disease,Xray Chest PA and Lateral,XXXX year old XXXX and sore throat.,None.,The heart is normal in size and contour. There is a vague area of airspace disease identified within the right midlung on the PA view. This is not well-demonstrated on the lateral view. There is no pneumothorax or effusion.,Vague area of focal airspace disease within the right midlung. There is raises concern for pneumonia. Recommend followup after appropriate treatment to document complete resolution.
293,Surgical Instruments/mediastinum;Deformity/thoracic vertebrae,Surgical Instruments;Deformity,Xray Chest PA and Lateral,XXXX-year-old XXXX with history of prostate cancer,None.,"Sternotomy XXXX mediastinal clips noted. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is XXXX deformity of T6, XXXX since X-XXXX thoracic spine XXXX, XXXX. Mild XXXX deformity of T12, stable. Prior cholecystectomy.","1. No definite evidence of metastatic disease. 2. Age-indeterminate XXXX deformity of T6, XXXX since study dated XXXX, XXXX. ."
294,Emphysema,Emphysema,CHEST 2V FRONTAL/LATERAL ,Shortness of breath,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear. Underlying emphysematous changes are noted.,Emphysema without acute disease.
295,"Fractures, Bone/clavicle/left/healed","Fractures, Bone","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. ","XXXX-year-old XXXX, EtOH abuse.",None.,"Limited lateral projection. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Healed distal left clavicular fracture noted.",No acute cardiopulmonary abnormality.
296,"Hernia, Hiatal","Hernia, Hiatal","PA and lateral chest XXXX, XXXX at XXXX with comparison 12 XXXX ",XXXX and right-sided chest pain,,,Heart size normal. Lungs clear. Hiatal hernia. No effusion the or pneumothorax. No pneumonia
297,Lung/hypoinflation;Markings/bronchovascular/mild;Opacity/lung/base/left/mild;Diaphragm/left/obscured;Thoracic Vertebrae/degenerative;Lung/hypoinflation;Pulmonary Atelectasis/base/left/mild,Lung;Markings;Opacity;Diaphragm;Thoracic Vertebrae;Lung;Pulmonary Atelectasis,Xray Chest PA and Lateral,"Chest pain, dyspnea.","XXXX, XXXX.","Cardiac silhouette is within normal limits in size. The lungs are hypoinflated with mild bronchovascular crowding. There is mild, XXXX opacity projected over the left lung base. This is partly due to overlying soft tissues, however, there is partial obscuration of the lateral left hemidiaphragm. The lungs are otherwise grossly clear. There is no pneumothorax or pleural effusion. There are no acute bony findings. There are degenerative endplate changes throughout the thoracic spine.","Low lung volumes with mild, XXXX left basilar opacity, atelectasis versus infiltrate. ."
298,normal,normal,Xray Chest PA and Lateral,XXXX for one XXXX with vomiting,"XXXX, XXXX",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.
299,"Hernia, Hiatal/small","Hernia, Hiatal","Chest, 2 views, frontal and lateral",Preop bariatric surgery.,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact. Small hiatal hernia.,No acute findings. Small hiatal hernia.
300,"Lung/hyperdistention/mild;Funnel Chest/mild;Calcified Granuloma/lung/lingula;Pulmonary Disease, Chronic Obstructive","Lung;Funnel Chest;Calcified Granuloma;Pulmonary Disease, Chronic Obstructive",PA and lateral views of the chest. ,XXXX-year-old male with XXXX.,Two-view chest from XXXX.,Heart size within normal limits. Mild hyperinflation of the lungs. Mild pectus excavatum deformity. Stable left mid lung calcified granuloma. No focal airspace disease. No pneumothorax or effusions.,Changes of chronic lung disease with no acute cardiopulmonary finding.
301,normal,normal,"Chest x-XXXX, 2 views, XXXX, XXXX XXXX PM",XXXX,XXXX,Normal cardiomediastinal contours. Clear lungs bilaterally. No pneumothorax or large effusion.,No acute cardiopulmonary abnormality.
302,Scoliosis/mild,Scoliosis,Xray Chest PA and Lateral,"XXXX-year-old male, pain",,"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. Mild spine curvature again noted.",No acute findings
303,Lung/hypoinflation/mild;Diaphragmatic Eventration;Thickening/pleura/bilateral;Opacity/lung/base/bilateral/streaky/mild;Pulmonary Atelectasis/chronic,Lung;Diaphragmatic Eventration;Thickening;Opacity;Pulmonary Atelectasis,CHEST 2V FRONTAL/LATERAL ,"XXXX, asthma, preop hip replacement",XXXX,"The heart is normal in size. The mediastinum is Stable. Rectal balloon is noted. Lungs are mildly hypoinflated. There is again eventration of the hemidiaphragms/ Bochdalek hernia, posteriorly as seen on the lateral projection. Bilateral pleural thickening is noted. There are streaky opacities in the lung bases unchanged, XXXX chronic atelectasis.","Mild bilateral streaky opacities, XXXX atelectasis. No acute infiltrate."
304,Technical Quality of Image Unsatisfactory ;Lung/hypoinflation;Calcinosis/lung/hilum/lymph nodes/right;Spinal Fusion/cervical vertebrae;Pulmonary Atelectasis,Technical Quality of Image Unsatisfactory ;Lung;Calcinosis;Spinal Fusion;Pulmonary Atelectasis,Xray Chest PA and Lateral,Chest pain and shortness of breath x1 hour.,,"The XXXX examination consists of frontal and lateral radiographs of the chest. A total of 3 images were obtained. The cardiomediastinal contours are within normal limits allowing for low lung volumes and patient rotation. There is XXXX XXXX atelectasis. No consolidation, pleural effusion or pneumothorax. Calcified right infrahilar lymph XXXX again seen. Partially visualized lower cervical spine fusion XXXX.",Lung lines without evidence of acute cardiopulmonary process.
305,Cardiomegaly/mild,Cardiomegaly,Xray Chest PA and Lateral,XXXX-year-old with chest pain on and XXXX since having stent placed last XXXX.,Two views of the chest dated XXXX.,Heart size is mildly enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.,No acute cardiopulmonary disease.
306,normal,normal,Xray Chest PA and Lateral,,None.,The lungs are clear. Heart size is normal. No pneumothorax.,Clear lungs. No acute cardiopulmonary abnormality. .
307,normal,normal,Xray Chest PA and Lateral,786.59. c/o focal chest pain around heart that lasts for few XXXX. occurs approx. once a month.,None available.,The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,Negative chest radiographs.
308,Diaphragm/right/elevated;Cicatrix/right/chronic;Opacity/right,Diaphragm;Cicatrix;Opacity,PA and lateral chest radiograph (2 views) (2 images) ,XXXX,PA and lateral views of the chest on XXXX.,Stable appearing right-sided XXXX the opacities. There is persistent elevation of the right hemidiaphragm. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax.,Stable right-sided chronic lung scarring otherwise no acute cardiopulmonary disease.
309,normal,normal,"Chest x-XXXX, 2 views, XXXX, XXXX at XXXX PM",XXXX.,XXXX.,Normal and stable cardiomediastinal contours. No pneumothorax or pleural effusions. No focal lung consolidation.,No acute cardiopulmonary abnormality.
310,normal,normal,Xray Chest PA and Lateral,"XXXX, pain.",None.,"Chest. The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable. Thoracic spine. The XXXX examination consists of frontal, lateral and swimmers lateral radiographs of the thoracic spine. There is no evidence of fracture or malalignment. The vertebral body XXXX and disc spaces are maintained. Sternum. The XXXX examination consists of 2 oblique and one lateral radiograph of the sternum. No displaced XXXX fracture demonstrated.",1. No radiographic evidence of acute thoracic XXXX.
312,No Indexing,No Indexing,Xray Chest PA and Lateral,XXXX-year-old male with history of lymphoma.,"XXXX, XXXX","Normal cardiomediastinal silhouette. Left-sided aortic XXXX. Pulmonary vasculatures are within normal limits. Central airways are XXXX. No focal consolidation, pleural effusion or pneumothorax. Bony structure are grossly unremarkable.",No acute pulmonary findings. .
313,Cardiac Shadow/enlarged/moderate;Opacity/lung/lower lobe/interstitial/diffuse/prominent;Opacity/lung/hilum/interstitial/diffuse/prominent;Consolidation/lung/base/bilateral;Pleural Effusion/bilateral/small;Atherosclerosis/aorta,Cardiac Shadow;Opacity;Opacity;Consolidation;Pleural Effusion;Atherosclerosis,Xray Chest PA and Lateral,"Slurred speech, confusion, weakness, shortness of breath.",None.,"The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiac silhouette is moderately enlarged with a cardiothoracic ratio of 16.2/24.7. Diffuse coarse interstitial opacity seen throughout the lungs with perihilar and lower lobe predominance. There is right greater than left bibasilar consolidation. There are small pleural effusions, right larger than left. No evidence of pneumothorax. Dense atherosclerotic calcification seen involving the thoracic and upper abdominal aorta.",Enlarged cardiac silhouette with coarse perihilar and lower lobe interstitial opacities may be due to diffuse infection or heart failure. Small pleural effusions.
314,Lung/hypoinflation,Lung,Chest 2 views. ,XXXX-year-old with shortness of breath hypoxia.,XXXX.,Low lung volumes. Normal heart size. The trachea is midline. Lungs are clear. No pneumothorax. No pleural effusion.,No acute cardiopulmonary abnormality.
315,Spinal Fusion/thoracic vertebrae,Spinal Fusion," PA and lateral chest XXXX, XXXX at time XXXX comparison available from XXXX ",dyspnea.,,,Heart size is normal. Lungs are clear. Old fusion of approximately T9-T10.
316,Granuloma/lung/apex/right,Granuloma,"PA and lateral chest XXXX, XXXX at XXXX with comparison 6 XXXX ",preop inguinal hernia history of laryngeal cancer,,,Heart size normal. Lungs are clear. 5 mm right apical granuloma unchanged
317,normal,normal,Frontal and lateral chest on XXXX XXXX.,COPD. Preoperative evaluation.,None available.,Normal heart size. Normal mediastinal silhouette. No pneumothorax or pleural effusion. No suspicious focal air space opacity.,No acute abnormality.
318,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Dyspnea,"PA and lateral views of the chest on XXXX, XXXX.",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.
319,normal,normal,"Chest radiographs, 2 images. ",XXXX-year-old XXXX with persistent productive XXXX.,None.,Normal heart size. Clear lungs. No pneumothorax. No pleural effusion.,Normal chest exam.
320,normal,normal," PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX ",mild asthma,,,Heart size is normal and the lungs are clear.
321,Opacity/lung/left;Pulmonary Atelectasis/lingula;Spine/degenerative/diffuse;Epicardial Fat;Opacity/lung/base/left,Opacity;Pulmonary Atelectasis;Spine;Epicardial Fat;Opacity,"PA and LATERAL views of the chest, dated XXXX, XXXX XXXX XXXX","XXXX-year-old female, preoperative evaluation",XXXX,"There are XXXX opacities in the left lung, XXXX subsegmental atelectasis. XXXX opacities overlying the left lung base on the frontal XXXX XXXX reflect epicardial fat XXXX and overlying breast tissue. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. There are diffuse degenerative changes of the spine.",No acute findings. Left mid lung subsegmental atelectasis.
322,Markings/lung/interstitial/chronic;Spine/degenerative,Markings;Spine,Frontal and Lateral view of the chest XXXX/XXXX at 418 hours.,Left flank pain history of COPD,None available.,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.,1. No acute radiographic cardiopulmonary process.
323,Calcinosis/lung/right;Granulomatous Disease;Thoracic Vertebrae/degenerative/mild;Density/lung/right,Calcinosis;Granulomatous Disease;Thoracic Vertebrae;Density,"CHEST 2V FRONTAL/LATERAL Sept 21, XXXX XXXX XXXX ",chest pain,"chest x-XXXX, 2 views PA and lateral from XXXX.","The trachea is midline. The cardiomediastinal silhouette is normal. Right lung calcified densities are unchanged from prior and indicate old granulomatous disease. Otherwise, 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 mild degenerative changes of the thoracic spine.",No acute cardiopulmonary abnormalities.
324,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Chest pain,No comparisons are available,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.
325,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",chest pain,None,Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,Clear lungs.
326,normal,normal,PA and lateral chest,XXXX-year-old female with XXXX for one XXXX,"XXXX, XXXX",The lungs are clear. Heart size and mediastinal contours are normal. No osseous abnormalities.,
327,Cardiomegaly/mild;Surgical Instruments/mediastinum,Cardiomegaly;Surgical Instruments,Xray Chest PA and Lateral,"XXXX, XXXX pain, XXXX.","XXXX, XXXX.","There is stable, mild cardiomegaly with normal caliber pulmonary vasculature. There are grossly intact XXXX sternotomy XXXX and mediastinal surgical clips. There is no focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",Stable chronic changes. No acute findings. .
328,normal,normal,PA and Lateral Chest X-XXXX dated XXXX.,History of tobacco use.,None.,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.,1. No evidence of active disease.
329,Cardiac Shadow/enlarged/borderline;Calcinosis/mediastinum/lymph nodes;Markings/right/paratracheal/prominent;Emphysema;Spondylosis/mild,Cardiac Shadow;Calcinosis;Markings;Emphysema;Spondylosis,"Chest, 2 views, frontal and lateral","COPD, asthma, cancer","XXXX, XXXX",Stable borderline enlarged cardiac contour. Calcified mediastinal lymph XXXX. Prominent right paratracheal stripe. Emphysema. No active pulmonary disease. Mild spondylosis.,"Stable appearance of the chest, see above."
330,normal,normal,PA and Lateral Chest: XXXX at 01: 50 hours.,XXXX-year-old woman with hepatic encephalopathy and XXXX of abdomen.,None available.,"Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.",No acute cardiopulmonary abnormality.
331,normal,normal,Chest x-XXXX XXXX and lateral on XXXX. ,XXXX-year-old male with shortness of breath.,Chest x-XXXX on XXXX,The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.,No acute cardiopulmonary abnormalities.
332,Opacity/lung/lower lobe/left/streaky;Opacity/retrocardiac/streaky,Opacity;Opacity,Xray Chest PA and Lateral,"XXXX, XXXX x1 XXXX. Concern for left lower lobe pneumonia on physical exam.",None available.,"There are are streaky retrocardiac left lower lobe opacities, in the correct clinical setting this could represent a pneumonia. There is no pneumothorax or pleural effusion. The cardiac silhouette is within normal limits.","Streaky left retrocardiac airspace opacities, in the correct clinical setting this could represent a pneumonia."
333,Lung/hyperdistention/mild,Lung,2 views Chest: XXXX,Productive XXXX,None.,The lungs and pleural spaces show no acute abnormality. Lungs are mildly hyperexpanded. Heart size and pulmonary vascularity within normal limits.,1. No acute pulmonary abnormality.
334,Calcified Granuloma/lung/lingula/small;Pulmonary Atelectasis/middle lobe;Infiltrate/lung/middle lobe,Calcified Granuloma;Pulmonary Atelectasis;Infiltrate,"PA and lateral chest XXXX, XXXX at XXXX comparison XXXX XXXX and CT from the same time. ",History of dyspnea.,,,Heart size is normal. Left midlung small calcified granulomas unchanged. Persistent partial middle lobe atelectasis and infiltrate seen XXXX on the lateral
335,"Catheters, Indwelling/left","Catheters, Indwelling","CHEST (PA AND LATERAL) on XXXX, XXXX",Shortness of breath.,"AP and lateral view the chest on XXXX, XXXX.",A left-sided hemodialysis catheter is in XXXX with its distal tip at the right atrium. The cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no pneumothorax. No large pleural effusion.,Stable position of the left-sided hemodialysis catheter otherwise no acute cardiopulmonary disease.
336,normal,normal,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old female with nightsweats and XXXX.,Comparison is XXXX to chest radiograph examination dated XXXX.,The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.,1. No acute cardiopulmonary process.
337,Opacity/sulcus/posterior/mild;Markings/sulcus/left;Granuloma/lung;Aorta/tortuous;Calcinosis/aorta;Osteophyte/thoracic vertebrae/multiple/small,Opacity;Markings;Granuloma;Aorta;Calcinosis;Osteophyte,Xray Chest PA and Lateral,left-sided chest pain under left breast. Three days.,XXXX,"Minimal XXXX opacities at the posterior sulci. A few septal lines of the left lateral sulcus. Otherwise, The lungs are clear with granulomas and XXXX sulci. Heart size upper normal thin LV contour.Unfolded calcified aorta. T-spine small osteophytes.",No pneumothorax. Similar appearance.
338,normal,normal,PA and lateral chest radiographs dated XXXX at XXXX hours.,XXXX-year-old with hemoptysis.,None.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. The patient was shielded.",No acute cardiopulmonary disease.
339,normal,normal,Xray Chest PA and Lateral,CLL XXXX UP;,,,"Comparison XXXX, XXXX Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified. Stable chest."
340,Cardiomegaly/moderate;Diaphragmatic Eventration;Density/heart,Cardiomegaly;Diaphragmatic Eventration;Density,Xray Chest PA and Lateral,"XXXX-year-old female, left arm pain and nausea",,"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"
341,normal,normal,CHEST 2V FRONTAL/LATERAL ; Three-view right foot.,"hx of smoking, not feeling well ; right foot XXXX.",None,"Two-view chest. Both lungs are clear and expanded. Heart and mediastinum normal. Right foot. Hindfoot, midfoot, forefoot XXXX are intact with no fractures or bone destruction.",1. Chest. No active disease. 2. Right foot. Negative.
342,"Cardiomegaly/mild;Calcified Granuloma/lung/upper lobe/left;Aorta, Thoracic/tortuous/mild","Cardiomegaly;Calcified Granuloma;Aorta, Thoracic",2 views Chest: XXXX,Preoperative renal transplant.,Chest x-XXXX of XXXX.,"The lungs and pleural spaces show no acute abnormality. Stable left upper lobe calcified granuloma. Heart size is mildly enlarged, pulmonary vascularity within normal limits. Mild tortuosity of the descending thoracic aorta.",1. No acute pulmonary findings. 2. Mild cardiomegaly.
343,"Consolidation/lung;Bone Diseases, Metabolic;Airspace Disease/lung;Pulmonary Congestion/mild","Consolidation;Bone Diseases, Metabolic;Airspace Disease;Pulmonary Congestion","PA and LAT view CHEST XXXX, XXXX XXXX PM",Pain,None.,"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."
344,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old male with chest pain.,None.,"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 acute cardiopulmonary abnormality..
345,normal,normal,"Chest, 2 views, XXXX XXXX ComparisXXXX/XXXX ",Costochondral chest pain,,Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings. XXXX degenerative changes of the thoracic spine.,No acute cardiopulmonary findings.
346,normal,normal,Xray Chest PA and Lateral,The patient states that she tried XXXX XXXX and XXXX a XXXX reaction. The patient's lower abdomen was shielded for this exam.,None.,Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. No XXXX focal airspace consolidation or pleural effusion.,"No acute or active cardiac, pulmonary or pleural disease."
347,Thoracic Vertebrae/degenerative/mild;Granulomatous Disease/chronic,Thoracic Vertebrae;Granulomatous Disease,"Chest, 2 XXXX and Lateral ",XXXX-year-old female with a XXXX.,"XXXX, XXXX at XXXX","Cardiac And Mediastinal Contours Are Unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. XXXX are grossly unremarkable. There are some minimal degenerative changes of the thoracic spine. Evidence of chronic granulomatous disease.",1. Clear lungs.
348,normal,normal,"PA and LAT view CHEST XXXX, XXXX XXXX PM",Preop neck surgery,None.,Heart size and mediastinal contour normal. Lungs are clear. Pulmonary vascularity normal. No pleural effusions or pneumothoraces. Minimal degenerative changes thoracic spine.,No acute cardiopulmonary process.
349,Cardiomegaly;Aorta/tortuous,Cardiomegaly;Aorta,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",chest pain,None,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.,1. Cardiomegaly
350,"Opacity/lung/base/left/patchy;Hernia, Hiatal/small","Opacity;Hernia, Hiatal",Xray Chest PA and Lateral,"XXXX and XXXX, history of breast cancer",none,Normal cardiomediastinal contours. No pneumothorax or large pleural effusions. Left basilar patchy opacities. Small hiatal hernia.,"Left basilar patchy opacities, which may represent atelectasis or infection. ."
351,"Lung/hyperdistention;Cicatrix/lung/lower lobe/bilateral/mild;Aorta, Thoracic/tortuous/mild","Lung;Cicatrix;Aorta, Thoracic",2 views Chest: XXXX,XXXX,Chest x-XXXX XXXX,The lungs and pleural spaces show no acute abnormality. Lungs are hyperexpanded. Minimal XXXX scarring in both lower lobes. Heart size and pulmonary vascularity within normal limits. Stable mild tortuosity of the descending thoracic aorta.,1. No acute pulmonary abnormality.
352,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,Xray Chest PA and Lateral,XXXX year old male with XXXX.,None available.,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. .
353,Pulmonary Edema/bilateral/interstitial/mild;Pleural Effusion/right/small;Calcinosis/mediastinum/lymph nodes,Pulmonary Edema;Pleural Effusion;Calcinosis,Xray Chest PA and Lateral,Increased O2 requirement,,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.
354,normal,normal,Xray Chest PA and Lateral,"XXXX, DYSPNEA",,The heart is normal in size. The mediastinum is stable. The lungs are clear.,No acute disease.
355,"Lung/hypoinflation;Markings/lung/bilateral/interstitial/prominent;Blister/lung/upper lobe/bilateral;Lung Diseases, Interstitial/chronic","Lung;Markings;Blister;Lung Diseases, Interstitial"," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",rib pain,"XXXX, XXXX.","Lung volumes are low. Prominent increased interstitial markings in both lungs are unchanged in the interval. Bullae are present both upper lobes, right worse than left. No pleural air collections. Heart size normal.",Chronic interstitial and bullous disease. No acute findings.
356,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with history of pneumonia.,Chest CT on XXXX.,"The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..",1. No acute radiographic cardiopulmonary process.
357,Heart/right/obscured;Opacity/lung/base/right/streaky,Heart;Opacity,PA and lateral chest radiograph on XXXX at 01: 28 hours. ,XXXX-year-old woman with shortness of breath.,None available.,"Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. The right heart XXXX appears obscured and there are streaky right medial basilar airspace opacities, possibly due to airspace disease or atelectasis. Otherwise, no focal consolidation, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.","Obscured right heart XXXX with streaky right medial basilar airspace opacities, possibly due to airspace disease versus atelectasis. Otherwise, no acute cardiopulmonary abnormalities."
358,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,XXXX,None,Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. Limbus vertebra noted within the partial visualized lumbar vertebral body.,No acute cardiopulmonary disease.
359,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX PM ",XXXX-year-old female with shortness of breath.,Portable chest x-XXXX dated XXXX.,Heart size is upper limits of 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.
360,normal,normal,"History of cancer. Evaluate for metastatic disease Examination PA and lateral chest XXXX, XXXX at XXXX no comparison",,,,"Heart size is normal. Lungs are clear. No effusion, nodules, adenopathy, or masses."
361,normal,normal," Two-view chest. XXXX hours XXXX, XXXX compared to XXXX, XXXX. XXXX change. ",Productive XXXX.,,Lungs remain clear and expanded. Heart and mediastinum normal.,No active disease.
362,normal,normal, PA and lateral chest,chest.,,,Heart size is normal and lungs are clear. Right aortic XXXX with probable aberrant left subclavian artery. This is a normal variant seen in one of 200 patients. No evidence of tuberculosis
363,normal,normal,"Chest x-XXXX, 2 views, XXXX, XXXX XXXX PM",XXXX distress,none,Normal cardiomediastinal contours. No focal consolidation or pleural effusions. No pneumothorax.,No acute cardiopulmonary abnormalities.
364,normal,normal,"PA and lateral views of the chest dated XXXX, XXXX.",Chest pain.,None.,"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.
365,normal,normal,CHEST- PA AND LATERAL ,Chest pain after XXXX,None,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,No evidence of thoracic injury.
366,normal,normal,CHEST 2V FRONTAL/LATERAL ,Chest pain,11/7/ XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
367,normal,normal,"Chest x-XXXX and Lateral views, dated XXXX, XXXX XXXX PM ",XXXX-year-old XXXX with dyspnea,None,The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits.,Clear lungs.
368,normal,normal,"Chest, 2 views, XXXX XXXX","XXXX, sore throat, headache",None,Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,No acute cardiopulmonary findings.
370,normal,normal,PA and lateral chest radiographs. XXXX/XXXX at XXXX hours. ,XXXX-year-old female with shortness of breath.,None.,"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.
371,"Lung/hyperdistention;Calcinosis/mediastinum/anterior;Calcinosis/lymph nodes;Arthritis/spine;Granulomatous Disease;Pulmonary Disease, Chronic Obstructive","Lung;Calcinosis;Calcinosis;Arthritis;Granulomatous Disease;Pulmonary Disease, Chronic Obstructive","Exam PA and lateral chest XXXX, XXXX at XXXX hours.",Preop knee revision.,"XXXX, XXXX.",The lungs are clear. There is hyperinflation. Calcification is seen over the anterior mediastinum XXXX a calcified lymph node at is not identified on the PA projection. The heart is normal. Arthritic changes the spine are seen.,COPD and old granulomatous disease.
372,"Airspace Disease/lung/left/retrocardiac;Costophrenic Angle/posterior/blunted;Catheters, Indwelling/right;Pleural Effusion/left/small","Airspace Disease;Costophrenic Angle;Catheters, Indwelling;Pleural Effusion",Xray Chest PA and Lateral,XXXX-year-old male with chest pain. History of cancer.,Chest radiograph XXXX.,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.
373,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",wheezing and XXXX,None,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
374,Cardiomegaly;Pleural Effusion/right/large;Pulmonary Atelectasis/base/right;Infiltrate/lung/base/right,Cardiomegaly;Pleural Effusion;Pulmonary Atelectasis;Infiltrate,"AP and lateral chest XXXX, XXXX at time XXXX with comparison XXXX XXXX ",dyspnea.,,,Cardiomegaly. Left lung clear. Large right effusion. Compressive atelectasis or infiltrate in the right base
375,normal,normal,"Two view chest radiograph dated XXXX, XXXX ",Back pain,,"The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax.",No acute process.
376,No Indexing,No Indexing,PA and Lateral Chest X-XXXX dated XXXX.,Bladder cancer.,XXXX.,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No non-calcified nodules are identified.,1. No evidence of active disease.
377,Spine/degenerative,Spine,Xray Chest PA and Lateral,Chest pain,None,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.,No evidence of active disease.
378,Pulmonary Atelectasis/base/right/mild,Pulmonary Atelectasis,"AP and lateral chest XXXX, XXXX at XXXX",acute mental status change Chest x-XXXX for placement,,,Minimal atelectasis right base. No evidence of tuberculosis. Heart size is normal.
379,"Catheters, Indwelling/right;Cardiomegaly/moderate;Opacity/lung/base/bilateral;Pleural Effusion/bilateral;Calcinosis/mild","Catheters, Indwelling;Cardiomegaly;Opacity;Pleural Effusion;Calcinosis",PA and lateral views of the Chest performed XXXX/XXXX.,XXXX year old dialysis catheter placement.,AP and lateral chest XXXX.,There has been interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. Moderate cardiomegaly is identified. There is mild calcification of the transverse XXXX. XXXX airspace opacities are identified with bilateral pleural effusions.,1. Interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. 2. Bibasilar airspace opacities and bilateral pleural effusions.
380,Medical Device/thorax,Medical Device,"Chest 2 views dated XXXX, XXXX.",XXXX XXXX,None.,"The XXXX examination consists of supine and crosstable lateral radiographs of the chest. External monitor leads XXXX the thorax. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",No evidence of acute thoracic XXXX.
382,Bullous Emphysema/lung/upper lobe/bilateral/severe;Bronchiectasis/upper lobe/bilateral;Opacity/lung/upper lobe/left/prominent,Bullous Emphysema;Bronchiectasis;Opacity,"Chest radiographs (PA and lateral views), dated XXXX. ",XXXX year-old female with hemoptysis. History of sarcoidosis.,"CT chest with contrast, dated XXXX.","Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. Marked bullous emphysematous changes and traction bronchiectasis, again most notable involving the bilateral upper lobes. Stable prominent ovoid opacity (4.3 x 2.8 XXXX) XXXX a large left upper lobe XXXX, XXXX reflecting a superimposed aspergilloma-as more readily demonstrated on the previous CT chest study from XXXX. No XXXX areas of alveolar airspace consolidation are identified. No evidence of pleural effusion or pneumothorax.","1. Marked bullous emphysematous changes and traction bronchiectasis, again most notable involving the bilateral upper lobes. Stable suspected superimposed left upper lobe aspergilloma - as more readily demonstrated on the previous CT chest study from XXXX."
383,Osteophyte/thoracic vertebrae/anterior/multiple,Osteophyte,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX. ",XXXX-year-old female with chest pain.,XXXX.,"Normal heart size. No focal air space consolidation, pneumothorax, pleural effusion, or pulmonary edema. Anterior osteophytes of the thoracic spine.",No acute cardiopulmonary disease.
384,Markings/lung/interstitial/scattered/irregular/chronic;Markings/bronchovascular/mild;Density/lung/lingula,Markings;Markings;Density,Xray Chest PA and Lateral,"XXXX-year-old female, XXXX",,,"Heart size within normal limits, stable mediastinal contours. XXXX densities in the lingula may be compatible with scarring or subsegmental atelectasis, scattered chronic appearing irregular interstitial markings. No focal alveolar consolidation, no definite pleural effusion seen. Mild bronchovascular crowding without typical findings of pulmonary edema."
385,normal,normal,"CHEST 2V FRONTAL/LATERAL RADXXXX XXXX, XXXX XXXX PM ",cp,,,"Comparison XXXX, XXXX Clear lungs. No effusions. Unremarkable mediastinal contour. No acute cardiopulmonary abnormality identified.. Stable chest."
386,Markings/bronchovascular,Markings,Xray Chest PA and Lateral,"XXXX-year-old male, chest pain",None,"Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema.",No acute findings
387,Lung/hilum/enlarged;Opacity/lung/upper lobe/left,Lung;Opacity,PA and lateral chest x-XXXX ,XXXX-year-old male with shortness of breath.,None,Heart size is normal. There is left hilar enlargement with partial opacification of the left upper lobe suggestive of hilar mass with obstructive atelectasis. Questionable small right midlung nodule. Negative for pneumothorax or pleural effusion. Bony thorax is unremarkable.,Suspected left hilar mass with obstructive atelectasis. XXXX thorax for further characterization.
388,Cardiomegaly;Aorta/tortuous;Calcinosis/aorta;Mastectomy/right,Cardiomegaly;Aorta;Calcinosis;Mastectomy,Xray Chest PA and Lateral,"Abnormal breath sounds, high blood pressure",,"Cardiomegaly is unchanged. Stable superior mediastinal contour with tortuous calcified aorta. Normal pulmonary vascularity. No focal air space consolidation, pleural effusion, or pneumothorax. No acute bony abnormality. Changes of prior right mastectomy.",Stable appearance of the chest. No acute cardiopulmonary findings.
389,"Calcified Granuloma/lung/lower lobe/right;Hernia, Hiatal","Calcified Granuloma;Hernia, Hiatal","Chest, 2 XXXX and Lateral ",XXXX-year-old female with shortness of breath,"XXXX, XXXX at XXXX","Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. There is a stable calcified granuloma in the right lower lobe. A hiatal hernia is present that is unchanged from the prior study. XXXX are grossly unremarkable.",1. Clear lungs. 2. Stable hiatal hernia.
390,Aorta/tortuous/mild;Spine/degenerative,Aorta;Spine,"PA and LAT view CHEST XXXX, XXXX XXXX PM",Dyspnea and right-sided arm numbness,None,Heart size and vascularity are normal. Mild tortuosity of the aorta. No focal airspace disease or effusion. Degenerative change of the spine. No pneumothorax.,No acute cardiopulmonary process.
391,Lung/hypoinflation,Lung,PA and lateral views of the chest. ,XXXX-year-old female with one XXXX of productive XXXX.,None available.,Low lung volumes. Heart size normal. No focal airspace consolidations. No pneumothorax or effusions.,No acute cardiopulmonary findings.
392,"Catheters, Indwelling","Catheters, Indwelling",PA AND LATERAL CHEST X-XXXX at XXXX on XXXX ,Complaining of shortness of breath,XXXX,"Lungs are clear. No focal consolidation, effusion, or pneumothorax. Interval resolution of left effusion. Central venous dialysis catheter unchanged in position. Heart and mediastinal contours are normal. Osseous structures intact.",No acute cardiopulmonary disease.
393,normal,normal,Xray Chest PA and Lateral,XXXX-year-old woman with XXXX.,None.,"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. .
394,Opacity/lung/lower lobe/right/large;Opacity/lung/middle lobe/right/large;Consolidation/lung/multilobar,Opacity;Opacity;Consolidation,PA lateral chest x-XXXX dated XXXX ,Shortness of breath,PA and lateral chest x-XXXX dated XXXX,There is a large airspace opacity in the right lower and middle lobes. There is no pneumothorax. Heart size is normal. Soft tissue and bony structures unremarkable.,Multilobar airspace consolidation.
395,Calcinosis/lung/hilum/lymph nodes,Calcinosis,"PA and lateral chest radiograph, XXXX XXXX hours. ",XXXX-year-old male with chest pain.,None.,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.
396,Spine/degenerative/mild,Spine,"PA and LATERAL views of the chest, dated XXXX, XXXX XXXX PM","XXXX-year-old female, nonsmoker, preoperative evaluation, prolapse",XXXX,The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. There are minimal degenerative changes of the spine.,No evidence of active disease.
397,Density/lung/base/left/round;Thoracic Vertebrae/degenerative;Density/costophrenic angle/left/round,Density;Thoracic Vertebrae;Density,"PA and LAT view CHEST XXXX, XXXX XXXX XXXX",Prostate cancer,XXXX,There is a XXXX 7 XXXX nodular density at the left lung base. Lungs are otherwise clear. The CT scan without IV contrast could be performed for further evaluation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.,XXXX 7 XXXX nodular density at the left costophrenic XXXX. Recommend CT scan for further evaluation.
398,Calcinosis/right/paratracheal,Calcinosis,Xray Chest PA and Lateral,"XXXX-year-old female, alleged physical assault",,"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.
399,Spine/degenerative,Spine,Xray Chest PA and Lateral,Hyperlipidemia. Chest XXXX.,None.,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.,1. No evidence of active disease.
400,Calcified Granuloma/lung/base/right/small,Calcified Granuloma,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. ","XXXX-year-old woman with dyspnea and XXXX x3 days, history of asthma.","Two-view chest rehabilitation dated XXXX, XXXX.","The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Stable small right basilar calcified granuloma. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",No acute cardiopulmonary abnormality.
401,"Costophrenic Angle/left/blunted;Opacity/lung/interstitial;Lung Diseases, Interstitial/diffuse;Pleural Effusion","Costophrenic Angle;Opacity;Lung Diseases, Interstitial;Pleural Effusion",PA and lateral views of the chest ,Chest pain,"XXXX, XXXX",Mediastinal contours are normal. Blunting of the left costophrenic XXXX. Increased interstitial opacities.. There is no pneumothorax or large pleural effusion.,Diffuse interstitial lung disease with pleural effusion.
402,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",cp,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
403,"Fractures, Bone/ribs/right/multiple/healed","Fractures, Bone",PA and lateral views of the chest. ,XXXX-year-old female with chest pain.,Portable chest from XXXX.,Heart size within normal limits. No focal airspace disease. No pneumothorax. No effusions. Multiple old right-sided rib fractures again noted.,No acute cardiopulmonary findings.
404,Foreign Bodies/abdomen;Technical Quality of Image Unsatisfactory ,Foreign Bodies;Technical Quality of Image Unsatisfactory ,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, chest pain.",None,Artifact in the region of the central upper abdomen. No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.,Limited exam secondary to artifact within the upper abdomen (this does not represent free intra-abdominal XXXX). Recommend repeat chest x-XXXX.
405,Technical Quality of Image Unsatisfactory ;Lung/hypoinflation,Technical Quality of Image Unsatisfactory ;Lung,2 views of the Chest XXXX/11. ,Shortness of breath,None.,"Rotated with low lung volumes. Question left atrial enlargement, XXXX appreciated on lateral view. 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.","Question left atrial enlargement, XXXX appreciated on lateral view. Clear lungs."
406,Calcinosis/lung/hilum/right;Granulomatous Disease/chronic;Nodule/lung/hilum/right,Calcinosis;Granulomatous Disease;Nodule,Chest XXXX and lateral ,XXXX-year-old female with rib injury.,None available.,"Heart size normal. No pneumothorax, large pleural effusion, or focal airspace disease. Bony structures appear intact. Calcified right hilar nodules consistent with chronic granulomatous disease.",No acute cardiopulmonary abnormality.
407,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",STAB,None,Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,Clear lungs.
408,Lung/hypoinflation;Pleural Effusion/bilateral/small,Lung;Pleural Effusion,Xray Chest PA and Lateral,,None Indication Cirrhosis Evaluate pre liver transplant,The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. Small bilateral pleural effusions are seen.,Small bilateral pleural effusions.
409,Opacity/lung/interstitial;Pulmonary Fibrosis;Calcified Granuloma/lung/hilum/bilateral;Calcified Granuloma/paratracheal;Markings/lung/bilateral/interstitial,Opacity;Pulmonary Fibrosis;Calcified Granuloma;Calcified Granuloma;Markings,Xray Chest PA and Lateral,The patient is a XXXX-year-old female with XXXX.,,"Redemonstration of interstitial opacities, consistent with patient's history of pulmonary fibrosis. Unchanged calcified granulomas at the left greater than right hilum, and in the pretracheal region. No pneumothorax, pleural effusion or focal airspace consolidation. Cardiomediastinal size is the upper limits of normal. Pulmonary vasculature is normal . XXXX XXXX intact.","Interstitial markings bilaterally, pulmonary fibrosis, unchanged. ."
410,Scoliosis/thoracic vertebrae/left/mild;Shoulder/right/prominent/mild,Scoliosis;Shoulder,PA and lateral views of chest performed XXXX/XXXX at XXXX. ,XXXX-year-old with a XXXX.,None.,The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is a mild levoscoliosis of the thoracic spine. There is mild widening of the right acromioclavicular joint which may be postsurgical or posttraumatic in XXXX.,1. No acute cardiopulmonary disease.
411,Opacity/lung/base/left/patchy/mild;Arthritis;Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left/chronic,Opacity;Arthritis;Pulmonary Atelectasis;Cicatrix,Xray Chest PA and Lateral,Frequent XXXX. History emphysema.,,There is some minimal patchy opacity in left base which may represent atelectasis or scarring. The lungs are otherwise clear. The heart and mediastinum are normal for age. There is some arthritic changes of the skeletal structures and there has been previous rotator XXXX repair on the right.,Minimal left basilar opacity most XXXX representing atelectasis or chronic scarring.
412,Pulmonary Emphysema/bilateral;Pulmonary Fibrosis/lower lobe/bilateral;Thoracic Vertebrae/degenerative;Opacity/lung/lower lobe/right;Nodule/lung/lower lobe/right;Deformity/ribs/right/posterior,Pulmonary Emphysema;Pulmonary Fibrosis;Thoracic Vertebrae;Opacity;Nodule;Deformity,PA lateral views of the chest dated XXXX. ,"XXXX-year-old female, hypoxia.",PA lateral views of the chest dated XXXX.,"Bilateral emphysematous again noted and lower lobe fibrotic changes. Postsurgical changes of the chest including CABG procedure, stable. Stable valve artifact. There are no focal areas of consolidation. No large pleural effusions. No evidence of pneumothorax. Degenerative changes noted of the visualized thoracic spine. Nodular right lower lobe opacity, XXXX nipple XXXX. Contour abnormality of the posterior aspect of the right 7th rib again noted, stable.",1. No acute cardiopulmonary abnormality. 2. Stable bilateral emphysematous and lower lobe fibrotic changes.
413,normal,normal," PA and lateral chest XXXX, XXXX at XXXX comparison XXXX. ",tuberculosis +PPD,,,Heart size is normal and lungs are clear. No evidence of tuberculosis
414,Scoliosis/lumbar vertebrae/right/mild;Spine/degenerative/multiple;Scoliosis/thoracic vertebrae/right/mild,Scoliosis;Spine;Scoliosis,Xray Chest PA and Lateral,Chest pain,"XXXX, XXXX",Normal heart size. Clear lungs. Multilevel degenerative disc disease with mild dextrocurvature near the thoracolumbar junction.,No acute process.
415,Breast Implants/bilateral,Breast Implants,Xray Chest PA and Lateral,,"None ,786.2 XXXX",The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear. Bilateral breast prostheses are noted.,No acute disease.
416,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, XXXX",,"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 acute findings
417,Calcified Granuloma,Calcified Granuloma,Chest X XXXX 2 XXXX PA and lateral ,"The patient is a XXXX-year-old female scheduled for right breast surgery, for XXXX cancer diagnosis. History of XXXX.",XXXX,"Stable calcified granulomas. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal.",1. No acute cardiopulmonary abnormality.
418,Cardiac Shadow/enlarged;Surgical Instruments;Density/lung/base/left;Cicatrix/lung/base/left;Pulmonary Atelectasis/base/left/chronic;Calcinosis/lung/hilum/right,Cardiac Shadow;Surgical Instruments;Density;Cicatrix;Pulmonary Atelectasis;Calcinosis,Xray Chest PA and Lateral,"XXXX-year-old male, chest pain",,"Stable enlargement of the cardiac silhouette, stable mediastinal and hilar contours, surgical clips and CABG markers. Stable XXXX densities in the left base compatible with scarring or chronic subsegmental atelectasis. No focal alveolar consolidation, no definite pleural effusion seen. Right hilar calcifications suggest a previous granulomatous process. No typical findings of pulmonary edema.",No acute findings
419,normal,normal,"Chest, 2 views, frontal and lateral",Preop bariatric surgery.,"XXXX, XXXX",Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute preoperative findings.
420,Density/lung/middle lobe/right,Density,PA and lateral views of the chest ,Chest pain.,None.,"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."
421,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX. ",XXXX-year-old female with chest pain,"Chest x-XXXX, XXXX","Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable. Negative for pneumoperitoneum.",Negative for acute cardiopulmonary abnormality.
422,Calcified Granuloma/lung/left,Calcified Granuloma,Xray Chest PA and Lateral,ASTHMA; Pt to have hip decompression surgery.,No comparison chest x-XXXX.,,Calcified granuloma periphery left lung. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
423,"Lung/hypoinflation;Pleural Effusion/bilateral/large;Pulmonary Atelectasis/base/bilateral;Airspace Disease/lung/base/bilateral;Catheters, Indwelling/left;Tube, Inserted;Lucency/diaphragm/left;Pneumoperitoneum","Lung;Pleural Effusion;Pulmonary Atelectasis;Airspace Disease;Catheters, Indwelling;Tube, Inserted;Lucency;Pneumoperitoneum",Xray Chest PA and Lateral,XXXX-year-old male with shortness of breath.,"Portable chest XXXX, XXXX.","There is a left subphrenic crescentic lucency, this is concerning for pneumoperitoneum. There are low lung volumes and bilateral moderate to large pleural effusions with bibasilar atelectasis/airspace disease that are larger in size in comparison to the prior exam. No pneumothorax. Heart size upper limits of normal. The left central venous catheter tip overlies the lower SVC. The feeding tube has been placed in the interval and extends below the diaphragm and below the XXXX-of-view.",1. Concern for left subphrenic free air. Verification with abdominal decubitus views is recommended for further evaluation. 2. Interval increase in size of the moderate to large bilateral pleural effusions with bibasilar atelectasis/airspace disease. 3. Left central venous catheter in unchanged position. 4. Interval placement of feeding tube the courses beneath the diaphragm and out of the XXXX-of-view.
424,Foreign Bodies,Foreign Bodies,PA and Lateral Chest X-XXXX XXXX at XXXX ,Chest pain,None,"The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The Heart and mediastinum are normal size and shape. XXXX and soft tissues are unremarkable. Probable nerve stimulator noted.",No Acute cardiopulmonary disease.
425,normal,normal,Chest x-XXXX XXXX ,Chest pain.,XXXX,Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,No acute cardiopulmonary process.
426,"Aorta, Thoracic/tortuous;Spine/degenerative","Aorta, Thoracic;Spine",Xray Chest PA and Lateral,Pain.,None.,Normal heart size. Tortuosity of the thoracic aorta. The lungs are free of any focal airspace disease. There is no pneumothorax or pleural effusion. Degenerative changes are present in the spine.,No acute cardiopulmonary process. .
427,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX,None available,"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.
428,normal,normal,"CHEST 2V FRONTAL/LATERAL Sept 15, XXXX XXXX XXXX ",remote h/o POS PPD,chest x-XXXX and lateral from XXXX.,"The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.",No acute cardiopulmonary abnormalities.
429,normal,normal,Xray Chest PA and Lateral,"Pain, pedestrian XXXX 2 XXXX ago.",None.,"The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There is no definite evidence of acute fracture.",No acute cardiopulmonary findings. .
430,normal,normal,CHEST PA and LATERAL at XXXX p.m. XXXX/XXXX,XXXX-year-old with chest pain,None.,Lungs are clear. No focal infiltrate or effusion. No pneumothorax. Heart and mediastinal contours within normal limits. Visualized osseous structures intact.,No acute cardiopulmonary disease.
431,Osteophyte/thoracic vertebrae/multiple;Technical Quality of Image Unsatisfactory ;Cardiomegaly/borderline,Osteophyte;Technical Quality of Image Unsatisfactory ;Cardiomegaly,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",please XXXX for sarcoid/tuberculosis,"chest 2 views from XXXX, XXXX.",The Heart size is normal. Cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally. Lateral views obscured by patient body habitus. There is no evidence of apical disease. XXXX are unchanged from previous exam and appear normal. Thoracic spine shows osteophyte formations at several levels.,no radiographic evidence of tuberculosis or sarcoidosis.
432,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, XXXX, nonsmoker.",None.,"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.
433,normal,normal,"PA and lateral chest XXXX, XXXX at XXXX comparison 14 XXXX ",chest pain,,,Heart size normal. Lungs clear.
434,Calcinosis/aorta;Calcinosis/mediastinum/lymph nodes;Lung/hyperdistention;Diaphragm/flattened;Spine/degenerative,Calcinosis;Calcinosis;Lung;Diaphragm;Spine,Xray Chest PA and Lateral,"XXXX-year-old XXXX with XXXX, fatigue.","XXXX, XXXX","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 spine.",No acute abnormality. .
435,normal,normal,Chest x-XXXX XXXX ,Chest pain.,None,Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,No acute cardiopulmonary process.
436,"Calcinosis/aorta;Hernia, Hiatal/retrocardiac/large;Cardiomegaly/borderline","Calcinosis;Hernia, Hiatal;Cardiomegaly",Xray Chest PA and Lateral,Dyspnea,None.,,Borderline heart size. Calcified aorta. No active pulmonary edema or lobar pneumonia. Probable large retrocardiac hiatal hernia.
437,Cardiomegaly;Aortic Aneurysm;Spine/degenerative/mild;Aorta/prominent,Cardiomegaly;Aortic Aneurysm;Spine;Aorta,Xray Chest PA and Lateral,"XXXX-year-old male, preoperative evaluation. History of thyroid cancer.",CT chest XXXX (part of XXXX/CT scan),"There are postoperative changes of sternotomy. There is cardiomegaly. The contour of the ascending aorta is prominent, consistent with known ascending aortic aneurysm. The lungs appear clear. No focal airspace consolidation. No pleural effusion or pneumothorax. There are minimal degenerative changes of the spine.","1. No acute pulmonary abnormality demonstrated. 2. Stable cardiomegaly. 3. Prominent contour of the ascending aorta, consistent with known ascending aortic aneurysm."
438,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX ",dyspnea,,,Heart size is normal and lungs are clear
439,Calcinosis/lung/base/right/small;Granulomatous Disease;Calcinosis/lung/hilum/lymph nodes/small,Calcinosis;Granulomatous Disease;Calcinosis,Xray Chest PA and Lateral .,Sarcoid Hx sarcoidosis; Occasional XXXX/SOB; No cp/previous injury/surgery; Non-XXXX.,XXXX.,,Small calcification right lung base with appearance of old granulomatous disease. Also small perihilar calcified lymph XXXX. Lungs are clear. No active parenchymal disease. No XXXX of pleural effusions. No pulmonary edema. Normal heart size. No XXXX of active cardiopulmonary disease. Unchanged.
440,Emphysema;Thickening/pleura/apex/left/focal;Cicatrix/pleura/apex/left;Atherosclerosis/aorta,Emphysema;Thickening;Cicatrix;Atherosclerosis,Xray Chest PA and Lateral ,Hemorrhagic infarct. Increased BNP.,None.,Heart size is within normal limits. Emphysematous changes. Focal pleural thickening in the left apex is XXXX scarring. Atherosclerotic calcifications of the aortic XXXX. There is no focal infiltrate. No pneumothorax or pleural effusion.,Emphysema without acute cardiopulmonary findings.
441,Calcified Granuloma/lung/scattered/multiple;Granulomatous Disease;Nodule/lung/scattered/multiple;Calcinosis/lung/scattered/multiple,Calcified Granuloma;Granulomatous Disease;Nodule;Calcinosis,PA and lateral views of the chest ,Evaluate for pneumonia.,Chest x-XXXX dated XXXX.,"Mediastinal contours are normal. Heart size is within normal limits. Multiple scattered calcified pulmonary nodules, XXXX sequela of prior granulomatous disease. Otherwise lungs are clear.. There is no pneumothorax or large pleural effusion. No bony abnormality.",No acute cardiopulmonary abnormality.
442,"Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive","Lung;Pulmonary Disease, Chronic Obstructive"," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",sob,"XXXX, XXXX.",The lungs remain hyperexpanded. No XXXX infiltrates or masses. Heart and mediastinum are normal.,XXXX change COPD with no acute findings.
443,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,PA and Lateral Chest Radiograph ,Positive PPD,,"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."
444,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX PM ",XXXX-year-old female with chest pain.,None.,The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,No acute radiographic cardiopulmonary process.
445,normal,normal," PA and lateral chest XXXX, XXXX at time XXXX ",chest pain,,,Heart size is normal and lungs are clear.
446,Spondylosis/thoracic vertebrae,Spondylosis,"Chest, 2 views, frontal and lateral",Preop total knee replacement.,None.,The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,No acute preoperative findings.
448,normal,normal,PA and lateral views of the chest. ,"XXXX-year-old female, pregnant.",Portable chest from XXXX.,Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,No acute cardiopulmonary findings.
449,normal,normal,"Chest radiographs, 2 images. ",XXXX-year-old with wheezing.,None.,Cardiac silhouette within normal limits. No edema or airspace consolidation. No pneumothorax. No pleural effusion.,No evidence of acute cardiopulmonary process.
450,normal,normal,PA and lateral of the chest ,XXXX-year-old chest pain.,None,No focal consolidation. No pneumothorax. No pleural effusions. Heart size normal. Cardio mediastinal silhouette is unremarkable.,1. No acute cardiopulmonary findings.
451,Calcinosis/mediastinum/lymph nodes,Calcinosis,"Pelvis with bilateral hips, AP femur with PA and lateral chest XXXX, XXXX.",Bilateral hip pain with osteoarthritis. Possible hip replacement.,,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.
452,Sutures/lung/apex/left,Sutures,"PA and lateral views of the chest, XXXX, XXXX XXXX XXXX",",786.2 XXXX - f/u ? aspiration",XXXX at XXXX,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
453,Pulmonary Fibrosis/base/bilateral,Pulmonary Fibrosis,Xray Chest PA and Lateral,Preop anesthesia XXXX,None.,,Concerning findings for fibrosis in the bases of the lungs. This can be further characterized with a XXXX of the chest. No confluent lobar pneumonia or pleural effusion.
454,Cardiomegaly/mild,Cardiomegaly,Chest radiograph PA and lateral. ,XXXX-year-old woman with chest pain.,XXXX.,There is stable mild cardiac enlargement. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.,Stable mild cardiomegaly. No acute cardiopulmonary findings.
455,Lung/hypoinflation;Markings/bronchovascular;Pulmonary Atelectasis/base;Cardiac Shadow/right/prominent;Thoracic Vertebrae/degenerative/chronic,Lung;Markings;Pulmonary Atelectasis;Cardiac Shadow;Thoracic Vertebrae,"PA and Lateral Chest Radiograph XXXX, XXXX XXXX XXXX","XXXX-year-old male, status post cardiac arrest","Chest radiograph XXXX, XXXX","There are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. There is stable prominence of the right cardiac silhouette. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There are stable chronic degenerative changes of the thoracic spine.",No acute cardiopulmonary abnormality.
456,Granulomatous Disease,Granulomatous Disease,"PA and Lateral Chest: XXXX, XXXX at XXXX p.m.",XXXX-year-old female with mid back pain that radiates to rib. XXXX recent injury.,XXXX,"PA and lateral radiograph the chest demonstrate stable cardiomediastinal silhouette. No focal consolidation, large pleural effusion, or pneumothorax is identified. Evidence of prior granulomatous disease. Visualized osseous structures appear intact.",No acute cardiopulmonary abnormality.
457,Calcified Granuloma/lung/lingula;Density/lung/upper lobe/right/anterior/round;Opacity/lung/interstitial/prominent,Calcified Granuloma;Density;Opacity,Xray Chest PA and Lateral,XXXX,"Chest 2 views. XXXX, XXXX.","There is a calcified granuloma left midlung. There is round density within the anterior segment of the right upper lobe. There are prominent interstitial opacities which may represent changes associated with fibrosis. Heart size is normal. No pneumothorax. anterior segment of upper lobe, rounded focal density. could be XXXX lung nodule.",Round density within the anterior segment of the right upper lobe. This may represent XXXX pulmonary nodule. The primordial XXXX was employed to notify the referring physicians of this critical finding. .
458,No Indexing,No Indexing,"PA and lateral views of the chest, XXXX, XXXX XXXX PM",XXXX H/O SMOKING XXXX FOR CAUSES. PAIN IN NECK AND XXXX.,None,The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.,No acute cardiopulmonary disease
459,normal,normal,"PA and lateral chest radiograph, XXXX XXXX hours. ","XXXX-year-old male, rule out foreign body.",None.,"The cardiac and mediastinal contours are normal. The lungs are well-inflated and clear. There is no focal consolidation, pneumothorax or effusion. No acute bony abnormalities are seen. No radiopaque foreign bodies are present.",No evidence of acute cardiopulmonary process. Negative examination of the chest.
460,"Aorta, Thoracic/tortuous/mild","Aorta, Thoracic",2 views Chest: XXXX,Chest pain and dizziness,Chest x-XXXX XXXX,"The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. Mild tortuosity of the thoracic aorta, unchanged",1. No acute pulmonary abnormality.
461,normal,normal,Xray Chest PA and Lateral,"XXXX, throat pain, right ear pain",,"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. .
462,"Cardiomegaly/mild;Aorta, Thoracic/tortuous/mild","Cardiomegaly;Aorta, Thoracic","PA lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old male, dyspnea",None available,Mild cardiomegaly. Mild unfolding of the thoracic aorta. No focal air space opacity. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.,"1. Mild cardiomegaly. 2. Otherwise, no acute cardiopulmonary abnormalities."
463,Opacity/lung/lower lobe/left;Osteophyte/thoracic vertebrae/multiple;Calcinosis/lung/hilum/lymph nodes;Mass/thorax/left,Opacity;Osteophyte;Calcinosis;Mass,Xray Chest PA and Lateral,"Preoperative, knee surgery.",None available.,There is a approximately 4 cm opacity with one XXXX margin and the other ill-defined in the lateral lower left lung is seen on the PA view. This is not definitely seen on the lateral view. There is no pneumothorax or pleural effusion. The cardiac silhouette is within normal limits. There are T-spine osteophytes. There is no pneumothorax or pleural effusion. There are calcified hilar lymph XXXX there,Approximately 4.8 cm mass in the left lower hemithorax. This is favored to be arising from the chest wall and be pleural based. A CT of the chest is recommended for further evaluation. Critical result notification documented through Primordial.
464,Diaphragmatic Eventration/right;Spine/degenerative,Diaphragmatic Eventration;Spine,Xray Chest PA and Lateral,Chest pain.,None.,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is eventration of the right hemidiaphragm. Degenerative changes are present in the spine.,1. No evidence of active disease.
465,Opacity/lung/lower lobe/right/patchy;Opacity/lung/middle lobe/right/patchy;Pneumothorax/apex/right/small;Pleural Effusion/right/small;Pulmonary Atelectasis/lower lobe/right;Pulmonary Atelectasis/middle lobe/right,Opacity;Opacity;Pneumothorax;Pleural Effusion;Pulmonary Atelectasis;Pulmonary Atelectasis,Xray Chest PA and Lateral,XXXX-year-old status post thoracentesis,,Normal cardiomediastinal contours. Right lower lung patchy opacities. Small right pneumothorax. Small right pleural effusion.,"1. Small right apical pneumothorax. 2. Right middle and lower lobe patchy opacities, XXXX residual atelectasis. 3. Near-complete resolution of right-sided pleural effusion with XXXX residual. ."
466,Aorta/tortuous/mild;Scoliosis/lumbar vertebrae/left/mild,Aorta;Scoliosis,Frontal and lateral chest on XXXX at XXXX.,Hypertension.,None available.,"Normal heart size. Mild tortuosity of the aorta. No pneumothorax, pleural effusion or suspicious airspace opacity. Mild levoscoliosis of the lumbar spine.",No acute abnormality seen.
467,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Dyspnea.,None.,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.
468,"Nodule/lung/apex/right;Lung/hyperdistention;Density/thorax/scattered;Costophrenic Angle/blunted/chronic;Fractures, Bone/ribs/right/posterior/healed","Nodule;Lung;Density;Costophrenic Angle;Fractures, Bone",2 views Chest: XXXX,Syncope,Chest x-XXXX XXXX,The lungs and pleural spaces show no acute abnormality. There is a XXXX 10 XXXX nodule in the right apex projecting between the third and fourth posterior ribs. Lungs are hyperexpanded. Heart size and pulmonary vascularity within normal limits. Scattered XXXX densities throughout the chest from prior gunshot wound. Chronic blunting of the costophrenic XXXX. Healed right 10th and left 9th posterolateral rib fracture.,1. No acute pulmonary abnormality. 2. XXXX right apical nodule. Further evaluation XXXX chest should be considered to exclude the possibility of pulmonary malignancy. 3.Chronic findings as discussed below.
469,Scoliosis/lumbar vertebrae;Scoliosis/thoracic vertebrae;Spine/degenerative,Scoliosis;Scoliosis;Spine,PA and lateral chest radiographs dated XXXX at XXXX hours. ,XXXX-year-old with dyspnea.,Two views of the chest dated XXXX.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal airspace opacity to suggest a pneumonia. There are scoliotic changes of the thoracolumbar spine. There degenerative changes of the spine.",No acute cardiopulmonary disease.
470,normal,normal,"PA and lateral chest radiograph, XXXX at XXXX hours. ",XXXX-year-old male with XXXX.,"PA and lateral chest radiograph, XXXX.","The cardiac and mediastinal contours are within normal limits. The lungs are well-inflated and clear. There is no focal consolidation, pneumothorax, or effusion. The bony structures of the thorax are unremarkable.",No evidence of acute cardiopulmonary process. Stable appearance of the chest.
471,Funnel Chest/mild,Funnel Chest,Xray Chest PA and Lateral,"XXXX, XXXX",None,The heart is normal in size. The mediastinum is unremarkable. Mild pectus excavatum deformity is noted. The lungs are clear.,No acute disease.
472,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,"PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ",54 old male with chest pain,"CT chest XXXX, XXXX",Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Stable postoperative and degenerative changes of the XXXX. Stable degenerative disc disease of the thoracic spine.,No acute cardiopulmonary abnormalities.
473,normal,normal, PA and lateral chest.,preop for XXXX,,,Heart size normal. Lungs clear.
474,normal,normal,Xray Chest PA and Lateral,Chest pain and bilateral hand numbness.,None,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.
475,normal,normal,Xray Chest PA and Lateral,Syncope. Chest and abdominal pain.,None.,Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion.,"No acute or active cardiac, pulmonary or pleural disease."
476,Calcinosis/aorta,Calcinosis,"PA and lateral chest XXXX, XXXX.",Prostate cancer with prostatectomy.,,The lungs are clear. No pleural effusion is identified. The heart is normal. There are calcifications of the aortic XXXX. The skeletal structures are normal.,No active disease.
477,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with XXXX,Chest on XXXX,"The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..",1. No acute radiographic cardiopulmonary process.
478,Spondylosis/thoracic vertebrae,Spondylosis,Xray Chest PA and Lateral,Bronchitis and XXXX,"XXXX, XXXX",The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,No acute findings.
479,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX XXXX ",XXXX.,CT chest with contrast dated XXXX.,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.
480,normal,normal,"2 view CHEST: XXXX, XXXX at XXXX hours. ",Rule out TB,None,,"Heart size, mediastinal silhouette, pulmonary vascularity are within normal limits. There is no focal air space consolidation to suggest acute pneumonia or active tuberculous infection. No pleural effusion or pneumothorax."
481,"Catheters, Indwelling/left;Atherosclerosis/aorta;Lung/hyperdistention;Calcinosis/bronchi/diffuse;Bone Diseases, Metabolic;Cervical Vertebrae/degenerative;Pulmonary Disease, Chronic Obstructive","Catheters, Indwelling;Atherosclerosis;Lung;Calcinosis;Bone Diseases, Metabolic;Cervical Vertebrae;Pulmonary Disease, Chronic Obstructive",2 view chest dated XXXX XXXX,PICC line placement.,None,,"Left PICC line tip near junction of brachiocephalic vein and SVC; repositioning with a slight advancement may be helpful. There is a tortuous atherosclerotic aorta. Large lung volumes with widened AP diameter of the chest, XXXX due to COPD; recommend clinical correlation. Diffuse XXXX bronchial calcification and with mild atherosclerotic calcification. No evidence of pulmonary consolidation, large pleural effusion/pneumothorax. there is degenerative changes at the XXXX joints. Osteopenia. Degenerative changes of the cervical spine with possible fusion in the lower cervical region."
482,"Tube, Inserted","Tube, Inserted","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old female with XXXX and XXXX..,"Single view chest radiograph dated XXXX, XXXX..","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. Gastrostomy tube is noted.",No acute cardiopulmonary abnormality..
483,Diaphragm/flattened;Markings/lung/interstitial/prominent;Atherosclerosis/aorta;Lung/hyperdistention;Cardiomegaly/borderline,Diaphragm;Markings;Atherosclerosis;Lung;Cardiomegaly,Xray Chest PA and Lateral,Pneumonia,,There is flattening of hemidiaphragms. There are prominent interstitial markings. There is no focal consolidation to suggest pneumonia. There are atherosclerotic institutions of the aorta. The heart is of the first limits of normal size. No pneumothorax or pleural effusion.,1. Hyperexpanded lungs with flattened hemidiaphragm suggesting COPD. 2. Borderline enlarged heart. 3. No acute cardiopulmonary abnormality.
484,Scoliosis/thoracic vertebrae/severe;Scoliosis/lumbar vertebrae/severe;Atherosclerosis/aorta;Lung/hypoinflation,Scoliosis;Scoliosis;Atherosclerosis;Lung,Xray Chest PA and Lateral,Bladder CA f/u.,,The heart is normal in size. The mediastinum is stable. There is again significant thoracolumbar rotatory scoliosis. The aorta is atherosclerotic. The lungs are hypoinflated but clear.,Hypoinflation without acute disease.
485,No Indexing,No Indexing,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain x 3 days,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
486,"Cicatrix/lung/middle lobe/right;Thickening/pleura/right/focal;Costophrenic Angle/bilateral/blunted/chronic;Aorta, Thoracic/tortuous","Cicatrix;Thickening;Costophrenic Angle;Aorta, Thoracic",2 views Chest: XXXX,"Infection, XXXX, shortness of breath",Chest x-XXXX XXXX,"The lungs and pleural spaces show no acute abnormality. XXXX scar in the right lateral midlung. Adjacent focal pleural thickening is noted. Chronic blunting of both lateral costophrenic XXXX. Heart size and pulmonary vascularity within normal limits. Tortuous, ectatic thoracic aorta, unchanged. XXXX sternotomy XXXX intact.",1. No acute pulmonary abnormality.
487,normal,normal,PA and lateral chest x-XXXX ,XXXX-year-old female with wheezing.,None,"Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",No acute cardiopulmonary abnormalities.
488,Surgical Instruments/lung/hilum/left,Surgical Instruments,Xray Chest PA and Lateral,"XXXX-year-old female with history of XXXX outlet right ventricle, and transposition of the Great XXXX. Status post surgery.","XXXX, XXXX","Broken of the 4XXXX XXXX XXXX, similar to the prior study. Stable multiple surgical clips in the left hilar area. Stable cardiomediastinal silhouette. Pulmonary vasculatures are within normal limits. No XXXX focal consolidation, pleural effusion or pneumothorax. Unremarkable bony structure.",No acute pulmonary findings. .
489,Granuloma/multiple,Granuloma,Xray Chest PA and Lateral,"XXXX-year-old female with XXXX, XXXX XXXX XXXX, pain in the left lower ribs.",,"Cardiomediastinal silhouette is a within normal limits. No focal consolidation, pneumothorax, or pleural effusion. Multiple granulomas. No acute bony abnormalities.","1. No acute cardiopulmonary abnormalities. 2. No acute bony abnormalities. If there is continued concern for occult fracture, consider dedicated rib series. ."
490,Technical Quality of Image Unsatisfactory ,Technical Quality of Image Unsatisfactory ,Xray Chest PA and Lateral,Syncope,,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. .
491,Pulmonary Atelectasis/base/bilateral;Opacity/lung/base/bilateral,Pulmonary Atelectasis;Opacity,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old XXXX with recent myocardial infarction, increasing oxygen requirements..","Portable chest radiograph dated XXXX, XXXX.","Cardiomediastinal silhouette is stable and within normal limits. There is improved lung volumes bilaterally with persistent bibasilar atelectatic opacities, without focal consolidation, pneumothorax, or effusion. No acute bony abnormality identified.",Improving lung volumes with bibasilar atelectasis.
492,normal,normal,Xray Chest PA and Lateral,The patient is a XXXX-year-old male with left shoulder pain.,None.,"No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact.",No acute cardiopulmonary abnormality. .
493,Calcinosis/lymph nodes/bilateral,Calcinosis,PA and lateral chest radiograph (2 views) (2 images) ,"Preop XXXX choli, chest pain, wheezing, gastroesophageal reflux disease, obstructive apnea. Obesity","XXXX, XXXX.",Stable appearing bilateral calcified lymph XXXX. The cardiac silhouette and mediastinal contours are within normal limits. No focal opacity. No large pleural effusion. There is no pneumothorax.,No acute cardiopulmonary abnormality.
494,Opacity/lung/base/left,Opacity,"PA and lateral chest, XXXX at XXXX","XXXX-year-old female, breast cancer, preoperative evaluation.",None.,"Heart size within normal limits. Mediastinal contours unremarkable. Pulmonary vascularity is normal. Right lung is clear. XXXX opacities left lung base may represent atelectasis versus scarring. No focal consolidation. No pleural effusion, no pneumothorax. Bony structures unremarkable.","Atelectasis versus scar left lung base. Otherwise unremarkable. XXXX XXXX for the opportunity to assist in the care of your patient. If there are any questions about this examination please XXXX. XXXX, XXXX certified radiologist, at XXXX."
495,Airspace Disease/lung/streaky,Airspace Disease,Xray Chest PA and Lateral,"XXXX-year-old XXXX, XXXX and XXXX for 6 days.",None.,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. .
496,normal,normal,"KNEE 1-2 VIEWS XXXX, XXXX XXXX PM ",PRE-OP XXXX,"left knee radiograph XXXX, XXXX.","Chest. Lungs are clear and expanded. Heart normal. Left knee. No change marked narrowing, large osteophyte formation, multiple synovial osteochondromas.",1. Chest. No active disease. 2. Left knee. Advanced degenerative joint disease.
497,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX XXXX ",chest pain history of Hodgkin's disease,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest.
498,Mass/lung/upper lobe/right/large;Thoracic Vertebrae/degenerative,Mass;Thoracic Vertebrae,Xray Chest PA and Lateral,"XXXX-year-old male, chest pain, no shortness of breath, XXXX.",None,"Large medial right upper lobe mass lesion, measuring approximately 5.8 cm x 6.0 cm in diameter. No pneumothorax. No pleural effusions. Lungs clear. Heart size within normal limits. Degenerative changes thoracic spine.",Large medial right upper lobe mass highly concerning for primary lung cancer. XXXX chest with intravenous contrast for further evaluation. XXXX XXXX XXXX. XXXX's XXXX was notified of this result at XXXXPM XXXX/XXXX and accepted receipt. Results were faxed. .
499,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old female, shortness of breath.",PA and lateral views of the chest dated XXXX.,There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax.,No acute cardiopulmonary abnormality.
500,Cardiomegaly;Foreign Bodies/thorax/left,Cardiomegaly;Foreign Bodies,"PA and lateral views of the chest dated XXXX, XXXX.",Preop CABG. Coronary artery disease.,None.,"The heart is enlarged. Pulmonary vasculature is normal in caliber. There is a nerve stimulator device projecting over the left hemithorax. The lungs are grossly clear of focal airspace disease, pneumothorax or pleural effusion.",Cardiomegaly. No acute findings.
501,Opacity/lung/posterior/streaky/mild,Opacity,"Two-view chest, XXXX ",XXXX,Chest CT dated XXXX,,"1. There is minimal streaky opacity in the posterior lungs, possibly cyst, scarring, or pneumonia. 2. Heart size and pulmonary XXXX appear normal 3. Mediastinal contours are normal"
502,normal,normal,"Chest X XXXX 2 XXXX PA and lateral, Abdomen X XXXX 2 XXXX AP supine and XXXX. ","The patient is a XXXX-year-old male with abdominal pain, question of small bowel obstruction. XXXX onset XXXX and wheezing in bilateral lung XXXX.","XXXX chest, XXXX abdominal CT.","Chest. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Abdomen. No pneumoperitoneum. There is a normal bowel XXXX pattern. Air and stool visible throughout the entire large colon including the rectum. No abnormally dilated small bowel loops. No evidence for intussusception or small bowel obstruction. No pathologic calcifications XXXX over the abdomen or pelvis. XXXX XXXX are without fracture or destructive lesion, though there are mild degenerative changes throughout the lumbar spine. Small hiatal hernia is not as well demonstrated on this exam.",Chest. 1. No acute cardiopulmonary abnormality. Abdomen. 1. No acute intra-abdominal process. Negative for obstruction.
503,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female with XXXX, chest pain",None,"Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.",No acute cardiopulmonary findings. .
504,Opacity/lung/base/left;Cicatrix/lung/base/left;Pulmonary Atelectasis/base/left;Calcified Granuloma/lung/base/left/round;Spine/degenerative,Opacity;Cicatrix;Pulmonary Atelectasis;Calcified Granuloma;Spine,"PA and Lateral Chest. XXXX, XXXX. &gt;] ",XXXX-year-old with dyspnea.,XXXX.,"Stable cardiomediastinal silhouette. Stable XXXX opacity in the left base, XXXX scarring or atelectasis. Rounded calcified density in the left lung base, XXXX calcified granuloma. No XXXX consolidation. No pleural effusion or pneumothorax. Stable degenerative changes of the spine.",No acute cardiopulmonary abnormality.
505,normal,normal,"PA and Lateral Chest. XXXX, XXXX. ",Chest pain,None available,"No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.",No acute cardiopulmonary abnormality.
506,normal,normal,Xray Chest PA and Lateral,Choroidal melanoma,"XXXX, XXXX",Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No x-XXXX evidence of metastatic disease.
507,No Indexing,No Indexing,Xray Chest PA and Lateral,,None,"No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.",No acute cardiopulmonary abnormality.
508,normal,normal,"PA lateral chest radiograph XXXX, XXXX XXXX hours ","Positive PPD, please evaluate for pulmonary lesions.",None available,Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.,No acute cardiopulmonary abnormality.
509,"Tube, Inserted/thorax/left;Pleural Effusion/left;Tube, Inserted/trachea, carina;Catheters, Indwelling;Airspace Disease/lung/left/patchy","Tube, Inserted;Pleural Effusion;Tube, Inserted;Catheters, Indwelling;Airspace Disease",Xray Chest PA and Lateral,"XXXX-year-old female, cirrhosis.",Portable chest dated XXXX.,Two left-sided chest tubes again noted. Interval improved aeration of the left lung compared to prior. Interval improvement in left lung pleural fluid. Right lung clear. Endotracheal tube noted with tip approximately 4.5 cm above the carina. Left internal jugular central venous catheter with tip approximating the high SVC. No evidence of pneumothorax.,Interval improvement in aeration of left lung with interval reduction in size of left pleural effusion. Persistent patchy left lung airspace disease is noted. Stable left-sided chest tubes. .
510,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female with chest pain, rectal bleeding",None,"Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.",No acute cardiopulmonary abnormality. .
511,Lung/hyperdistention;Diaphragm/flattened,Lung;Diaphragm,Chest 2 views. ,COPD.,XXXX.,Hyperaerated lungs with flattened hemidiaphragms. Normal heart size. Increased retrosternal airspace. No focal infiltrate. No pneumothorax or pleural effusion.,No acute findings.
512,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, XXXX.",None,There are no focal areas of consolidation. No suspicious bony opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Mild degenerative changes of the thoracic spine.,No acute cardiopulmonary abnormality.
513,Heart Atria/bilateral/enlarged;Cardiac Shadow/enlarged;Lung/hyperdistention/mild;Thickening/pleura/apex/left/mild;Thoracic Vertebrae/degenerative/moderate;Cardiomegaly,Heart Atria;Cardiac Shadow;Lung;Thickening;Thoracic Vertebrae;Cardiomegaly,Xray Chest PA and Lateral,XXXX-year-old male presents for preoperative evaluation.,None available.,"There is prominence of the right heart XXXX, consistent with right atrial enlargement. A XXXX density is demonstrated on the frontal view with exaggerated posterior projection of the cardiac silhouette, suggesting left atrial enlargement. The cardiac silhouette is overall enlarged. The mediastinal contours are otherwise within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild pulmonary hyperexpansion. Mild left apical pleural thickening. Moderate degenerative changes of the thoracic spine. 19/33.",1. Right and left atrial enlargement with cardiomegaly. No acute pulmonary abnormality demonstrated. .
514,normal,normal,Chest radiograph PA and lateral. ,XXXX-year-old woman with MVA.,Left shoulder XXXX.,The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.,No acute cardiopulmonary findings.
515,normal,normal,"Chest Two views PA and lateral XXXX, XXXX XXXX p.m. ",Dyspnea,None,"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.
516,Calcified Granuloma/lung/hilum/right,Calcified Granuloma,Chest 2 views. ,Rule out pneumonia/XXXX.,None.,Normal heart. Calcified right hilar granulomas. No focal infiltrate. Midline trachea.,No acute cardiopulmonary abnormality.
517,Granuloma/lung/base/right;Calcinosis/lung/hilum/lymph nodes/right/multiple;Nodule/lung/base/right;Calcinosis/lung/base/right,Granuloma;Calcinosis;Nodule;Calcinosis,Xray Chest PA and Lateral,724.1 lung nodule,"Comparison XXXX, XXXX.",,Calcified right basilar nodule compatible with granuloma / histoplasmoma. A few calcified right hilar lymph XXXX. Lungs overall well expanded and clear. Unremarkable mediastinal contour. No acute cardiopulmonary abnormality identified.
518,normal,normal, PA and lateral chest. XXXX. ,Shortness of breath.,,"Stable normal cardiac size and contour, unremarkable mediastinal silhouette. Normal pulmonary XXXX and interstitium. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease.","Stable normal cardiac size and contour, unremarkable mediastinal silhouette. Normal pulmonary XXXX and interstitium. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease."
519,normal,normal,Xray Chest PA and Lateral,"The patient is a XXXX-year-old male with XXXX, shortness of breath. History of smoking 30 years ago.",None.,"No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. XXXX XXXX intact.",No acute cardiopulmonary abnormality. .
520,"Fractures, Bone/ribs/healed;Hernia, Hiatal;Density/mediastinum","Fractures, Bone;Hernia, Hiatal;Density",Xray Chest PA and Lateral,"The patient is a XXXX-year-old male with atrial flutter, hypertensive urgency..",,"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.",No acute cardiopulmonary abnormality. .
521,Technical Quality of Image Unsatisfactory ;Lung/hypoinflation;Markings/bronchovascular,Technical Quality of Image Unsatisfactory ;Lung;Markings,Xray Chest PA and Lateral,"XXXX-year-old male, XXXX, MVA",None,"Low lung volumes with bronchovascular crowding. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits for technique, no typical mediastinal widening of vascular injury. No pleural line of pneumothorax.",Limited quality exam shows no definite acute findings.
522,"Lung/hyperdistention;Cicatrix/cardiophrenic angle/left/small;Atherosclerosis/aorta;Arthritis;Pulmonary Atelectasis;Cicatrix/lung/base/left/small;Pulmonary Disease, Chronic Obstructive","Lung;Cicatrix;Atherosclerosis;Arthritis;Pulmonary Atelectasis;Cicatrix;Pulmonary Disease, Chronic Obstructive",Xray Chest PA and Lateral,Lightheaded and dizzy. Hypertension.,None,There is hyperinflation of the lungs. A small area scarring is seen in the left cardiophrenic XXXX region. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,COPD and small left basilar scar.
523,normal,normal, PA and lateral chest. ,chest pain,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
524,"Implanted Medical Device/right;Catheters, Indwelling/right;Lung/hypoinflation;Opacity/lung/base/bilateral;Opacity/lung/middle lobe/right","Implanted Medical Device;Catheters, Indwelling;Lung;Opacity;Opacity",Xray Chest PA and Lateral,"XXXX-year-old male, tachycardia, rule out pulmonary infiltrates.",Portable chest dated XXXX.,,"Stable right-sided cardiac XXXX generator. Interval placement of right internal jugular central venous catheter with tip approximating the low SVC. No evidence of pneumothorax. Generalized low lung volumes. Bibasilar and right midlung pulmonary opacities, XXXX atelectatic changes. Stable cardiomediastinal silhouette. ."
525,"Fractures, Bone/ribs/right;Kyphosis/severe;Aorta/tortuous/mild;Deformity/ribs/right","Fractures, Bone;Kyphosis;Aorta;Deformity",Xray Chest PA and Lateral,"XXXX-year-old male, alleged physical assault, pain",,"No focal consolidation, no definite pleural effusion seen. Exaggerated kyphosis with increased AP dimension of the thorax, curvilinear density projected over the right anterior 3rd and 4th ribs beyond which lung markings are seen XXXX skin fold artifact. Mild aortic ectasia/tortuosity, no typical mediastinal widening to suggest vascular injury. Contour irregularity of the lateral right 9th rib of indeterminate age.","1. No acute cardiopulmonary findings. 2. Age-indeterminate fracture of the right lateral 9th rib. If findings localize to this region, suspect acute fracture."
526,Cardiomegaly/mild;Adipose Tissue/right,Cardiomegaly;Adipose Tissue,"XXXX and lateral chest XXXX, XXXX at time XXXX ",preop for left hip revision XXXX.,None,,Minimal cardiomegaly. Lungs are clear. Fat seen within the XXXX fissure on the right.
527,normal,normal,Xray Chest PA and Lateral,XXXX-year-old male with shortness of breath and chest pain.,None.,"Cardiac and mediastinal XXXX appear normal. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact.",No acute radiographic cardiopulmonary process. .
529,normal,normal,"PA lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old male, chest pain.",None available,Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing right mid clavicle injury. Visualized bony structures otherwise unremarkable.,No acute cardiopulmonary abnormality.
530,Cardiomegaly/mild,Cardiomegaly,"PA and lateral chest XXXX, XXXX at XXXX",chest pain dyspnea,None,,Slight cardiomegaly. Clear lungs. No effusion
531,"Lung/left/hyperdistention;Lung, Hyperlucent/left;Volume Loss/thorax/right;Shift/mediastinum","Lung;Lung, Hyperlucent;Volume Loss;Shift", PA and lateral views. ,XXXX-year-old female. XXXX vehicle XXXX.,"CT chest, dated XXXX, XXXX.","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 effusion. Negative for acute displaced rib fracture.",Negative for acute abnormality.
532,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. ","XXXX-year-old woman, XXXX vehicle collision.",None.,"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.",No acute cardiopulmonary abnormality.
533,"Mediastinum/prominent;Aorta, Thoracic/tortuous;Scoliosis/thoracic vertebrae","Mediastinum;Aorta, Thoracic;Scoliosis",PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, rule out dissection.",PA and lateral chest radiographs XXXX and CT chest without contrast XXXX.,There is prominence of the superior mediastinum which may be partially due to patient's known thyroid mass. There is increased tortuosity of the descending thoracic aorta. Cardiac silhouette is within normal limits. Lungs are clear without focal opacification. No pneumothorax or pleural effusion. There is scoliotic curvature the thoracic spine. No acute bone abnormality.,"Increasing prominence of the superior mediastinum may be secondary to enlarging thyroid mass. With increasing tortuosity of the thoracic aorta and concern for dissection, chest CT is recommended for further evaluation."
534,Cicatrix/lung/upper lobe/hilum/left;Opacity/retrocardiac/streaky;Pulmonary Atelectasis/left/mild,Cicatrix;Opacity;Pulmonary Atelectasis,CHEST 2V FRONTAL/LATERAL ,XXXX and hypoxia,None,The heart is normal in size. The mediastinum is unremarkable. Left perihilar scarring is noted in the upper lobe. Streaky opacities in the retrocardiac region XXXX reflect mild subsegmental atelectasis. There is no focal infiltrate or pleural effusion.,Mild left-sided scarring/subsegmental atelectasis. No definite infiltrate.
535,Scoliosis/thoracic vertebrae;Scoliosis/lumbar vertebrae;Osteophyte/thoracic vertebrae/multiple;Opacity/lung/base/left;Cicatrix/lung/base/left;Pulmonary Atelectasis/base/left;Calcinosis/lung/hilum/lymph nodes,Scoliosis;Scoliosis;Osteophyte;Opacity;Cicatrix;Pulmonary Atelectasis;Calcinosis,Xray Chest PA and Lateral,"COPD exacerbation,","CBD exacerbation, XXXX x1 month",There is S-shaped thoracolumbar scoliosis. There are T-spine osteophytes. XXXX opacity in the left lower lobe XXXX represents atelectasis or scarring. There is no pneumothorax. There is no large pleural effusion. The cardiomediastinal silhouette is within normal limits. There is no lobar pneumonia. There are calcified hilar lymph XXXX.,XXXX opacity in left lung base XXXX represents atelectasis or scarring.
536,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with chest pain.,CT chest XXXX,"No acute osseous abnormality. The soft tissues are within normal limits. Normal cardiomediastinal silhouette and hilar contours. No focal area of consolidation, pleural effusion, or pneumothorax.",1. No acute radiographic cardiopulmonary process.
537,Calcified Granuloma/scattered,Calcified Granuloma,PA and lateral chest radiograph (2 views) (2 images) ,XXXX and XXXX loss.,"XXXX, XXXX.",There is scattered calcified granulomas. The lungs are otherwise grossly clear. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,No acute cardiopulmonary abnormality.
538,normal,normal,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",Coughing up blood.,"XXXX, XXXX.",Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. No XXXX focal airspace consolidation or pleural effusion.,"No acute or active cardiac, pulmonary or pleural disease."
539,normal,normal,Xray Chest PA and Lateral,MVC. Back pain.,None.,"2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",No acute cardiopulmonary abnormality identified.
540,Opacity/lung/base/left/streaky/mild;Airspace Disease/lung/base/left/streaky/mild;Pulmonary Atelectasis;Lung/azygos lobe,Opacity;Airspace Disease;Pulmonary Atelectasis;Lung,Xray Chest PA and Lateral,XXXX-year-old XXXX at XXXX for aspiration.,None.,The heart size is within normal limits. Mild streaky opacities are present in the left lung base. An accessory azygos fissure is noted. No pleural effusion or pneumothorax.,"Mild streaky left basilar airspace disease, XXXX atelectasis. ."
541,"Lumbar Vertebrae/degenerative/mild;Thoracic Vertebrae/degenerative/mild;Deformity/lumbar vertebrae/anterior/mild;Deformity/thoracic vertebrae/anterior/mild;Deformity/ribs/left/multiple;Fractures, Bone/ribs/left/multiple/healed","Lumbar Vertebrae;Thoracic Vertebrae;Deformity;Deformity;Deformity;Fractures, Bone","Chest, 2 views, XXXX XXXX ",Chest pain,None,Cardiomediastinal contour and pulmonary vascularity within normal limits. Clear lungs. No pleural effusion or pneumothorax. Mild age-indeterminate anterior wedging of a lower thoracic or upper lumbar vertebra on lateral view. Left-sided rib deformities consistent with old fractures. Mild degenerative changes about the thoracolumbar junction.,"1. No acute cardiopulmonary findings. 2. Age-indeterminate mild anterior wedge deformity of a lower thoracic or upper lumbar vertebra. Correlate for focal tenderness and with prior imaging, if possible."
542,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",dyspnea,None,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 abnormality.,No acute cardiopulmonary abnormality.
543,normal,normal,CHEST- PA AND LATERAL ,Chest pain,None,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,Normal chest film.
544,normal,normal,Chest Radiograph Frontal and Lateral Views dated XXXX. ,XXXX-year-old female with XXXX.,None.,Heart and mediastinum are normal. No focal consolidation. No pleural effusion or pneumothorax. Bony structures are intact.,1. No acute cardiopulmonary findings.
545,"Opacity/lung/base/bilateral;Hernia, Hiatal;Lung/hypoinflation;Pulmonary Atelectasis/base/bilateral/focal","Opacity;Hernia, Hiatal;Lung;Pulmonary Atelectasis"," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM",Pt POD 6 s/p XXXX to open VHR with chest pain and occasional dyspnea.,None,Lung volumes are XXXX. XXXX opacities are present in both lung bases. A hiatal hernia is present. Heart and pulmonary XXXX are normal.,Hypoinflation with bibasilar focal atelectasis.
546,Pleural Effusion/bilateral/small,Pleural Effusion,PA and lateral chest,dyspnea,None,,"no cardiomegaly with bilateral small pleural effusions. Decubitus x-XXXX XXXX be informative. No evidence of pneumonia, nodules, or masses."
547,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,Chest 2 views dated XXXX at XXXX hours. ,XXXX-year-old female with chest pain.,Chest 2 view dated XXXX.,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. There are degenerative changes throughout the thoracic spine.,No radiographic evidence of acute cardiopulmonary disease.
548,Cicatrix/lung/apex/right,Cicatrix,Two views of the chest XXXX ,Chest pain,XXXX,"Cardiomediastinal silhouette is within normal limits in overall size and appearance. Central vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion or pneumothorax. No acute bony abnormality. Stable scarring in the right lung apex.",1. No acute cardiopulmonary process.
549,Cicatrix/lung/upper lobe/left;Thickening/pleura/left;Volume Loss/lung/upper lobe/left;Cicatrix/lung/apex/right/mild,Cicatrix;Thickening;Volume Loss;Cicatrix,Two views of the chest ,XXXX,XXXX.,"Stable appearance of the left upper lung lobe with scarring, volume loss, and pleural thickening. Cardiomediastinal silhouette is within normal limits normal appearance, similar to prior. Volume loss in the left lung, stable. Right lung is clear. There is no XXXX focal airspace disease, pleural effusion, or pneumothorax. Mild scarring at the right apex. No acute bony abnormality.",1. No acute cardiopulmonary process. 2. Stable appearance of the left upper lobe.
550,normal,normal,Xray Chest PA and Lateral .,ELEVATED WBC,XXXX XXXX.,,Normal heart size. Normal pulmonary vasculature. Normal mediastinal contours. Lung parenchyma is clear. No airspace disease. No pulmonary edema. No XXXX of pleural effusions. No XXXX of active cardiopulmonary disease. Unchanged.
551,Lung/hyperdistention;Diaphragm/flattened;Pulmonary Emphysema,Lung;Diaphragm;Pulmonary Emphysema,Xray Chest PA and Lateral,XXXX XXXX with COPD/emphysema and dyspnea on exertion.,Chest radiograph XXXX.,"Lungs are hyperinflated with flattening of the diaphragms and increased AP chest diameter, compatible with emphysema. There is no evidence of focal infiltrate, pneumothorax, pleural effusion, or identified mass lesion. There is normal cardiomediastinal contours.","1. No acute cardiopulmonary abnormality, findings compatible with emphysema."
552,Osteophyte/thoracic vertebrae/multiple;Calcified Granuloma/lung/apex/right,Osteophyte;Calcified Granuloma,Xray Chest PA and Lateral,Chronic XXXX,None available.,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 T-spine osteophytes. XXXX calcified granuloma in the right apex.,No acute cardiopulmonary abnormality.
553,Calcified Granuloma/scattered;Lung/hyperdistention;Spine/degenerative,Calcified Granuloma;Lung;Spine,Xray Chest PA and Lateral,Chest pain.,None.,Normal heart size and mediastinal contours. Scattered calcified granulomas. Hyperexpanded lungs. No focal airspace disease. No pneumothorax or pleural effusion. Degenerative changes in the spine without acute bony abnormalities.,No acute cardiopulmonary process. .
554,normal,normal,Xray Chest PA and Lateral,XXXX-year-old female. Dyspnea.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",Negative.
555,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,PA and Lateral Chest ,XXXX-year-old female dyspnea.,None available.,Heart size normal. No focal airspace consolidations. No pneumothorax or effusion. Degenerative changes in the midthoracic spine.,No acute cardiopulmonary findings.
556,normal,normal,Xray Chest PA and Lateral,LEFT SIDE CHEST WALL PAIN,None,The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.,No acute cardiopulmonary disease
557,normal,normal,Two view chest x-XXXX dated XXXX XXXX hours ,Chest pain,None available,The cardiomediastinal silhouette is normal in size and appearance. There is no pneumothorax or pleural effusion. The lung zones are clear. There are no bony abnormalities,Unremarkable chest.
558,Calcified Granuloma/scattered/multiple,Calcified Granuloma,Xray Chest PA and Lateral,,None,The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. There are a few scattered calcified granulomas. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.,No evidence of active disease.
559,normal,normal,"2 view CHEST: XXXX, XXXX at XXXX hours. ",Chest pain,None,,"Heart size normal. Mediastinal silhouette and pulmonary vascularity are within normal limits. There is no focal airspace consolidation, pleural effusion or pneumothorax."
560,normal,normal,PA and lateral chest x-XXXX XXXX. ,XXXX-year-old XXXX with chest pain,None.,The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. No pneumothorax or large pleural effusion. No acute bone abnormality.,No acute cardiopulmonary process.
561,normal,normal,XR Chest PA and Lateral,KIDNEY TRANSPLANT XXXX,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
562,normal,normal,Xray Chest PA and Lateral,XXXX and XXXX symptoms for one XXXX. The patient's lower abdomen was shielded for this exam.,None.,"Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.","No acute or active cardiac, pulmonary or pleural disease."
563,normal,normal,Xray Chest PA and Lateral,"Rib pain, XXXX.",None.,"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.
564,Airspace Disease/lung/upper lobe/right;Opacity/lung/upper lobe/left/round;Pneumonia/upper lobe/right;Nodule/lung/upper lobe/left/round,Airspace Disease;Opacity;Pneumonia;Nodule,Xray Chest PA and Lateral,"XXXX, recent thyroid surgery for thyroid cancer",None available.,The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. There is right upper lobe airspace disease.. There is a rounded nodular opacity in the left upper lung measuring approximately 7 mm which may represent further sequela of infectious process versus other pathology. Osseous structures are within normal limits for patient age.,1. Right upper lobe pneumonia. 2. Rounded nodular opacity in the peripheral left upper lung which may represent further sequela infectious process versus other pathology including metastatic disease in a patient with thyroid cancer. Follow up to resolution recommended.
565,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old female with flank pain..,None.,"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 acute cardiopulmonary abnormality..
567,Pulmonary Atelectasis/middle lobe/right/mild;Spine/degenerative,Pulmonary Atelectasis;Spine,Frontal and Lateral view of the chest XXXX/XXXX at 507 hours.,Abdominal pain and wheezing,XXXX,"Heart size upper normal but stable. Mediastinal contours within normal limits.. Minimal right middle lobe atelectasis. No focal airspace consolidation, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.",1. No acute radiographic cardiopulmonary process.
568,"Aorta/tortuous;Calcinosis/lung/hilum/lymph nodes;Granulomatous Disease;Lung/hyperdistention;Bone Diseases, Metabolic;Fractures, Bone/humerus;Lung/apex/bilateral/obscured;Kyphosis/thoracic vertebrae/severe","Aorta;Calcinosis;Granulomatous Disease;Lung;Bone Diseases, Metabolic;Fractures, Bone;Lung;Kyphosis","PA and lateral views of the chest XXXX hours XXXX, XXXX. ",XXXX year old female with dyspnea.,"XXXX, XXXX.","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.",No acute cardiopulmonary finding.
569,Diaphragm/left/elevated;Density/lung/base/right;Opacity/lung/base/left;Surgical Instruments/mediastinum;Density/pleura/right/severe;Sutures/mediastinum,Diaphragm;Density;Opacity;Surgical Instruments;Density;Sutures,PA and Lateral Chest X-XXXX dated XXXX.,Rule out aspiration.,XXXX.,The heart size and pulmonary vascularity appear within normal limits. The left hemidiaphragm remains elevated. Right base densities are again noted which appear improved. Previously seen left pleural effusion has resolved. There continues to be some left base opacities which may represent atelectasis. Surgical clips and suture lines are noted in the mediastinum. An air-fluid level is seen in the upper right abdomen immediately below the right hemidiaphragm. Extensive pleural densities are present on the right which may represent localized fluid or pleural thickening. No definite pneumothorax is seen.,"1. Continued elevation of the left hemidiaphragm. 2. Extensive post-op changes. 3. Right pleural densities which may represent thickening or localized fluid. 4. Air-fluid level below the right hemidiaphragm medially. Although this could represent air-fluid within a XXXX of bowel, a subpulmonic process is a consideration. If clinically indicated, XXXX scan would better define this."
570,normal,normal,PA and lateral views of the chest. ,XXXX-year-old female with XXXX.,None available.,Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.,No acute cardiopulmonary findings.
571,normal,normal,Xray Chest PA and Lateral,Testicular cancer,XXXX,Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,Clear lungs with no suspicious pulmonary nodules or masses.
572,normal,normal," Two-view chest. XXXX hours XXXX, XXXX. ",High blood pressure.,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
573,Surgical Instruments;Pulmonary Emphysema/severe;Opacity/lung/base/bilateral/streaky,Surgical Instruments;Pulmonary Emphysema;Opacity,Xray Chest PA and Lateral,Dyspnea.,"XXXX XXXX, chest x-XXXX XXXX","The XXXX examination consists of frontal and lateral radiographs of the chest. Sternotomy XXXX and surgical clips are again seen. The cardiomediastinal contours are unchanged. There is a background of marked centrilobular emphysema. Streaky opacities in the lung bases may represent atelectasis or scarring. There is no consolidation, pleural effusion or pneumothorax.",No evidence of acute cardiopulmonary disease or significant interval change.
575,Calcified Granuloma/lung/left,Calcified Granuloma,Chest x-XXXX XXXX and lateral on XXXX at XXXX hours. ,XXXX-year-old male with XXXX and hypertension.,Chest x-XXXX on XXXX,The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact. Stable calcified granuloma in the left lung.,No acute cardiopulmonary abnormalities.
576,"Technical Quality of Image Unsatisfactory ;Trachea/right/tortuous/mild;Cardiomegaly;Aorta, Thoracic/tortuous;Pleural Effusion/right;Pulmonary Atelectasis/right;Lung/hypoinflation;Shoulder/right/degenerative/severe","Technical Quality of Image Unsatisfactory ;Trachea;Cardiomegaly;Aorta, Thoracic;Pleural Effusion;Pulmonary Atelectasis;Lung;Shoulder","PA and Lateral Chest. XXXX, XXXX XXXX hours ",XXXX-year-old female with XXXX and leukocytosis,"CT abdomen and pelvis XXXX, XXXX",Exam limited by patient rotation. Mild rightward deviation of the trachea. Stable cardiomegaly. Unfolding of the thoracic aorta. Persistent right pleural effusion with adjacent atelectasis. Low lung volumes. No focal airspace consolidation. There is severe degenerative changes of the right shoulder.,1. Right pleural effusion with adjacent atelectasis. 2. No definite findings of pneumonia.
577,normal,normal,Xray Chest PA and Lateral,"Intermittent back pain x2-3 days, now right-sided chest pain under ribs.",None.,"The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",No evidence of acute cardiopulmonary process.
578,Granulomatous Disease,Granulomatous Disease,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with hematemesis.,CT chest on XXXX. Portable chest on XXXX.,"Normal cardiomediastinal silhouette and hilar contours. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax. Findings compatible with prior granulomatous disease. The visualized XXXX XXXX are intact without acute osseous abnormality.",Chest radiograph. 1. No acute radiographic cardiopulmonary process.
579,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ","XXXX-year-old female, XXXX with sputum production..",None.,"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 acute cardiopulmonary abnormality..
580,Atherosclerosis/aorta,Atherosclerosis,Xray Chest PA and Lateral,,"XXXX pa/lat cxr,V76.10 BREAST SCREENING UNSPEC,no hx ca or implants",The heart is normal in size. The mediastinum is unremarkable. Atherosclerotic calcifications of the aortic XXXX are noted. The lungs are clear.,No acute disease.
581,normal,normal,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",Dyspnea. Asthma.,"XXXX, XXXX.",Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. No XXXX focal airspace consolidation or pleural effusion.,"No acute or active cardiac, pulmonary or pleural disease."
582,normal,normal,"Chest, 2 views, XXXX XXXX","Five weeks pregnant, shortness of breath x1 month",None,Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,No acute cardiopulmonary findings.
583,"Calcinosis/lung/hilum/lymph nodes/right;Calcinosis/trachea, carina/lymph nodes;Granulomatous Disease",Calcinosis;Calcinosis;Granulomatous Disease,"Radiographs of chest PA and lateral, two views. ",XXXX. Sore throat.,None.,,Right-sided perihilar calcified lymph XXXX and infracarinal calcified lymph XXXX. These XXXX represent previous granulomatous disease. Lung parenchyma is clear. No airspace disease. No pulmonary edema. Normal heart size. No XXXX of pleural effusions. No XXXX of active cardiopulmonary disease.
584,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, XXXX.",XXXX films of the chest dated XXXX.,There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.,No acute cardiopulmonary abnormality.
585,Epicardial Fat/prominent;Atherosclerosis/aorta;Opacity/costophrenic angle/sulcus/bilateral/streaky;Cicatrix/costophrenic angle/sulcus/bilateral/chronic;Pulmonary Atelectasis/costophrenic angle/bilateral,Epicardial Fat;Atherosclerosis;Opacity;Cicatrix;Pulmonary Atelectasis,"CHEST ( FRONTAL AND LATERAL): XXXX, XXXX XXXX PM",",786.50 UNSPEC CHEST PAIN, pt states chronic lung infections, pt taking meds for rheumatoid arthritis, no hx ca, nonsmoker","XXXX, XXXX.","There are prominent epicardial fat pads, unchanged from prior. 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 is atherosclerosis of the aortic XXXX. Unchanged streaky opacities in the bilateral costophrenic sulci XXXX represent chronic scarring or atelectasis.",No acute cardiopulmonary abnormality.
586,Cardiomegaly/moderate;Opacity/lung/lingula;Pulmonary Atelectasis/lingula;Opacity/lung/base/left;Pulmonary Atelectasis/base/left;Opacity/lung/middle lobe/right;Spine/degenerative/mild;Atherosclerosis/severe,Cardiomegaly;Opacity;Pulmonary Atelectasis;Opacity;Pulmonary Atelectasis;Opacity;Spine;Atherosclerosis,PA and lateral chest radiographs dated XXXX at XXXX hours.,XXXX-year-old with shortness of breath. Atelectasis versus infiltrate.,None.,The heart size is moderately enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. Again noted is XXXX and left midlung airspace opacity XXXX atelectasis. There is left basilar opacity XXXX atelectasis as well. There is improved right midlung opacity. There are mild degenerative changes of the spine. XXXX sternotomy XXXX are intact. Extensive atherosclerotic disease.,Probable left midlung and left basilar atelectasis. Cardiomegaly.
587,Opacity/lung/lower lobe/bilateral,Opacity,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old male suspected pneumonia.,Comparison is XXXX to chest radiograph examination dated XXXX at XXXX.,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.
588,normal,normal,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Chest pain.,"Radiograph Chest PA and Lateral XXXX, XXXX.",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.
589,normal,normal, PA and lateral chest. ,polyarticular arthritis,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
590,Airspace Disease/lung/middle lobe/right;Diaphragm/right/elevated,Airspace Disease;Diaphragm,Xray Chest PA and Lateral,Abdominal pain. Recent pneumonia.,,"The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. There is right middle lobe airspace disease, may reflect atelectasis or pneumonia. No pleural effusion. No pneumothorax. Elevated right hemidiaphragm.",Right middle lobe airspace disease may reflect atelectasis or pneumonia. .
591,Calcified Granuloma/lung/base/left;Deformity/thoracic vertebrae,Calcified Granuloma;Deformity,PA and lateral chest x-XXXX XXXX. ,XXXX-year-old woman with XXXX,None.,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.
592,Sulcus/right/posterior/blunted;Osteophyte/thoracic vertebrae/multiple,Sulcus;Osteophyte,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.",Back and right-sided chest pain after XXXX in shower,"XXXX, XXXX",,Heart size within normal limits. No abnormal mediastinal widening. No edema. No focal consolidation. XXXX blunting of the posterior right sulcus may reflect a XXXX right pleural effusion. No pneumothoraces. Flowing osteophytes are seen through the mid and lower thoracic spine.
593,Thoracic Vertebrae/degenerative/severe;Cardiomegaly/mild;Aorta/tortuous;Calcinosis/aorta,Thoracic Vertebrae;Cardiomegaly;Aorta;Calcinosis,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with atrial flutter.,CT chest on XXXX.,"No acute cardiopulmonary abnormality. Extensive degenerative changes of the thoracic spine. Mildly enlarged heart. Tortuous aorta. Aortic calcifications. No focal area of consolidation, pleural effusion or pneumothorax.",No acute radiographic cardiopulmonary process.
594,Osteophyte/thoracic vertebrae/multiple;Opacity/lung/base/bilateral/streaky;Cardiomegaly/borderline;Deformity/thoracic vertebrae,Osteophyte;Opacity;Cardiomegaly;Deformity,XR Chest PA and Lateral,"Pain, weakness",None available.,There are T-spine osteophytes. There calcified costochondral cartilages. There is loss of disc XXXX of a midthoracic vertebral body. There are streaky opacities in both lung bases which may represent atelectasis or scarring. No pneumothorax. The heart is borderline enlarged.,"1. Borderline cardiomegaly. 2. Age-indeterminate, XXXX chronic, XXXX deformity in the midthoracic spine."
595,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with hypoxia and shortness of breath. XXXX.,None.,"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.",No acute cardiopulmonary disease.
596,"Catheters, Indwelling/right","Catheters, Indwelling",Xray Chest PA and Lateral,MULTIPLE MYELOMA BMT W/U LAB;,None,The heart is normal in size. The mediastinum is unremarkable. The right chest XXXX tip is visualized in the mid SVC. There is no pneumothorax. The lungs are clear.,No acute disease.
597,Opacity/lung/lower lobe/bilateral;Lucency/diaphragm;Pneumoperitoneum;Surgical Instruments;Pulmonary Atelectasis/lower lobe/bilateral,Opacity;Lucency;Pneumoperitoneum;Surgical Instruments;Pulmonary Atelectasis,Xray Chest PA and Lateral,XXXX-year-old female with right-sided pleuritic chest pain. Laparoscopic surgery yesterday.,None,"There are XXXX bilateral lower lobe opacities. No pleural effusion. No pneumothorax is identified. Heart size and mediastinal contour are within normal limits. There is lucency beneath the diaphragm, consistent with pneumoperitoneum. Cholecystectomy clips are noted in the right upper quadrant.","1. XXXX bilateral lower lobe opacities. The appearance XXXX subsegmental atelectasis. 2. Pneumoperitoneum, XXXX postoperative secondary to recent laparoscopic surgery."
598,Osteophyte/thoracic vertebrae/degenerative;Surgical Instruments/lung/hilum/right,Osteophyte;Surgical Instruments,"PA and lateral chest XXXX, XXXX XXXX comparison XXXX",prostate cancer,,,Heart size is normal and the lungs are clear. Stable degenerative spurring of the thoracic spine. Clips overlie the right medial hilum.
599,Aorta/tortuous/mild,Aorta,"PA and lateral chest XXXX, XXXX at XXXX ",History of chest pain,,,"Heart size is normal. Slightly dilated tortuous aorta, unchanged. Lungs are clear. No effusions or pneumonia"
600,"Calcinosis/lung/hilum/lymph nodes/left;Calcified Granuloma/lung/hilum/left;Fractures, Bone/clavicle/right/healed","Calcinosis;Calcified Granuloma;Fractures, Bone",Xray Chest PA and Lateral,XXXX-year-old male. Shortness of breath. Syncope. Seizure.,None.,"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.
601,"Catheters, Indwelling/right;Lung/hypoinflation;Markings/bronchovascular;Opacity/lung/base/bilateral/patchy;Mediastinum/prominent;Airspace Disease/lung/lower lobe/bilateral","Catheters, Indwelling;Lung;Markings;Opacity;Mediastinum;Airspace Disease",PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old male, shortness of breath. Reported history of sarcoid.",None.,Right dual-lumen internal jugular central venous catheter seen with tip overlying the cavoatrial junction. Heart size at the upper limits of normal. Low lung volumes with bronchovascular crowding. Patchy bibasilar air airspace opacities right greater than left. No visualized pneumothorax. Prominence of the mediastinum consistent with history of sarcoid.,"1. Bilateral lower lung airspace disease right greater than left, most XXXX representing acute infectious process. 2. Widening of the mediastinum, XXXX secondary to lymphadenopathy related to sarcoid, or possibly reactive adenopathy."
602,normal,normal," is PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX ",right chest pain,,,Heart size is normal and the lungs are clear. No nodules or masses.
603,Calcinosis/lung/hilum/right,Calcinosis,"2 view CHEST: XXXX, XXXX at XXXX hours. ",XXXX and dyspnea for 3 weeks,None,,"Heart size normal. Right hilar calcifications are suggestive of prior granulomatous disease. Otherwise the mediastinal silhouette and pulmonary vascularity are within normal limits. There is no focal airspace consolidation, pleural effusion or pneumothorax."
604,"Catheters, Indwelling/right","Catheters, Indwelling",PA and Lateral Chest X-XXXX dated XXXX.,Bone marrow transplant evaluation. AML.,XXXX.,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. PICC line is in XXXX. The tip is in the upper right atrium.,1. No evidence of active disease.
605,Opacity/lung/upper lobe/left/small;Nodule/lung/upper lobe/left/small,Opacity;Nodule,CHEST 2V FRONTAL/LATERAL ,XXXX,XXXX,The heart is normal in size. The mediastinum is unremarkable. Small nodular opacity left upper lobe may represent early infiltrate. The lungs are otherwise clear. There is no pleural effusion.,Small nodular opacity in left upper lung may be secondary to superimposed structures or early infiltrate. Followup evaluation in 2 weeks may be helpful.
606,Costophrenic Angle/bilateral/obscured;Thoracic Vertebrae/degenerative/mild,Costophrenic Angle;Thoracic Vertebrae,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old male with chest pain.,Chest radiograph on XXXX.,"XXXX sternotomy XXXX are in XXXX and intact. Normal cardiomediastinal silhouette. The bilateral costophrenic XXXX are excluded from the image on the PA view. Lungs are clear without focal areas of consolidation, pleural effusion, or pneumothorax. XXXX XXXX are intact without acute osseous abnormality. Mild degenerative changes throughout the thoracic spine.",Chest radiograph. 1. No acute radiographic cardiopulmonary process.
607,Calcinosis/lung/bilateral/scattered;Nodule/lung/bilateral/scattered,Calcinosis;Nodule,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, lung nodules.",PA and lateral chest radiographs XXXX.,"The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Scattered bilateral calcified pulmonary nodules. No acute bone abnormality.",No acute cardiopulmonary process.
608,"Fractures, Bone/ribs/right/healed","Fractures, Bone",PA and lateral views of chest performed on XXXX at XXXX. ,Pain.,Two views of the chest XXXX.,The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is an old healed fracture through the right 8th rib.,1. No acute cardiopulmonary disease.
609,normal,normal,PA AND LATERAL VIEWS OF THE CHEST dated XXXX at XXXX hours ,COPD,XXXX,Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. XXXX XXXX are grossly intact.,1. No acute cardiopulmonary abnormality.
610,Cardiomegaly/severe;Atherosclerosis/aorta;Thoracic Vertebrae/degenerative;Shoulder/right/degenerative,Cardiomegaly;Atherosclerosis;Thoracic Vertebrae;Shoulder,Xray Chest PA and Lateral,XXXX-year-old with elevated INR and nosebleeds. Irregular heartbeat. Shortness of breath.,None.,,No focal lung consolidation. No pneumothorax or large pleural effusion. There is marked cardiomegaly. Aortic calcifications consistent with atherosclerotic disease. Degenerative changes of the thoracic spine and right shoulder.
611,Lung/hypoinflation;Markings/bronchovascular,Lung;Markings,"Chest radiograph examination performed XXXX, XXXX at XXXX. ",XXXX-year-old female with headache.,None.,"The cardiomediastinal silhouette is within normal limits for appearance. Pulmonary hypoinflation with bronchovascular crowding. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.","1. Pulmonary hypoinflation. Otherwise, no acute intrathoracic abnormality."
612,Spinal Fusion/cervical vertebrae;Cardiomegaly;Opacity/lung/base/bilateral;Pulmonary Atelectasis/base/bilateral/mild;Infiltrate/lung/base/bilateral;Thoracic Vertebrae/degenerative/multiple/mild;Lumbar Vertebrae/degenerative/mild,Spinal Fusion;Cardiomegaly;Opacity;Pulmonary Atelectasis;Infiltrate;Thoracic Vertebrae;Lumbar Vertebrae,"PA and Lateral Chest x-XXXX on XXXX, XXXX at XXXX a.m..",XXXX-year-old woman with chest pain..,"Two-view chest radiograph dated XXXX, XXXX.","Interval performance of anterior cervical spinal fusion, XXXX intact without complicating features. There is stable cardiomegaly, with persistent bibasilar opacities XXXX atelectasis and/or infiltrate. No XXXX focal consolidations, pneumothorax, or pleural effusions. The visualized osseous structures demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine, without acute osseous abnormality.",Stable cardiomegaly and persistent minimal bibasilar atelectasis.
613,No Indexing,No Indexing,"Two views chest. XXXX hours XXXX, XXXX. ",Chest pain.,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
614,normal,normal,Xray Chest PA and Lateral,,,,
615,Calcified Granuloma/scattered;Granulomatous Disease,Calcified Granuloma;Granulomatous Disease,"Chest 2 views PA and lateral XXXX, XXXX XXXX p.m. ","Long history of smoking, now with history of XXXX loss","Chest 2 views PA and lateral XXXX, XXXX p.m.","There is no focal consolidation, pleural effusions, or pneumothoraces. Scattered calcified nodules compatible with granulomatous disease. Cardiomediastinal silhouette is within normal limits. No masses or suspicious nodules. XXXX are unremarkable.",1. No acute cardiopulmonary abnormality. 2. No suspicious masses or nodules.
616,"Diaphragm/left/elevated/mild;Fractures, Bone","Diaphragm;Fractures, Bone",Xray Chest PA and Lateral,XXXX-year-old female with history of XXXX XXXX status post repair.,,"There are broken 1st and 3rd-5XXXX XXXX XXXX. Normal cardiomediastinal silhouette. Pulmonary vasculatures are within normal limits. Left-sided aortic XXXX. Central airways are XXXX. No focal consolidation, pleural effusion or pneumothorax. Left hemidiaphragm is mildly elevated. Interposition of the colon in the left upper quadrant.",No acute pulmonary findings. .
617,Spine/degenerative,Spine,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",ASTHMA,,Lungs are clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable with normal sized heart. Degenerative changes in the spine.,Clear lungs.
618,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with osteogenic sarcoma. Followup study.,None.,"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 no pulmonary nodule identified. There is a left humerus prosthesis partly demonstrated.",No acute cardiopulmonary disease. No evidence for metastatic disease by radiographic evaluation.
619,Aorta/tortuous;Cardiomegaly,Aorta;Cardiomegaly,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old female with right-sided chest pain and recent XXXX.,PA and lateral chest radiographs XXXX.,"There has been interval sternotomy with intact midline sternotomy XXXX. The heart is near top normal in size with unfolding of the aorta. The lungs are grossly clear with no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are grossly normal.","Cardiomegaly, however no acute cardiopulmonary findings."
620,Cicatrix/lung/lower lobe/left;Thoracic Vertebrae/degenerative,Cicatrix;Thoracic Vertebrae,Xray Chest PA and Lateral,786.05 shortness of breath,"Chest x-XXXX dated XXXX, XXXX.","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.",No acute cardiopulmonary abnormality. .
621,Spine/degenerative/mild,Spine,Xray Chest PA and Lateral,XXXX-year-old with XXXX and occasional XXXX for 2 weeks.,None.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are mild degenerative changes of the spine.",No acute cardiopulmonary disease.
622,normal,normal, Two-view chest. ,XXXX and back pain.,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
623,Atherosclerosis/aorta;Density/lung/base/right;Adipose Tissue/lung/base/right,Atherosclerosis;Density;Adipose Tissue,Xray Chest PA and Lateral,CHEST PAIN CXR SFWP,,"The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aorta. There is again a pleural based density in the right lung base, XXXX related to subpleural fat. The appearance is stable from multiple previous studies. The lungs are clear. There is no pleural effusion.",No acute disease.
624,Lung/hyperdistention;Diaphragm/flattened;Spondylosis/thoracic vertebrae;Scoliosis/right/mild;Spinal Fusion/cervical vertebrae/anterior;Emphysema,Lung;Diaphragm;Spondylosis;Scoliosis;Spinal Fusion;Emphysema,"Chest, 2 views, frontal and lateral",Shortness of breath,None.,The cardiac contours are normal. The lungs are hyperinflated with flattening of the diaphragms and tapering of the distal pulmonary vasculature. There is no focal consolidation. Thoracic spondylosis. Mild dextroscoliosis of the spine. Prior anterior cervical fusion.,Emphysema without superimposed pneumonia.
626,normal,normal,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Dyspnea.,"Radiograph Chest PA and Lateral XXXX, XXXX.",The heart size is on the upper limits of normal. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.,No acute cardiopulmonary abnormalities.
627,"Cardiomegaly;Atherosclerosis/aorta, thoracic;Pulmonary Congestion",Cardiomegaly;Atherosclerosis;Pulmonary Congestion,"Two views of the chest XXXX, XXXX XXXX hours. ",Shortness of breath.,XXXX.,Stable cardiomegaly. Thoracic aortic atherosclerotic calcifications are noted. There is a prominence of the pulmonary vasculature. No consolidating airspace disease is seen. No pleural effusion or pneumothorax.,Cardiomegaly and pulmonary vascular congestion.
628,"Aorta/tortuous;Aortic Aneurysm/aorta, thoracic;Cicatrix/lung/apex/bilateral;Spondylosis/spine;Aorta/retrocardiac/enlarged;Medical Device",Aorta;Aortic Aneurysm;Cicatrix;Spondylosis;Aorta;Medical Device,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",Shortness of breath with XXXX for 4 days. History of COPD.,"XXXX, XXXX.",Frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. Cardiac silhouette at the upper limits of normal in size. Tortuous ectatic aorta. The aortic XXXX is near 5 cm in diameter. There is a retrocardiac left paraspinal bulge concerning for a descending thoracic aortic aneurysm. There is biapical scarring. No XXXX focal airspace consolidation or pleural effusion. XXXX spine spondylitic changes.,1. Stable aneurysmal enlargement of the XXXX and descending aorta. Chest CTA could be obtained as a XXXX. 2. Borderline heart size. 3. No acute pulmonary disease process.
629,normal,normal,"PA and lateral chest radiograph, XXXX at XXXX hours. ",XXXX-year-old female with chest pain.,PA and lateral chest radiograph of XXXX.,"The cardiac and mediastinal contours are within normal limits. Lungs are well-inflated and clear. There is no focal consolidation, pneumothorax or effusion. No acute bony abnormalities are seen.",No evidence of acute cardiopulmonary process. Stable appearance of the chest.
630,normal,normal,Xray Chest PA and Lateral,KIDNEY TRANSPLANT XXXX,,The lungs appear clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal. Patient status post XXXX sternotomy and CABG.,No acute cardiopulmonary disease
631,"Catheters, Indwelling/right;Lung/hypoinflation/moderate;Opacity/lung/base/bilateral;Pulmonary Atelectasis/base/bilateral;Density/ribs/left/anterior","Catheters, Indwelling;Lung;Opacity;Pulmonary Atelectasis;Density",Xray Chest PA and Lateral,,None Indication PRE LIVER TRANSPLANT- XXXX STUDY,"The heart is normal in size. The mediastinum is within normal limits. Dual-lumen right IJ catheter is identified without pneumothorax. The lungs are moderately hypoinflated with bibasilar XXXX opacities XXXX adjacent atelectasis. There is ill-defined density overlying the anterior left 5th rib, possibly healing deformity versus superimposition of structures.",Moderate hypoinflation with associated bibasilar atelectasis.
632,normal,normal,"CHEST X-XXXX XXXX and LATERAL dated XXXX, XXXX at XXXX hours. ","XXXX-year-old male with shortness of breath, XXXX.",Chest x-XXXX and XXXX.,"Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. XXXX and soft tissue are unremarkable.",No acute cardiopulmonary abnormality.
633,Spine/degenerative/multiple,Spine,Xray Chest PA and Lateral,"XXXX-year-old female with asthma, recent pneumonia",None available,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.
634,Calcinosis/aorta;Aorta/tortuous,Calcinosis;Aorta,Xray Chest PA and Lateral,"XXXX-year-old male, chest pain",None,,"Apical lordotic frontal view. Heart size near top normal limits, aortic calcifications and ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema."
635,Pulmonary Atelectasis/lower lobe/left;Infiltrate/lung/lower lobe/left;Pleural Effusion/lower lobe/left,Pulmonary Atelectasis;Infiltrate;Pleural Effusion,"PA and lateral chest XXXX, XXXX XXXX comparison 19 XXXX. ",Has a history of followup pleural effusion.,,,Heart size normal. Right lung clear. Persistent but decreased left lower lobe atelectasis infiltrate and effusion.
636,Granulomatous Disease;Pulmonary Atelectasis/lower lobe/left,Granulomatous Disease;Pulmonary Atelectasis,Xray Chest PA and Lateral ,Sore throat. XXXX. Chest pain.,None.,Heart size is normal. Right lung is clear. Granulomatous disease in the bilateral. Subsegmental atelectasis in the left lower lung. No pneumothorax. No pleural effusion.,Subsegmental atelectasis in the left lower lobe.
637,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",r/o pleural effusion,"and XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
638,Pneumonia/lower lobe/right/anterior,Pneumonia,"PA lateral chest 3 images XXXX, XXXX time XXXX ",sepsis.,None,,Anterior segment right lower lobe pneumonia. No effusion. Heart size is normal. Lungs otherwise clear.
639,normal,normal,Xray Chest PA and Lateral,Bone marrow transplant XXXX evaluation,None,Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,No evidence of active disease.
640,Calcinosis/blood vessels,Calcinosis,Xray Chest PA and Lateral,XXXX.,None.,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Vascular calcification is noted.,1. No evidence of active disease.
641,Scoliosis/right/mild,Scoliosis,Xray Chest PA and Lateral,"XXXX-year-old male, anxiety attacks, chest pain",,"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.",No acute findings
642,normal,normal,Xray Chest PA and Lateral,INFECTION/XXXX;XXXX 12:30p-kg,,,"Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified."
643,"Fractures, Bone/ribs/left/healed","Fractures, Bone"," PA and lateral chest 3 images XXXX, XXXX XXXX comparison 17 XXXX ",chest pain.,,,Heart size normal and lungs are clear. Old healed left lateral rib fractures.
644,Spondylosis/thoracic vertebrae,Spondylosis,Xray Chest PA and Lateral,"Pneumonia one XXXX ago, worsening clinical symptoms.",None.,The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,No evidence of active pulmonary pneumonia on today's exam.
645,Spine/degenerative,Spine,"PA and Lateral Chest. XXXX, XXXX XXXX XXXX . ","Weakness, vomiting, chest pain.",None.,"Heart size and mediastinal contours appear normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. Degenerative changes of the spine.",No acute cardiopulmonary abnormality.
646,Foreign Bodies/left,Foreign Bodies,Chest 2 views. ,XXXX vehicle accident.,None.,Clear lungs. Normal heart mediastinum. No pneumothorax. No pleural effusion. No acute bony abnormality. Nipple ring on left.,Normal chest exam.
647,Costophrenic Angle/blunted/mild;Airspace Disease/lung/base/right;Calcinosis/lung/hilum/lymph nodes;Infiltrate/lung/base/right;Pulmonary Atelectasis/base/right;Pleural Effusion/bilateral,Costophrenic Angle;Airspace Disease;Calcinosis;Infiltrate;Pulmonary Atelectasis;Pleural Effusion,PA and lateral chest radiograph (2 views) (2 images) ,Shortness of breath,"XXXX, XXXX",There is mild blunting of the costophrenic XXXX. There is right basilar airspace disease. There is no pneumothorax. The cardiac mediastinal silhouettes are normal. Pulmonary XXXX are slightly prominent. Calcified hilar lymph XXXX. No acute bony abnormalities.,"Right basilar infiltrate or atelectasis, and XXXX bilateral pleural effusions."
648,Calcified Granuloma/lung/lower lobe/right;Lung/hypoinflation/mild,Calcified Granuloma;Lung,Xray Chest PA and Lateral,XXXX.,None.,"Cardiomediastinal size and contour is grossly normal for AP technique. There is a calcified granuloma in the right lower lobe. The lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax or pleural effusion. No acute, displaced fractures are demonstrated.",No acute findings. .
649,Opacity/lung/base/left/chronic/mild;Pleural Effusion/left/small,Opacity;Pleural Effusion,Xray Chest PA and Lateral,"Melanoma, left lung surgery",XXXX,The heart size is normal. Mediastinal contours are within normal limits. Postsurgical changes of left hemithorax are stable. Skin XXXX have been removed since prior study study. The left apical pneumothorax has resolved. There are mild chronic opacities in the left lung base with probable small residual effusion. The right lung is grossly clear.,Stable postsurgical changes of left hemithorax with resolution of small apical pneumothorax and basilar air space opacities.
650,"Technical Quality of Image Unsatisfactory ;Aorta/tortuous;Pleural Effusion/right/moderate;Pleural Effusion/left/small;Opacity/lung/bilateral/interstitial;Nodule/lung/bilateral/interstitial;Cardiac Shadow/enlarged/mild;Fractures, Bone/humerus/left;Stents;Hernia, Hiatal/large;Cardiomegaly;Aorta/prominent","Technical Quality of Image Unsatisfactory ;Aorta;Pleural Effusion;Pleural Effusion;Opacity;Nodule;Cardiac Shadow;Fractures, Bone;Stents;Hernia, Hiatal;Cardiomegaly;Aorta",Xray Chest PA and Lateral,"The patient is a XXXX-year-old female admitted for fractures (multiple), examination for ECF placement.",CT chest XXXX,"Rotated examination. Tortuous aorta. Moderate right-sided pleural effusion, small left sided. No pneumothorax. Mixed nodular interstitial opacities distributed through bilateral lungs, right greater than left. Cardiomediastinal silhouette is mildly enlarged. Obliquely oriented left humeral neck fracture, transverse, with 5 mm displacement of the distal fragment. Limited evaluation of the aorto iliac stent. No cavitary lesion to suggest. active tuberculosis. Large hiatal hernia.",1. Moderate right-sided pleural effusion. 2. No cavitary lung changes to suggest active tuberculosis. The airspace opacities in right upper lobe seen on XXXX chest are not visualized on this study which could be due to difference in technique and patient rotation. 3. Cardiomegaly with prominent aorta which may be accentuated due to AP view. 4. Left humerus fracture. .
651,Surgical Instruments/mediastinum/left;Pleural Effusion/left/small;Mediastinum/lymph nodes/enlarged,Surgical Instruments;Pleural Effusion;Mediastinum,CHEST (PA AND LATERAL),XXXX-year-old female with XXXX for 2 weeks. History of Hodgkin's lymphoma.,"XXXX XXXX, XXXX.",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.
652,normal,normal,"Chest x-XXXX, 2 views dated XXXX COMPARISXXXX/XXXX ",XXXX-year-old male with history of XXXX loss,,Heart size is normal. No pneumothorax. No large pleural effusions. No focal airspace opacities.,No acute cardiopulmonary abnormalities.
653,Spine/degenerative/mild,Spine,"PA lateral chest x-XXXX, XXXX","History of testicular cancer, evaluate for metastatic disease",CT chest XXXX.,Heart size and vascularity normal. Lungs clear. No effusions or pneumothorax. Limited degenerative change of the spine,No radiographic evidence for thoracic metastases.
654,normal,normal,"PA and lateral views of the chest XXXX hours XXXX, XXXX. ",XXXX-year-old male XXXX chest pain,"XXXX, XXXX",Lungs are clear. Heart size normal. The XXXX are unremarkable.,No acute cardiopulmonary finding.
655,Lung/hyperdistention,Lung,Xray Chest PA and Lateral,Chest pain. Shortness of breath worse at XXXX for 3 days.,None.,Normal heart size and mediastinal contours. The lungs are hyperinflated but clear. No pneumothorax or pleural effusion. No acute bony abnormalities.,No acute cardiopulmonary process. .
656,Cardiomegaly/mild;Lung/hyperdistention,Cardiomegaly;Lung,Xray Chest PA and Lateral,786.05 shortness of breath,"Comparison XXXX, XXXX.",,Mild cardiomegaly as before with no effusions or overt evidence of CHF. Large lung volumes as before. No acute airspace disease. Stable mediastinal contour. No XXXX acute abnormalities since the previous chest radiograph.
657,normal,normal,Xray Chest PA and Lateral,Preoperative for kidney pancreas transplant,None,Heart is at the upper limits of normal size. Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal pulmonary vascularity.,No acute cardiopulmonary abnormality. .
658,normal,normal,Xray Chest PA and Lateral,",491.21",None,The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.,No acute cardiopulmonary disease
659,Aorta/tortuous;Lung/hypoinflation;Thoracic Vertebrae/degenerative/moderate,Aorta;Lung;Thoracic Vertebrae,PA and Lateral Chest ,XXXX year old female chest pain.,PA and lateral views of the chest from XXXX.,Heart size within normal limits. Tortuous aorta. Low lung volumes with no focal consolidations. No pneumothorax or effusion. Moderate degenerative disc disease in the midthoracic spine.,No acute cardiopulmonary findings.
660,Calcinosis/lung/hilum/lymph nodes,Calcinosis,PA and Lateral Chest,Chest pain,"XXXX, XXXX","No focal consolidation, suspicious pulmonary opacity or definite pleural effusion. Heart size and pulmonary vascularity within normal limits. Stable mediastinal contour. Calcified hilar lymph XXXX. Visualized osseous structures unremarkable.",No acute cardiopulmonary abnormality.
661,Medical Device/spine;Thoracic Vertebrae/degenerative,Medical Device;Thoracic Vertebrae,"PA and LAT view CHEST XXXX, XXXX XXXX PM",Vaginal vault pelvic organ prolapse preop for surgery,XXXX,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.,Clear lungs.
662,No Indexing,No Indexing,"Chest x-XXXX AP and lateral, 2 views. ",Chest pain.,None.,"Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable.",No radiographic evidence of acute cardiopulmonary disease
663,normal,normal,Xray Chest PA and Lateral,XXXX-year-old male with chest pain,Chest XXXX,"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. .
664,Foreign Bodies/right,Foreign Bodies,"PA and lateral chest, XXXX at XXXX ","XXXX-year-old male, pushed from XXXX, chest pain",XXXX,"Heart and mediastinal contours are unremarkable. The pulmonary vasculature is normal in appearance. The lung parenchyma is clear, without focal infiltrate. There are no pleural effusions, and there is no pneumothorax. The visualized bony structures are grossly unremarkable. No displaced rib fractures. Right nipple ring noted.",No acute radiographic cardiopulmonary process.
665,Cardiomegaly,Cardiomegaly,"PA and lateral chest XXXX, XXXX at XXXX comparison XXXX XXXX ",History of chest pain,,,Cardiomegaly stable. Lungs clear. No edema or effusions
666,Cardiomegaly/borderline;Atherosclerosis/aorta;Aorta/tortuous;Cicatrix/lung/base/right/mild;Pulmonary Atelectasis/base/right;Costophrenic Angle/blunted,Cardiomegaly;Atherosclerosis;Aorta;Cicatrix;Pulmonary Atelectasis;Costophrenic Angle,CHEST 2V FRONTAL/LATERAL ,XXXX loss and chest pain,XXXX,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.
667,"Tube, Inserted;Lung/hypoinflation;Pulmonary Atelectasis/base/bilateral;Markings/bronchovascular;Thoracic Vertebrae/degenerative/mild","Tube, Inserted;Lung;Pulmonary Atelectasis;Markings;Thoracic Vertebrae",Xray Chest PA and Lateral,The patient is a XXXX-year-old woman with hypoxia.,"Chest x-XXXX, single view PA from XXXX.","There has been interval removal of right-sided central venous catheter. Enteric tube is again noted, coursing below the diaphragm the tip of which is seen projecting over the expected location of the body of the stomach. The cardiomediastinal silhouette is normal, unchanged from prior. Low lung volumes, causing streaky bibasilar atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.",1. Low lung volumes with subsequent bronchovascular crowding and bibasilar atelectasis. .
668,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX XXXX . ",XXXX-year-old with XXXX.,None.,"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.
669,"Cardiomegaly;Pulmonary Congestion/upper lobe/mild;Hypertension, Pulmonary;Diaphragmatic Eventration/right","Cardiomegaly;Pulmonary Congestion;Hypertension, Pulmonary;Diaphragmatic Eventration",Xray Chest PA and Lateral,Kidney transplant.,None.,Cardiomegaly is present. The upper lobe pulmonary vascularity appears mildly prominent consistent with pulmonary venous hypertension. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is eventration of the right hemidiaphragm. Bony changes of renal osteodystrophy are noted.,1. Cardiomegaly and mild vascular prominence. 2. No evidence of acute disease.
670,Atherosclerosis/aorta;Cardiomegaly/mild,Atherosclerosis;Cardiomegaly,XR Chest PA and Lateral,Chronic XXXX,None,The heart is top normal in size. The mediastinum is Stable. The aorta is atherosclerotic. There are mild chronic changes without focal consolidation. No pleural effusion is seen.,Mild cardiomegaly and atherosclerosis. No acute infiltrate.
671,Calcinosis/lung/hilum;Nodule/lung/hilum;Granulomatous Disease,Calcinosis;Nodule;Granulomatous Disease,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",Dyspnea,none,XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. There are calcified mediastinal perihilar pulmonary nodules consistent with sequela of old granulomatous infection. No acute lung infiltrates. Aortic XXXX appear unremarkable. There is no effusion or pneumothorax.,1. No acute pulmonary disease.
672,Pulmonary Congestion;Pulmonary Edema/interstitial/diffuse;Cardiomegaly;Lung/hypoinflation,Pulmonary Congestion;Pulmonary Edema;Cardiomegaly;Lung,"Two-view chest, XXXX ",Shortness of breath,XXXX,,1. Vascular congestion and diffuse interstitial edema 2. Stable cardiomegaly 3. Low lung volumes
673,normal,normal,Xray Chest PA and Lateral,,,,
674,Lung/hypoinflation;Markings/bronchovascular,Lung;Markings,Xray Chest PA and Lateral,XXXX-year-old female with XXXX,None.,There are low lung volumes. There is bronchovascular crowding. Heart and mediastinal contours within normal limits. No focal infiltrate or effusion. No pneumothorax. Visualized osseous structures intact.,"No acute abnormality. Low volumes XXXX XXXX for the opportunity to assist in the care of your patient. If there are any questions about this examination please XXXX. XXXX XXXX, XXXX certified radiologist, at XXXX. ."
675,Spondylosis/thoracic vertebrae;Surgical Instruments,Spondylosis;Surgical Instruments,Xray Chest PA and Lateral,Preop bariatric surgery,"XXXX, XXXX",The cardiac contours are normal. Cardiac valve replacement. The lungs are clear. Thoracic spondylosis.,No acute process.
676,normal,normal,Xray Chest PA and Lateral,INDICATION: HYPERTENSION; PT to have tumor removed from head/neck. No chest complaints.,None.,The lungs are clear. Heart size is normal. No pneumothorax.,Clear lungs. No acute cardiopulmonary abnormality. .
677,"Catheters, Indwelling/right;Lung/hypoinflation/mild;Density/lung/lower lobe/left/patchy/small;Density/lung/lower lobe/right/patchy;Density/lung/middle lobe/right/patchy;Pleural Effusion/right;Pneumonia","Catheters, Indwelling;Lung;Density;Density;Density;Pleural Effusion;Pneumonia", Two views of chest dated XXXX,"Strep viridans bacteremia. Known neutropenia, XXXX and leukemia. Right upper quadrant pain",XXXX,PICC line catheter tip XXXX in the right atrium. Heart is not enlarged. Trachea and XXXX bronchi appear normal. Lungs are mildly under expanded. No pneumothorax. There are small areas of patchy density in the left lower lung XXXX. There is a larger area of XXXX patchy density in the right mid and lower lungs with right-sided pleural effusion.,In view of the history findings are strongly suggestive of XXXX acute pneumonia with right-sided pleural effusion.
679,No Indexing,No Indexing,"Chest 2 XXXX and lateral XXXX, XXXX, XXXX a.m.",XXXX-year-old male with tetralogy of Fallot,Chest XXXX,"XXXX sternotomy XXXX are intact and unchanged position from prior exam. Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.",1. Unremarkable examination of the chest..
680,Calcified Granuloma/lung/base/right/small,Calcified Granuloma,Xray Chest PA and Lateral,Lightheadedness today. History of pulmonary embolism.,None. Clinical,2 images. Small centrally calcified granuloma within the lateral right lung base. Otherwise the lungs are clear. Heart size is normal. No evidence for pleural effusion or pneumothorax.,No acute cardiopulmonary abnormality identified.
681,"Catheters, Indwelling/right;Opacity/lung/middle lobe/bilateral/focal/multiple","Catheters, Indwelling;Opacity",Xray Chest PA and Lateral,Pleuritic chest pain,,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.
682,Surgical Instruments/lung/hilum/right;Sutures/lung/hilum/right,Surgical Instruments;Sutures,"PA and lateral views of the chest, XXXX, XXXX XXXX XXXX",Lung Cancer,XXXX at 743,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.
683,normal,normal,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Chest pain. XXXX vehicle accident.,None.,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.
684,"Cardiomegaly;Catheters, Indwelling/right","Cardiomegaly;Catheters, Indwelling","PA and lateral chest XXXX, XXXX XXXX with comparisXXXX/XXXX",XXXX XXXX placement,,,Cardiomegaly. No infiltrates or effusions. Right catheter tip upper SVC. The XXXX appears to be a normal orientation on the lateral film. There's been no change in position of the catheter since the prior exam.
685,Stents/coronary vessels;Calcinosis/lung/bilateral/round/small;Granulomatous Disease;Thoracic Vertebrae/degenerative;Density/lung/bilateral/round/small,Stents;Calcinosis;Granulomatous Disease;Thoracic Vertebrae;Density,"CHEST 2V FRONTAL/LATERAL Sept 21, XXXX XXXX PM ",HX of stents,"chest x-XXXX, 2 views PA and lateral on XXXX.","The trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. Tubular densities overlying the heart XXXX are XXXX coronary artery stents. There are small round calcific densities in the bilateral lobes which are unchanged from prior exam and XXXX represent sequelae from old granulomatous disease. Otherwise 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 mild degenerative changes of the thoracic spine.",No acute cardiopulmonary abnormalities.
686,Cardiomegaly;Aorta/tortuous,Cardiomegaly;Aorta,Xray Chest PA and Lateral,Preoperative evaluation,None.,Cardiomegaly with unfolded aorta. 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.,Cardiomegaly. Clear lungs. .
687,Lung/hypoinflation;Markings/bronchovascular;Thoracic Vertebrae/degenerative/mild,Lung;Markings;Thoracic Vertebrae,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old female dyspnea.,None.,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."
688,Opacity/lung/base/left;Diaphragm/left/elevated;Thickening/pleura;Pulmonary Atelectasis/base/left;Airspace Disease/lung/base/left,Opacity;Diaphragm;Thickening;Pulmonary Atelectasis;Airspace Disease,Xray Chest PA and Lateral,XXXX-year-old with pain with history of strangulated hernia.,CT abdomen pelvis from XXXX dated yesterday.,KUB. Centered over the mid abdomen there are multiple air-filled dilated loops of small bowel measuring the XXXX of which measure up to about 3.7 cm in diameter. There is also an extremely dilated XXXX in the same region which measures 5.9 cm in diameter. There is extensive soft tissue pannus. Prior abdominal surgery. Chest. There is XXXX left basilar opacity. No visualized pneumothorax. The heart size is normal. There is mild elevation of the left hemidiaphragm. There are no large pleural effusions. There is thickening of the fissure.,"KUB 1. There are numerous air-filled dilated loops of small bowel over the mid abdomen. These findings are consistent with small bowel obstruction. Chest 1. Left basilar airspace disease, XXXX atelectasis. ."
689,Nodule/lung/lower lobe/left/multiple;Nodule/lung/hilum/right;Nodule/lung/right/multiple,Nodule;Nodule;Nodule,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM",cig XXXX and wt loss,None,Three noncalcified lung nodules are present in the left lower lobe. The largest measures 3.5 mm in diameter. Another nodule is present near the right hilum. It is approximately 2 cm in diameter. The XXXX and mediastinum appear normal. Heart size normal.,"Multiple nodules in both the left and right lungs consistent with neoplasm. Further workup could be initiated with contrasted CT of the chest, abdomen, and pelvis. Dr. XXXX XXXX I discussed the findings and further workup suggestions by telephone approximately XXXX hours XXXX, XXXX."
690,normal,normal,PA and lateral views of the chest ,Shortness of breath,"XXXX, XXXX",Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,No acute cardiopulmonary abnormality.
691,normal,normal,PA and lateral chest radiographs. ,XXXX-year-old female with dyspnea.,PA and lateral chest radiograph XXXX.,"The heart and cardiomediastinal silhouette are stable in size and contour. There is no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",No acute cardiopulmonary finding.
692,Calcified Granuloma;Spine/degenerative,Calcified Granuloma;Spine,Xray Chest PA and Lateral,Pre op Sarcoma,None.,The lungs are clear. There are calcified granulomas. Heart size is normal. No pneumothorax. There are endplate changes in the spine.,Clear lungs. No acute cardiopulmonary abnormality. .
693,Calcinosis/lung/hilum/lymph nodes;Calcified Granuloma/scattered;Spine/degenerative,Calcinosis;Calcified Granuloma;Spine,PA and lateral chest x-XXXX ,"XXXX-year-old female with history of positive PPD, status post treatment.",,"Cardiomediastinal silhouettes are within normal limits. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Grossly unchanged appearance of calcified hilar lymph XXXX and scattered calcified granulomas. Stable degenerative changes in the spine.",No acute cardiopulmonary abnormalities.
694,No Indexing,No Indexing,Xray Chest PA and Lateral,Rule out pneumonia,,The cardiac silhouette and pulmonary vascularity are normal. The lungs are clear. There is no evidence of pleural effusion. Postoperative changes are noted in the mediastinum and lower cervical spine.,No evidence of acute cardiopulmonary disease.
695,"Diaphragm/right/elevated/mild;Opacity/lung/lower lobe/bilateral/patchy;Calcinosis/aorta;Aorta/tortuous;Scoliosis;Arthritis;Pulmonary Disease, Chronic Obstructive","Diaphragm;Opacity;Calcinosis;Aorta;Scoliosis;Arthritis;Pulmonary Disease, Chronic Obstructive",PA and lateral chest XXXX XXXX hours.,Bronchiectasis with acute exacerbation.,"CT scan XXXX, XXXX",There is persistent mild elevation right hemidiaphragm. There is suggestion of subtle patchy opacities in lower lung XXXX bilaterally. This is XXXX to be similar to XXXX scan. The heart is normal. The aorta is calcified and tortuous. The skeletal structures show scoliosis and arthritic changes.,COPD and chronic opacities more pronounced in the lower lung XXXX.
696,normal,normal,Xray Chest PA and Lateral,Pain,,This study is limited secondary to patient body habitus. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,Limited study but no acute pulmonary disease identified.
697,Diaphragm/left/obscured;Technical Quality of Image Unsatisfactory ;Airspace Disease/lung/base/left,Diaphragm;Technical Quality of Image Unsatisfactory ;Airspace Disease,"PA lateral chest x-XXXX, XXXX at XXXX p.m.",XXXX since end of XXXX.,None,"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.
698,Osteophyte/thoracic vertebrae/multiple,Osteophyte,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours. ",XXXX-year-old female. Syncope.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.",Negative for acute abnormality.
699,Cardiomegaly;Cardiac Shadow/enlarged;Opacity/lung/interstitial;Markings/lung/base/bilateral/interstitial;Markings/lung/middle lobe/bilateral/interstitial,Cardiomegaly;Cardiac Shadow;Opacity;Markings;Markings,AP and lateral chest,"XXXX-year-old male, chest pain",XXXX,"Stable enlargement of the cardiac silhouette, stable mediastinal contours. Increased interstitial markings in the central lungs and bases, right greater than left. XXXX opacity on the lateral view over the heart also present on the previous exam suggesting chronic subsegmental atelectasis or scarring. No definite pleural effusion seen.","Cardiomegaly and increased interstitial opacities which may be compatible with mild pulmonary edema, differential diagnosis includes infection, inflammation, aspiration"
700,"Calcified Granuloma/lung/lower lobe/right;Bone Diseases, Metabolic;Thoracic Vertebrae/degenerative/mild","Calcified Granuloma;Bone Diseases, Metabolic;Thoracic Vertebrae",Xray Chest PA and Lateral,XXXX year old with pain and XXXX.,AP portable chest XXXX.,"The heart is normal in size and contour. There is a calcified granuloma in the right lower lung. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Osteopenia with mild degenerative changes of the thoracic spine is noted.",Stable appearance of the chest. No acute findings.
701,Cicatrix/thorax/left;Volume Loss/lung/left;Lung/right/hyperdistention;Density/thorax/left,Cicatrix;Volume Loss;Lung;Density,PA and lateral views of the Chest on XXXX ,Chest pain,XXXX,"There are postsurgical and postradiation changes of the left lung with a spiculated, hyperdense scar in the left upper thorax. There is a loss of lung volume on the left due to postsurgical change. XXXX deviation towards the left. Right lung is hyperexpanded. The right lung is clear. Heart size and vascularity within normal limits.",Postsurgical and postradiation changes on the left with no acute abnormality.
702,Pleural Effusion/right/large;Pulmonary Atelectasis/middle lobe/right;Pulmonary Atelectasis/lower lobe/right;Opacity/lung/right,Pleural Effusion;Pulmonary Atelectasis;Pulmonary Atelectasis;Opacity,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ","XXXX-year-old woman with lung cancer, shortness of breath..","CT of the chest and two-view chest radiograph dated XXXX, XXXX..","The left lung is grossly clear. The right lung demonstrates a large right pleural effusion with associated atelectatic collapse of the right middle lobe and partial collapse of the right lower lobe. XXXX opacities are seen within the aerated right lung, XXXX subsegmental atelectasis. No focal consolidation or pneumothorax identified. No acute osseous abnormality. Cardio mediastinal silhouette is stable compared to prior examinations.",Large right pleural effusion with associated passive atelectasis of the right middle and lower lobes. Grossly clear left lung.
703,Lung/hyperdistention,Lung,Xray Chest PA and Lateral,"Preop, right leg ischemia","XXXX, XXXX",,"Heart size normal. Mediastinal silhouette and vascularity are within normal limits. Lungs are clear, hyperinflated. There is no pleural effusion or pneumothorax."
704,normal,normal,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours. ",XXXX-year-old female. Extremity tingling.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",Negative for acute abnormality.
705,Diaphragm/right/elevated;Density/costophrenic angle/right,Diaphragm;Density,Xray Chest PA and Lateral,"XXXX-year-old female, pain",,,"Heart size within normal limits. Right hemidiaphragm elevation with XXXX XXXX density near the right costophrenic XXXX most suggestive of subsegmental atelectasis. Otherwise, no focal alveolar consolidation. No definite pleural effusion seen, no typical findings of pulmonary edema."
706,Aorta/tortuous;Markings/bronchovascular/mild;Deformity/clavicle,Aorta;Markings;Deformity,Xray Chest PA and Lateral,"XXXX-year-old male, CVA symptoms",,"Stable cardiomediastinal silhouette with normal heart size and aortic ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. Mild bronchovascular crowding without typical findings of pulmonary edema. Distal clavicle shortening also present on the previous exam, possibly posttraumatic or postsurgical.",No acute findings
707,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX ",XXXX rule out pneumonia,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
708,normal,normal,"PA and Lateral views of the Chest performed on XXXX, XXXX. ",XXXX-year-old male with chest pain.,None.,"No pleural effusion, pneumothorax or focal airspace opacities. Cardiomediastinal silhouette is within normal limits. The trachea is midline. No free subdiaphragmatic air. The included osseous structures are grossly intact.",No acute pulmonary disease.
709,"Calcinosis/aorta;Fractures, Bone/shoulder/right;Dislocations/shoulder/right;Bone Diseases, Metabolic;Scoliosis","Calcinosis;Fractures, Bone;Dislocations;Bone Diseases, Metabolic;Scoliosis",Xray Chest PA and Lateral,"tripped XXXX letting XXXX XXXX out, XXXX a possible XXXX, and now is c/o right arm/shoulder pain.PT unable to raise rt arm for lateral view due to PX",None available,Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. Aortic vascular calcifications. Normal pulmonary vascularity. Fracture-dislocation of the right shoulder. Bone demineralization. Scoliosis which is possibly positional.,Clear lungs. Fracture-dislocation of the proximal right shoulder .
710,Calcified Granuloma/lung/upper lobe/right,Calcified Granuloma,PA and lateral chest. XXXX. ,XXXX.,None.,Stable normal cardiac size and contour with unremarkable mediastinal silhouette. Normal pulmonary XXXX. No active airspace disease/infiltrate. No pleural effusion or pneumothorax. Calcified granuloma right upper lobe.,No active/acute cardiopulmonary disease.
711,Calcified Granuloma/lung/base/bilateral;Dislocations/thoracic vertebrae,Calcified Granuloma;Dislocations,"Frontal and lateral view of the chest on XXXX, XXXX at XXXX hours. ",Dyspnea.,"Chest radiograph from XXXX, XXXX.",Calcified granulomas are noted within the lung bases and stable compared with prior study. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. There is no focal opacity. No large pleural effusion. XXXX is minimal retrolisthesis of two lower thoracic vertebral bodies.,No acute cardiopulmonary disease. Retrolisthesis of two lower thoracic vertebral bodies.
712,Lung/hyperdistention/mild,Lung,Xray Chest PA and Lateral,XXXX-year-old male with XXXX and bronchitis.,,The lungs are mildly hyperexpanded. There is no focal airspace consolidation to suggest pneumonia. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.,No acute abnormality demonstrated.
713,"Catheters, Indwelling/right;Density/lung/lower lobe/bilateral/patchy;Nodule/lung/lower lobe/bilateral/patchy;Thickening/lung/upper lobe/bronchi/left/scattered;Cystic Fibrosis;Heart/left/obscured","Catheters, Indwelling;Density;Nodule;Thickening;Cystic Fibrosis;Heart",Xray Chest PA and Lateral,Cystic fibrosis. Decreased pulmonary function XXXX.,None,"Central venous catheter tip in the right atrium. Heart size and shape are normal. Trachea and XXXX bronchi appear normal. The lungs are reasonably well expanded. There XXXX and patchy nodular densities in both lower lung XXXX more marked on the right than the left. There is scattered areas of bronchial wall thickening, well-seen in the left upper lobe. There is loss of definition of part of the left heart XXXX. No effusions no pneumothorax.",Findings consistent with widespread changes from cystic fibrosis. It is difficult to differentiate acute from chronic change.
714,Cicatrix/lung/apex/right;Spine/degenerative,Cicatrix;Spine,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",hemopytosis,XXXX,Stable scarring near the right lung apex along the lateral aspect. Lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,Stable appearance of the chest without acute abnormality noted.
715,Diaphragm/right/elevated/chronic;Airspace Disease/lung/base/right/streaky;Pulmonary Atelectasis/base/right,Diaphragm;Airspace Disease;Pulmonary Atelectasis,Xray Chest PA and Lateral,Shortness of breath.,"XXXX, XXXX.","There is chronic asymmetric elevation of the right hemidiaphragm. Compared with the prior study, there is mildly increased streaky airspace disease in the right lung base. Hilar prominence appears stable. There is no pneumothorax or large pleural effusion. Heart size is stable and grossly normal. There no acute bony findings.","Chronic asymmetric elevation of the right hemidiaphragm with mildly increased right basilar airspace disease, atelectasis versus infiltrate. ."
716,Cardiomegaly/mild;Calcinosis/lung/hilum/lymph nodes,Cardiomegaly;Calcinosis,"PA and lateral chest XXXX, XXXX XXXX comparison 03 XXXX",chest pain dyspnea XXXX,,,Slight cardiomegaly. Calcified hilar lymph XXXX. No edema or effusions.
717,normal,normal,CHEST 2V FRONTAL/LATERAL ,Chest pain,,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
718,Scoliosis/mild,Scoliosis,Xray Chest PA and Lateral,XXXX for 3 weeks,None,The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. There is mild scoliosis of the spine.,No acute pulmonary disease.
719,normal,normal, PA and lateral chest. ,chest pain,None.,,Heart size normal and lungs are clear.
720,normal,normal,"Two view chest radiograph dated XXXX, XXXX ",Recent myocardial infarct,,"The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax.",No acute process.
721,normal,normal,Xray Chest PA and Lateral,Testicular cancer are all,XXXX,Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,Clear lungs with no suspicious pulmonary nodules or masses.
722,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, XXXX",,"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.",No acute findings
723,Opacity/lung/base/bilateral;Pulmonary Atelectasis/base/bilateral;Lung/hypoinflation;Calcinosis/lung/hilum/lymph nodes/right,Opacity;Pulmonary Atelectasis;Lung;Calcinosis,Xray Chest PA and Lateral,XXXX-year-old with dyspnea.,AP chest dated XXXX.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is bilateral basilar XXXX opacity compatible with atelectasis. There are somewhat low lung volumes. There is a calcified right hilar lymph node.",Bibasilar atelectasis.
725,normal,normal,PA and lateral chest x-XXXX XXXX. ,XXXX-year-old male with XXXX,None.,The cardiomediastinal silhouette is within normal limits. Lungs are clear without areas of focal consolidation. No pneumothorax or large pleural effusion.,No acute cardiopulmonary process.
726,Density/lung/hilum/right/prominent;Lung/hilum/lymph nodes/right/prominent;Stents,Density;Lung;Stents,Xray Chest PA and Lateral,XXXX-year-old XXXX with XXXX,"XXXX, XXXX","Heart size within normal limits. Prominent right perihilar density consistent with lymphadenopathy, previously partially demonstrated XXXX abdomen and pelvis XXXX, XXXX. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. TIPS noted.","1. No acute abnormality of the chest. 2. Right hilar prominence, corresponding to lymphadenopathy partially demonstrated XXXX abdomen and pelvis XXXX, XXXX. Consider XXXX of the chest for further evaluation. ."
727,normal,normal, PA and lateral chest. ,chest pain,,,Heart size is normal the lungs are clear
728,Nodule/lung/lower lobe/left/posterior,Nodule,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",Please obtain for dyspnea,"XXXX, XXXX.","In the interval, a 2 cm diameter nodule has developed in the posterior segment of the left lower lobe. It is not calcified. No other infiltrates or masses in the lungs. Heart and pulmonary XXXX are normal. XXXX are normal.",XXXX left lower lobe nodule. The differential diagnosis includes round pneumonia and parenchymal mass. CT may be of further XXXX.
729,Nodule/lung/hilum/right;Opacity/lung/hilum/right;Calcified Granuloma/scattered,Nodule;Opacity;Calcified Granuloma,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old woman with chest pain and shortness of breath..,None.,"No focal consolidation, pneumothorax, or pleural effusion identified. However, there is a 1.7 cm nodular opacity within the right hilum, which may represent partially calcified granuloma or lymphadenopathy. Scattered calcified granulomas also seen. Heart size is upper limit normal. No acute bony abnormality.","1. No acute cardiopulmonary abnormality. 2. 1.7 cm nodular opacity within the right hilum, there is XXXX large lymph node or partially calcified granuloma. Followup XXXX radiograph to assess stability may be of benefit."
730,Calcified Granuloma/lung/middle lobe/right,Calcified Granuloma,"PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX XXXX ",History of Wheezing.,,,Heart size is normal. Lungs are clear. Calcified stable right midlung granulomas.
731,normal,normal,"PA and lateral views of the chest XXXX, XXXX a XXXX hours ",XXXX-year-old XXXX with XXXX.,None available,"The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.",No acute cardiopulmonary abnormality.
732,Lung/hyperdistention;Spine/degenerative/mild,Lung;Spine,Xray Chest PA and Lateral,XXXX-year-old woman with history of breast cancer.,Chest x-XXXX XXXX,"Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion or pneumothorax. There is hyperexpansion of the lungs. Mild degenerative changes are present in the spine.",No evidence of metastatic disease. .
733,"Catheters, Indwelling/right;Lung, Hyperlucent/upper lobe/right","Catheters, Indwelling;Lung, Hyperlucent",PA and lateral chest x-XXXX dated XXXX at XXXX hours.,History of central line placement.,"Multiple chest x-XXXX, the most recent dated XXXX.","There is a dual-lumen right internal jugular central venous catheter, the distal tip projects over the right atrium. There is no apparent pneumothorax. There is no focal lung opacity or pleural effusion. There is stable right upper lung lucency. The cardiopulmonary mediastinal silhouettes are stable. The visualized osseous structures appear within normal limits.",1. Distal tip of the dual-lumen right internal jugular central venous catheter projects over the right atrium. 2. No apparent pneumothorax. 3. Stable right upper lung lucency. CT chest may be helpful to further characterize.
734,normal,normal,PA and lateral chest x-XXXX dated XXXX,"XXXX-year-old male, preoperative",None,No pneumothorax. Heart size is normal. No large pleural effusions. No focal airspace consolidation.,No acute cardiopulmonary abnormalities.
735,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, XXXX onset chest pain.",None.,"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.
736,"Hernia, Hiatal/prominent;Opacity/lung/base/left;Pleural Effusion/base/left;Pulmonary Atelectasis/base/left;Pleural Effusion/right","Hernia, Hiatal;Opacity;Pleural Effusion;Pulmonary Atelectasis;Pleural Effusion",Xray Chest PA and Lateral,PAIN;,"Comparison XXXX, XXXX.",,Prominent hiatal hernia. Left basilar opacity compatible pleural effusion and atelectasis. XXXX right pleural effusion. No pulmonary edema / overt CHF identified. Stable senescent mediastinal contour.
737,normal,normal," Two views of the chest XXXX, XXXX XXXX hours. ",XXXX.,"XXXX, XXXX.","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.
738,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
739,normal,normal,TWO-VIEW CHEST (AP/PA and lateral): XXXX.,XXXX-year-old female with morbid obesity.,,XXXX XXXX and lateral views of the chest were obtained XXXX/XXXX. The lung volumes are low normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.,No acute cardiopulmonary abnormalities are seen. END OF REPORT.
740,normal,normal,PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old with a XXXX.,Two view chest XXXX.,The heart and mediastinum are stable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,1. No acute cardiopulmonary disease.
741,normal,normal," Two views of the chest XXXX, XXXX XXXX hours. ",Chest pain.,XXXX.,"2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No acute bony changes.",No acute cardiopulmonary abnormality identified.
742,Opacity/lung/base/right/focal/abnormal,Opacity,Xray Chest PA and Lateral,"XXXX-year-old female, XXXX, difficulty breathing",,"XXXX focal opacity in the medial right lung base XXXX seen on the frontal view. No definite pleural effusion. Stable cardiomediastinal silhouette with normal heart size, no typical findings of pulmonary edema.","Abnormal opacity in the right lung base which may be compatible with pneumonia in the appropriate clinical setting. Recommend clinical correlation for infection and followup to resolution. Or, if clinical findings are not compatible with XXXX may be of XXXX."
743,Markings/lung/base/interstitial/prominent/mild,Markings,Xray Chest PA and Lateral,"Hep C,hepatocellular cancer",No comparison chest x-XXXX.,,Slightly prominent basilar interstitial markings may be related to stigmata of chronic liver disease. No acute airspace consolidation or effusions. Mediastinal contour within normal limits for patient's age. No suspicious appearing lung nodules are identified.
744,Density/lung/apex/right;Opacity/lung/apex/right,Density;Opacity,Xray Chest PA and Lateral,Hodgkin's disease. XXXX for two weeks.,None.,"The heart size and pulmonary vascularity appear within normal limits. Left XXXX-a-XXXX is in XXXX. No pleural effusion or pneumothorax is seen. Right upper lobe area of dense opacity is seen in the medial right apex. On a previous outside XXXX scan (XXXX), the right upper lobe was consolidated. Comparison to the XXXX XXXX from that exam shows this opacity to have decreased. No films were available, however, for direct comparison.",1. Right upper lobe opacity which appears improved as compared to previous XXXX scan.
745,Atherosclerosis/aorta;Arthritis,Atherosclerosis;Arthritis,Xray Chest PA and Lateral,Right-sided pain,,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.,No acute pulmonary disease.
746,Cicatrix/lung/lingula;Pulmonary Atelectasis/lingula;Osteophyte/thoracic vertebrae/multiple,Cicatrix;Pulmonary Atelectasis;Osteophyte,PA and lateral chest radiograph (2 views) (2 images) ,Chest pain.,"XXXX, XXXX",There is stable XXXX scarring or atelectasis in the left midlung. The lungs are otherwise grossly clear. The heart size is near the upper limits of normal. Mediastinal silhouette is normal. There is no pneumothorax or pleural effusion. XXXX T-spine osteophytes are noted.,No acute cardiopulmonary abnormality.
747,"Aorta, Thoracic/tortuous","Aorta, Thoracic",Xray Chest PA and Lateral,"Generalized weakness and disoriented, XXXX of coordination. Concerned she may have XXXX a XXXX. No hx of XXXX. More difficulty ambulating...SM",No comparison chest x-XXXX.,,Tortuous thoracic aorta. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
748,normal,normal,PA and lateral views of the chest ,Chest pain.,None.,"Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion.",No acute cardiopulmonary abnormality.
749,Granuloma/lung/bilateral/scattered;Opacity/lung/base/bilateral/streaky/mild;Pulmonary Atelectasis/base/bilateral,Granuloma;Opacity;Pulmonary Atelectasis,Xray Chest PA and Lateral,This is a XXXX-year-old woman with XXXX productive XXXX for 3 days with shortness of breath.,None,Negative for cardiac enlargement. Negative for vascular congestion. Bilateral granulomas are seen scattered throughout the lungs. Negative for pneumothorax. Negative for focal air space consolidation. Some minimal streaky opacity at the bilateral bases XXXX relates to subsegmental atelectasis.,No acute cardiothoracic process.
750,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"PA and lateral chest, XXXX, XXXX XXXX XXXX ",XXXX-year-old female with hemoptysis.,None.,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.
751,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, pain",None,"Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",No acute cardiopulmonary findings
752,Calcified Granuloma/scattered;Calcinosis/mediastinum/lymph nodes,Calcified Granuloma;Calcinosis,Xray Chest PA and Lateral,V42.7 LIVER REPLACED BY TRANSP,,The lungs appear clear. Scattered calcified granulomas are stable as are calcified mediastinal lymph XXXX. The heart and pulmonary XXXX are normal. Mediastinal contours are normal. Pleural spaces are clear.,No acute cardiopulmonary disease
753,Spine/degenerative/mild,Spine,Xray Chest PA and Lateral,XXXX-year-old with XXXX. Pain with breathing that started last XXXX.,Two views of the chest dated XXXX.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are mild degenerative changes of the spine.",No acute cardiopulmonary disease.
754,No Indexing,No Indexing,"Two-view chest. XXXX hours XXXX, XXXX compared to XXXX, XXXX. ",Dyspnea.,,The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
755,Osteophyte/thoracic vertebrae/multiple,Osteophyte,"PA and lateral views of the chest XXXX hours XXXX, XXXX ",heart murmur?,"XXXX, XXXX",,"Lungs clear. Heart size normal. Flowing syndesmophytes in the thoracic spine, XXXX DISH."
756,normal,normal,"PA lateral chest x-XXXX, 3 images, dated XXXX, XXXX at XXXX p.m. ",XXXX-year-old male with chest pain.,None available.,"Normal cardiomediastinal silhouette. No airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No acute bony abnormality.",No acute cardiopulmonary disease.
757,normal,normal,Frontal and lateral views of the chest dated XXXX ,Chest pain,XXXX,Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Normal pulmonary vascularity. Stable postsurgical changes of the lower cervical spine.,No acute abnormality.
758,normal,normal,Chest 2 views. ,Preop inguinal hernia.,XXXX.,Normal heart size. Clear lungs. No large pleural effusion. No pneumothorax.,No acute cardiopulmonary abnormality.
759,"Aorta, Thoracic/tortuous","Aorta, Thoracic", PA and lateral views of the chest. ,,Radiograph from XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. There is ectasia of the thoracic aorta. No pleural effusion is identified.,Normal chest film.
760,"Lung/hyperdistention/mild;Lung, Hyperlucent;Pulmonary Disease, Chronic Obstructive;Opacity/lung/left;Pulmonary Atelectasis/left;Aorta, Thoracic/tortuous/mild;Atherosclerosis/aorta, thoracic;Thoracic Vertebrae/degenerative/multiple;Lumbar Vertebrae/degenerative/multiple","Lung;Lung, Hyperlucent;Pulmonary Disease, Chronic Obstructive;Opacity;Pulmonary Atelectasis;Aorta, Thoracic;Atherosclerosis;Thoracic Vertebrae;Lumbar Vertebrae","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old woman with progressive XXXX loss. History of smoking..,"Portable chest radiograph dated XXXX, XXXX..","There is minimal hyperexpansion and hyperlucency of the lungs suggestive of chronic lung disease, without focal consolidation, pneumothorax, or effusion identified. XXXX opacity in the left XXXX XXXX subsegmental atelectasis. Cardiomediastinal silhouette is grossly stable and within normal limits, with mild tortuosity and atherosclerosis of the thoracic aorta. Multilevel degenerative disc disease of the thoracolumbar spine noted without acute bony abnormality.",Changes of chronic lung disease without acute cardiopulmonary abnormality.
761,Lung/hypoinflation,Lung," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXXyo with hepatic encephalopathy with persistent altered mental status despite t,"XXXX, XXXX.",Lung volumes are low. No focal infiltrates. Heart size normal.,XXXX change. Hypoinflation with no visible active cardiopulmonary disease.
762,Calcinosis/lymph nodes,Calcinosis,PA and Lateral Chest X-XXXX dated XXXX.,Hypertension. Adrenal tumor.,XXXX.,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified lymph XXXX are present.,1. No evidence of active disease.
763,Calcified Granuloma/scattered,Calcified Granuloma,Xray Chest PA and Lateral,"XXXX-year-old female, preoperative evaluation for hysterectomy",None,There are scattered calcified granulomas. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.,No evidence of active disease.
764,normal,normal,Xray Chest PA and Lateral,XXXX-year-old male. Abnormal feeling. Cocaine use.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute abnormality.",Negative.
765,No Indexing,No Indexing,Xray Chest PA and Lateral,ALL. Bone marrow transplant evaluation.,,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Right XXXX-a-XXXX remains in XXXX.,1. No evidence of active disease.
766,normal,normal," PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX ",chest pain.,,,Heart size is normal and the lungs are clear.
767,normal,normal,"Chest radiographs, 2 XXXX and lateral ","XXXX-year-old XXXX, uveitis.","XXXX, XXXX.","Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, pneumothorax. No acute bony abnormality. No lymphadenopathy.",Unremarkable examination.
768,normal,normal,"PA lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old male, productive XXXX.","Chest x-XXXX XXXX, XXXX",Normal heart size and mediastinal contours. No focal air space opacities. No pleural effusion. Visualized osseous structures are unremarkable.,No acute cardiopulmonary abnormality.
769,Thoracic Vertebrae/degenerative/mild;Epicardial Fat/right/prominent,Thoracic Vertebrae;Epicardial Fat,Xray Chest PA and Lateral ,XXXX,None.,Clear lungs. No pneumothorax. No pleural effusion. Normal heart. Mild degenerative changes of the thoracic spine without acute bony abnormality. Prominent right epicardial fat XXXX,No acute cardiopulmonary findings.
770,normal,normal,PA and lateral chest radiograph on XXXX at 02: 51 hours. ,XXXX-year-old XXXX with left shoulder pain.,None available.,"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.
771,normal,normal, PA and lateral views of the Chest on XXXX ,Chest pain,XXXX,"Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.",No acute cardiopulmonary disease.
772,"Surgical Instruments/mediastinum;Atherosclerosis/aorta;Aorta, Thoracic/tortuous;Cardiomegaly;Calcinosis/mitral valve/prominent;Mediastinum/prominent","Surgical Instruments;Atherosclerosis;Aorta, Thoracic;Cardiomegaly;Calcinosis;Mediastinum",Xray Chest PA and Lateral,The patient is a XXXX-year-old female with chest pain and XXXX onset right hand numbness and inability to XXXX. History of heart bypass surgery many years ago.,,"XXXX sternotomy XXXX and numerous mediastinal clips appear stable in position. There is aortic atherosclerotic calcification. The thoracic aorta is tortuous. Stable widening of the upper mediastinum. Stable cardiomegaly. Prominent mitral annular calcification demonstrated on the lateral view. No pneumothorax, pleural effusion or airspace consolidation. XXXX XXXX appear intact.","1. No acute cardiopulmonary abnormality. 2. Stable cardiomegaly, tortuous thoracic aorta and atherosclerotic calcification. ."
773,Calcinosis/lung/hilum/lymph nodes/right;Calcified Granuloma/lung/base/right;Lung/hyperdistention/mild;Granulomatous Disease,Calcinosis;Calcified Granuloma;Lung;Granulomatous Disease, PA and lateral views. ,XXXX-year-old female. Chest pain.,None.,"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.
774,Lung/hyperdistention/mild;Thoracic Vertebrae/degenerative;Emphysema,Lung;Thoracic Vertebrae;Emphysema,Xray Chest PA and Lateral,"Difficulty breathing, history of emphysema",XXXX,Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are mildly hyperexpanded but clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,Emphysema without acute cardiopulmonary process.
776,Markings/lung/interstitial/prominent;Opacity/lung/base/bilateral/focal/streaky;Pulmonary Atelectasis,Markings;Opacity;Pulmonary Atelectasis,PA AND LATERAL VIEWS OF THE CHEST dated XXXX at XXXX hours ,XXXX,None.,"Cardiomediastinal silhouette is within normal limits in size and appearance. Pulmonary vascularity is unremarkable. There are prominent coarse interstitial markings throughout the lungs, with more focal streaky bibasilar opacities, seen only on the frontal XXXX, XXXX atelectasis. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX are grossly intact.",1. No acute cardiopulmonary abnormality.
777,"Aorta, Thoracic/tortuous;Bone Diseases, Metabolic/thoracic vertebrae;Thoracic Vertebrae/degenerative/mild;Medical Device","Aorta, Thoracic;Bone Diseases, Metabolic;Thoracic Vertebrae;Medical Device",Xray Chest PA and Lateral,XXXX-year-old male with productive XXXX.,None available.,The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. Mild degenerative changes and osteopenia of the thoracic spine. Overlying EKG leads.,1. No acute cardiopulmonary process. .
778,Calcified Granuloma,Calcified Granuloma,PA and lateral chest x-XXXX ,XXXX-year-old female with chest pain.,,"Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Stable calcified granulomas. Bony thorax is unremarkable.",No acute cardiopulmonary abnormalities.
779,normal,normal,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours. ",XXXX-year-old female. Pain after XXXX.,"CT chest, dated XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.",Negative for acute abnormality.
780,"Lung, Hyperlucent/base/right","Lung, Hyperlucent",PA and Lateral Chest,Preop bilateral leg gangrene.,None available.,"Heart size is upper limits of normal. Mediastinal contours and pulmonary vascularity are within normal limits. There is no focal infiltrate or suspicious pulmonary opacity. No pneumothorax or pleural effusion. There is a lucency along the peripheral right lung base, XXXX secondary to a skin fold. No acute bony findings.",Clear lungs. No acute cardiopulmonary findings.
781,normal,normal,Xray Chest PA and Lateral,XXXX year old chest pain.,None.,"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.
782,Medical Device,Medical Device,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",Dyspnea. Shortness of breath. Extremity numbness.,None.,Frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. No XXXX focal airspace consolidation or pleural effusion.,"No acute or active cardiac, pulmonary or pleural disease."
783,Calcified Granuloma/lung/upper lobe/left;Lung/hyperdistention,Calcified Granuloma;Lung,"PA and lateral chest XXXX, XXXX at XXXX hours.",COPD with chronic bronchitis.,"XXXX, XXXX.",There is a calcified granuloma in the left upper lung zone. The lungs are otherwise clear. There is hyperinflation. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal for age.,No acute pulmonary disease.
784,"Calcinosis/aorta;Aorta/tortuous;Granuloma/scattered;Bone Diseases, Metabolic/thoracic vertebrae;Thoracic Vertebrae/degenerative;Kyphosis/thoracic vertebrae;Pleural Effusion/posterior;Pulmonary Atelectasis/base/mild","Calcinosis;Aorta;Granuloma;Bone Diseases, Metabolic;Thoracic Vertebrae;Kyphosis;Pleural Effusion;Pulmonary Atelectasis",Xray Chest PA and Lateral,Vomiting and right-sided abdominal pain,None.,Normal heart size. Tortuous calcified aorta. Scattered granulomas. No lobar pneumonia. Probable XXXX post your recess effusions. Kyphotic degenerated osteopenic thoracic spine.,Probable XXXX posterior recess effusions with mild basilar atelectasis. No lobar pneumonia.
785,normal,normal,Xray Chest PA and Lateral,Chest pain.,None.,"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. .
786,Calcified Granuloma/lung/upper lobe/right/small;Calcified Granuloma/lung/lower lobe/left/small,Calcified Granuloma;Calcified Granuloma,Xray Chest PA and Lateral,EVALUATE FOR METASTATIC DISEASE;Pt to have surgery for cancer on face/eye.,No comparison chest x-XXXX.,,"Small calcified granulomas in in right upper lobe and left lower lobe. No suspicious appearing lung nodules seen. No acute airspace disease, effusions, or CHF."
787,normal,normal,"PA and lateral views of the chest XXXX hours XXXX, XXXX. ",Shortest breath,None,Lungs are clear. Heart size normal. The XXXX are unremarkable.,No acute cardiopulmonary finding.
788,"Fractures, Bone/ribs/right","Fractures, Bone",2 views of the Chest XXXX/11. ComparisXXXX/XXXX ,Chest pain,,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.
790,Surgical Instruments/abdomen,Surgical Instruments,CHEST 2V FRONTAL/LATERAL,XXXX LOSS,None,Both lungs are clear and expanded. Heart and mediastinum normal. Surgical clips are in the epigastrium of the abdomen.,No active disease.
791,Aorta/tortuous,Aorta,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Headache. Hypertension.,"Radiograph Chest PA and Lateral XXXX, XXXX.",Stable cardiomediastinal silhouette. Tortuous aorta. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.,No acute cardiopulmonary abnormalities.
792,normal,normal,Xray Chest PA and Lateral,left sided chest pain,None,The lungs appear clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.,No acute acute cardiopulmonary disease.
793,normal,normal,Xray Chest PA and Lateral,"Dyspnea, shortness of breath, lightheadedness.",,"The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Oval sclerotic density projecting over the inferior right glenoid may represent synovial osteochondromatosis or cortical XXXX XXXX. This is unchanged 31 17 XXXX. The remaining osseous structures and visualized upper abdomen are unremarkable in appearance.",No evidence of acute cardiopulmonary process.
794,normal,normal,Xray Chest PA and Lateral,Left lower chest pain moving into shoulder.,"XXXX, XXXX",Normal heart size and mediastinal contours. Lungs are clear. There is no pneumothorax or pleural effusion. Postoperative changes seen in the left humerus. No acute bony abnormalities.,No acute cardiopulmonary process. .
795,normal,normal, PA and lateral chest. ,tuberculosis positive PPD,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest No evidence of tuberculosis.
796,normal,normal,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours. ",XXXX-year-old female. Chest pain.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.",Negative for acute abnormality.
797,Cardiomegaly;Aorta/tortuous,Cardiomegaly;Aorta,"PA and lateral chest, XXXX, XXXX XXXX PM ",XXXX-year-old female with chest pain.,PA and lateral chest x-XXXX dated XXXX.,The heart size is enlarged. Tortuous aorta. Otherwise 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. Cardiomegaly without lung infiltrates.
798,normal,normal,CHEST 2V FRONTAL/LATERAL - RADXXXX ,,XXXX,The heart is not enlarged. Lungs are clear. No pleural effusion.,No acute abnormality.
799,normal,normal,PA and Lateral Chest Xray dated XXXX.,XXXX-year-old female with history of endometrial cancer; routine followup.,PA and lateral chest x-XXXX dated XXXX.,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.
800,"Cardiomegaly;Aorta, Thoracic/tortuous/severe;Hernia, Hiatal/large;Bone Diseases, Metabolic/thoracic vertebrae/diffuse;Fractures, Bone/thoracic vertebrae;Deformity/thoracic vertebrae/multiple;Humerus/degenerative/severe;Technical Quality of Image Unsatisfactory ","Cardiomegaly;Aorta, Thoracic;Hernia, Hiatal;Bone Diseases, Metabolic;Fractures, Bone;Deformity;Humerus;Technical Quality of Image Unsatisfactory ",Xray Chest PA and Lateral,"XXXX, weakness",None.,"The lungs and pleural spaces show no acute abnormality. Heart size is enlarged, pulmonary vascularity within normal limits. Marked tortuosity of the thoracic aorta. There are advanced degenerative changes of the glenohumeral joints bilaterally with bone-on-bone articulation, remodeling of the glenoid, and extensive subchondral cystic change. No displaced rib fractures are visualized. Diffuse osteopenia of the thoracic spine with a mid thoracic and several lower thoracic XXXX deformities, age-indeterminate. There is an air-fluid level in the middle mediastinum, most XXXX secondary to a large hiatal hernia.","1. No acute thoracic abnormality. 2. Cardiomegaly with marked tortuosity of the thoracic aorta. 3. Probable large hiatal hernia. 4. Limited evaluation of the thoracic spine secondary to osteopenia, age-indeterminate XXXX fracture deformities."
801,normal,normal,"Frontal lateral chest x-XXXX XXXX, XXXX XXXX","XXXX-year-old female, bone marrow transplant XXXX workup. No chest complaints.",None,"Heart is normal in size. No focal consolidation, pleural effusion or pneumothorax. No acute or destructive bone abnormality.",Normal chest.
802,"Technical Quality of Image Unsatisfactory ;Lung/hypoinflation/severe;Cardiomegaly/mild;Markings/bronchovascular/severe;Pulmonary Congestion;Infiltrate/lung/interstitial;Kyphosis/severe;Bone Diseases, Metabolic;Catheters, Indwelling;Pulmonary Edema/mild","Technical Quality of Image Unsatisfactory ;Lung;Cardiomegaly;Markings;Pulmonary Congestion;Infiltrate;Kyphosis;Bone Diseases, Metabolic;Catheters, Indwelling;Pulmonary Edema",AP and lateral chest: XXXX,"XXXX year old female, infection, XXXX",,,"Exam quality limited by very low lung volumes on the frontal view and rotation. Cardiomediastinal silhouette accentuated by technical factors, heart size XXXX mildly enlarged. Marked bronchovascular crowding, indistinct vascular margination may be secondary to crowding, mild pulmonary edema, interstitial infiltrates difficult to exclude. No definite pleural effusion seen. Osseous demineralization and exaggerated kyphosis, VP shunt tubing noted."
803,Implanted Medical Device/right;Thoracic Vertebrae/degenerative,Implanted Medical Device;Thoracic Vertebrae,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old female with history of asthma and dyspnea on exertion.,None.,"There is a left chest wall cardiac XXXX generator with 2 leads, one projecting over the right atrium and one projecting over the right XXXX. The heart is near top normal in size with normal appearance of the cardiomediastinal silhouette. The lungs are clear without focal air space opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.",No acute cardiopulmonary finding.
804,Lung/hypoinflation;Opacity/lung/hilum/bilateral/interstitial;Pulmonary Edema/interstitial/mild,Lung;Opacity;Pulmonary Edema,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX a.m. ",XXXX-year-old male with XXXX onset chest pain,None,"Low lung volumes are noted. Allowing for technical factors the heart size is XXXX normal. The mediastinum is unremarkable. There is increased bilateral predominantly perihilar interstitial opacity, XXXX consistent with pulmonary edema. There is no pneumothorax or pleural effusion. The XXXX are unremarkable.","1. Increased bilateral interstitial opacity, XXXX consistent with mild interstitial edema."
805,Spine/degenerative/mild,Spine,"Chest x-XXXX and Lateral views, dated XXXX, XXXX XXXX PM ",XXXX for one XXXX,None,The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. Mild degenerative changes of the spine.,No evidence of active disease.
806,Cardiac Shadow/borderline;Cardiomegaly/borderline;Nipple Shadow/lung/base/bilateral,Cardiac Shadow;Cardiomegaly;Nipple Shadow,Xray Chest PA and Lateral,"Pain, productive XXXX, shortness of breath.","XXXX, XXXX.","The cardiac silhouette is borderline enlarged. Pulmonary vasculature is normal in caliber. Nipple shadows and dense breast tissue overlie the lung bases. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",Borderline cardiomegaly. No acute findings. .
808,Lung/hypoinflation;Cicatrix/lung/base/right/mild;Pulmonary Atelectasis/base/right;Pneumonia/lower lobe/left;Airspace Disease/lung/lower lobe/left;Spine/degenerative,Lung;Cicatrix;Pulmonary Atelectasis;Pneumonia;Airspace Disease;Spine,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",SOB,XXXX,Overall low lung lines. There is scarring or subsegmental atelectasis at the right lung base. In the left lower lobe there is airspace disease consistent with pneumonia. No pneumothorax. Heart and mediastinum are stable given the lung volumes. Degenerative changes in the spine.,1. Left lower lobe pneumonia and minimal scarring or subsegmental atelectasis in the right lung base.
809,"Aorta, Thoracic/tortuous","Aorta, Thoracic","PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old woman with XXXX.,"XXXX, XXXX","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.",No acute cardiopulmonary abnormality.
810,Calcified Granuloma/scattered;Spine/degenerative,Calcified Granuloma;Spine,CHEST 2V FRONTAL/LATERAL ,chest pain,None.,"Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusion. Scattered calcified granuloma. Degenerative changes the spine.",No evidence of active cardiopulmonary disease.
811,"Fractures, Bone/ribs/left/healed","Fractures, Bone","PA and Lateral Chest Radiograph XXXX, XXXX at XXXX a.m. ",XXXX-year-old female with chest pain,"Chest radiograph XXXX, XXXX","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.
812,Pulmonary Emphysema/bilateral/chronic;Surgical Instruments,Pulmonary Emphysema;Surgical Instruments,Chest x-XXXX XXXX and lateral on XXXX. ,XXXX-year-old female with leukocytosis and DKA,Chest x-XXXX on XXXX,Chronic bilateral emphysematous changes. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact. Stable splenic artery embolism coils.,No acute cardiopulmonary abnormalities.
813,Lung/hypoinflation;Markings/bronchovascular;Pulmonary Atelectasis/base/left;Thoracic Vertebrae/degenerative;Cicatrix/lung/base/left,Lung;Markings;Pulmonary Atelectasis;Thoracic Vertebrae;Cicatrix,Xray Chest PA and Lateral,Chest pain.,,"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.
814,Calcified Granuloma/lung/base/left;Calcinosis/lung/hilum/lymph nodes/left;Atherosclerosis/aorta;Arthritis;Scoliosis/lumbar vertebrae;Granulomatous Disease,Calcified Granuloma;Calcinosis;Atherosclerosis;Arthritis;Scoliosis;Granulomatous Disease,Xray Chest PA and Lateral,Shortness of breath and chest pain for one XXXX,,There is a calcified granuloma in the lateral left base. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified left hilar lymph XXXX. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted as well as scoliosis and lumbar region.,Old granulomatous disease and senescent changes but no acute pulmonary disease.
815,normal,normal, PA and lateral chest ,tuberculosis +PPD,,,Heart size is normal. Lungs are clear. No evidence of tuberculosis.
817,Opacity/lung/upper lobe/left;Pulmonary Atelectasis/upper lobe/left;Cicatrix/lung/upper lobe/left,Opacity;Pulmonary Atelectasis;Cicatrix,Xray Chest PA and Lateral,XXXX-year-old male with positive PPD.,None,There are XXXX left upper lobe opacities. Lungs otherwise appear clear. No pleural effusion or pneumothorax. Heart size is as is within normal limits.,1. No evidence of active tuberculosis. 2. XXXX left upper lobe opacities. The appearance XXXX subsegmental atelectasis or scarring.
818,Consolidation/lung/upper lobe/right/focal;Pneumonia/upper lobe/right,Consolidation;Pneumonia,PA and lateral views of the chest. ,XXXX-year-old female dyspnea.,Portable chest from XXXX.,Heart size is stable. There is focal airspace consolidation in the lateral aspect of the right upper lobe. There is no pneumothorax or effusion. No acute bony abnormalities.,Right upper lobe pneumonia.
819,Breast Implants/bilateral,Breast Implants,CHEST 2V FRONTAL/LATERAL,SOB,None,Both lungs are clear and expanded area heart and mediastinum are normal. Incidental note XXXX of bilateral breast implants.,No active cardiopulmonary disease.
820,Osteophyte/thoracic vertebrae/multiple;Nodule/heart/left/small;Calcified Granuloma/heart/left/small,Osteophyte;Nodule;Calcified Granuloma,Xray Chest PA and Lateral,XXXX and congestion for months.,"XXXX, XXXX",There are T-spine osteophytes. Small nodule projecting near the left heart XXXX is unchanged from XXXX and appears calcified. This XXXX represents a calcified granuloma. 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.
821,Calcified Granuloma/lung/upper lobe/right;Lung/hypoinflation,Calcified Granuloma;Lung,"PA lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old female, dyspnea.","Chest 2 views XXXX, XXXX",Stable heart size and mediastinal contours. No focal airspace consolidation. Stable calcified granuloma in the right upper lobe. This low lung volumes. No focal airspace disease.,"Low lung volumes, otherwise no acute cardiopulmonary abnormality."
822,Lung/hyperdistention;Opacity/lung/lower lobe/bilateral;Pulmonary Atelectasis/lower lobe/bilateral;Cicatrix/lung/lower lobe/bilateral;Spine/degenerative/mild;Emphysema,Lung;Opacity;Pulmonary Atelectasis;Cicatrix;Spine;Emphysema,Xray Chest PA and Lateral,"XXXX-year-old male with history of emphysema, XXXX, increasing dyspnea",,"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.
824,Calcified Granuloma;Thoracic Vertebrae/degenerative,Calcified Granuloma;Thoracic Vertebrae,Xray Chest PA and Lateral,"XXXX-year-old female, tobacco use, preop.",None,There are no focal areas of consolidation. No pleural effusions. No pneumothorax. Heart size within normal limits. Calcified granulomas. Degenerative changes thoracic spine.,
825,"Airspace Disease/lung/bilateral/patchy;Pulmonary Atelectasis/bilateral;Consolidation/lung/bilateral;Cardiomegaly/borderline;Tube, Inserted/trachea, carina","Airspace Disease;Pulmonary Atelectasis;Consolidation;Cardiomegaly;Tube, Inserted","Chest, 2 views, frontal and lateral",Shortness of breath,"XXXX, XXXX",,"Patchy bilateral airspace disease with pulmonary XXXX, XXXX a combination of atelectasis and consolidation. Borderline cardiac enlargement. Tracheostomy tube tip 6.4 cm above the carina."
826,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with XXXX.,Two views of the chest dated XXXX.,"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.",No acute cardiopulmonary disease.
827,Cicatrix;Emphysema,Cicatrix;Emphysema,CHEST 2V FRONTAL/LATERAL ,"Chest pain, XXXX with dyspnea",XXXX,The heart is normal in size. The mediastinum is unremarkable. XXXX scarring and emphysematous changes noted. The lungs are grossly clear.,No acute disease.
828,Lung/hypoinflation;Pulmonary Atelectasis/base/bilateral;Markings/bronchovascular;Opacity/lung/lingula;Epicardial Fat/prominent,Lung;Pulmonary Atelectasis;Markings;Opacity;Epicardial Fat,Xray Chest PA and Lateral,The patient is a XXXX-year-old woman with XXXX and XXXX symptoms.,"Chest x-XXXX, 2 views PA and lateral from XXXX, XXXX.","The trachea is midline. The cardiomediastinal silhouette is normal. There are low lung volumes, causing bibasilar atelectasis and bronchovascular crowding. There is a XXXX opacity in the left lingula. There is no pleural effusion or pneumothorax. Visualized bony structures reveal no acute abnormalities.","1. Low lung volumes. 2. Opacity in the lingula is favored to represent prominent pericardial fat, but lingular atelectasis or infiltrate cannot be ruled out. ."
829,normal,normal,PA and lateral chest x-XXXX ,XXXX-year-old female with chest pain.,None,"Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",No acute cardiopulmonary abnormalities.
830,Thickening/pleura/right/mild;Pleural Effusion/right/severe;Hydropneumothorax/apex/right,Thickening;Pleural Effusion;Hydropneumothorax,Xray Chest PA and Lateral,lung cancer,,,"Extensive postop changes right upper chest wall. Air collection with air-fluid level is seen in the right medial apical region projecting into the level of thoracic inlet, XXXX within the pleural space. Some mild right pleural thickening versus XXXX effusion. No acute airspace disease. Mediastinal contour stable."
831,Lung/hypoinflation,Lung,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours.",XXXX-year-old female. Chest pain.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.","Low lung volumes, otherwise clear."
832,Calcified Granuloma/lung/lower lobe/left,Calcified Granuloma,"PA and lateral chest XXXX, XXXX at XXXX comparison 23 XXXX ",XXXX rule out pneumonia,,,Heart normal. Lungs clear. Calcified left lower lobe 5 mm granuloma
833,normal,normal,Xray Chest PA and Lateral,"EtOH, assess for malignancy",None.,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,1. No evidence of active disease.
834,Spine/degenerative/mild,Spine,Xray Chest PA and Lateral,Exertional chest pain,None available,The cardiac silhouette pulmonary vascularity are normal. The lungs are clear. There is no evidence of pleural effusion or pneumothorax. Mild degenerative changes are present in the XXXX spine.,No evidence of acute cardiopulmonary disease.
835,Scoliosis/thoracic vertebrae/right/mild;Deformity/ribs/right/multiple,Scoliosis;Deformity,"PA and lateral chest, XXXX, XXXX XXXX XXXX. ","XXXX-year-old female with history of XXXX for 3 days, questionable blood in sputum.",PA and lateral chest x-XXXX dated XXXX.,The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. There is no pneumothorax. There is no pleural effusion. There is redemonstration of right rib deformities XXXX from old XXXX. XXXX of mild dextroscoliosis of the thoracic spine. There is no free intraperitoneal air under the diaphragm.,No acute radiographic cardiopulmonary process.
836,Calcified Granuloma/lung/base/left,Calcified Granuloma,"Chest 2 views dated XXXX, XXXX",Pain status post XXXX from XXXX.,None.,"The XXXX examination consists of frontal supine and lateral radiographs of the chest. Frontal view is lordotic in projection. The cardiomediastinal contours are within normal limits for supine film. No focal consolidation, pleural effusion, or pneumothorax identified. There is a calcified granuloma at the left lung base. The visualized osseous structures and upper abdomen are unremarkable.",No evidence of acute thoracic XXXX. XXXX chest radiograph is recommended if XXXX is not XXXX.
837,Calcinosis/lung/hilum/right;Granulomatous Disease,Calcinosis;Granulomatous Disease,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, XXXX.",PA and lateral chest radiographs XXXX.,Cardiomediastinal silhouette is within normal limits. Lungs are clear without areas of focal consolidation. Right hilar calcifications XXXX sequela of prior granulomatous disease. No pneumothorax or large pleural effusion. No acute bone abnormality.,No acute cardiopulmonary process.
838,Heart/apex/prominent;Thickening/heart ventricles;Surgical Instruments/right;Scoliosis/thoracic vertebrae/right;Scoliosis/lumbar vertebrae/right,Heart;Thickening;Surgical Instruments;Scoliosis;Scoliosis,"Chest x-XXXX, 2 views, XXXX, XXXX XXXX XXXX",XXXX-year-old with pulmonary hypertension,XXXX,"Stable prominence of the cardiac apex, XXXX from ventricular hypertrophy. Mid sternotomy XXXX again noted. No pneumothorax, significant pulmonary edema or large pleural effusions. No focal lung consolidation. Clips in the right upper quadrant consistent with cholecystectomy. Dextroscoliosis of the thoracolumbar spine.",1. No acute cardiopulmonary abnormalities.
839,normal,normal,PA and lateral chest x-XXXX dated XXXX ,Dyspnea,XXXX,Heart size normal. No pleural effusions or pneumothorax. Lungs are clear. Soft tissues and XXXX are unremarkable.,Normal chest.
840,"Pulmonary Atelectasis/upper lobe/left;Infiltrate/lung/hilum/left;Catheters, Indwelling;Pneumothorax/upper lobe/left/small","Pulmonary Atelectasis;Infiltrate;Catheters, Indwelling;Pneumothorax","AP chest PA and lateral chest XXXX, XXXX XXXX ",History of pleural air collection after chest tube removal,,,"Heart size is normal. Left upper lobe atelectasis / infiltrate in the left perihilar region, unchanged. Two venous catheter tips overlie the mid SVC. Small medial left upper lobe pleural air collection."
841,"Catheters, Indwelling/left;Lung/hyperdistention/mild;Deformity/ribs/left","Catheters, Indwelling;Lung;Deformity",Xray Chest PA and Lateral,PICC LINE POSITION;,None,"The heart is normal in size. The mediastinum is unremarkable. Left upper extremity PIC catheter tip overlies the distal aspect of the left clavicle XXXX within the subclavian vein. There is no pneumothorax. The lungs are mildly hyperinflated but clear. Deformity of the lateral left 6th rib, XXXX old injury.",No acute disease. Left upper extremity PIC catheter tip XXXX within left subclavian vein. Findings communicated XXXX primordial.
842,normal,normal,Xray Chest PA and Lateral,"Abdominal pain, foreign body sensation in distal esophagus after attempting to XXXX pills",None,Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No radiodense foreign bodies noted. No acute osseous findings.,No acute cardiopulmonary findings.
843,Calcified Granuloma/lung/lower lobe/right;Thoracic Vertebrae/degenerative,Calcified Granuloma;Thoracic Vertebrae,Xray Chest PA and Lateral,"XXXX-year-old male, kidney transplant workup.",None,Right lower lobe XXXX calcified granuloma. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.,No acute cardiopulmonary inability. .
844,normal,normal,Chest radiograph PA and lateral XXXX/XXXX at XXXX. ,XXXX-year-old female with XXXX failure after overdose.,Chest radiograph XXXX/XXXX.,No pleural effusion no pneumothorax. Normal cardiac contour. No focal consolidation. Lungs clear bilaterally.,1. No acute cardiopulmonary abnormalities.
845,Pulmonary Atelectasis/posterior/mild,Pulmonary Atelectasis,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",productive XXXX XXXX/XXXX.,,Minimal subsegmental atelectasis posteriorly. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,"No focal lung opacity, pleural effusion of pneumothorax."
846,Granuloma,Granuloma,Xray Chest PA and Lateral,Bladder cancer,,Heart size and pulmonary vascularity appears normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Callus or granulomas identified. Left XXXX-A-XXXX remains in XXXX.,No evidence of active disease.
847,Cardiomegaly/mild;Lung/hypoinflation;Markings/bronchovascular,Cardiomegaly;Lung;Markings,"CHEST 2V FRONTAL/LATERAL Sept 9, XXXX XXXX PM ",SOB,None,"The trachea is midline. The heart XXXX is slightly large. There are low lung volumes causing bronchovascular crowding. Otherwise the lungs appear clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.",No acute cardiopulmonary abnormalities.
849,Nodule/lung/base/left,Nodule,Xray Chest PA and Lateral,Abdominal pain.,None.,"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. .
850,normal,normal,CHEST (PA AND LATERAL),"XXXX-year-old female, followup asthma exacerbation.","XXXX, XXXX.","Stable appearance of the cardiomediastinal silhouette. There is no pneumothorax, pleural effusion, or focal airspace consolidation.",No acute cardiopulmonary findings.
851,"Lung/hypoinflation;Osteophyte/thoracic vertebrae;Kyphosis/thoracic vertebrae;Thoracic Vertebrae/degenerative;Catheters, Indwelling/right;Pulmonary Atelectasis/base","Lung;Osteophyte;Kyphosis;Thoracic Vertebrae;Catheters, Indwelling;Pulmonary Atelectasis","Chest, 2 views, frontal and lateral",Rule out tuberculosis for preadmission XXXX for hospice.,"XXXX, XXXX","The cardiac contours are normal. The lungs are underinflated, but XXXX given the underinflation, the XXXX appear enlarged, more XXXX than on the exam and XXXX. Osteophytic degeneration kyphotic thoracic spine. Mid and lower thoracic vertebroplasty has been performed. A right-sided chest XXXX is present with its tip in the upper SVC.","1. No active infiltrate. 2. Marked enlargement of the XXXX bilaterally, increased since the prior XXXX, XXXX adenopathy. 3. Underinflated lungs with basilar atelectasis."
853,normal,normal,Xray Chest PA and Lateral,"Vomiting and XXXX, XXXX, chest pain for one XXXX.",None,,The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.
854,"Fractures, Bone/clavicle/left/healed;Fractures, Bone/ribs/left/anterior/multiple;Fractures, Bone/thoracic vertebrae","Fractures, Bone;Fractures, Bone;Fractures, Bone",Xray Chest PA and Lateral,Preoperative evaluation prior to prostate cancer surgery. Evaluate for metastatic disease.,None,The lungs appear clear. The heart and pulmonary XXXX appear normal. The pleural spaces are clear. These XXXX't contours appear normal. There is a XXXX fracture of the midthoracic vertebral body. This vertebral body does not appear sclerotic. The age of this fracture is unknown. There are healed fractures of several left anterior ribs. There is a healed left clavicle fracture.,"1. No acute cardiopulmonary disease. No evidence of pulmonary nodules. 2. A single nonsclerotic mid thoracic vertebral XXXX fracture is present. Without a comparison study, the age of this fracture is unknown. Metastatic disease is possible, however given the nonsclerotic appearance, is not XXXX. 3. Healed left clavicle and left anterior rib fractures."
855,Lung/hyperdistention;Pulmonary Emphysema/mild;Density/lung/upper lobe/right/round,Lung;Pulmonary Emphysema;Density, CHEST 2V FRONTAL/LATERAL ,Chest pain and XXXX,none,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
856,Technical Quality of Image Unsatisfactory ;Cardiomegaly/mild;Opacity/multiple;Spine/degenerative,Technical Quality of Image Unsatisfactory ;Cardiomegaly;Opacity;Spine,CHEST 2V FRONTAL/LATERAL ,XXXX-year-old female shortness of breath.,Chest radiograph XXXX/XXXX.,"Limited evaluation of the lateral view due to rotation and frontal view due to motion artifact. Stable mild cardiomegaly. Normal pulmonary vascularity. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusions. XXXX XXXX opacities are related to overlying soft tissues. The posterior sulci are clear. Degenerative changes of the spine.",1. Stable mild cardiomegaly. 2. No evidence of active cardiopulmonary disease.
857,normal,normal,Xray Chest PA and Lateral,XXXX.,None.,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.,1. No evidence of active disease.
858,Granulomatous Disease,Granulomatous Disease,Xray Chest PA and Lateral,XXXX. XXXX posterior chest pain.,None.,"Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. There is evidence of previous granulomatous disease. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.","No acute or active cardiac, pulmonary or pleural disease."
859,Opacity/lung/lower lobe/right;Pulmonary Atelectasis/lower lobe/right,Opacity;Pulmonary Atelectasis,Frontal and Lateral view of the chest XXXX/XXXX at 516 hours.,Abdominal pain and XXXX,XXXX,"The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. XXXX right lower lung opacity XXXX represents combination of soft tissue overlay and minimal atelectasis. No focal airspace consolidation, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age.",1. No acute radiographic cardiopulmonary process.
860,"Markings/lung/interstitial/chronic;Thickening/pleura/apex/bilateral;Deformity/thoracic vertebrae;Fractures, Bone/humerus/right","Markings;Thickening;Deformity;Fractures, Bone",Xray Chest PA and Lateral,History of leukocytosis and XXXX.,Chest radiograph XXXX.,"Chronic increased interstitial markings without evidence of focal infiltrate. Bilateral apical pleural thickening. No pneumothorax. No pleural effusion. Stable heart size. Marked degenerative change of the XXXX, status post remote right humerus fracture. XXXX deformity of a midthoracic vertebral body, also XXXX chronic.",Chronic lung disease without acute findings.
861,No Indexing,No Indexing,Frontal and lateral chest on XXXX XXXX. ,Chest pain. Asymmetric radial pulses.,XXXX.,"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.
862,Cicatrix/lung/lower lobe/left,Cicatrix,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX,"XXXX, XXXX.",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.,No change. No active disease.
863,normal,normal,PA and lateral of the chest ,XXXX-year-old with chest pain.,The none.,No focal consolidation. No visualized pneumothorax. The heart size is normal. No large pleural effusions. The cardiomediastinal silhouette is grossly unremarkable.,1. No acute cardiopulmonary findings.
864,"Aorta, Thoracic/tortuous;Cicatrix/lung/base/right","Aorta, Thoracic;Cicatrix",Frontal and lateral chest on XXXX at XXXX. ,Chest and midback pain.,XXXX.,"Stable cardiomediastinal silhouette with tortuous thoracic aorta. No pneumothorax, pleural effusion or suspicious focal air space opacity. Stable right lung base scarring.",Stable exam with no acute abnormality seen.
865,normal,normal,"Frontal and lateral views of the chest obtained at XXXX hours on XXXX, XXXX. ",XXXX-year-old female with dyspnea.,None.,"Cardiac silhouette is normal in size. Normal mediastinal contour and pulmonary vasculature. The lungs are without focal airspace consolidation, large pleural effusion, or pneumothoraces.",No acute cardiopulmonary findings.
866,normal,normal,"PA and Lateral Chest x-XXXX on XXXX, XXXX at XXXX a.m..",XXXX-year-old woman with chest pain..,"Two-view chest radiograph dated XXXX, XXXX.","Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.",No acute cardiopulmonary abnormality.
867,"Aorta/tortuous/mild;Diaphragm/flattened;Lung, Hyperlucent/apex;Markings/lung/interstitial/irregular;Epicardial Fat/left/prominent;Implanted Medical Device/heart atria","Aorta;Diaphragm;Lung, Hyperlucent;Markings;Epicardial Fat;Implanted Medical Device",AP and lateral chest,"XXXX-year-old female, pain",None,"Heart size near top normal, bilateral hilar fullness nonspecific in appearance, mild aortic ectasia/tortuosity. Diaphragm flattening and relative apical lucencies suggestive of emphysema, XXXX and irregular interstitial markings, right greater than left. Prominent left epicardial fat XXXX, no focal alveolar consolidation, no definite pleural effusion seen. Atrial septal occluder artifact. Mild spine curvature.","Borderline heart size and abnormal interstitial pulmonary pattern which may be compatible with chronic interstitial change, differential diagnosis is XXXX and includes asymmetric pulmonary edema, inflammation, atypical infection, infiltrative process. Comparison with previous exams would be of XXXX. Bilateral hilar fullness may indicate pulmonary hypertension and clinical correlation is recommended, differential diagnosis reactive lymphadenopathy, metastatic disease."
868,Lung/hyperdistention;Implanted Medical Device/aortic valve;Calcinosis/lung/hilum/lymph nodes/right;Opacity/lung/lower lobe/right,Lung;Implanted Medical Device;Calcinosis;Opacity,"PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX 10 ",History of Chronic XXXX and dyspnea,,,Heart size normal. Over expanded lungs. Aortic valve prosthesis. Calcified right hilar lymph node. Stable peripheral right lower lobe opacities seen between the anterior 7th and 8th right ribs which may represent pleural reaction or small pulmonary nodules. The patient has XXXX right middle lobe atelectasis and scarring in this region on old CT scans. From XXXX.
869,normal,normal,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX p.m. ",XXXX-year-old female with chest tightness,None,"The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.",No acute cardiopulmonary abnormality.
870,No Indexing,No Indexing,"Two-view chest. XXXX hours XXXX, XXXX compared to XXXX, XXXX. ",XXXX with deep venous thrombosis.,,The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
871,normal,normal,1. PA and lateral views of the chest. 2. AP pelvis with frogleg lateral views of the hips. ,XXXX-year-old female with chest pain and pelvic pain.,None available.,Chest. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Pelvis. There are numerous clips overlying the pelvis and lower abdomen. Nonobstructive bowel XXXX pattern. No pathologic calcifications. Hip joint spaces are symmetric and normal. Sacroiliac joints are unremarkable. No fractures or dislocations.,1. Chest. No acute cardiopulmonary findings. 2. Pelvis. No acute osseous findings.
872,Granulomatous Disease,Granulomatous Disease,Xray Chest PA and Lateral,XXXX.,None.,Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are clear. Bony structures are intact.,No acute findings. No evidence of pneumonia.
874,Lung/hyperdistention/mild;Implanted Medical Device/left,Lung;Implanted Medical Device,Xray Chest PA and Lateral,XXXX-year-old with ICD implantation.,Yesterday.,There is mild hyperinflation. There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits. cardiac XXXX generator overlies the left upper thorax with XXXX XXXX tips overlying the right atrium and ventricles.,No acute cardiopulmonary findings. .
875,No Indexing,No Indexing,"Two-view chest; left KNEE 1-2 VIEWS XXXX, XXXX XXXX XXXX ",PRE-OP XXXX,"chest XXXX, XXXX.",Chest. The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left knee. The right total knee prosthesis remains in XXXX. The medial compartment is markedly narrow. Large osteophytes are present on the left femur and tibial lateral plateaus.,1. Chest. No active disease. 2. The knee. Advanced degenerative joint disease.
877,Surgical Instruments/mediastinum;Implanted Medical Device/mitral valve;Lung/hypoinflation;Markings/lung/interstitial/prominent/mild;Sulcus/posterior/blunted/mild,Surgical Instruments;Implanted Medical Device;Lung;Markings;Sulcus,"PA and Lateral Chest. XXXX, XXXX XXXX PM . ",XXXX-year-old with shortness of breath.,XXXX.,"XXXX sternotomy XXXX appear intact. Surgical clips overlying the mediastinum. Mitral valve replacement seen. Low lung volumes. The interstitial markings appear prominent, which may represent interstitial edema. There is mild blunting of the posterior sulcus on the lateral view, which could represent a small effusion. No pneumothorax. No acute bony abnormality.","1. Mildly prominent interstitial markings, which could represent interstitial edema. 2. Mild blunting of the posterior sulcus, which could represent a small effusion."
878,"Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive;Calcinosis/lung/lower lobe/right;Nodule/lung/lower lobe/right","Lung;Pulmonary Disease, Chronic Obstructive;Calcinosis;Nodule","CHEST 2V FRONTAL/LATERAL RADXXXX XXXX, XXXX XXXX PM ",XXXX,,,"Comparison XXXX, XXXX Hyperexpansion and changes of COPD as before. Calcified right lower lung nodule compatible with histoplasmoma as before. Lungs are overall clear. Mediastinal contour stable. No XXXX acute abnormalities since the previous examination.."
879,normal,normal,"Chest, 2 views, frontal and lateral",Chronic XXXX,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,Negative chest x-XXXX.
880,Spondylosis/thoracic vertebrae,Spondylosis,"Chest, 2 views, frontal and lateral",Preop bariatric surgery,None.,The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,No acute process.
881,normal,normal,PA and lateral views of the chest The XXXX XXXX at XXXX hours ,XXXX-year-old XXXX with dyspnea.,None available.,The lungs are without focal air space opacity. There is no pneumothorax or large pleural effusion. The cardiomediastinal silhouette is normal in size and contour.,No acute cardiopulmonary abnormality.
882,normal,normal,"History heart failure Examination PA and lateral chest XXXX, XXXX at XXXX no comparisons.",,,,Heart size is normal and lungs are clear.
883,normal,normal, PA and lateral chest.,tuberculosis positive PPD,,,Heart size is normal. Lungs are clear. No evidence of tuberculosis
884,Calcified Granuloma/lung/base/right,Calcified Granuloma,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old XXXX XXXX, persistent XXXX..",None.,"The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Right basilar calcified granuloma noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",No acute cardiopulmonary abnormality.
885,Implanted Medical Device/left;Surgical Instruments/mediastinum,Implanted Medical Device;Surgical Instruments,Xray Chest PA and Lateral,"XXXX-year-old XXXX with ongoing shortness of breath and history of pneumonia. Additional history of myocardial infarction, pacemaker/defibrillator placement, coronary stents, and valve replacement. Smoking history of 50 years.",None available.,"Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Postsurgical changes include left chest pacemaker/ICD with XXXX tips over the right atrium and right ventricle, sternotomy XXXX, and graft markers, and upper anterior mediastinal surgical clips. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Specifically, no evidence of pneumonia. Visualized osseous structures appear intact.",No acute cardiopulmonary abnormality. Postsurgical changes as described above. .
886,normal,normal,CHEST 2V FRONTAL/LATERAL ,Positive PPD,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
887,normal,normal,Xray Chest PA and Lateral,"XXXX, XXXX symptoms x7 days.",None.,"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. .
888,normal,normal,PA and lateral views of the chest. ,XXXX-year-old female with chest pain.,None.,Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,No acute cardiopulmonary findings.
889,normal,normal,PA and lateral chest radiograph on XXXX at 03: 46 hours. ,"XXXX-year-old XXXX, MVC.",None available.,"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.
890,Granulomatous Disease,Granulomatous Disease,"Chest, 2 views, frontal and lateral",Preop XXXX ankle surgery,None.,Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Bony structures are intact.,NO acute preoperative findings.
891,normal,normal,PA and Lateral Chest X-XXXX dated XXXX.,Pre- bone marrow transplant XXXX.,None.,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.,1. No evidence of active disease.
892,"Lung/hyperdistention;Cicatrix/lung/base/right;Atherosclerosis/aorta;Arthritis;Pulmonary Disease, Chronic Obstructive","Lung;Cicatrix;Atherosclerosis;Arthritis;Pulmonary Disease, Chronic Obstructive",Xray Chest PA and Lateral,XXXX for 5 days with chest tightness,,There is hyperinflation. There is some subtle scarring in the lateral right base. 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.,COPD and probable right basilar scarring. No acute pulmonary disease identified.
893,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with XXXX and body XXXX,"XXXX, XXXX",,The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.
894,normal,normal,Xray Chest PA and Lateral,,,,
896,normal,normal,"Chest, 2 views, XXXX XXXX ",Syncopal episode,None,Three images submitted. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,No acute cardiopulmonary findings.
897,Opacity/lung/base/bilateral/interstitial/patchy;Opacity/lung/base/pulmonary alveoli/bilateral/patchy;Cardiac Shadow/enlarged;Atherosclerosis/aorta;Thoracic Vertebrae/degenerative,Opacity;Opacity;Cardiac Shadow;Atherosclerosis;Thoracic Vertebrae,Chest 2 views dated XXXX at XXXX hours. ,XXXX-year-old female with dyspnea.,AP chest dated XXXX.,There are patchy alveolar and interstitial opacities within the lung bases bilaterally representing an infectious etiology versus chronic lung disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac silhouette is enlarged. There are atherosclerotic calcifications of the aortic XXXX. There are degenerative changes throughout the thoracic spine.,Patchy alveolar and interstitial opacities within the lung bases bilaterally representing an infectious etiology versus chronic lung disease.
899,normal,normal,PA and Lateral Chest X-XXXX XXXX at XXXX ,Chest pain,None,"The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The Heart and mediastinum are normal size and shape. XXXX and soft tissues are unremarkable.",No Acute cardiopulmonary disease.
900,"Catheters, Indwelling/right;Heart/obscured","Catheters, Indwelling;Heart",Xray Chest PA and Lateral,ALLOGENEIC BMT W/U LAB;,None,The heart is normal in size. The mediastinum is unremarkable. Right chest XXXX tip is visualized in the distal SVC. There is no pneumothorax. The right cardiac margin is partially obscured and may be secondary to overlying cardiophrenic fat. The lungs are otherwise clear.,No acute disease.
901,"Cardiomegaly;Granulomatous Disease;Spine/degenerative;Fractures, Bone/sternum","Cardiomegaly;Granulomatous Disease;Spine;Fractures, Bone",PA and lateral chest x-XXXX XXXX at XXXX hours. ,Short of breath,XXXX,"Heart size is enlarged but stable. Stable sequela prior granulomatous disease. Stable XXXX sternotomy XXXX with fracture of the superior-most sternotomy XXXX.. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.",1. Stable cardiomegaly without acute cardio pulmonary process.
902,Calcified Granuloma/lung/middle lobe/right;Calcified Granuloma/costophrenic angle/posterior,Calcified Granuloma;Calcified Granuloma,Xray Chest PA and Lateral,Altered mental status,None available.,The heart size of the limits of normal. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There is a calcified granuloma right midlung and posterior costophrenic sulcus.,No acute cardiopulmonary abnormality.
903,"Thickening/lung/base/bilateral/interstitial;Lung/hyperdistention;Blister/lung/upper lobe/right;Calcified Granuloma/small;Pulmonary Disease, Chronic Obstructive","Thickening;Lung;Blister;Calcified Granuloma;Pulmonary Disease, Chronic Obstructive",Two-view chest dated XXXX XXXX hours ,Rales in right mid and lower lung XXXX.,CT of the chest dated XXXX,"There is interstitial thickening bilaterally, more prominent in the bases. The cardiomediastinal silhouette is normal in size and appearance. There is hyperexpansion. No XXXX infiltrates. Two bullae are seen in the right upper lung. Small calcified granuloma stable from prior exam.",Stable changes of COPD.
904,"Catheters, Indwelling/left;Surgical Instruments;Nodule/pleura/left","Catheters, Indwelling;Surgical Instruments;Nodule","Chest, 2 views, frontal and lateral",Painful chest XXXX,"XXXX, XXXX",Normal heart size. Left chest XXXX tip mid SVC. Right axillary surgical clips. Stable pleural based nodule left mid chest. No acute pulmonary findings.,Stable appearance of the chest. No XXXX or acute finding on today's study.
905,normal,normal,Xray Chest PA and Lateral .,CHEST XRAY positvie TB. language XXXX unable to get more hx,None.,,Normal heart size. Normal pulmonary vasculature. Normal mediastinal contours. Lung parenchyma is clear. No airspace disease. No pulmonary edema. No XXXX of pleural effusions. No XXXX of active tuberculosis. No XXXX of active cardiopulmonary disease.
906,Cardiomegaly/mild,Cardiomegaly,Xray Chest PA and Lateral,"XXXX-year-old female, pain",,"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"
907,"Lung/hypoinflation;Fractures, Bone/ribs/left/multiple/healed;Spine/degenerative","Lung;Fractures, Bone;Spine",PA and lateral chest x-XXXX XXXX,XXXX,XXXX,Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There has been interval development of multiple healed left rib fractures. Degenerative changes are present in the spine.,No evidence of active disease.
908,Calcinosis/lung/upper lobe/right;Nodule/lung/upper lobe/right;Surgical Instruments/mediastinum/left;Surgical Instruments/neck/right,Calcinosis;Nodule;Surgical Instruments;Surgical Instruments,Xray Chest PA and Lateral,MALIGNANT NEOPLASM OF THYROID GLAND,None,The lungs appear clear. There are calcified nodules projecting in the right upper lung. Mediastinal contours appear normal. The heart pulmonary XXXX appear normal. Pleural spaces are clear. Surgical clips are identified in the right neck and left mediastinum.,No acute cardiopulmonary disease.
909,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old female, XXXX, preop..",None.,"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 acute cardiopulmonary abnormality..
910,Cardiomegaly/moderate;Implanted Medical Device/aortic valve;Markings/lung/interstitial/chronic;Spine/degenerative,Cardiomegaly;Implanted Medical Device;Markings;Spine,AP and lateral chest radiographs dated XXXX at XXXX hours.,XXXX-year-old with osteoarthritis of the left hip. Preop evaluation for hip replacement.,Two views of the chest dated XXXX.,The heart size is moderately enlarged. There is evidence of previous aortic valve replacement. XXXX sternotomy XXXX are grossly intact. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There are chronically increased interstitial lung markings without superimposed focal airspace disease identified. There are degenerative changes of the spine.,Cardiomegaly without superimposed acute disease noted.
911,normal,normal,Chest 2 views. ,Followup +PPD.,"Chest single view from XXXX, XXXX.",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.,No active tuberculosis.
912,normal,normal,PA and lateral of the chest ,XXXX-year-old with shortness of breath.,None,No focal consolidation. No visualized pneumothorax. No large pleural effusions. Heart size is normal. The cardiomediastinal silhouette is grossly unremarkable.,1. No acute cardiopulmonary findings.
913,normal,normal,Chest XXXX and lateral,XXXX-year-old XXXX with cardiomyopathy.,XXXX.,"Heart size normal. Stable cardiomediastinal silhouette. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures are in XXXX alignment without fracture.",Negative for acute cardiopulmonary disease.
914,Calcified Granuloma/lung/middle lobe,Calcified Granuloma,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours.",XXXX-year-old female. XXXX. Shortness of breath for 5 days.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. Negative for focal consolidation, pneumothorax or large pleural effusion. Middle lobe calcified granulomas. Normal XXXX.",Negative for acute abnormality.
915,Calcinosis/lung/base/left/multiple/small;Granulomatous Disease,Calcinosis;Granulomatous Disease,Xray Chest PA and Lateral,PRE OP EVALUATION no known XXXX. pre-op XXXX. XXXX X 40 yrs. no chest complaints today.,None.,,Normal heart size. Normal pulmonary vasculature. Normal mediastinal contours. A few small calcifications in the left lung base with appearance of old granulomatous disease. Otherwise lung parenchyma is clear. No airspace disease. No pulmonary edema. No XXXX of pleural effusions. No XXXX of active cardiopulmonary disease.
916,Calcinosis,Calcinosis,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",cp htn,,Lungs are clear without focal airspace disease. Numerous XXXX calcifications are again noted. No pleural effusions or pneumothoraces. heart size is upper limits of normal.,Clear lungs with heart size upper limits of normal.
917,No Indexing,No Indexing,Xray Chest PA and Lateral,XXXX year old with a XXXX.,PA and lateral chest XXXX.,There are stable XXXX sternotomy XXXX. The heart and mediastinal contours are unchanged. The lungs are clear without focal infiltrate. There is no effusion or pneumothorax.,1. Stable appearance of the chest. No acute pulmonary disease.
918,normal,normal,Xray Chest PA and Lateral,Preoperative chest x-XXXX,None,Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,No acute abnormality. .
919,Calcified Granuloma/lung/upper lobe/right,Calcified Granuloma,"PA lateral chest XXXX, XXXX XXXX. ",preop inguinal hernia repair,,,Heart size normal. Lungs clear. Calcified 5 mm right upper lobe granuloma.
920,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",post thoracic pain,None,Heart size is normal. Cardiomediastinal contour is normal without mediastinal widening. Lungs are clear bilaterally. No pleural effusions or pneumothorax. No bony or soft tissue abnormalities.,No acute cardiopulmonary abnormality.
921,normal,normal," CHEST, Two (2) Views XXXX, XXXX at XXXX hours. ",Chest pain.,None.,"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.","No acute or active cardiac, pulmonary or pleural disease."
922,Cardiomegaly/mild,Cardiomegaly,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX,None,The heart is slightly large. Pulmonary XXXX are normal. No infiltrates.,Slight cardiomegaly with no failure or pneumonia.
923,"Aorta/tortuous;Calcinosis/aorta;Tube, Inserted/trachea, carina;Calcified Granuloma/lung/scattered/multiple/small;Nodule/lung/scattered/multiple/small;Osteophyte/thoracic vertebrae/degenerative","Aorta;Calcinosis;Tube, Inserted;Calcified Granuloma;Nodule;Osteophyte","PA lateral chest XXXX, XXXX at XXXX",prostate cancer skin cancer throat cancer rule out metastasis,None,,Heart size normal. Dilated tortuous calcified aortic XXXX. Tracheostomy tube tip 4 cm above the carina. Multiple scattered small nodules throughout the lungs most XXXX represents calcified granulomas. No nodules or masses. Degenerative spurring of the thoracic spine. Review of XXXX-CT demonstrates calcified granulomas scattered throughout the lungs.
925,Pulmonary Edema;Cardiomegaly;Thoracic Vertebrae/degenerative,Pulmonary Edema;Cardiomegaly;Thoracic Vertebrae,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old female with dyspnea.,"Chest x-XXXX, XXXX",Increased interstitial lung changes with superimposed pulmonary edema. Cardiomegaly. Negative for effusion or pneumothorax. Degenerative changes of the thoracic spine.,Cardiomegaly with pulmonary edema superimposed on chronic interstitial lung changes.
926,normal,normal,Xray Chest PA and Lateral,,,"Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.",No acute cardiopulmonary disease.
927,"Aorta, Thoracic/tortuous","Aorta, Thoracic",Xray Chest PA and Lateral,"XXXX-year-old XXXX with abdominal pain, cramping, nausea, vomiting, diarrhea, dehydration. Chest pain and shortness of breath..","Portable chest radiograph dated XXXX, XXXX.","Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Stable tortuosity of the thoracic aorta. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality. .
928,normal,normal,Xray Chest PA and Lateral,31yof with XXXX and chest pain,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
929,"Opacity/lung/lower lobe/right;Pulmonary Disease, Chronic Obstructive;Pulmonary Atelectasis/base/right/focal","Opacity;Pulmonary Disease, Chronic Obstructive;Pulmonary Atelectasis","CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",back pain,"XXXX, XXXX.",No change lung XXXX. XXXX opacities are present in the right lower lobe. No focal infiltrates. Heart and mediastinum are unremarkable. Aorta normal.,Findings of COPD with right lung base focal atelectasis. No evidence for failure or pneumonia.
930,Lung/hypoinflation,Lung," Two-view chest. XXXX hours XXXX, XXXX compared to XXXX, XXXX. ",Chest pain.,,Lung volumes are low. No focal infiltrates. Pulmonary XXXX are normal.,XXXX change. Hypoinflation with no visible active cardiopulmonary disease.
931,normal,normal,2 views Chest: XXXX,Difficulty breathing,None.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,1. No acute pulmonary abnormality.
932,normal,normal,AP and lateral chest X-ray,,None.,"No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. XXXX XXXX is intact.",1. Negative for acute cardiopulmonary findings.
933,No Indexing,No Indexing,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",football injury yesterday,"XXXX, XXXX.",XXXX change. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.. No visible cardiopulmonary injuries.
934,Opacity/lung/bilateral/interstitial/diffuse;Pulmonary Edema/mild;Costophrenic Angle/sulcus/bilateral/blunted/mild;Heart Failure,Opacity;Pulmonary Edema;Costophrenic Angle;Heart Failure,PA AND LATERAL VIEWS OF THE CHEST dated XXXX at XXXX hours ,Asthma,None.,"Cardiomediastinal silhouette is within normal limits of size In appearance. Pulmonary vascularity is unremarkable. There are diffuse, bilateral interstitial opacities, with XXXX B lines demonstrated. Small amount of subpleural edema is demonstrated in the fissures. There is mild blunting of both posterior costophrenic sulci, which may reflect XXXX effusions. Negative for pneumothorax. Limited evaluation reveals the XXXX XXXX the grossly intact.",1. Heart failure with pulmonary edema.
935,normal,normal,Xray Chest PA and Lateral,"found unresponsive,",,,"Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified. Stable chest."
936,normal,normal,Xray Chest PA and Lateral,EVALUATE FOR METASTATIC DISEASE; Surgery sched for XXXX. No chest complaints.,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
937,normal,normal,Xray Chest PA and Lateral,This is a XXXX-year-old XXXX status post XXXX with XXXX injuries.,None,Normal cardiac size. Normal pulmonary vasculature. No airspace disease. Negative for pneumothorax. Negative for acute osseous deformity. The thoracic spine has a normal appearance.,Unremarkable 2 views of the chest.
938,Granulomatous Disease,Granulomatous Disease,"PA and LAT view CHEST XXXX, XXXX XXXX PM",Right arm tingling,None.,Heart size and mediastinal contour normal. Lungs are clear except for residuals of prior granulomatous infection. No pleural effusions or pneumothoraces.,No acute cardiopulmonary process.
939,normal,normal,Xray Chest PA and Lateral,XXXX for one month with chest tightness,None,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.
940,normal,normal,Xray Chest PA and Lateral,Chest pain.,None.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. No displaced rib fractures visualized. .,1. No acute pulmonary abnormality.
941,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with chest pain,Chest radiograph XXXX.,"Surgical XXXX at the distal left clavicle. No acute osseous abnormality. Soft tissue structures are within normal limits. Stable normal cardio mediastinal silhouettes and hilar structures. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. .",1. No acute radiographic cardiopulmonary process.
942,Calcinosis/blood vessels,Calcinosis,PA and Lateral Chest X-XXXX dated XXXX.,Lymphadenopathy.,XXXX.,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Vascular calcification is noted. No adenopathy is seen.,1. No evidence of active disease.
943,normal,normal,"PA and lateral views of the chest dated XXXX, XXXX XXXX XXXX.","XXXX year old, XXXX loss.",Chest x-XXXX XXXX.,"Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.",No acute cardiopulmonary process.
944,Aorta/tortuous/mild;Lung/hypoinflation,Aorta;Lung,AP and lateral chest radiographs. XXXX/XXXX at XXXX hours. ,"XXXX-year-old male, preoperative evaluation.",CTA angiography abdomen and pelvis with lower extremity runoff XXXX.,"Heart size and cardiomediastinal silhouette are normal. Mild tortuosity of the aorta. Low lung volumes, however lungs are grossly clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures grossly intact.",Negative for acute cardiopulmonary findings.
945,Consolidation/lung/upper lobe/left;Opacity/anterior;Pulmonary Atelectasis/focal;Pneumonia,Consolidation;Opacity;Pulmonary Atelectasis;Pneumonia," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",chest pain,"XXXX, XXXX.","In the interval, consolidation has developed in the left upper lobe. Also, anterior segment XXXX opacity is present. Right lung remains clear. Heart size is normal.","Developing left upper lobe consolidation and focal atelectasis, consistent with pneumonitis."
946,normal,normal,Xray Chest PA and Lateral,XXXX for 4 weeks,None,Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,No acute abnormality. .
947,normal,normal,"Radiographs of the chest, 2 views, AP supine and lateral views.",XXXX-year-old male. Pain after XXXX. Confusion.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Limited lateral view, given overlapping silhouettes. Negative for acute displaced rib fracture.",Negative for acute abnormality.
948,Cardiomegaly/borderline,Cardiomegaly,CHEST 2V FRONTAL/LATERAL ,"Status post XXXX, pain",XXXX,The heart is top normal in size. The mediastinum is stable. The lungs are clear.,Borderline cardiomegaly without acute disease.
949,Calcinosis/lung/hilum/lymph nodes/right;Deformity/mediastinum/left/posterior/focal,Calcinosis;Deformity,2 views chest PA and Lateral XXXX ,XXXX,XXXX,"PA and lateral views the chest were obtained. The cardiac silhouette is normal in size and configuration. Calcified right hilar lymph XXXX. There is focal contour abnormality of the level of the inferior posterior mediastinum, may reflect focal aneurysm of the descending thoracic aorta. The lungs are well aerated. No pneumothorax, pleural effusion, or focal air space consolidation.","1. No acute cardiopulmonary disease. 2. Focal convexity of the left inferior posterior mediastinum, may reflect focal aneurysm of the descending thoracic aorta. This has been present and without significant change since at XXXX XXXX. Nonemergent chest CT may be useful."
950,normal,normal,"CHEST ( FRONTAL AND LATERAL): XXXX, XXXX XXXX PM",XXXX/XXXX/weakness/lp today.,None available.,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 abnormalities.
951,normal,normal,"Chest radiograph, 2 images. ",XXXX-year-old XXXX with chest pain.,"CT thorax and chest radiograph from XXXX and XXXX, respectively.",Normal heart. Clear lungs. No pneumothorax. No pleural effusion.,Normal chest exam.
952,Calcified Granuloma;Opacity/lung/base;Cicatrix;Pulmonary Atelectasis,Calcified Granuloma;Opacity;Cicatrix;Pulmonary Atelectasis,PA and Lateral Chest X-XXXX dated XXXX.,"XXXX, XXXX.",XXXX.,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma are noted. A few XXXX opacities are present consistent with XXXX XXXX of scarring or atelectasis.,1. A few basilar XXXX of opacity. This may represent scarring or atelectasis.
953,Cardiomegaly;Aorta/tortuous;Calcinosis/aorta;Thoracic Vertebrae/degenerative/diffuse,Cardiomegaly;Aorta;Calcinosis;Thoracic Vertebrae,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Shortness of breath.,"Radiograph Chest PA and Lateral XXXX, XXXX.",Stable cardiomegaly. Calcified tortuous aorta. No focal air space disease. Stable chronic lung changes. No large pleural effusion or pneumothorax. Diffuse degenerative changes of the thoracic spine.,No acute cardiopulmonary abnormalities.
954,Lung/hyperdistention;Markings/lung/interstitial/prominent/mild;Thickening/pleura/apex/bilateral/chronic,Lung;Markings;Thickening,Xray Chest PA and Lateral,XXXX,"Comparison XXXX, XXXX.",,"Hyperinflated appearing lungs as before with some stable slightly prominent appearing interstitial markings most XXXX representing mild chronic inflammatory change. Stable biapical chronic inflammatory change with pleural thickening. No acute airspace disease, effusions, or CHF. Stable mediastinal contour. No XXXX acute abnormalities since the previous chest radiograph."
955,"Catheters, Indwelling/right;Markings/lung/upper lobe/right/interstitial/prominent","Catheters, Indwelling;Markings","Frontal and lateral views of the chest dated XXXX, XXXX ",XXXX-year-old male with history of AIDS presents with XXXX,XXXX. XXXX,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.,No acute abnormality. Stable chest.
956,Spinal Fusion;Pectus Carinatum;Cardiomegaly/mild;Pulmonary Congestion,Spinal Fusion;Pectus Carinatum;Cardiomegaly;Pulmonary Congestion,CHEST X-XXXX XXXX XXXX and LATERAL DATED XXXX . ,VSD,XXXX.,Status post posterior spinal fusion with stable appearance of the orthopedic XXXX. Pectus carinatum. Stable mild cardiomegaly and increased lung vascularity. Clear lungs.,Stable mild cardiomegaly and increased lung vascularity. Clear lungs.
957,Shoulder/left/degenerative,Shoulder,PA and lateral chest radiographs. ,XXXX-year-old female with history of goiter.,None.,"The heart size is normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. There are degenerative changes within the XXXX bilaterally and left acromioclavicular joint. XXXX XXXX in the soft tissues of the right upper extremity.",No acute cardiopulmonary findings.
958,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old female with productive XXXX and chest pain..,"Two view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality..
959,Airspace Disease/lung/lower lobe/right/patchy/mild,Airspace Disease,PA and lateral views of chest performed on XXXX. ,XXXX-year-old with syncope.,AP chest XXXX.,The heart and mediastinal contours are stable. There is minimal patchy right lower lobe airspace disease identified. No pleural effusion or pneumothorax.,1. Patchy right lower lobe airspace disease may be due to atelectasis or infiltrate.
960,Scoliosis/right/mild,Scoliosis,Xray Chest PA and Lateral,"XXXX-year-old female, MVA, chest pain",None,"No focal consolidation, pneumothorax or definite pleural effusion. Heart size within normal limits for technique, no mediastinal widening seen. No acute osseous injury XXXX demonstrated. Dextroscoliosis noted.",No acute findings. Please note that fractures may not be demonstrated and consider additional imaging as clinically warranted.
961,Opacity/lung/lingula/posterior;Thoracic Vertebrae/degenerative,Opacity;Thoracic Vertebrae,Xray Chest PA and Lateral,"XXXX-year-old male, acute iritis, no chest complaints.",None,"There is a XXXX opacity projecting over the left midlung, posterior on the lateral view. No pleural effusions. No evidence of pneumothorax. Heart size top normal. Degenerative changes thoracic spine.","XXXX opacity projecting over the left midlung. Comparison examinations would be useful. If no comparison examinations exist, XXXX would be helpful for further evaluation. ."
962,normal,normal,Xray Chest PA and Lateral,XXXX,None,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.
963,Spine/degenerative/mild,Spine,Xray Chest PA and Lateral,XXXX-year-old with pain and shortness of breath. Low energy.,Two views of the chest dated XXXX.,"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.",No acute cardiopulmonary disease.
964,normal,normal," Two view chest. XXXX hours XXXX, XXXX compared to XXXX, XXXX. ",,,"In the interval, the heart size has become normal. Pulmonary XXXX are normal. Lungs are clear and expanded.",Resolution of cardiomegaly. No active disease.
965,normal,normal,Xray Chest PA and Lateral,"Patient with ampullary adenocarcinoma, preoperative evaluation",None,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.,1. No acute cardiopulmonary disease
966,Pulmonary Atelectasis/upper lobe/right;Infiltrate/lung/upper lobe/right;Pulmonary Atelectasis/left;Foreign Bodies/breast,Pulmonary Atelectasis;Infiltrate;Pulmonary Atelectasis;Foreign Bodies,"CHEST PA and LATERAL: on XXXX, XXXX. ",This is a XXXX-year-old female patient with shortness of breath and dyspnea.,"Chest x-XXXX, XXXX, XXXX.",,"The cardiac silhouette is normal in size and configuration. The mediastinum and perihilar structures appear to be are unremarkable. An element of atelectasis and infiltrate is noted involving the right upper lobe. In addition, subsegmental atelectatic change is present overlying the left ventricle. No pneumothorax is identified. The osseous structures appear to be unremarkable. Incidental note is XXXX of nipple XXXX."
967,normal,normal,CHEST (PA AND LATERAL),XXXX-year-old female with XXXX.,None.,"Heart size and mediastinal contours are unremarkable. There is no pneumothorax, pleural effusion, focal airspace consolidation.",No acute cardiopulmonary findings.
968,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, pain",None,"Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",No acute cardiopulmonary findings
969,Aorta/tortuous,Aorta,PA and lateral chest x-XXXX XXXX at XXXX hours. ,Chest pain,,"Heart size upper limits of normal but stable. Tortuous aorta. 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.
970,normal,normal,Xray Chest PA and Lateral,XXXX-year-old female with chest pain.,None.,"Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.",No acute cardiopulmonary abnormality. .
971,normal,normal,"PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ",The patient is a XXXX-year-old female with XXXX and XXXX. History of asthma.,"Chest 2 views XXXX, XXXX",Normal heart size mediastinal contours. No focal airspace consolidation. No hyperexpansion of the lungs. No pleural effusion or pneumothorax.,No acute cardiopulmonary abnormality.
972,Opacity/lung/base/right/reticular/multiple;Lung/hypoinflation;Pulmonary Atelectasis/base/right,Opacity;Lung;Pulmonary Atelectasis,Xray Chest PA and Lateral,syncope,"Comparison XXXX, XXXX.",,Anticipated senescent changes with grossly clear lungs. No effusions or CHF identified. A few scant reticular opacities in right lung base XXXX hypoventilation and foci of subsegmental atelectasis. No XXXX acute abnormalities since the previous chest radiograph.
973,"Atherosclerosis/aorta;Pulmonary Artery/hilum/prominent;Hypertension, Pulmonary;Calcified Granuloma/lung/lower lobe/right","Atherosclerosis;Pulmonary Artery;Hypertension, Pulmonary;Calcified Granuloma","CHEST PA and LATERAL: on XXXX, XXXX. ",This is a XXXX-year-old female patient with XXXX.,None.,,"The cardiac silhouette is normal in size and configuration. Mediastinum and perihilar structures remarkable for vascular calcifications involving the aortic XXXX. This is consistent with atherosclerotic disease. In addition, marked prominence is noted to the pulmonary arteries in the perihilar location. Although the heart is not enlarged, this is concerning for concern for pulmonary arterial hypertension. There is calcified granuloma noted in the right lower lobe. Some interstitial prominence is noted at the left costophrenic XXXX greater than right. A subtle infiltrate cannot be excluded. The osseous structures are remarkable for degenerative changes."
974,Pulmonary Congestion/mild;Spine/degenerative,Pulmonary Congestion;Spine,"PA AND LATERAL VIEWS OF THE CHEST dated XXXX, XXXX XXXX hours ",XXXX cell crisis,"PA and lateral chest dated XXXX, XXXX","Stable cardiomediastinal silhouette. Mild congestion without edema. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Redemonstrated are endplate depressions of the vertebral bodies, compatible with XXXX cell changes.",1. Stable chest with no acute cardiopulmonary abnormality.
975,"Lung, Hyperlucent/apex/right;Lung/hyperdistention;Pulmonary Emphysema","Lung, Hyperlucent;Lung;Pulmonary Emphysema",Xray Chest PA and Lateral,"Preop, neck infection.","Chest radiograph from XXXX, XXXX.",Cardiac silhouette and mediastinal contours are within this. There is no opacity. There is no pneumothorax. No large pleural effusion. Hyperlucent right apex with hyperinflation consistent with emphysematous changes.,Emphysematous changes without acute cardiopulmonary disease.
976,Lung/hypoinflation;Surgical Instruments,Lung;Surgical Instruments," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM",chest pain,None,Lung volumes are low. No infiltrates in the lungs. No pleural air collections. Sternotomy sutures and bypass graft markers are present. Heart size normal.,Postoperative chest. Hypoinflation with no visible active cardiopulmonary disease.
977,normal,normal,Xray Chest PA and Lateral,XXXX year old left anterior chest pain today.,None.,"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.
978,Cardiomegaly/mild;Implanted Medical Device/left;Lung/hypoinflation/mild;Costophrenic Angle/blunted;Pleural Effusion/bilateral/small,Cardiomegaly;Implanted Medical Device;Lung;Costophrenic Angle;Pleural Effusion,CHEST 2V FRONTAL/LATERAL ,Pacemaker placement,XXXX,The heart is again mildly enlarged. Mediastinal contours are stable. Changes of XXXX sternotomy and valvuloplasty are noted. Left subclavian ICD is unchanged in position. Lungs are mildly hypoinflated with blunted costophrenic XXXX suggesting small bilateral pleural effusions.,1. Mild stable cardiomegaly. 2. Small bilateral pleural effusions.
979,Lung/hyperdistention;Surgical Instruments/thorax/right,Lung;Surgical Instruments,Xray Chest PA and Lateral,XXXX-year-old female. Chest pain. Prior lumpectomy.,None.,"The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Right chest wall surgical clips, compatible with prior lumpectomy. Negative for acute bone abnormality.",Negative for acute abnormality.
980,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX XXXX . ",Chest pain.,None.,"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.
981,Cardiomegaly/mild,Cardiomegaly,"PA and lateral chest XXXX, XXXX at XXXX comparison XXXX 10 ",chest pain,,,Slight cardiomegaly. Lungs are clear no effusions or edema
982,normal,normal,"PA and LATERAL views of the chest, dated XXXX, XXXX XXXX PM",XXXX-year-old female with chronic XXXX,None,Lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. There are postoperative changes of cervical spine fusion.,No active disease.
983,Opacity/lung/middle lobe/right/reticular;Bronchiectasis/middle lobe/right;Heart/right/obscured,Opacity;Bronchiectasis;Heart,Xray Chest PA and Lateral,"Blood in stool, chest pain.","XXXX, XXXX",Normal heart size and mediastinal contours. There are reticular opacities in the medial right middle lobe with tubular airway ectasia which obscures the right heart XXXX. This was present previously and is most compatible with bronchiectasis. There is no XXXX focal airspace disease. No pneumothorax or pleural effusion. Unremarkable XXXX.,"1. No acute cardiopulmonary process. 2. Stable right middle lobe bronchiectasis, XXXX postinfectious/postinflammatory. ."
984,Lung/hypoinflation;Markings/bronchovascular;Opacity/lung/base/bilateral/scattered;Pulmonary Atelectasis/base/bilateral/mild,Lung;Markings;Opacity;Pulmonary Atelectasis,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old female status post seizure with shortness of breath and XXXX.,Comparison is XXXX to chest radiograph examination dated XXXX.,"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.
985,normal,normal," PA and lateral chest XXXX, XXXX at XXXX with comparison 13 XXXX ",chest pain,,,Heart size is normal and lungs are clear.
986,normal,normal,Xray Chest PA and Lateral,"XXXX, preoperative evaluation, V72.84, 218.9.",None.,The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal.,No evidence of active disease.
987,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",60y male with rt sided chest pain,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
988,normal,normal,"Chest x-XXXX and Lateral views, dated XXXX, XXXX XXXX PM ",Shortness of breath,XXXX,Lungs are clear. No focal infiltrate. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.,No active disease.
989,Spondylosis/thoracic vertebrae,Spondylosis,"Chest, 2 views, frontal and lateral",Nausea and vomiting,None.,The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Prior cholecystectomy,No acute process.
990,normal,normal,PA and lateral views of the chest. ,XXXX-year-old male with altered mental status.,Two-view chest from XXXX.,Heart size within normal limits. No focal airspace consolidations. No pneumothorax or effusions.,No acute cardiopulmonary findings.
991,Opacity/lung/hilum/streaky/mild,Opacity,Xray Chest PA and Lateral,XXXX-year-old with pneumonia. Shortness of breath and XXXX.,Rib radiographs dated XXXX.,The heart size is upper limits of normal. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is mild streaky perihilar opacity without confluent airspace opacity to suggest a bacterial pneumonia.,Minimal perihilar opacity which could indicate an atypical pneumonia.
992,"Nodule/lung/bilateral/multiple;Surgical Instruments/left;Catheters, Indwelling/right","Nodule;Surgical Instruments;Catheters, Indwelling","PA and lateral views of the chest, XXXX, XXXX XXXX PM",MELANOMA,None,"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."
993,normal,normal, PA and lateral chest. ,possible tuberculosis,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest No evidence of tuberculosis
994,normal,normal,Chest X-XXXX 2 XXXX ,XXXX for one XXXX,XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,Negative chest .
995,Sutures/sternum,Sutures," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",SP CABG SOB NO RALES,"XXXX, XXXX.",Sternotomy sutures and bypass grafts have been placed in the interval. Both lungs remain clear and expanded with no infiltrates. Pulmonary XXXX are normal.,Post operative chest with no acute disease.
996,normal,normal," PA and lateral chest XXXX, XXXX XXXX with comparisXXXX/XXXX ",chest pain.,,,"Heart size is normal and lungs are clear. No pneumothorax, effusion, or pneumonia."
997,Calcinosis/mediastinum;Thoracic Vertebrae/degenerative,Calcinosis;Thoracic Vertebrae,Xray Chest PA and Lateral,"XXXX-year-old female, transplant workup.",Chest x-XXXX dated XXXX at XXXX hours.,Calcified mediastinal XXXX. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.,No acute cardiopulmonary abnormality. .
998,"Atherosclerosis/aorta, thoracic;Aorta, Thoracic/tortuous;Thoracic Vertebrae/degenerative/multiple","Atherosclerosis;Aorta, Thoracic;Thoracic Vertebrae","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. ",XXXX-year-old XXXX with pain.,None.,"Cardiomediastinal silhouette demonstrates normal heart size with tortuosity and atherosclerosis of the thoracic aorta. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormality identified. Multilevel degenerative disc disease of the thoracic spine noted.",No acute cardiopulmonary abnormality.
999,normal,normal,"Chest Two views PA and lateral XXXX, XXXX XXXX p.m. ",Chest pain,None,"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.
1000,Opacity/lung/upper lobe/right;Pulmonary Atelectasis/upper lobe/right;Opacity/lung/lingula,Opacity;Pulmonary Atelectasis;Opacity,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old male, XXXX.",XXXX PA and lateral chest radiographs,There is XXXX increased opacity within the right upper lobe with possible mass and associated area of atelectasis or focal consolidation. The cardiac silhouette is within normal limits. XXXX opacity in the left midlung overlying the posterior left 5th rib may represent focal airspace disease. No pleural effusion or pneumothorax. No acute bone abnormality.,1. Increased opacity in the right upper lobe with XXXX associated atelectasis may represent focal consolidation or mass lesion with atelectasis. Recommend chest CT for further evaluation. 2. XXXX opacity overlying the left 5th rib may represent focal airspace disease.
1001,Markings/lung/bilateral/interstitial/diffuse/prominent;Fibrosis/diffuse,Markings;Fibrosis,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM","dyspnea, subjective fevers, arthritis, immigrant from Bangladesh",None,Interstitial markings are diffusely prominent throughout both lungs. Heart size is normal. Pulmonary XXXX normal.,Diffuse fibrosis. No visible focal acute disease.
1002,Mastectomy/left,Mastectomy,"PA and lateral chest XXXX, XXXX XXXX comparison XXXX XXXX ",History of chest pain,,,Status post left mastectomy. Heart size normal. Lungs are clear.
1003,"Density/retrocardiac;Calcinosis/blood vessels;Calcified Granuloma;Opacity/lung/base/left;Bone Diseases, Metabolic/spine","Density;Calcinosis;Calcified Granuloma;Opacity;Bone Diseases, Metabolic",Xray Chest PA and Lateral,Acute bronchitis.,,Heart size and pulmonary vascularity appear within normal limits. Retrocardiac soft tissue density is present. There appears to be air within this which could suggest that this represents a hiatal hernia. Vascular calcification is noted. Calcified granuloma is seen. There has been interval development of bandlike opacity in the left lung base. This may represent atelectasis. No pneumothorax or pleural effusion is seen. Osteopenia is present in the spine.,1. Retrocardiac soft tissue density. The appearance suggests hiatal hernia. 2. XXXX left base bandlike opacity. The appearance suggests atelectasis.
1004,"Aorta/tortuous;Shoulder/bilateral/degenerative;Spine/degenerative;Catheters, Indwelling","Aorta;Shoulder;Spine;Catheters, Indwelling",Xray Chest PA and Lateral,XXXX-year-old with XXXX for one month. History bronchitis.,Two views of the chest dated XXXX.,"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 aorta is tortuous and ectatic. There are degenerative changes of the acromioclavicular joints. There degenerative changes of the spine. There is an IVC XXXX identified.",No acute cardiopulmonary disease.
1005,normal,normal,"Chest, 2 views, frontal and lateral",Pruritic.,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute findings.
1006,normal,normal,Xray Chest PA and Lateral,",786.05 XXXX XXXX to XXXX",,The lungs appear clear. There are no focal airspace opacities to suggest pneumonia. The pleural spaces are clear. The heart and pulmonary XXXX are normal. Mediastinal contours are normal. There is no pneumothorax.,No acute cardiopulmonary disease.
1007,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"CHEST 2V FRONTAL/LATERAL Sept 19, XXXX XXXX XXXX ",chest pain,None,"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 show no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.",No acute cardiopulmonary abnormalities.
1008,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, abdominal pain and vomiting.","Chest x-XXXX XXXX, XXXX",Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.,No acute cardiopulmonary abnormality.
1009,normal,normal,Xray Chest PA and Lateral,786.50 anterior left sided chest pain,None available.,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.
1010,normal,normal,"Chest, 2 views, frontal and lateral",XXXX.,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,Negative chest x-XXXX.
1011,normal,normal,CHEST 2V FRONTAL/LATERAL ,Chronic XXXX,None,The heart is top normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1012,Lung/hypoinflation;Consolidation/lung/base/bilateral;Costophrenic Angle/bilateral/blunted;Surgical Instruments;Airspace Disease/lung/base/bilateral;Pleural Effusion/bilateral,Lung;Consolidation;Costophrenic Angle;Surgical Instruments;Airspace Disease;Pleural Effusion," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",sob,None,Lung volumes are low. Bibasilar consolidation and bilateral costophrenic XXXX blunting are present. Heart size normal. Pulmonary XXXX normal. Shunt tubing traverses the entire image from top to XXXX.,Bibasilar airspace disease and bilateral pleural fluid.
1013,Cardiomegaly/mild;Implanted Medical Device/humerus/right,Cardiomegaly;Implanted Medical Device,Chest XXXX and lateral ,XXXX-year-old female with chest pain.,,"Stable mild cardiomegaly. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures intact. Right humeral head bone anchor.",Stable mild cardiomegaly without acute cardiopulmonary abnormality.
1014,Cardiomegaly/mild;Calcinosis/aorta,Cardiomegaly;Calcinosis,"PA and lateral chest XXXX, XXXX at XXXX",bone marrow transplant. No complaints currently,None,,Slightly enlarged heart. No effusions. No edema. No nodules or masses. Aortic XXXX calcification. Aortic XXXX is normal size. Lungs are clear.
1015,Opacity/lung/base/bilateral/patchy/streaky;Technical Quality of Image Unsatisfactory ,Opacity;Technical Quality of Image Unsatisfactory ,PA and Lateral Chest,"XXXX-year-old female, COPD exacerbation, short of breath",XXXX,"Streaky and patchy bibasilar opacities, triangular density projected over the heart on the lateral view. No definite pleural effusion seen, no typical findings of pulmonary edema. Considering differences in technical factors XXXX stable cardiomediastinal silhouette with normal heart size.","Bibasilar opacities, right greater than left, features suggest a combination of consolidation and atelectasis"
1016,Opacity/pleura/right;Thickening/pleura/right;Pulmonary Atelectasis/base/right;Airspace Disease/lung/base/right;Opacity/lung/hilum/right/round;Pulmonary Atelectasis/hilum/right;Pleural Effusion/hilum/right;Opacity/lung/lower lobe/left;Cicatrix/lung/lower lobe/left;Pleural Effusion/right/focal,Opacity;Thickening;Pulmonary Atelectasis;Airspace Disease;Opacity;Pulmonary Atelectasis;Pleural Effusion;Opacity;Cicatrix;Pleural Effusion,Xray Chest PA and Lateral,"XXXX, XXXX AND CHILLS, NONPROD. COUGHT, HAS XXXX FIBROTIC LUNG DISEASE BUT HAS NO RECENT CXR.;",,,"Comparison XXXX, XXXX. XXXX right pleural opacity along the lower chest wall compatible with thickening and/or some loculated effusion, accompanied with some adjacent atelectasis / airspace disease within the right lung base. Round opacity seen projecting adjacent to right hilum on PA view is XXXX on lateral view to represent some discoid atelectasis or fluid associated with the upper aspect of the XXXX fissure. Some XXXX opacities compatible with scarring/chronic inflammatory change are seen within the left lower lung which are more conspicuous versus previous examination. Stable mediastinal contour."
1017,Pulmonary Atelectasis/lingula/focal;Calcinosis/lung/hilum/right,Pulmonary Atelectasis;Calcinosis,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",Burmese male has complete TB treatment,None,Both lungs are clear and expanded with no infiltrates. Basilar focal atelectasis is present in the lingula. Heart size normal. Calcified right hilar XXXX are present,No active disease.
1018,Calcified Granuloma/lung/right/small,Calcified Granuloma,Xray Chest PA and Lateral,XXXX,None available.,The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There are small calcified granulomata in the right lateral lung.,No acute cardiopulmonary abnormality.
1019,Costophrenic Angle/right/blunted,Costophrenic Angle,"Chest radiographs, 2 XXXX and lateral ","XXXX-year-old male with seizure, ethanol abuse",XXXX,The heart size and mediastinal contours appear within normal limits. There is blunting of the right lateral costophrenic sulcus which could be secondary to a small effusion versus scarring. No focal airspace consolidation or pneumothorax. No acute bony abnormalities.,Blunting of the right costophrenic sulcus could be secondary to a XXXX effusion versus scarring. No focal airspace consolidation.
1020,Lung/hypoinflation,Lung, CHEST 2V FRONTAL/LATERAL XXXX,chest pain,None,Lung volumes are low. No focal infiltrates. Heart size normal.,Hypoinflation with no visible active cardiopulmonary disease.
1021,Pneumothorax/right;Pulmonary Atelectasis/right;Shift/mediastinum,Pneumothorax;Pulmonary Atelectasis;Shift,"Chest, 2 views, frontal and lateral",Right pneumothorax.,"XXXX, XXXX",,"Recurrent right pneumothorax, complete collapse of the right lung, near 100%. Right-to-left mediastinal shift is present, suggesting XXXX physiology."
1022,Nodule/lung/upper lobe/right/small;Calcinosis/lung/upper lobe/right/small,Nodule;Calcinosis," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",please evaluate for evidence of active TB (for supportive housing placement),"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. No change in the small calcified right upper lobe nodule. Heart and mediastinum normal.,No active disease.
1023,No Indexing,No Indexing,Xray Chest PA and Lateral,"XXXX, acute sinusitis",None.,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. .
1024,normal,normal,"Frontal and lateral views of the chest dated XXXX, XXXX ",XXXX-year-old presents with chest pain,None,Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,No acute abnormality.
1025,Calcified Granuloma/lung/base/right,Calcified Granuloma,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours.",XXXX-year-old female. Pain. Emesis.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Calcified granuloma, right base. Normal XXXX.",Negative for acute abnormality.
1026,normal,normal,Xray Chest PA and Lateral,",486,V76.12 PNEUMONIA CXR",None,The lungs appear clear. The heart and pulmonary XXXX appear normal. The pleural spaces are clear. Mediastinal contours are normal.,No acute cardiopulmonary disease
1027,Costophrenic Angle/sulcus/bilateral/posterior/obscured;Technical Quality of Image Unsatisfactory ,Costophrenic Angle;Technical Quality of Image Unsatisfactory ,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old female with a history of an elevated XXXX-XXXX.,None.,This examination is somewhat limited secondary to obscuration of the bilateral posterior costophrenic sulci on the lateral view. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. The thoracic spine appears intact.,1. Limited chest radiograph examination without demonstration of an acute intrathoracic abnormality.
1028,normal,normal,"Chest, 2 views, frontal and lateral",Preop chest x-XXXX.,None.,"Cardiac and mediastinal contours are within normal limits. The lungs are clear. Acromioclavicular arthritis is present, XXXX severe.",No acute preoperative findings.
1029,Scoliosis,Scoliosis," PA and lateral chest XXXX, XXXX and XXXX comparisXXXX/XXXX ",XXXX for more than one year,,,No pneumonia. Heart size normal. Scoliosis.
1030,Spine/degenerative/mild,Spine,2 views of the Chest XXXX/11. ,Chest pain,None.,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. Mild degenerative changes of the spine.,There is no radiographic evidence of acute cardiopulmonary disease.
1031,"Cardiomegaly/mild;Catheters, Indwelling/right;Markings/bronchovascular","Cardiomegaly;Catheters, Indwelling;Markings",Xray Chest PA and Lateral,"XXXX-year-old female, diaphoresis, short of breath",,,"Heart size mildly enlarged for technique, mediastinal contours appear similar to prior, right chest XXXX tip in the high SVC. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema."
1032,Calcinosis/lung/lingula;Granulomatous Disease;Osteophyte/thoracic vertebrae/multiple/small,Calcinosis;Granulomatous Disease;Osteophyte,Xray Chest PA and Lateral,Status post XXXX repair.,"XXXX, congestion.","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 acute cardiopulmonary abnormality.
1033,Lung/hypoinflation;Markings/bronchovascular;Pulmonary Atelectasis/base/patchy;Spine/degenerative,Lung;Markings;Pulmonary Atelectasis;Spine,Xray Chest PA and Lateral,Intracranial hemorrhage,None available.,The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.,1. Low volume study without definite acute process.
1034,"Calcified Granuloma/lung/middle lobe/right;Hernia, Hiatal","Calcified Granuloma;Hernia, Hiatal","CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ","10 XXXX hx of XXXX, SOB, wheezing in XXXX XXXX","XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Right middle lobe calcified granuloma is unchanged. Heart and mediastinum unchanged. No change hiatus hernia.,No active disease.
1035,Opacity/lung/hilum/prominent;Opacity/lung/upper lobe/right/round/small,Opacity;Opacity,Xray Chest PA and Lateral,"Cystic fibrosis, shortness of breath.",,Right XXXX-A-XXXX is in XXXX. The heart size and pulmonary vascularity appear within normal limits. Some prominent perihilar opacities are present. Some vague small nodular opacities are present in the right upper lung zone. These are slightly more prominent than on the previous study. No pleural effusion or pneumothorax is seen.,Perihilar opacities which may represent changes due to bronchiectasis. Vague nodular opacities in the right lung zone may represent dilated bronchi filled with mucous or possibly focal areas of peribronchial pneumonia.
1036,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"2 view ( PA and lateral) chest radiograph dated XXXX, XXXX ",XXXX-year-old female chest pain,None.,"The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. Mild degeneration of the thoracic spine without acute bony abnormality.",No acute cardiopulmonary abnormality.
1037,"Calcinosis/aorta, thoracic;Aorta, Thoracic/tortuous;Lung/hyperdistention;Pulmonary Emphysema","Calcinosis;Aorta, Thoracic;Lung;Pulmonary Emphysema","PA and Lateral Chest Radiograph XXXX, XXXX at XXXX a.m. ",XXXX-year-old male with XXXX,"Chest radiograph XXXX, XXXX","The heart is normal size. The mediastinum is unremarkable. A tortuous, calcified thoracic aorta is present. The lungs are hyperexpanded, consistent with emphysema. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.",No acute cardiopulmonary abnormality.
1038,normal,normal,PA and lateral chest. ,XXXX XXXX,None.,,Heart size normal. Lungs are clear.
1039,normal,normal,Chest radiograph PA and lateral XXXX/XXXX XXXX. ,XXXX-year-old female pre-op evaluation,Chest radiograph XXXX/XXXX.,No pneumothorax or pleural effusion. Normal cardiac contour. Clear lungs bilaterally.,1. No acute cardiopulmonary abnormalities.
1040,Calcinosis/lung/hilum/right;Calcinosis/lung/base/right;Granulomatous Disease;Deformity/thoracic vertebrae/anterior/mild,Calcinosis;Calcinosis;Granulomatous Disease;Deformity,Xray Chest PA and Lateral,MVC.,None,,"Heart size is normal. Mediastinal width is within normal limits for supine AP technique. No edema. No focal infiltrate. No pleural effusion or pneumothorax. Right hilar and right lung base calcifications are compatible with old granulomatous disease. There is a very mild anterior wedge deformity of a midthoracic vertebrae, possibly T7, age-indeterminate. Correlate for midthoracic tenderness. No displaced, acute rib fractures are identified."
1041,Lucency/ribs/left/posterior,Lucency,PA and lateral views of the chest ,XXXX vehicle XXXX 2 XXXX ago,None,Lucency crosses the 10th left posterior rib. Visualized portions of the thoracic spine are unremarkable. Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,"Question of posterior 10 rib fracture, correlate with XXXX tenderness."
1042,normal,normal,XR Chest PA and Lateral,XXXX,None available.,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.
1043,Pleural Effusion/bilateral/small;Pulmonary Atelectasis/base/left,Pleural Effusion;Pulmonary Atelectasis,Xray Chest PA and Lateral,WHEEZING/HEART FAILURE,XXXX,"Normal cardiomediastinal silhouette. Interval improvement in lung volumes bilaterally. Improved aeration of the right and left lung bases. Bilateral small pleural effusions and left base atelectatic change, with interval improvement. Visualized XXXX of the chest XXXX are within normal limits.",Interval improvement in aeration of lung bases and pleural effusions. Residual small left effusion and questionable small right pleural effusion.
1044,Lung/hyperdistention;Pulmonary Emphysema,Lung;Pulmonary Emphysema,PA and Lateral Chest X-XXXX dated XXXX.,Enlarged lymph XXXX.,XXXX.,The heart size and pulmonary vascularity appear within normal limits. There has been clearing of left base airspace opacities. The lungs now appear clear. No pneumothorax or pleural effusion is seen. The lungs appear hyperexpanded consistent with emphysema.,1. Hyperexpanded lungs consistent with emphysema. 2. No evidence of acute disease.
1045,Deformity/ribs/right/chronic,Deformity,PA and Lateral Chest,"XXXX-year-old male, XXXX, difficulty breathing",XXXX,"Heart size within normal limits, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Chronic appearing contour deformity of the right posterolateral 7th rib again noted suggestive of old injury.",No acute findings
1046,normal,normal,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old woman with chest pain,None.,"Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.",No acute abnormality.
1047,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old XXXX with chest pain.,"Two-view chest radiograph dated XXXX, XXXX.","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 acute cardiopulmonary abnormality..
1048,Thoracic Vertebrae/degenerative;Shoulder/bilateral/degenerative/mild,Thoracic Vertebrae;Shoulder,PA and Lateral Chest: XXXX at 13: 07 hours.,"XXXX-year-old XXXX, preoperative evaluation for prostate surgery scheduled XXXX.",None available.,"Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. Mild bilateral acromioclavicular joint and thoracic spine degenerative changes are noted.",No acute cardiopulmonary abnormality.
1049,normal,normal,Xray Chest PA and Lateral,"chest pain that started ealier today, non-radiating, XXXX pain, shortness of breath x weeks, pain in XXXX joints x 6 weeks mostly right side, non-XXXX, no hx ca, no previous heart or lung conditions",,,"Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified."
1050,Technical Quality of Image Unsatisfactory ;Lung/hypoinflation;Markings/bronchovascular;Mediastinum/prominent/mild,Technical Quality of Image Unsatisfactory ;Lung;Markings;Mediastinum,PA and Lateral Chest: XXXX at XXXX a.m.,XXXX-year-old male with complaints of XXXX and headache,None,"Technically limited study secondary to patient XXXX. Decreased lung volumes with associated bronchopulmonary crowding without evidence of focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.","No acute cardiopulmonary abnormality. Mild nonspecific prominence of mediastinum, consider repeat CXR XXXX if any concern for vascular process."
1051,normal,normal,Xray Chest PA and Lateral,"XXXX XXXX steps, left posterior rib pain",XXXX,Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,No acute cardiopulmonary process.
1052,normal,normal,"Chest x-XXXX, 2 views. XXXX at XXXX p.m. ",Dyspnea on exertion.,None.,"The trachea is midline. Cardio mediastinal silhouette is normal in contour with overlying sternotomy XXXX. The lungs are clear without acute infiltrate, effusion or pneumothorax. The visualized bony structures reveal no fractures or dislocations.",No acute abnormalities.
1053,Cardiomegaly/mild;Pulmonary Atelectasis/bilateral/scattered;Spine/degenerative/mild,Cardiomegaly;Pulmonary Atelectasis;Spine,Xray Chest PA and Lateral,XXXX-year-old male status post CABG.,,"There are postoperative changes of sternotomy and CABG. There is stable mild cardiomegaly. There are scattered XXXX of subsegmental atelectasis, decreased from the prior chest radiograph. No focal airspace consolidation. No pleural effusion or pneumothorax. There are minimal degenerative changes of the spine.",1. Scattered bilateral subsegmental atelectasis. Decreased from prior radiograph. 2. Stable mild cardiomegaly.
1054,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"PA and Lateral Chest. XXXX, XXXX ",History of CHF,"XXXX, XXXX","Heart size is normal. Stable mediastinal contour. No focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. Mild thoracic spine degenerative change.",No acute cardiopulmonary abnormality.
1055,normal,normal,PA and lateral views of the Chest performed XXXX/XXXX.,XXXX year old with chest pain.,None.,"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.
1056,Aorta/tortuous;Scoliosis/lumbar vertebrae/left;Scoliosis/thoracic vertebrae/left;Lung/hyperdistention;Diaphragm/flattened;Pulmonary Emphysema;Granulomatous Disease,Aorta;Scoliosis;Scoliosis;Lung;Diaphragm;Pulmonary Emphysema;Granulomatous Disease,Frontal and lateral chest on XXXX at XXXX. ,XXXX loss of 20 XXXX. Smoking history.,XXXX.,Normal heart size. Stable tortuous aorta. No pneumothorax or pleural effusion. No suspicious focal air space opacities. Levoscoliosis of the thoracolumbar spine. Hyperinflated lungs with flattened diaphragms are consistent with emphysematous lung changes. Prior granulomatous disease.,Stable emphysematous lung changes. No acute abnormality seen.
1057,normal,normal,Xray Chest PA and Lateral,Testicular carcinoma,None,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules or adenopathy identified.,No evidence of active disease.
1058,Nodule/lung/bilateral/diffuse/multiple/small;Scoliosis,Nodule;Scoliosis,PA and Lateral Chest X-XXXX dated XXXX.,Lung cancer.,XXXX.,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.
1059,Aorta/tortuous;Granulomatous Disease;Opacity/retrocardiac,Aorta;Granulomatous Disease;Opacity,Frontal and lateral chest on XXXX XXXX. ,History of pneumonia. Hemoptysis.,XXXX.,Stable cardiomediastinal silhouette with tortuous aorta. Prior granulomatous disease. No pneumothorax or pleural effusion. Stable retrocardiac airspace opacity.,Stable retrocardiac airspace opacity.
1060,Spondylosis/thoracic vertebrae;Scoliosis/right/mild,Spondylosis;Scoliosis,Xray Chest PA and Lateral,Chest pain,"XXXX, XXXX",The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Mild dextrocurvature the spine.,No acute process.
1061,Deformity/thoracic vertebrae/mild,Deformity,Xray Chest PA and Lateral,XXXX-year-old was slurred speech and confusion. Could bulging 2 years ago.,AP chest dated XXXX. Two views of the chest dated XXXX.,"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 slight wedge XXXX deformity of the mid to lower thoracic vertebral body unchanged from the comparison study.",No acute cardiopulmonary disease.
1062,No Indexing,No Indexing,Chest PA and lateral views. ,"pt with XXXX, c/o pain r lower ribs",none,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. No displaced rib fracture visualized.,1. No acute pulmonary disease. 2. No displaced rib fracture visualized.
1063,Opacity/lung/base/left/mild;Pulmonary Atelectasis/base/left,Opacity;Pulmonary Atelectasis,Xray Chest PA and Lateral,491.21,Chest 2 views. XXXX.,"There is minimal XXXX opacity in the left lung base, XXXX representing atelectasis. The lungs are otherwise clear. Heart size is normal. No pneumothorax.",Left base atelectasis. Lungs otherwise clear. .
1064,Diaphragm/right/elevated;Opacity/lung/base/right;Airspace Disease/lung/base/right;Pulmonary Atelectasis/base/right,Diaphragm;Opacity;Airspace Disease;Pulmonary Atelectasis,"PA and lateral views of the chest XXXX hours XXXX, XXXX. ",XXXX-year-old female shortness of breath. History of fibrosing mediastinitis.,"XXXX, XXXX.",There is stable elevation of the right hemidiaphragm with questionable increased right basilar airspace opacities. The left lung is clear. Heart size normal. XXXX unremarkable.,Stable elevated right hemidiaphragm with questionable subtle increased right basilar airspace disease/atelectasis. Correlate clinically.
1065,"Thoracic Vertebrae/degenerative/mild;Atherosclerosis/aorta, thoracic",Thoracic Vertebrae;Atherosclerosis,"PA lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old male, history of laryngeal carcinoma, surveillance",Chest x-XXXX XXXX XXXX,"There has been interval CABG. Sternotomy and XXXX cerclage XXXX appear intact. No focal air space opacity. No pleural effusion or pneumothorax. Stable, mild degenerative disc disease of the thoracic spine. Visualized bony structures are otherwise unremarkable in appearance. Atherosclerotic calcifications of the thoracic aorta.",1. Clear lungs. No acute chest findings. 2. Peripheral vascular disease.
1066,normal,normal,Xray Chest PA and Lateral,Sarcoidosis,"XXXX, XXXX",,Clear lungs. No discrete adenopathy or significant scarring. No active pulmonary disease.
1067,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old male with chest pain,None,"Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. No suspicious pulmonary nodules or masses. Bony thorax and soft tissues grossly unremarkable.",No radiographic evidence of acute cardiopulmonary abnormality.
1069,Lung/hyperdistention/mild;Diaphragm/bilateral/flattened;Markings/lung/base/bilateral/bronchovascular;Pulmonary Emphysema/base/bilateral,Lung;Diaphragm;Markings;Pulmonary Emphysema,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old woman with chest pain.,"Chest x-XXXX XXXX, XXXX.","Heart size within normal limits. There is mild hyperexpansion with flattening diaphragms and bronchovascular crowding in the lung bases compatible with emphysema. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.",No acute abnormality.
1070,Thoracic Vertebrae/degenerative/mild;Deformity/clavicle/right,Thoracic Vertebrae;Deformity,Xray Chest PA and Lateral,XXXX. XXXX. Right-sided injury.,None.,"There is abnormal separation of the right XXXX XXXX. This is age-indeterminate. Corticated bony density over the lateral aspect of the clavicle may reflect sequela of old remote XXXX. The cardia mediastinal silhouette, pulmonary vascular pattern are normal. No pneumothorax. No pleural effusion. No pulmonary edema . There is minimal endplate degenerative changes of the midthoracic spine. Partial obscuration retrosternal space due to overlying XXXX.","1. There is abnormal separation of right XXXX XXXX, question very acute versus chronic injury. Correlate for focal pain. If indicated consider dedicated right shoulder films. 2. No acute cortical artery disease."
1071,Technical Quality of Image Unsatisfactory ;Thoracic Vertebrae/degenerative/mild,Technical Quality of Image Unsatisfactory ;Thoracic Vertebrae,"Chest x-XXXX XXXX and lateral performed on XXXX, XXXX at XXXX hours. ",XXXX year old male with rib XXXX pain.,Chest x-XXXX XXXX and lateral from XXXX.,"The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. The patient is mildly rotated. No focal consolidations, pneumothorax or pleural effusions. Mild degenerative changes of the thoracic spine. No acute displaced fractures.",No acute cardiopulmonary abnormalities. No acute displaced fractures.
1072,Aorta/tortuous;Atherosclerosis/aorta;Airspace Disease/lung/lower lobe/left,Aorta;Atherosclerosis;Airspace Disease,Xray Chest PA and Lateral,XXXX year old syncopal episode tonight.,PA and lateral chest XXXX.,"The heart and mediastinal contours are stable. Aorta is calcified and tortuous, compatible with atherosclerotic disease. Since the prior study, there's been interval development of left lower lobe airspace disease. The right lung is clear.",1. Interval development of left lower lobe airspace disease. This may be due to atelectasis or infiltrate.
1073,"Lung/hyperdistention;Diaphragm/flattened;Aorta, Thoracic/tortuous/mild;Thoracic Vertebrae/degenerative;Pulmonary Emphysema","Lung;Diaphragm;Aorta, Thoracic;Thoracic Vertebrae;Pulmonary Emphysema","PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old woman with dyspnea.,"XXXX,009","The lungs are hyperexpanded, with flattened diaphragms. The cardiomediastinal silhouette is normal in size and stable from prior exam. There is mild tortuosity of the thoracic aorta. There is no pneumothorax or large pleural effusion. There are degenerative changes of the thoracic spine.",1. No acute cardiopulmonary abnormality. 2. Chronic changes consistent with emphysema.
1074,Lung/hypoinflation,Lung,Chest radiograph PA and lateral. ,XXXX-year-old woman with chest pain.,XXXX.,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.
1075,"Lung/hyperdistention;Pulmonary Emphysema/severe;Opacity/pleura/upper lobe/left/irregular;Cicatrix/lung/base/bilateral/mild;Pulmonary Atelectasis/base/bilateral/mild;Thoracic Vertebrae/degenerative/mild;Bone Diseases, Metabolic","Lung;Pulmonary Emphysema;Opacity;Cicatrix;Pulmonary Atelectasis;Thoracic Vertebrae;Bone Diseases, Metabolic","PA and lateral views of the chest dated XXXX, XXXX.",Shortness of breath.,"XXXX of the chest dated XXXX, XXXX 11 from XXXX.","Lungs are hyperinflated with interstitial changes of severe emphysema. There is an ill-defined pleural parenchymal opacity in the left upper lobe. This may represent scarring but is incompletely evaluated on the outside study, without coronal and sagittal reformats. There is mild XXXX scarring and/or atelectasis in the lung bases. Lungs otherwise grossly clear. There is no pneumothorax or pleural effusion. Heart size is normal. There are mild degenerative endplate changes in the thoracic spine. There is generalized osteopenia.","1. Severe emphysema. 2. Irregular, pleural-parenchymal opacity in left upper lobe. This may irregular pleural-parenchymal scarring, however, recommend comparison with more remote outside imaging, if available to determine long-term stability. If none are available, recommend short-term XXXX in 3 to 4 months. Evaluation of coronal and sagittal reformatted images from the outside study would also be helpful. These were not XXXX available at the outside institution. Malignancy cannot be confidently excluded on the available images."
1076,"Opacity/thorax/posterior;Consolidation/lung/lower lobe/left;Pulmonary Congestion/mild;Fractures, Bone/ribs/right/multiple/healed;Deformity/ribs/right/multiple/healed;Cardiomegaly/borderline","Opacity;Consolidation;Pulmonary Congestion;Fractures, Bone;Deformity;Cardiomegaly",Xray Chest PA and Lateral - XRXXXX ,INDICATION: SHORT OF BREATH; -- Admit Comments: UTI PERSISTENT XXXX,None available.,There is opacity at posterior aspect of lower chest seen on lateral view which probably represents left lower lobe consolidation. There may also be small bilateral pleural effusion. Upper limits of normal heart size. Mild central vascular prominence. Old fracture deformities of multiple right ribs.,1. Question of left lower lobe pneumonia and/or pleural effusion. 2. Borderline heart size with mild central vascular congestive changes.
1077,No Indexing,No Indexing,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1078,normal,normal,Xray Chest PA and Lateral,Pain with XXXX in the chest for one XXXX,None,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.
1079,Lung/hypoinflation;Pulmonary Atelectasis/base/right/mild,Lung;Pulmonary Atelectasis," Frontal and lateral views of the chest was obtained on XXXX, XXXX at XXXX a.m. There are no prior studies for comparison. ",Status post assault. Altered mental status and upper thoracic hematoma,,There are low lung volumes. The heart size and upper mediastinum have a normal appearance. There is no pulmonary vascular congestion. There is minimal right basilar atelectasis. There is no large effusion or pneumothorax. The osseous structures appear intact.,Low lung volume exam demonstrates small amount of right basilar atelectasis. There is no acute consolidation or pneumothorax.
1081,Lung/hyperdistention;Thoracic Vertebrae/degenerative;Pulmonary Emphysema,Lung;Thoracic Vertebrae;Pulmonary Emphysema,Xray Chest PA and Lateral,Smoking history,,The lungs are hyperexpanded. Heart size normal. No mass or focal opacities seen. Stable degenerative changes of the thoracic spine.,1. No acute cardiopulmonary process. 2. Emphysematous changes in the lungs. .
1082,Cardiomegaly;Aorta/tortuous;Thoracic Vertebrae/degenerative/mild,Cardiomegaly;Aorta;Thoracic Vertebrae,"Chest x-XXXX XXXX and lateral performed on XXXX, XXXX at XXXX hours. ",XXXX year old female with abdominal pain.,Chest x-XXXX XXXX and lateral from XXXX.,"Stable cardiomegaly. Stable tortuosity of the aorta. No focal airspace opacities, pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.",Stable cardiomegaly with clear lungs.
1083,normal,normal," CHEST, Two (2) Views XXXX, XXXX at XXXX hours. ",Chest pain.,None.,"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."
1084,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",SOB WITH XXXX,None.,"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.",
1085,Lung/hypoinflation;Opacity/lung/upper lobe/left/streaky/mild;Cicatrix/lung/upper lobe/left;Pulmonary Atelectasis/upper lobe/left,Lung;Opacity;Cicatrix;Pulmonary Atelectasis,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old woman with syncopal episode..,None.,"The lungs demonstrate low lung volumes but are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Mild streaky opacities in the left upper lobe on frontal projection are XXXX atelectatic or scar. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",Low lung volumes without acute cardiopulmonary abnormality.
1086,"Deformity/ribs/right/posterior;Fractures, Bone/ribs/right/healed","Deformity;Fractures, Bone","PA and lateral views of the chest dated XXXX, XXXX.","Right-sided chest pain yesterday, worse 1 hour ago.",None.,"The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There is corticated irregularity of the right posterior 5th rib, XXXX secondary to old rib fracture. There are no gross acute bony findings.",No acute cardiopulmonary findings.
1087,Calcified Granuloma/lung/upper lobe/left;Calcinosis/lung/hilum/lymph nodes/left;Calcinosis/mediastinum/lymph nodes;Granulomatous Disease,Calcified Granuloma;Calcinosis;Calcinosis;Granulomatous Disease,"PA and lateral chest XXXX, XXXX at XXXX hours.",XXXX XXXX and flulike symptoms.,,There is a calcified granuloma in the left upper lobe. Lungs otherwise are believed to be clear. The heart is normal. There are calcified left hilar and mediastinal lymph XXXX. The skeletal structures show some senescent changes.,Old granulomatous disease. No acute pulmonary disease.
1088,Opacity/lung/right/streaky/mild;Cicatrix/lung/right;Pulmonary Atelectasis/right,Opacity;Cicatrix;Pulmonary Atelectasis,"Chest radiographs, 2 XXXX and lateral ","XXXX-year-old XXXX, dyspnea, tachycardic.",None.,"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."
1089,"Aorta, Thoracic/tortuous;Catheters, Indwelling;Diaphragm/left/elevated","Aorta, Thoracic;Catheters, Indwelling;Diaphragm",PA and Lateral Chest X-XXXX dated XXXX.,Pre-transplant.,XXXX.,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.
1090,normal,normal," PA and lateral chest XXXX, XXXX at XXXX comparison XXXX XXXX ",chest pain,,,Heart size is normal and the lungs are clear.
1091,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",XXXX,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1092,No Indexing,No Indexing,"Chest x-XXXX AP and lateral, 2 views. ",Shortness of breath.,None.,"Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable.",No radiographic evidence of acute cardiopulmonary disease
1093,normal,normal,PA and Lateral Chest X-XXXX dated XXXX.,XXXX.,None.,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.,1. No evidence of active disease.
1094,Density/lung/lower lobe/left;Pulmonary Atelectasis/lower lobe/left,Density;Pulmonary Atelectasis,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with dyspnea. History of cystic fibrosis.,None.,"No acute osseous abnormality. The soft tissues are within normal limits. Normal appearing cardiomediastinal silhouette and hilar contours. Left lower lobe XXXX density XXXX representing atelectasis. No focal area of consolidation, pleural effusion, pneumothorax.",No focal lung consolidation.
1095,"Kyphosis/thorax/severe;Fractures, Bone/thoracic vertebrae/multiple;Fractures, Bone/sternum;Fractures, Bone/lumbar vertebrae;Catheters, Indwelling/right","Kyphosis;Fractures, Bone;Fractures, Bone;Fractures, Bone;Catheters, Indwelling","PA and lateral views of the chest, XXXX, XXXX XXXX XXXX",Preprocedure evaluation prior to bone marrow transplant,None,"The lungs appear clear. The heart and pulmonary XXXX appear normal. There is severe kyphotic deformity of the chest involving prior fractures of thoracic vertebral bodies and the sternum. There are multiple XXXX fractures identified involving upper thoracic vertebral bodies and a single upper lumbar vertebral body. The patient is status post vertebroplasty at multiple levels. The pleural spaces appear clear. There is right-sided chest XXXX, the distal tip in the upper right atrium. Mediastinal contours appear normal.",1. No evidence of acute cardiopulmonary disease 2. Changes of acute kyphotic deformity and of the thorax as described above
1096,normal,normal,PA and Lateral Chest ,XXXX-year-old female status post assault.,None available.,The heart size is within normal limits. No focal air space opacities. No pneumothorax. No pleural effusion. No displaced rib fractures.,No acute findings.
1097,Granulomatous Disease;Calcinosis/bilateral/diffuse;Deformity/thoracic vertebrae/anterior/mild,Granulomatous Disease;Calcinosis;Deformity,Xray Chest PA and Lateral,XXXX onset shortness of breath. Hypoxia with oxygen saturation at 79% on room air. 98% on 6 liters.,None.,"Heart size and mediastinal contours are within normal limits. Diffuse bilateral calcified sequelae of prior granulomatous infection. No pulmonary vascular congestion. No XXXX edema. No focal consolidation. There is no visible pleural effusion or pneumothorax. There is mild anterior wedging of a lower thoracic vertebral body, approximately T11 level.",1. No acute cardiopulmonary abnormality. 2. Mild age indeterminate anterior wedging at the T11 level.
1098,"Lung/hyperdistention;Markings/lung/interstitial;Emphysema;Pulmonary Disease, Chronic Obstructive;Cicatrix/pleura/base/bilateral/chronic","Lung;Markings;Emphysema;Pulmonary Disease, Chronic Obstructive;Cicatrix",Xray Chest PA and Lateral,Feet XXXX.,,The lungs are hyperinflated with coarse interstitial markings compatible with obstructive pulmonary disease and emphysema. There is chronic pleural-parenchymal scarring within the lung bases. No lobar consolidation is seen. No pleural effusion or pneumothorax. Heart size is normal.,Emphysema.
1099,normal,normal,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old male with right lower lobe crackles.,None available.,"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.",No acute cardiopulmonary findings.
1100,Cardiomegaly;Infiltrate/lung/base/bilateral/interstitial;Costophrenic Angle/bilateral/blunted;Heart Failure;Pulmonary Edema/base/interstitial;Pleural Effusion/bilateral;Pulmonary Congestion,Cardiomegaly;Infiltrate;Costophrenic Angle;Heart Failure;Pulmonary Edema;Pleural Effusion;Pulmonary Congestion," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM","CHEST PAIN, AFIB",None,Heart is large. Pulmonary XXXX are engorged. Bibasilar interstitial infiltrates and bilateral costophrenic XXXX blunting are present.,Congestive heart failure with basilar pulmonary interstitial edema and bilateral pleural fluid.
1101,Spine/degenerative,Spine,Xray Chest PA and Lateral,XXXX-year-old with for preop evaluation for knee XXXX.,Two views of the chest dated XXXX.,"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 degenerative changes of the spine.",No acute cardiopulmonary disease.
1102,Cardiomegaly;Pulmonary Congestion;Pulmonary Edema/interstitial/mild;Pleural Effusion/bilateral;Airspace Disease/lung/base/bilateral,Cardiomegaly;Pulmonary Congestion;Pulmonary Edema;Pleural Effusion;Airspace Disease,"AP and lateral views of the chest dated XXXX, XXXX.",Shortness of breath. Unable to XXXX XXXX for lateral view.,"XXXX, XXXX.","There is stable cardiomegaly with XXXX pulmonary vascular congestion and probable mild interstitial edema. There are bilateral pleural effusions with bibasilar airspace disease, right greater than left. There is no pneumothorax. There are no acute bony findings.","1. Cardiomegaly, vascular congestion and probable mild interstitial edema. 2. Bibasilar airspace disease, bilateral pleural effusions, right greater than left."
1103,Calcified Granuloma/lung/hilum/right;Thoracic Vertebrae/degenerative/mild,Calcified Granuloma;Thoracic Vertebrae,"2 views chest, XXXX hours, XXXX, XXXX ",Dyspnea,CT Abdomen and Pelvis XXXX.,The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. There is a stable calcified granuloma in the infrahilar right lung. There are mild degenerative changes along the thoracic spine. No acute bony abnormality is identified.,No acute cardiopulmonary abnormality.
1104,Spondylosis/thoracic vertebrae;Lung/hilum/prominent,Spondylosis;Lung,"Chest, 2 views, frontal and lateral","Tachycardia, diabetes, hypoxia.",None,,The cardiac contours are normal. Prominent hilar contours. The lungs are clear. Thoracic spondylosis.
1105,Cardiomegaly/mild;Cicatrix/lung/middle lobe/right;Pulmonary Atelectasis/middle lobe/right,Cardiomegaly;Cicatrix;Pulmonary Atelectasis,Xray Chest PA and Lateral,Patient hallucinating. Weakness and confusion.,None,"Mild cardiomegaly. Mediastinal normal width. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. XXXX scarring or atelectasis right midlung.",1. No acute cardiopulmonary disease. 2. XXXX scarring or atelectasis right midlung. 3. Mild cardiomegaly. .
1106,Density/lung/base/right/mild,Density,Xray Chest PA and Lateral,"XXXX on the congestion, XXXX for 2 days",XXXX,,"Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Subtle airspace density within the medial right lung base, not obscuring the right heart XXXX. This may represent focal right lower lobe pneumonia given history. Left lung clear. No effusions. No pneumothorax. Skeletal structures unremarkable."
1107,Opacity/lung/upper lobe/left/focal/small;Calcinosis/lung/hilum/left;Calcinosis/mediastinum,Opacity;Calcinosis;Calcinosis,Xray Chest PA and Lateral,"XXXX-year-old female, XXXX, congestion",None,,"Small focal opacity in the left upper lobe, differential diagnosis includes subsegmental atelectasis, small infiltrate, scarring, followup recommended. No definite pleural effusion seen. Heart size within normal limits, no typical findings of pulmonary edema. Mediastinal and left hilar calcifications suggest a previous granulomatous process."
1108,Lung/hyperdistention,Lung,Xray Chest PA and Lateral,SHORTNESS OF BREATH;,None.,The lungs are clear and hyperinflated. Heart size is normal. No pneumothorax.,Hyperinflated lungs. No acute cardiopulmonary abnormality. .
1109,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX XXXX . ",Assault.,None.,"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.
1110,Granulomatous Disease;Calcinosis/bilateral/scattered,Granulomatous Disease;Calcinosis,"PA and lateral chest, XXXX at XXXX. ","XXXX-year-old male, chest pain.",XXXX.,"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.
1111,Technical Quality of Image Unsatisfactory ;Cardiomegaly/severe,Technical Quality of Image Unsatisfactory ;Cardiomegaly,Chest XXXX and lateral,"XXXX-year-old male, XXXX one.",None available.,Lordotic projection and large body habitus. Limited mediastinal evaluation. Severe cardiomegaly. No visualized pneumothorax. No large effusion or airspace disease. No fracture.,Severe cardiomegaly. Limited mediastinal evaluation given body habitus and lordotic projection. Recommend XXXX for further evaluation of mediastinum given T/Spine injury noted on C/Spine imaging. Critical result notification documented through Primordial.
1112,Mediastinum/prominent;Cardiomegaly/moderate;Pulmonary Congestion;Cardiac Shadow/enlarged/moderate,Mediastinum;Cardiomegaly;Pulmonary Congestion;Cardiac Shadow,PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old with shortness of breath.,None.,There is widening of the mediastinum. There is moderate cardiomegaly identified. The central pulmonary XXXX appear enlarged. Correlate for pulmonary vascular congestion. No focal infiltrate. No large effusion or pneumothorax.,"1. Moderate increase in size of the cardiac silhouette. Unclear whether this is secondary to cardiomegaly or pericardial effusion. 2. Pulmonary vascular congestion. 3. Widened mediastinum. Maybe secondary to prominent mediastinal fat or tortuous XXXX. However, adenopathy, or mass is not excluded. CT of the chest with contrast is recommended for further evaluation of these findings."
1113,Lung/hyperdistention;Diaphragm/flattened;Emphysema,Lung;Diaphragm;Emphysema,"CHEST X-XXXX XXXX and LATERAL dated XXXX, XXXX at XXXX hours. ","XXXX-year-old male, right lung infiltrate.",Chest x-XXXX XXXX.,"Previous sulcal is normal in size and contour. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion. Interval resolution of previously described right midlung opacity suggesting resolved inflammatory/infectious process. Lungs are hyperexpanded with flattened diaphragms. XXXX and soft tissue are unremarkable.",1. Emphysematous changes. 2. Resolution of prior right midlung infiltrate.
1114,normal,normal,CHEST 2V FRONTAL/LATERAL ,Low back pain and left chest pain,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1115,normal,normal,"PA lateral chest x-XXXX XXXX, XXXX XXXX hours ",Mass in axilla,None available,Normal heart size and mediastinal contours. No abnormal airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable appearance.,No acute cardiopulmonary abnormalities.
1116,Density/breast;Foreign Bodies/breast,Density;Foreign Bodies,PA and lateral chest radiograph on XXXX at 21: 06 hours. ,XXXX-year-old female with XXXX and headache.,None available.,"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. XXXX and curvilinear XXXX densities over the breast shadows compatible with piercings.",No acute cardiopulmonary abnormalities.
1117,Opacity/lung/lower lobe/left/posterior;Opacity/lung/upper lobe/right/focal;Airspace Disease/lung/lower lobe/left/patchy,Opacity;Opacity;Airspace Disease,Xray Chest PA and Lateral,"XXXX, XXXX, XXXX.",None.,The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is ill-defined airspace opacity in the posterior left lower lobe. There is focal opacity in the right upper lobe which suggests scar and/or granulomatous calcification. There is no pneumothorax or pleural effusion.,"1. Patchy left lower lobe airspace disease, concerning for pneumonia. 2. Right upper lobe opacity, favoring scarring and/or granulomas. ."
1118,normal,normal,2 views Chest: XXXX,Chest pain for 2 days. Productive XXXX. XXXX,None.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,1. No acute pulmonary abnormality.
1119,Lung/hypoinflation;Markings/bronchovascular;Granulomatous Disease;Deformity/lumbar vertebrae/severe,Lung;Markings;Granulomatous Disease;Deformity,"PA and lateral views of the chest XXXX hours XXXX, XXXX. ",XXXX-year-old male with chest pain.,None.,Low lung volumes with bronchovascular crowding. Sequela of prior granulomatous disease. Otherwise lungs clear. Heart size normal. Stable severe L1 XXXX deformity.,"Low lung volumes with bronchovascular crowding, no acute cardiopulmonary finding."
1120,Lung/hypoinflation;Technical Quality of Image Unsatisfactory ,Lung;Technical Quality of Image Unsatisfactory ,"PA and Lateral Chest. XXXX, XXXX XXXX hours ",Chest pain,None available,Normal heart size and mediastinal contours. Low lung volumes with no significant airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.,"1. Limited low lung volume exam. 2. Otherwise, no acute cardiopulmonary abnormality."
1121,"Fractures, Bone/ribs/multiple/healed","Fractures, Bone",Xray Chest PA and Lateral,XXXX and chest pain starting yesterday,,The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures show several old rib fractures unchanged in the prior study on the left.,No acute pulmonary disease.
1122,normal,normal,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old XXXX with suspected pneumothorax.,None.,The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.,1. No acute intrathoracic abnormality.
1123,Opacity/lung/apex/right;Opacity/mediastinum;Markings/lung/interstitial/chronic,Opacity;Opacity;Markings,PA AND LATERAL VIEWS OF THE CHEST dated XXXX at XXXX hours ,XXXX,XXXX,"XXXX opacities projecting over the right apex and mediastinum on PA view are artifactual. Stable cardiomediastinal silhouette. Pulmonary vascularity is unremarkable. Stable chronic coarse interstitial markings, without focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX are grossly intact. XXXX right cervical rib.",1. Stable chronic lung changes without acute cardiopulmonary abnormality.
1124,Atherosclerosis/aorta;Lung/hyperdistention/mild;Spine/degenerative/diffuse,Atherosclerosis;Lung;Spine,Xray Chest PA and Lateral,Preoperative evaluation for esophageal surgery.,None,There are postoperative changes of sternotomy. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. The lungs are mildly hyperexpanded. There is no focal airspace consolidation. No pleural effusion or pneumothorax. There are diffuse degenerative changes of the spine.,"1. No focal airspace consolidation. 2. Hyperexpanded lungs, suggestive of obstructive lung disease."
1125,Cardiomegaly/borderline;Calcinosis/aorta;Lung/hyperdistention;Markings/lung/interstitial/chronic;Emphysema;Opacity/lung/base/bilateral/streaky;Pulmonary Congestion,Cardiomegaly;Calcinosis;Lung;Markings;Emphysema;Opacity;Pulmonary Congestion,"PA and Lateral Chest. XXXX, XXXX XXXX PM . ",XXXX-year-old with XXXX.,Chest x-XXXX dated XXXX.,"Borderline enlarged heart. Stable mediastinal contours. Aortic XXXX calcifications. Hyperinflated lungs with chronic appearing interstitial markings, compatible with emphysema. Bilateral streaky opacities. Increased vascularity compatible with pulmonary vascular congestion. No focal airspace disease. No acute bony abnormality.",1. Pulmonary vascular congestion. 2. Emphysema. 3. Bibasilar streaky airspace opacities.
1126,"Surgical Instruments/mediastinum;Calcinosis/aorta, thoracic;Aorta, Thoracic/tortuous;Pulmonary Atelectasis/base/right/scattered/mild;Thoracic Vertebrae/degenerative/moderate;Bone Diseases, Metabolic","Surgical Instruments;Calcinosis;Aorta, Thoracic;Pulmonary Atelectasis;Thoracic Vertebrae;Bone Diseases, Metabolic",Xray Chest PA and Lateral,XXXX-year-old male with productive XXXX and congestion presents for evaluation.,Comparison is XXXX to chest radiograph examination dated XXXX.,XXXX sternotomy XXXX and mediastinal surgical clips remain in XXXX. The cardiomediastinal silhouette is stable in appearance. The thoracic aorta is tortuous and calcified with stable appearance since XXXX exam. No focal areas of pulmonary consolidation. Scattered right basilar subsegmental atelectasis. The left lung appears clear. No pneumothorax or pleural effusion present. Moderate degenerative changes of the thoracic spine. Osteopenia. Mild loss of XXXX of a mid thoracic vertebral body.,"1. Minimal right basilar subsegmental atelectasis. Otherwise, no acute cardiopulmonary abnormality demonstrated. ."
1128,Pleural Effusion/costophrenic angle/left;Airspace Disease/lung/base/left/mild;Calcinosis/aorta;Aorta/enlarged/tortuous,Pleural Effusion;Airspace Disease;Calcinosis;Aorta,Xray Chest PA and Lateral,Pneumonia one XXXX ago with left-sided crackles,"XXXX, XXXX",,"XXXX left effusion in the left lateral costophrenic recess. Minimal residual left lung base airspace disease. Stable heart size, moderately enlarged and tortuous calcified aorta. Clear right lung."
1129,Cardiomegaly/mild;Opacity/lung/bilateral/mild,Cardiomegaly;Opacity,Xray Chest PA and Lateral,"XXXX, XXXX, left rib XXXX pain.","XXXX, XXXX.","There is mild cardiomegaly. Pulmonary vasculature is normal in caliber. There are mild XXXX opacities bilaterally, favoring scar or atelectasis. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. No acute, displaced rib fractures are demonstrated. Visualized vertebral body XXXX are grossly intact.","1. Mild cardiomegaly. 2. No acute cardiopulmonary findings. Specifically, no displaced rib fractures demonstrated. ."
1130,Calcified Granuloma/lung/base/right;Opacity/lung/base/right,Calcified Granuloma;Opacity,PA and Lateral Chest X-XXXX dated XXXX.,Difficulty breathing.,,Heart size and pulmonary vascularity appear within normal limits. Calcified granuloma is present in the right base. No pneumothorax or pleural effusion is seen. In the lateral right base is identified an ill-defined somewhat oblong opacity. This was not present on the previous study. The remainder of the lungs appear clear.,1. Ill-defined oblong opacity in the lateral right base. This may represent pleural based process. The exact XXXX is unclear. Followup exam is suggested to confirm clearing or stability.
1131,Calcified Granuloma/lung/base/right,Calcified Granuloma,Xray Chest PA and Lateral,Dyspnea.,,"2 images. Calcified granuloma, right lung base. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",No acute cardiopulmonary abnormality identified.
1133,"Lung/hyperdistention;Diaphragmatic Eventration/left;Pulmonary Disease, Chronic Obstructive","Lung;Diaphragmatic Eventration;Pulmonary Disease, Chronic Obstructive",CHEST 2V FRONTAL/LATERAL XXXX ,recurrent XXXX,"XXXX XXXX, XXXX.",Lungs are hyperexpanded. No infiltrates or masses. The eventration of the left hemidiaphragm identified previously is largely unchanged since the previous computed tomogram. Pulmonary XXXX are normal.,Findings of COPD with no acute changes.
1134,"Catheters, Indwelling/left","Catheters, Indwelling",Chest x-XXXX XXXX and lateral on XXXX at XXXX hours. ,XXXX-year-old female with chest pain.,Chest x-XXXX on XXXX,There is a left chest XXXX with tip in the mid SVC. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.,No acute cardiopulmonary abnormalities.
1135,Calcified Granuloma/lung/base/left/small,Calcified Granuloma,"Chest x-XXXX AP and lateral, 2 views. ","XXXX,",XXXX,"Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable. Stable small calcified granuloma left base. No XXXX acute findings/opacities/infiltrates noted.",No radiographic evidence of acute cardiopulmonary disease
1136,normal,normal,Chest x-XXXX XXXX ,XXXX,XXXX,Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,No acute cardiopulmonary process.
1137,normal,normal,Xray Chest PA and Lateral,,,,
1138,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, testicular cancer.",None,No pleural effusions. No pneumothorax. No focal areas of consolidation. Heart size within normal limits. Osseous structures intact.,No acute cardiopulmonary abnormality. .
1139,Cardiomegaly;Opacity/lung/interstitial;Pulmonary Edema/interstitial,Cardiomegaly;Opacity;Pulmonary Edema,PA and Lateral Chest Radiograph ,Dyspnea,,Cardiomegaly. Mediastinal contours are normal limits. Increased interstitial opacities. No pneumothorax or large pleural effusion. No acute osseous abnormality.,Cardiomegaly and increased interstitial opacities XXXX represent interstitial edema.
1140,"Catheters, Indwelling;Osteophyte/thoracic vertebrae/degenerative","Catheters, Indwelling;Osteophyte","PA and lateral chest XXXX, XXXX at XXXX ",History of necrotizing granulomas.,None,,Heart size normal. Central catheter tip in upper SVC. Lungs are clear. Degenerative spur overlies the posterior inferior aspect one of the mid thoracic vertebral bodies.
1141,normal,normal," Two-view chest. XXXX hours XXXX, XXXX. ",XXXX onset XXXX.,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1142,normal,normal,Xray Chest PA and Lateral,,,,
1143,Thickening/bronchovascular;Lung/hyperdistention/mild;Lung/hilum/enlarged,Thickening;Lung;Lung,Xray Chest PA and Lateral,Chest pain,"XXXX, XXXX",,"There is XXXX peribronchial cuffing noted on the lateral view with fullness in the perihilar regions, more conspicuous than on the prior study. These can be manifestations of reactive airways disease. There is no lobar pneumonia. Lungs are mildly hyperinflated."
1144,normal,normal,"PA and lateral views of the chest dated XXXX, XXXX.","Chest pain, palpitations.","XXXX, XXXX.","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.
1145,Lung/hyperdistention,Lung,"PA and LATERAL views of the chest, dated XXXX, XXXX XXXX XXXX","XXXX-year-old female with osteoporosis, emphysema",XXXX,Lungs are hyperexpanded. There is no focal airspace consolidation. No suspicious pulmonary mass or nodule is seen. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.,"1. No focal air space consolidation. 2. Hyperexpanded lungs, suggestive of emphysema."
1146,Calcified Granuloma/lung/lingula,Calcified Granuloma, Frontal and lateral views of the chest dated XXXX,"XXXX doesn't feel well, under a XXXX of XXXX",None,Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Calcified lingular pulmonary granuloma. Normal pulmonary vascularity.,No acute abnormality.
1147,normal,normal,Xray Chest PA and Lateral,,,,
1148,normal,normal,Xray Chest PA and Lateral,Chest pain,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,Negative chest x-XXXX.
1149,Calcified Granuloma/lung/hilum/bilateral/multiple,Calcified Granuloma,Chest X XXXX 2 XXXX PA and lateral ,The patient is a XXXX-year-old male with chest pain.,None.,"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.
1150,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1151,normal,normal,Two-view chest x-XXXX XXXX at XXXX hours. ,"XXXX, wheezing.",XXXX.,"Frontal and lateral views of the chest demonstrate the cardiomediastinal silhouette normal. There is normal distribution of the pulmonary vascularity. The lungs are clear. No effusion, consolidation, or pneumothorax.","Stable chest x-XXXX, without acute cardiopulmonary findings."
1152,"Cardiomegaly;Atherosclerosis/aorta, thoracic;Spine/degenerative/chronic",Cardiomegaly;Atherosclerosis;Spine,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX a.m. ",XXXX-year-old male with history of heart attack,None,"The heart is enlarged. The mediastinum is unremarkable. Atherosclerotic calcifications present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are noted within the spine.",1. Cardiomegaly without acute cardiopulmonary abnormality.
1153,normal,normal,Xray Chest PA and Lateral,The patient is a XXXX-year-old male with positive PPD. History of BCG vaccination.,None.,"No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact.",No acute cardiopulmonary abnormality. No evidence of active tuberculosis. .
1154,Arthritis/humerus/left;Spine/degenerative;Implanted Medical Device/shoulder/right,Arthritis;Spine;Implanted Medical Device,Xray Chest PA and Lateral,Preop shoulder surgery,None.,Normal heart size. Clear lungs. Degenerative this disease within the spine. Prosthetic right shoulder. Possible XXXX body in the axillary recess of the left shoulder. Degenerative left glenohumeral osteoarthritis.,No acute pulmonary findings.
1155,Scoliosis,Scoliosis,Xray Chest PA and Lateral,XXXX XXXX female. Immunosuppressed.,Chest 2 views. XXXX.,Stable scoliosis XXXX. The lungs are clear. Heart size normal. No pneumothorax.,1. Clear lungs. No radiographic evidence of tuberculosis. 2. Stable scoliosis XXXX. .
1156,normal,normal,"2 view CHEST: XXXX, XXXX at XXXX hours. ",Ingestion,None,,"Heart size at upper limits normal. Mediastinal silhouette otherwise, and pulmonary vascularity are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax."
1157,Opacity/lung/upper lobe/hilum/left;Pneumonia/upper lobe/left,Opacity;Pneumonia,Xray Chest PA and Lateral,XXXX-year-old with XXXX and XXXX.,None.,"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.
1158,Cardiomegaly/mild;Aorta/tortuous,Cardiomegaly;Aorta," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",dyspnea,"XXXX, XXXX.",Heart size remains slightly large. Aorta remains tortuous. Pulmonary XXXX remain normal. No infiltrates or masses in the lungs.,Continued slight cardiomegaly with no evidence for failure or pneumonia.
1159,normal,normal,Chest x-XXXX XXXX ,Chest pain.,XXXX,Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,No acute cardiopulmonary process.
1160,Pulmonary Atelectasis/upper lobe/left;Cysts/lung/upper lobe/left;Thickening/pleura/apex/left;Cicatrix/lung/upper lobe/left;Tuberculosis/lung/healed,Pulmonary Atelectasis;Cysts;Thickening;Cicatrix;Tuberculosis," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX immigrant. tb overseas is asymptomatic,"Immigration radiograph dated XXXX, XXXX.","The left hilum is retracted superiorly. In the collapsed left upper lobe are stranding and pneumatoceles. Additionally, pleural thickening is present in the left apex. No infiltrates are present in the left lower lobe or in the right lung. Heart size is normal. These findings are similar to the previous outside examination.",Stable left upper lobe collapse associated with parenchymal scarring and pleural thickening. Findings consistent with previous active pulmonary tuberculosis pneumonia.
1161,normal,normal,"PA and lateral views of the chest dated XXXX, XXXX.",Chest and back pain x2 months.,None.,"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.
1162,normal,normal,Xray Chest PA and Lateral,states having left rib pain along side and under left breast/hx of asthma/no hx of surgery/nonsmoker/hx of cervical cancer several yrs ago. shielded,,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
1163,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. ",XXXX-year-old woman with pain.,None.,"The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Heart size upper limit of normal. Visualized osseous structures of the thorax are without acute abnormality.",No acute cardiopulmonary abnormality.
1164,Cardiomegaly/borderline;Mediastinum/prominent;Lung/hypoinflation;Markings/bronchovascular,Cardiomegaly;Mediastinum;Lung;Markings,Xray Chest PA and Lateral,"XXXX-year-old female, pain",,,"Borderline heart size, improved mediastinal widening. No focal alveolar consolidation, no definite pleural effusion seen. Mild hypoventilation, bronchovascular crowding without typical findings of pulmonary edema."
1165,normal,normal,Xray Chest PA and Lateral,Chest pain. Shortness of breath. The patient's lower abdomen was shielded for this exam.,None.,"Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.","No acute or active cardiac, pulmonary or pleural disease."
1166,Lung/hypoinflation;Opacity/lung/base/bilateral/streaky;Pulmonary Atelectasis;Infiltrate/lung,Lung;Opacity;Pulmonary Atelectasis;Infiltrate,Xray Chest PA and Lateral,"Right-sided chest pain, muscle spasms",,Low lung volumes. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Streaky bibasilar airspace opacities. No pneumothorax or pleural effusion. No acute osseous findings.,"Low lung volumes with streaky bibasilar opacities, XXXX subsegmental atelectasis over infiltrate."
1167,Lung/hyperdistention;Opacity/lung/lingula;Pulmonary Atelectasis/lingula;Cicatrix/lung/lingula;Atherosclerosis/aorta;Spine/degenerative;Calcinosis/blood vessels,Lung;Opacity;Pulmonary Atelectasis;Cicatrix;Atherosclerosis;Spine;Calcinosis,Xray Chest PA and Lateral,"XXXX, lung transplant evaluation.",,"The lungs are hyperexpanded. There are XXXX opacities in the lingula, XXXX subsegmental atelectasis or scarring. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. There are degenerative changes of the spine.","1. No focal airspace consolidation. 2. Hyperexpanded lungs, suggestive of emphysema. 3. Lingular subsegmental atelectasis or scarring."
1168,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM",XXXX,None,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1169,"Lung/hypoinflation;Opacity/lung/upper lobe/right/round;Opacity/ribs/anterior;Pulmonary Atelectasis/base/right/mild;Catheters, Indwelling/left","Lung;Opacity;Opacity;Pulmonary Atelectasis;Catheters, Indwelling",Xray Chest PA and Lateral,,None,"Lung volumes are low. There is vague opacity in the right upper lung near the anterior right first rib on PA view. This may be artifact relating to calcification at the first rib costicartilage junction. There is minimal atelectasis in the right lung base. There is left-sided PICC line, the distal tip in the lower superior vena XXXX. The heart and pulmonary XXXX are normal. These contours are normal.",1. Vague nodular opacity near the anterior right first rib costicartilage junction. This may be calcification. 2. Minimal streaky atelectasis in the right lung base.
1170,Cardiomegaly/mild,Cardiomegaly,Chest XXXX and lateral ,XXXX-year-old male with chest pain,None available.,"No pneumothorax, pleural effusion, or focal airspace disease. Mild cardiomegaly. Cardio mediastinal silhouette unremarkable. Bony structures appear intact.",Mild cardiomegaly.
1171,Lung/hypoinflation;Markings/bronchovascular;Airspace Disease/lung/base/right,Lung;Markings;Airspace Disease,PA and Lateral Chest ,XXXX-year-old female with XXXX and XXXX x2 weeks.,None available.,Heart size upper limits of normal. Low lung volumes with mild bronchovascular crowding and right basilar airspace disease. No pneumothorax or effusions.,Low lung volumes with right base airspace disease.
1172,normal,normal,"PA and lateral views of the chest dated XXXX, XXXX.",Midsternal chest pain radiating to left arm. Shortness of breath.,"XXXX, XXXX.","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.
1173,Atherosclerosis/aorta;Aorta/tortuous/mild;Emphysema;Diaphragm/flattened;Costophrenic Angle/blunted;Cicatrix,Atherosclerosis;Aorta;Emphysema;Diaphragm;Costophrenic Angle;Cicatrix,"PA and Lateral Chest: XXXX, XXXX at XXXX a.m.",XXXX-year-old female with shortness of breath. History of COPD.,"XXXX, XXXX","PA and moderate loss of the chest demonstrate stable moderate cardiomediastinal silhouette with atherosclerotic calcifications of the aortic XXXX and mild aortic ectasia. Emphysematous changes with flattening of the hemidiaphragms. Blunting of the costophrenic XXXX, and XXXX secondary to scarring/emphysematous changes. No evidence of focal airspace consolidation large pleural effusion or pneumothorax. Visualized osseous structures appear intact.",Emphysematous changes without evidence of focal airspace disease or pulmonary edema.
1174,Opacity/lung/middle lobe/right;Infiltrate/lung/middle lobe/right,Opacity;Infiltrate,Chest radiograph PA and lateral on XXXX at XXXX. ,XXXX-year-old female with chest pain.,Chest radiograph on XXXX.,"Normal cardiac contours. No pneumothorax or pleural effusions. Clear left lung XXXX. Right middle lobe with increased opacities, XXXX representative of infiltrate.",1. No pneumothorax or pleural effusion. 2. Right middle lobe infiltrate.
1175,normal,normal, CHEST 2V FRONTAL/LATERAL. ,chest pain,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1176,normal,normal,Xray Chest PA and Lateral,XXXX symptoms for one XXXX. Chest palpitations,Chest x-XXXX XXXX,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .,1. No acute pulmonary abnormality.
1177,Scoliosis/thoracic vertebrae;Thoracic Vertebrae/degenerative,Scoliosis;Thoracic Vertebrae,Chest 2 views ,XXXX onset of XXXX.,XXXX.,Normal heart. Clear lungs. Trachea midline. Scoliosis of lower thoracic spine. Degenerative changes of thoracic spine.,No acute cardiopulmonary abnormality.
1178,normal,normal,"Chest radiograph, 2 views. ",XXXX-year-old XXXX with XXXX loss and ESR of 92.,None.,Trachea is midline. Normal heart. Clear lungs. No pneumothorax. No pleural effusion.,Normal chest exam.
1179,Opacity;Cicatrix/mild;Surgical Instruments/abdomen/right;Spine/degenerative,Opacity;Cicatrix;Surgical Instruments;Spine,PA and Lateral Chest X-XXXX dated XXXX.,"Backache, asthma.",XXXX.,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. A few bandlike opacities are present on the lateral view which appear to represent small areas of scarring. Surgical clips are present in the right upper quadrant of the abdomen. Degenerative changes are present in the spine.,1. No evidence of active disease.
1180,"Aorta, Thoracic/tortuous/mild;Spine/degenerative","Aorta, Thoracic;Spine",Xray Chest PA and Lateral,Melanoma,None,Heart size and pulmonary vascularity appear within normal limits. There is mild tortuosity to the descending thoracic aorta. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules or adenopathy are noted. Degenerative changes are present in the spine.,No evidence of active disease.
1182,normal,normal,PA and Lateral Chest,"XXXX-year-old female, XXXX, XXXX",None,"Heart size within normal limits. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.",No acute findings
1183,normal,normal,"CHEST PA and LATERAL: on XXXX, XXXX. ",This is a XXXX-year-old male patient with complaints of chest pain.,"Chest x-XXXX, XXXX, XXXX.",,The cardiac silhouette is normal in size and configuration. The mediastinum and perihilar structures appear unremarkable. The lungs appear to be clear of any focal infiltrates. Osseous structures appear to be within normal limits. No pneumothorax is seen. No free air is appreciated beneath hemidiaphragms.
1184,Lung/hypoinflation;Markings/bronchovascular;Pulmonary Atelectasis/base/bilateral,Lung;Markings;Pulmonary Atelectasis,"Chest radiographs, 2 XXXX and lateral ","XXXX-year-old male, assault",,"The heart size and mediastinal contours appear within normal limits. Low lung volumes on the AP view with bronchovascular crowding and bibasilar atelectasis. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.",No acute cardiopulmonary findings.
1187,Opacity/lung/base/bilateral,Opacity,"CHEST PA and Lateral on XXXX, XXXX ",XXXX-year-old with shortness of breath,XXXX,"Minimally increased XXXX airspace opacities bilaterally, most prominent in the lung bases. Heart size is within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.","Minimally increased air space opacities bilaterally, most prominent in the lung bases. Findings are nonspecific, but may represent subsegmental atelectasis versus mild interstitial edema or an atypical infectious process."
1188,normal,normal, CHEST 2V FRONTAL/LATERAL. ,chest pain,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1189,Granulomatous Disease;Thoracic Vertebrae/degenerative/mild,Granulomatous Disease;Thoracic Vertebrae,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old with chest pain.,None.,"Normal heart size and hilar vascular markings. Evidence of prior granulomatous disease. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax. There are no acute osseous abnormalities present. Mild degenerative changes of the thoracic spine. The soft tissues are within normal limits.",1. No acute radiographic cardiopulmonary process.
1190,normal,normal, Two-view chest. ,XXXX and dyspnea.,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1191,normal,normal," Two views of the chest XXXX, XXXX XXXX hours. ",Dyspnea.,None.,"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.
1192,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX PM . ",Shortness of breath.,XXXX.,"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.
1193,Cardiac Shadow/enlarged;Airspace Disease/lung/base/bilateral,Cardiac Shadow;Airspace Disease,"PA lateral chest x-XXXX dated XXXX, XXXX XXXX a.m. ",XXXX-year-old male with dyspnea.,XXXX.,"Stable enlarged cardiac silhouette. Persistent bilateral lower lobe airspace disease, not significantly XXXX compared to prior. No pleural effusion or pneumothorax. No acute bony abnormality.",No significant change compared to prior. Bibasilar airspace disease may represent infection or mild edema.
1194,Aorta/tortuous/mild;Deformity/clavicle/right/chronic;Markings/lung/interstitial,Aorta;Deformity;Markings,Xray Chest PA and Lateral,"XXXX-year-old female, XXXX, pain all over",None,,"Heart size within normal limits, minimal aortic ectasia/tortuosity. Abnormal interstitial pattern, nonspecific in appearance with XXXX differential diagnosis including chronic interstitial lung disease, infectious, inflammatory process, atypical pulmonary edema. Not highly characteristic appearance of contusion or aspiration. Chronic appearing contour deformity of the distal right clavicle suggests old injury. No definite pleural effusion seen, no pneumothorax."
1195,Stents/coronary vessels,Stents,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old male, COPD and XXXX.",None.,"Coronary artery stents visualized. 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.",No acute cardiopulmonary process.
1196,Atherosclerosis/aorta;Airspace Disease/lung/lower lobe/left;Surgical Instruments/breast/right,Atherosclerosis;Airspace Disease;Surgical Instruments,Xray Chest PA and Lateral,LUNG CANCER;,,The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. XXXX airspace disease within the left lower lung. The remainder of the lungs are clear. There is no pleural effusion or pneumothorax. Surgical clips overlying the right breast.,XXXX left lower lobe airspace disease.
1197,Pulmonary Congestion/bilateral,Pulmonary Congestion,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",Chest pain.,none,"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.",1. No acute pulmonary disease.
1198,Calcified Granuloma/lung/lower lobe/right,Calcified Granuloma,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.",Chest pain,"XXXX, XXXX",,The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. Right lower lobe calcified granuloma. There is no focal air space consolidation. No pleural effusion or pneumothorax.
1199,normal,normal,"CHEST ( FRONTAL AND LATERAL): XXXX, XXXX. ",Positive PPD.,None,The cardiomediastinal silhouette is within normal limits. The lungs are well expanded without consolidation or edema. No pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.,No radiographic evidence of active cardiopulmonary disease.
1200,Opacity/lung/hilum/right/small,Opacity,XR PA and lateral chest. ,"XXXX, smoking.",None,The heart is not enlarged. The central pulmonary vasculature is not engorged. Visualized osseous structures are unremarkable. No pneumothorax or pleural effusion. Small right juxtahilar opacity may represent infiltrate. Lungs are otherwise well aerated.,Small right juxtahilar opacity may represent infiltrate in the setting of XXXX. Followup chest x-XXXX is recommended at an appropriate interval following treatment to document XXXX.
1202,"Cardiomegaly;Hypertension, Pulmonary;Pulmonary Congestion","Cardiomegaly;Hypertension, Pulmonary;Pulmonary Congestion","CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ","cp, sob",None,"The heart is large, and the pulmonary XXXX are engorged. No infiltrates.",Cardiomegaly and pulmonary venous hypertension.
1203,Opacity/lung/upper lobe/left/patchy;Lung/hyperdistention;Infiltrate/lung/upper lobe/left,Opacity;Lung;Infiltrate,Xray Chest PA and Lateral,XXXX X 2 WEEKS.,XXXX,The heart is normal in size. The mediastinum is unremarkable. There is XXXX patchy opacity in the left upper lobe. Possibility of tuberculosis should be excluded. No pleural effusion is seen. There is no pneumothorax the lungs are hyperinflated.,XXXX left upper lobe infiltrate.
1204,"Cardiomegaly/mild;Aorta, Thoracic/tortuous/mild","Cardiomegaly;Aorta, Thoracic",2 views chest PA and Lateral XXXX ,Chest pain,XXXX,"PA and lateral views the chest were obtained. Heart size is upper limits normal or mildly enlarged. The thoracic aorta is mildly tortuous. Pulmonary XXXX are within normal limits. No pneumothorax, pleural effusion, or focal air space consolidation.",No acute cardiopulmonary disease.
1205,normal,normal,"Chest radiographs, 2 images. ",XXXX-year-old with dyspnea. Preop for bariatric studies.,None.,Normal heart size. Clear lungs without pneumothorax or pleural effusion.,Normal chest exam.
1206,normal,normal,Xray Chest PA and Lateral,",786.2 XXXX-XXXX with congestion.",,,"Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified. Stable chest."
1207,normal,normal,Xray Chest PA and Lateral,chronic XXXX,None,The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal. There is no pneumothorax.,No acute cardiopulmonary disease
1208,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old male with XXXX.,PA and lateral chest radiograph XXXX.,"The heart size and cardiomediastinal silhouette are normal. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact with mild degenerative changes in thoracic spine.",No acute cardiopulmonary finding.
1209,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old XXXX with shortness of breath.,None.,"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 acute cardiopulmonary abnormality.
1210,Deformity/thoracic vertebrae/mild;Thoracic Vertebrae/degenerative/mild,Deformity;Thoracic Vertebrae,PA and lateral chest radiographs dated XXXX at XXXX hours.,XXXX-year-old with scheduled hip replacement. Surgical XXXX radiographs.,None.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There mild degenerative changes of the thoracic spine. There is a slight XXXX deformity of the lower thoracic body which is age-indeterminate.",Age-indeterminate lower thoracic slight XXXX deformity otherwise negative exam.
1211,normal,normal,"A lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old female, or a persistent pain, nausea, vomiting.",None available,Normal heart size mediastinal contours. No focal airspace opacity. No pneumothorax or pleural effusion. Visualized XXXX are unremarkable in appearance.,No acute cardiopulmonary abnormalities.
1212,normal,normal,Xray Chest PA and Lateral,Malignant melonoma,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1213,Medical Device,Medical Device,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",Chest pain and weakness.,None.,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."
1214,Cicatrix/lung/lingula/focal;Pulmonary Atelectasis/lingula,Cicatrix;Pulmonary Atelectasis,Xray Chest PA and Lateral,XXXX year old XXXX for a XXXX.,AP chest XXXX with contrast XXXX,The heart is normal in size and contour. There is a focal area of scarring or XXXX atelectasis identified in the lingula. The lungs are otherwise clear without focal infiltrate. There is no pneumothorax or effusion.,Focal area of XXXX scarring or atelectasis within the lingula. No acute pulmonary process.
1216,normal,normal,PA and lateral chest,"XXXX-year-old female, MVC, pain",None,"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. No acute osseous injury XXXX demonstrated.",No acute XXXX related findings. Please note that nondisplaced fractures may not be demonstrated.
1217,Lung/hypoinflation;Costophrenic Angle/blunted,Lung;Costophrenic Angle,Xray Chest PA and Lateral,XXXX;,,The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated with blunted costophrenic XXXX. No focal consolidation is seen.,No acute infiltrate.
1218,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, preoperative.",None.,"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. .
1219,normal,normal,"PA and Lateral Chest. XXXXth, XXXX XXXX hours ",XXXX-year-old female with syncope,None available,Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.,No acute cardiopulmonary abnormality.
1220,"Lung/bilateral/hyperdistention;Lung, Hyperlucent/bilateral;Diaphragm/flattened;Pulmonary Emphysema/chronic;Costophrenic Angle/bilateral/blunted;Calcinosis/mediastinum/lymph nodes;Calcinosis/lung/hilum/lymph nodes;Calcified Granuloma/lung/base/left","Lung;Lung, Hyperlucent;Diaphragm;Pulmonary Emphysema;Costophrenic Angle;Calcinosis;Calcinosis;Calcified Granuloma","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. Three total images. ",XXXX-year-old XXXX with chest tightness.,"Two-view chest radiograph dated XXXX, XXXX.","There is hyperexpansion, hyperlucency of both lungs, as well as flattening of the diaphragm consistent with chronic emphysematous lung disease. No focal consolidation, pneumothorax, or large pleural effusion identified (blunting of costophrenic recesses bilaterally may represent small effusions or pleural thickening/scar. Stable calcified mediastinal and hilar lymph XXXX and a left basilar calcified granuloma. Acute osseous abnormality. The mediastinal silhouette stable.",Changes of chronic emphysematous lung disease without acute cardiopulmonary abnormality identified.
1221,No Indexing,No Indexing,Xray Chest PA and Lateral,,Chest x-XXXX XXXX,"No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.",No acute cardiopulmonary abnormality.
1222,No Indexing,No Indexing,CHEST 2V FRONTAL/LATERAL XXXX,chest pain,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1223,Foreign Bodies/thorax/left,Foreign Bodies,PA lateral chest x-XXXX XXXX,Multiple myeloma,None,The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. XXXX XXXX foreign body is noted in the soft tissues of the left chest wall.,No evidence of active disease.
1224,No Indexing,No Indexing,CHEST 2V FRONTAL/LATERAL XXXX ,please evaluate for left basilar crackles,XXXX.,The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1225,"Aorta, Thoracic/tortuous/mild","Aorta, Thoracic",Xray Chest PA and Lateral,Altered mental status.,None. Clinical,Heart size is normal. There is mild tortuosity of the thoracic aorta. No consolidating airspace disease is seen. No pleural effusion or pneumothorax.,No acute abnormality identified.
1226,Consolidation/lung/lower lobe/right/posterior/focal;Pneumonia/lower lobe/right,Consolidation;Pneumonia,The chest 2 views PA and lateral. ,"XXXX, XXXX.",None.,The heart size is within normal limits. Trachea is midline. No pleural effusions or pneumothorax. Cardiomediastinal contours are normal. There is focal consolidation in the posterior segment of the right lower lobe. No bony or soft tissue abnormalities.,Right lower lobe pneumonia.
1228,"Aorta/tortuous;Aorta, Thoracic/tortuous/mild","Aorta;Aorta, Thoracic",Xray Chest PA and Lateral,"Chest pain x1.5 hours. Worsening with deep inspiration, radiating to right shoulder.",None,,Three total images. Heart size is normal. Tortuous aorta including mildly ectatic appearing ascending aorta. No comparisons are available to evaluate stability. Normal pulmonary vascularity. No focal infiltrates or pleural effusions. No pneumothorax.
1229,"Lung/hyperdistention;Atherosclerosis/aorta;Pulmonary Disease, Chronic Obstructive","Lung;Atherosclerosis;Pulmonary Disease, Chronic Obstructive",Xray Chest PA and Lateral,COPD with productive XXXX,None,There is hyperinflation of the lungs appear to be clear. There is no pleural effusion or The heart is normal. There are atherosclerotic changes of the aorta. The skeletal structures are normal.,COPD. No acute pulmonary disease.
1230,Cardiomegaly/mild;Pleural Effusion/right;Infiltrate/lung/lower lobe/right;Hydropneumothorax/right,Cardiomegaly;Pleural Effusion;Infiltrate;Hydropneumothorax,PA and lateral chest 3 images,followup consolidation mass. Brain metastasis versus abscess.,,,Left lung clear. Slight cardiomegaly. Right effusion. Right lower lobe infiltrate. Two air-fluid levels in the right hemithorax most XXXX representing hydropneumothorax. This radiographic finding could also represent empyema with a bronchopleural fistula. CT scan with IV contrast may be helpful.
1231,"Catheters, Indwelling/left","Catheters, Indwelling",Xray Chest PA and Lateral,ALLOGENEIC BMT W/U LAB DX.LYMPHOMA;,None,The heart is normal in size. The mediastinum is unremarkable. Left subclavian central catheter tip in distal SVC. No pneumothorax. The lungs are clear.,No acute disease.
1232,Implanted Medical Device/left;Emphysema;Calcified Granuloma/multiple,Implanted Medical Device;Emphysema;Calcified Granuloma,Chest XXXX and lateral,XXXX-year-old male with presyncope.,XXXX.,"Stable left chest cardiac XXXX generator with 2 distal leads in right atrium and right ventricle. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Emphysema. Stable calcified granulomas. Bony structures appear intact.",Emphysema without acute cardiopulmonary findings.
1233,Cardiac Shadow/enlarged;Lung/hypoinflation;Diaphragm/right/elevated;Density/lung/base/left;Cardiomegaly;Cicatrix/lung/base/left/mild;Pulmonary Atelectasis/base/left/mild,Cardiac Shadow;Lung;Diaphragm;Density;Cardiomegaly;Cicatrix;Pulmonary Atelectasis, PA and lateral views. ,XXXX-year-old. Chest pain.,"XXXX, XXXX.","Enlarged cardiomediastinal silhouette. Low lung volumes. Relative elevation of right hemidiaphragm. XXXX left base density. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",Cardiomegaly without heart failure. Minimal XXXX left basilar scarring/atelectasis.
1234,"Cardiac Shadow/enlarged;Atherosclerosis/aorta, thoracic;Cicatrix/lung/lingula;Pulmonary Atelectasis/lingula/mild;Costophrenic Angle/left/blunted;Cardiomegaly;Surgical Instruments",Cardiac Shadow;Atherosclerosis;Cicatrix;Pulmonary Atelectasis;Costophrenic Angle;Cardiomegaly;Surgical Instruments,Xray Chest PA and Lateral,Tachycardia. History of bypass surgery.,None. Clinical,2 images. The cardiac silhouette is enlarged. Thoracic aortic atherosclerotic calcifications are present. There are finding status post sternotomy and CABG. XXXX atelectasis or scar is noted within the left midlung. There is blunting of the left costophrenic XXXX. No pneumothorax.,1. Cardiomegaly. 2. Minimal left midlung atelectasis. 3. Blunting of left costophrenic XXXX. This could indicate a small amount of pleural fluid versus pleural-parenchymal scarring.
1235,Opacity;Lung/hypoinflation;Pulmonary Atelectasis/lingula/focal,Opacity;Lung;Pulmonary Atelectasis,CHEST 2V FRONTAL/LATERAL,cp,None,Lung volumes are XXXX. XXXX opacities are present in the angulate. No focal infiltrates. Heart size normal.,Hypoinflation with lingular focal atelectasis.
1236,normal,normal,Xray Chest PA and Lateral,XXXX.,None.,"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. .
1237,Opacity/lung/base/left;Calcinosis/lung/base/left,Opacity;Calcinosis,"Chest, 2 XXXX and Lateral ",XXXX-year-old male with positive PPD.,None available,"Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. There is is a calcified XXXX opacity in the left lung base suggestive of old empyema, hematoma, or prior TB. No cavitary lesions are seen. XXXX are grossly unremarkable.",1. Clear lungs. No radiographic evidence of active TB.
1238,normal,normal,PA and Lateral Chest X-XXXX dated XXXX.,XXXX.,None.,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.,1. No evidence of active disease.
1239,normal,normal, PA and lateral chest. ,dyspnea.,None.,,Heart size normal and lungs are clear. No edema or pneumonia. No effusion
1240,"Tube, Inserted/left;Catheters, Indwelling/left;Consolidation/lung/lower lobe/left;Airspace Disease/lung/base/right/mild;Atherosclerosis/aorta;Spine/degenerative/diffuse","Tube, Inserted;Catheters, Indwelling;Consolidation;Airspace Disease;Atherosclerosis;Spine",Xray Chest PA and Lateral,Pneumonia,,Feeding tube passes below the left hemidiaphragm. Left subclavian central line tip is at the upper SVC. Shunt tubing courses along the anterior left hemithorax. There is grossly stable left lower lobe consolidation. Stable mild residual medial right basilar airspace disease. There is no pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. There are diffuse degenerative changes of the spine.,"1. Stable left lung consolidation, possibly infectious pneumonia and/or aspiration. Recommend followup radiographs after treatment to ensure complete resolution. 2. Stable mild residual medial right basilar airspace disease."
1241,Scoliosis/thoracic vertebrae,Scoliosis,PA and lateral chest x-XXXX XXXX,Chest pain,XXXX,"The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is a scoliosis of the thoracic spine. The ribs, as visualized, appear unremarkable.",No evidence of active disease.
1242,Aorta/tortuous;Sarcoidosis;Cicatrix/lung/apex/bilateral,Aorta;Sarcoidosis;Cicatrix,CHEST 2V FRONTAL/LATERAL ,"Shortness of breath, XXXX, sarcoidosis",XXXX,The heart is normal in size. The mediastinum is stable with tortuous aorta. There are chronic changes particularly noted in the lung apices. The XXXX are mildly prominent but stable. No acute infiltrate is seen. There is no pleural effusion.,Chronic parenchymal changes XXXX reflecting sequela of patient's known sarcoidosis. No acute disease.
1243,"Cardiac Shadow/enlarged;Catheters, Indwelling/left;Opacity/lung/base/bilateral;Pleural Effusion/bilateral;Pulmonary Atelectasis/left;Cardiomegaly","Cardiac Shadow;Catheters, Indwelling;Opacity;Pleural Effusion;Pulmonary Atelectasis;Cardiomegaly"," Chest radiograph, frontal and lateral views",,XXXX,"Cardiac silhouette is enlarged but unchanged. There is left-sided XXXX central line with a XXXX lumen. Poly vasculature is within normal limits. Mediastinum is normal. Bibasilar opacity, left greater than right is appreciated. No pneumothorax.",1. Left pleural effusion with adjacent atelectasis. XXXX right effusion is also present. 2. Cardiomegaly without overt edema.
1244,Opacity/lung/base/bilateral;Colonic Interposition/mediastinum;Airspace Disease/lung/base/bilateral,Opacity;Colonic Interposition;Airspace Disease,PA and lateral chest x-XXXX XXXX. ,XXXX-year-old XXXX with productive XXXX,Chest radiograph XXXX XXXX,"Redemonstration of colonic interposition overlying the mediastinum. There are increased bibasilar airspace opacities, left greater than right. No pneumothorax or large pleural effusion.",1. Bibasilar airspace disease left greater than right. 2. Stable postsurgical changes with colonic interposition overlying the mediastinum.
1245,Cardiomegaly;Aorta/tortuous,Cardiomegaly;Aorta,Xray Chest PA and Lateral,"XXXX-year-old female, heart palpitations",,,"Cardiomegaly, aortic ectasia/tortuosity, cardiomediastinal silhouette appears similar to prior. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema."
1246,Granulomatous Disease;Spondylosis/thoracic vertebrae;Breast Implants/bilateral,Granulomatous Disease;Spondylosis;Breast Implants,Xray Chest PA and Lateral,XXXX.,None.,Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Thoracic spondylosis. Bilateral breast prostheses with XXXX calcification.,No acute findings.
1248,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,PA and Lateral Chest ,XXXX-year-old male with weakness.,Right rib films from XXXX.,Heart size is normal. No focal consolidations. There are degenerative changes throughout the midlower thoracic spine. No pneumothorax or pleural effusion.,No acute cardiopulmonary findings.
1249,Calcified Granuloma/lung/lower lobe/left/multiple,Calcified Granuloma,Chest 2 views dated XXXX at XXXX hours. ,XXXX-year-old female with dyspnea.,None Available.,The lungs are clear without evidence of focal airspace disease. There are calcified granulomas in the left lower lobe. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.,No radiographic evidence of acute cardiopulmonary disease.
1250,Calcified Granuloma/lung/hilum/bilateral/multiple/large;Calcinosis/lung/hilum/lymph nodes/bilateral/multiple/large,Calcified Granuloma;Calcinosis,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old female with chest pain.,None.,"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.",No acute cardiopulmonary abnormality..
1252,normal,normal, PA and lateral chest ,hypertension cigarette smoking history of XXXX disease.,,,"Heart size is upper limits normal and lungs are clear. No pneumonia, edema, or effusions."
1253,normal,normal,Xray Chest PA and Lateral,XXXX,,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,No evidence of active disease.
1254,normal,normal,Xray Chest PA and Lateral,"Right flank pain, right-sided pain. Diminished breath sounds.",None.,"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. .
1255,"Tube, Inserted/thorax/right;Lung/hypoinflation;Pneumoperitoneum/small","Tube, Inserted;Lung;Pneumoperitoneum",Xray Chest PA and Lateral,Followup chest tube. Evaluate for pneumothorax.,Portable chest radiograph XXXX,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. .
1256,Thoracic Vertebrae/degenerative;Calcinosis/mild,Thoracic Vertebrae;Calcinosis,XR Chest PA and Lateral,XXXX year old chest pain for 2 hours.,PA and lateral chest XXXX.,"The heart is normal in size and contour. There is mild calcification of the transverse XXXX. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Degenerative changes of the midthoracic spine are noted.",No acute cardiopulmonary disease.
1257,Cardiomegaly/mild;Lung/hypoinflation;Opacity/lung/base/right;Sclerosis/humerus/bilateral;Sclerosis/spine;Calcinosis/abdomen;Pulmonary Atelectasis;Cholelithiasis,Cardiomegaly;Lung;Opacity;Sclerosis;Sclerosis;Calcinosis;Pulmonary Atelectasis;Cholelithiasis,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with XXXX onset of chest pain.,None.,"Mild cardiomegaly. Hypoinflation of the lungs. Right basilar XXXX opacity may represent atelectasis. Lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. Sclerosis of the humeral XXXX bilateral, XXXX from prior AVN. Sclerotic vertebral body endplates with central depression. Calcifications in the right hemiabdomen may represent calcified gallstones.",1. Right basilar opacities favored to represent atelectasis. 2. Stigmata of XXXX cell disease. 3. Cholelithiasis.
1258,No Indexing,No Indexing,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",dyspnea/XXXX,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1259,normal,normal,CHEST 2V FRONTAL/LATERAL ,XXXX,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1260,normal,normal,Xray Chest PA and Lateral,"Throat pain, XXXX, XXXX-year-old female",None available,,The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.
1261,Cardiomegaly/mild;Aorta/tortuous,Cardiomegaly;Aorta,PA and lateral views of the Chest on XXXX ,Syncope,None,"Mild cardiomegaly. Normal pulmonary vascularity. Tortuosity of the descending aorta. No focal infiltrate, pneumothorax or pleural effusion.",Mild cardiomegaly.
1262,Lung/hypoinflation;Pneumothorax;Ribs/right/anterior/prominent,Lung;Pneumothorax;Ribs,"CHEST (PA AND LATERAL) on XXXX, XXXX",Pneumonia.,PA and lateral on XXXX.,The cardiac silhouette mediastinal contours are within normal limits. There are low lung volumes. There is no focal consolidation. There is pneumothorax. There is no large pleural effusion. There is prominent right anterior first rib end.,No acute cardiopulmonary disease.
1263,normal,normal,"Chest, 2 views, frontal and lateral",Preop surgery,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute findings.
1264,normal,normal,Xray Chest PA and Lateral,"XXXX, XXXX symptoms. Dyspnea.",None.,"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. .
1265,Density/round;Lung/hyperdistention;Diaphragm/flattened;Calcified Granuloma/lung/lower lobe/right,Density;Lung;Diaphragm;Calcified Granuloma,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX. ",XXXX-year-old female with dyspnea.,Images from chest x-XXXX performed on XXXX are not available at this time for comparison.,"Normal heart size. There is a round density in the AP XXXX. XXXX study performed in XXXX is not available for review at this time. Lungs are hyperinflated with flattened diaphragms. Calcified right lower lobe granuloma. No focal airspace consolidation, pneumothorax, or pleural effusion. No pulmonary edema. No acute bony abnormality.","Circumscribed structure in the AP XXXX could represent lymphadenopathy, mass, pulmonary arterial abnormality XXXX as aneurysm, or enlargement of the left atrial appendage. As prior chest x-XXXX are not available online at this XXXX should be considered."
1266,Calcified Granuloma/multiple,Calcified Granuloma,"CHEST (PA AND LATERAL). XXXX, XXXX XXXX PM",Testis cancer,Chest 2 views. XXXX.,The lungs are clear. There are calcified granulomas. Heart size is normal. No pneumothorax.,No acute cardiopulmonary abnormality.
1267,normal,normal,PA lateral views of the chest dated XXXX. ,"XXXX-year-old female, dyspnea.",None,No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.,No acute cardiopulmonary abnormality.
1268,"Aorta, Thoracic/tortuous","Aorta, Thoracic",Xray Chest PA and Lateral,"Pain, syncope",None,"The cardiomediastinal silhouette is normal size and configuration. The thoracic aorta is tortuous. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. There is no obvious displaced rib fracture. If there is concern for fracture consider rib series.",No acute cardiopulmonary disease. .
1269,Lung/hyperdistention;Foreign Bodies/breast/left,Lung;Foreign Bodies,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours.",XXXX-year-old female. XXXX. XXXX.,None.,"Normal heart size. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Left nipple silhouette visualized. Negative for acute bone abnormality.","Hyperexpanded lungs, otherwise clear."
1270,normal,normal,Xray Chest PA and Lateral,XXXX and XXXX.,None.,"2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",No acute cardiopulmonary abnormality identified.
1271,Lung/hypoinflation,Lung,Xray Chest PA and Lateral,"XXXX year old syncope, XXXX today.",None.,"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.",No acute cardiopulmonary disease.
1272,Calcified Granuloma/scattered/multiple;Implanted Medical Device/humerus/right,Calcified Granuloma;Implanted Medical Device,"Chest x-XXXX and Lateral views, dated XXXX, XXXX XXXX PM ","XXXX-year-old XXXX with polyarthralgia, evaluate for infection",XXXX,There are scattered calcified granulomas. The lungs are otherwise clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour. Right humeral internal fixation XXXX is noted.,No evidence of active disease.
1273,Cardiomegaly/mild;Lung/hyperdistention,Cardiomegaly;Lung,Xray Chest PA and Lateral,Shortness of breath,XXXX,Heart is mildly enlarged stable. Mediastinal contour is normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces.,1. Stable mild cardiomegaly. 2. Hyperexpanded but clear lungs.
1274,normal,normal,Xray Chest PA and Lateral,"Anterior chest pain, difficulty breathing",None,"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. .
1275,Deformity/ribs/right;Lung/hypoinflation/severe;Opacity/lung/base/bilateral;Opacity/lung/middle lobe/bilateral;Implanted Medical Device/left;Surgical Instruments/heart,Deformity;Lung;Opacity;Opacity;Implanted Medical Device;Surgical Instruments,AP portable chest,"XXXX-year-old male, XXXX not otherwise specified",None,,"Age-indeterminate contour deformity of the right lateral 8th rib, if findings localize to this region, suspect acute fracture. Very low lung volumes, central and basilar opacities most suggestive of atelectasis. Heart size near top normal limits for technique, left infraclavicular cardiac XXXX generator with right atrial and right ventricular leads, sternotomy XXXX, CABG clips. Evaluation for pleural fluid limited but no large pleural effusion seen. No pleural line of pneumothorax."
1276,Calcified Granuloma/lung/upper lobe/right/multiple,Calcified Granuloma,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX a.m. ",XXXX-year-old male with chest pain and shortness of breath,None,"The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Calcific granulomas are present in the right upper lobe. The XXXX are unremarkable.",No acute cardiopulmonary abnormality.
1277,Pulmonary Atelectasis/middle lobe/right/mild,Pulmonary Atelectasis,2 views chest PA and Lateral XXXX ,Palpitation,XXXX,"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 lobar air space consolidation. XXXX right middle lobe collapse appears less distinct than on prior study.",No acute cardiopulmonary disease.
1278,normal,normal,CHEST 2V FRONTAL/LATERAL ,Bilateral breast cancer,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1279,"Catheters, Indwelling/right;Surgical Instruments/abdomen/right","Catheters, Indwelling;Surgical Instruments",PA and Lateral of the Chest,XXXX-year-old with allogenic bone marrow transplant workup.,"XXXX, XXXX.",There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits. The right upper extremity PICC tip is in the upper SVC. Surgical clips in the right upper abdomen.,No acute cardiopulmonary findings.
1280,normal,normal,2 views of the chest XXXX/XXXX.,Preop XXXX,XXXX,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 acute abnormality.
1281,Spine/degenerative,Spine,Xray Chest PA and Lateral,"Headache, XXXX, and congestion.","XXXX, XXXX",Normal heart size and mediastinal contours. Lungs are clear. There is no pneumothorax or pleural effusion. Degenerative changes are seen in the spine.,No acute cardiopulmonary process. .
1282,Opacity/lung/lower lobe/right/patchy;Airspace Disease/lung/lower lobe/right/mild,Opacity;Airspace Disease,"AP and lateral chest x-XXXX XXXX, XXXX XXXX hours ","Arterial female, shortness of breath, XXXX","Chest x-XXXX XXXX, XXXX",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."
1283,Calcified Granuloma/multiple;Calcinosis/aorta,Calcified Granuloma;Calcinosis,PA and lateral chest radiographs dated XXXX at XXXX hours.,XXXX-year-old with osteoarthritis of the left hip scheduled for total hip replacement. Preop for surgical XXXX for the hip replacement.,Two views of the chest dated XXXX.,"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 calcified granulomas noted. There are vascular calcifications over the aortic XXXX.",No acute cardiopulmonary disease.
1284,"Implanted Medical Device/left;Opacity/lung/base/bilateral;Calcinosis/aorta, thoracic;Pulmonary Atelectasis/base/bilateral",Implanted Medical Device;Opacity;Calcinosis;Pulmonary Atelectasis,"PA and Lateral Chest Radiographs : XXXX, XXXX XXXX XXXX",OTHER;,Chest XXXX,Left-sided dual-XXXX cardiac XXXX in stable position. The heart is of normal size. Interval decrease and left basilar opacity. Increase in XXXX opacities in the right lung base. No pneumothorax or large effusion. The pulmonary vascularity is unremarkable. Calcification of the thoracic aorta.,1. Cardiac XXXX in stable position. 2. Increase in right and decrease in left basilar atelectasis.
1285,Nodule/lung/hilum/right/prominent;Lung/hypoinflation;Markings/lung/mild;Deformity/clavicle/left,Nodule;Lung;Markings;Deformity,2 views chest XXXX,Coughing,XXXX,"PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Mild nodular prominence of the right hilum, without significant change. Lung volumes are decreased, with crowding. There is no pneumothorax, pleural effusion, or focal air space consolidation.",1. Low lung volumes with mild crowding.
1286,Cardiomegaly/mild;Calcinosis/aorta,Cardiomegaly;Calcinosis,"PA and lateral chest XXXX, XXXX at XXXX with comparison 20 XXXX ",breast cancer right scapular pain rule out mass.,,,Stable slight cardiomegaly. Sternotomy. Lungs clear. No destructive lesions of the ribs. No masses or nodules. Stable resection of distal left clavicle. No XXXX fractures of the thoracic spine. Aortic calcification.
1287,Granulomatous Disease;Thoracic Vertebrae/degenerative,Granulomatous Disease;Thoracic Vertebrae,Xray Chest PA and Lateral,Prostatectomy. Preop evaluation.,None.,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.
1288,Epicardial Fat/bilateral/prominent;Opacity/lung/lingula/patchy/mild;Airspace Disease/lung/lingula/patchy/mild,Epicardial Fat;Opacity;Airspace Disease,2 views chest PA and Lateral XXXX ,Productive XXXX,XXXX,PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Prominent bilateral pericardial fat pads. The lungs are well aerated. There is minimal patchy and XXXX air space opacity within the lingula favored as atelectasis.,"Minimal XXXX patchy airspace disease within the lingula, may reflect atelectasis or infiltrate."
1289,Costophrenic Angle/bilateral/blunted;Pleural Effusion/bilateral/large,Costophrenic Angle;Pleural Effusion,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",Pt has recent pancreatitis now with XXXX,None,One XXXX are low. Both costophrenic XXXX are blunted. Pulmonary XXXX are normal. No visible infiltrates in the aerated lungs.,"Bilateral large pleural effusion, possibly from pleuritis or sympathetic from the known pancreatitis."
1290,"Calcified Granuloma/lung/lower lobe/left;Calcinosis/lung/lower lobe/left;Nodule/lung/lower lobe/left;Hernia, Hiatal/moderate;Calcinosis/mediastinum/lymph nodes/left","Calcified Granuloma;Calcinosis;Nodule;Hernia, Hiatal;Calcinosis"," Chest radiograph, frontal and lateral views",,None,"There is a 22 x 14 mm calcified nodule in the left lower lobe. A moderate hiatal hernia is present. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.",1. No acute cardiopulmonary disease. 2. Calcified left paraesophageal versus intrapulmonary lymph node. 3. Moderate hiatus hernia.
1291,Lung/hilum/left/prominent/mild,Lung,"Chest, 2 views, frontal and lateral",Preop organ prolapse surgery,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Mild prominence left hilar contour. Bony structures are intact.,No acute preoperative findings.
1292,"Cardiomegaly/borderline;Aorta, Thoracic/tortuous;Spine/degenerative;Fractures, Bone/clavicle/right;Lucency/clavicle/left/round/small;Bone and Bones/degenerative","Cardiomegaly;Aorta, Thoracic;Spine;Fractures, Bone;Lucency;Bone and Bones","PA and Lateral Chest. XXXX, XXXX XXXX PM . ",Pain.,None.,"Borderline enlarged heart. Torturous/ectatic thoracic aorta. No focal pulmonary opacity, pleural effusion or pneumothorax. There are degenerative changes of the spine. There is fracture of distal right clavicle, better seen on the right shoulder radiographs dated XXXX. Small round lucency in the distal left clavicle, appears benign. Degenerative changes of both XXXX joints.","1. Borderline enlarged heart. 2. Tortuous/ectatic thoracic aorta. 3. Fracture of the distal right clavicle, better seen on today's radiograph of the shoulder."
1293,normal,normal,Xray Chest PA and Lateral,,,,
1294,normal,normal,"And lateral chest XXXX, XXXX XXXX hours.",Pain.,XXXX.,Lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.,No active disease.
1295,Lung/hypoinflation;Spine/degenerative/mild,Lung;Spine,Xray Chest PA and Lateral,"XXXX, wheezing, XXXX.",None.,Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Mild degenerative changes are present in the spine.,1. No evidence of active disease.
1296,normal,normal,Xray Chest PA and Lateral,XXXX,,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
1297,normal,normal,Xray Chest PA and Lateral,,,,
1300,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with neck pain. Sore throat and headache. Runny nose and XXXX. XXXX.,Two views of the chest dated XXXX.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. The patient is obese.",No acute cardiopulmonary disease.
1301,Calcinosis/mediastinum,Calcinosis,Xray Chest PA and Lateral,"XXXX-year-old male, hypoxia",,"Heart size within normal limits, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",No acute findings
1302,Aorta/tortuous;Spine/degenerative,Aorta;Spine,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",CP,XXXX,Lungs are clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable with ectasia of the aorta. Heart size is upper limits of normal. Degenerative changes in the spine.,Stable appearance of the chest without acute abnormality.
1303,"Mass/lung/upper lobe/right/posterior;Opacity/heart/left;Hernia, Hiatal","Mass;Opacity;Hernia, Hiatal"," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX bleed,"XXXX, XXXX.","In the interval, a 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe. In addition, on the PA view, an 8 mm opacity is adjacent to the left XXXX of the heart. This opacity cannot be well identified on the lateral view. It may be artifactual, but another mass on the left cannot be excluded. Mediastinum is normal with no evidence for adenopathy. Heart size normal. Note XXXX of an unchanged hiatal hernia.","XXXX right upper lobe mass, suspicious for neoplasm. CT of chest abdomen and head would be helpful for further evaluation."
1304,normal,normal, XXXX and lateral chest. ,XXXX,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
1305,normal,normal, Two-view chest. ,,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1306,Lung/hypoinflation;Scoliosis,Lung;Scoliosis,Xray Chest PA and Lateral,Chest pain.,,"The XXXX examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. XXXX scoliosis is unchanged. Visualized upper abdomen is grossly unremarkable.",No evidence of acute cardiopulmonary process or significant interval change.
1307,Density/lung/base/left;Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left;Surgical Instruments/left;Lucency/clavicle/left,Density;Pulmonary Atelectasis;Cicatrix;Surgical Instruments;Lucency,Xray Chest PA and Lateral,melanoma dx XXXX. No chest complaints.,None,The lungs appear clear. There are no suspicious pulmonary nodules or masses. XXXX density in the left lung base XXXX represents atelectasis or scarring. The heart and XXXX very XXXX are normal. Pleural spaces are clear. Surgical clips are identified in the left axilla. There is lucency involving the lateral aspect of the left clavicle. Metastatic disease cannot be excluded.,1.Lucency in the left lateral clavicle near the acromioclavicular joint. Metastatic disease is possible. 2. Clear lungs
1308,normal,normal,Xray Chest PA and Lateral,XXXX.,None.,Normal heart size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable XXXX.,No acute cardiopulmonary process. .
1309,normal,normal,Xray Chest PA and Lateral,"Chest pain, feels out of it.",None.,"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. .
1310,normal,normal,CHEST 2V FRONTAL/LATERAL RADXXXX ,Dyspnea,None.,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.,No acute cardiopulmonary abnormality.
1311,Lung/hypoinflation;Markings/bronchovascular;Cardiac Shadow/enlarged/borderline,Lung;Markings;Cardiac Shadow,Chest X XXXX 2 XXXX PA and lateral ,"The patient is a XXXX-year-old female with history of a mild PPD reaction, screening x-XXXX..",XXXX,"Low lung volumes with redemonstrated bronchovascular crowding. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The cardiac silhouette size is borderline enlarged.","1. Borderline enlargement of cardiac silhouette, otherwise no acute cardiopulmonary abnormality. No evidence for active TB."
1312,normal,normal, PA and lateral chest. ,chest pain.,,,Heart size upper limits normal. Clear lungs. No pneumonia or effusions.
1313,Calcinosis/lung/hilum/lymph nodes/bilateral;Opacity/lung/base/bilateral;Pleural Effusion/bilateral/small;Pulmonary Atelectasis/base/bilateral;Airspace Disease/lung/base/bilateral,Calcinosis;Opacity;Pleural Effusion;Pulmonary Atelectasis;Airspace Disease,"Chest radiographs, 2 XXXX and lateral ","XXXX-year-old male with XXXX, shortness of breath",XXXX,"The heart size is within normal limits. There are calcified hilar lymph XXXX bilaterally. There are bibasilar airspace opacities with small bilateral pleural effusions, left greater than right. No pneumothorax. No acute bony abnormalities.","Small bilateral pleural effusions with bibasilar atelectasis and/or airspace disease, left greater than right."
1314,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old female, chest pain.",PA and lateral views the chest dated XXXX.,There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Osseous structures intact.,No acute cardiopulmonary abnormality.
1315,normal,normal,Frontal and lateral chest on XXXX XXXX. ,Chest pain.,None available.,"Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity.",Normal exam.
1316,normal,normal," PA and lateral chest XXXX, XXXX at 13 minutes after XXXX p.m. ",anemia.,None.,,Heart size normal. Lungs clear.
1317,Pulmonary Atelectasis/base/left/mild;Foreign Bodies/thorax/left;Density/thorax/left,Pulmonary Atelectasis;Foreign Bodies;Density,PA AND LATERAL CHEST X-XXXX at XXXX on XXXX ,"The left lateral rib pain, XXXX, gunshot wound 40 years ago",None,Lungs are clear. There is minimal atelectasis in the left base. No effusion or pneumothorax. Heart and mediastinal contours within normal limits. XXXX density foreign body present in the soft tissues overlying the left lateral chest wall. Visualized osseous structures intact.,"Minimal atelectasis left base, no acute abnormality."
1318,normal,normal,"PA and lateral chest XXXX, XXXX at XXXX hours.",Pain.,,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.
1319,normal,normal,PA lateral chest x-XXXX XXXX,"Transplant, XXXX evaluation",None,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,No evidence of active disease.
1320,Calcified Granuloma/lung/upper lobe/left;Lung/hypoinflation;Markings/bronchovascular,Calcified Granuloma;Lung;Markings,"PA and Lateral views of the Chest performed on XXXX, XXXX. ",XXXX-year-old male with dyspnea.,None.,"Calcified granuloma is noted in the left upper lobe. There are low lung volumes, with bronchovascular crowding as a result. Heart size is within normal limits. Normal mediastinal contours. No pleural effusion, pneumothorax or focal airspace disease. No free subdiaphragmatic air. The osseous structures are grossly intact.",Low lung volumes. No acute pulmonary disease.
1321,Pulmonary Fibrosis/bilateral/interstitial,Pulmonary Fibrosis,"PA and lateral chest XXXX, XXXX at XXXX comparison XXXX XXXX ",History of dyspnea,,,Heart size is normal. Lungs are clear of pneumonia. Patient has stable interstitial fibrotic changes throughout both lungs.
1322,normal,normal,Xray Chest PA and Lateral,"786.2,786.07, 66yof with productive XXXX with wheezing in a XXXX",,The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal.,No acute cardiopulmonary disease
1323,normal,normal,Chest x-XXXX XXXX and lateral on XXXX at XXXX hours. ,XXXX-year-old male with chest pain.,Chest x-XXXX on XXXX,The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.,No acute cardiopulmonary abnormalities.
1324,Scoliosis/thoracic vertebrae/right,Scoliosis,Xray Chest PA and Lateral,,"XXXX, vomiting, blood",No there is an dextroscoliosis of the thoracic spine. 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.
1326,"Catheters, Indwelling/right;Opacity/lung/hilum/right;Diaphragm/right/elevated;Pneumothorax/apex/right;Thoracic Vertebrae/degenerative;Opacity/lung/base/right/streaky/multiple;Opacity/lung/middle lobe/right","Catheters, Indwelling;Opacity;Diaphragm;Pneumothorax;Thoracic Vertebrae;Opacity;Opacity",Xray Chest PA and Lateral,"XXXX-year-old female, status post chest tube removal, evaluate for pneumothorax.",Portable chest dated XXXX.,,"Stable right-sided subclavian central venous catheter with tip approximating the SVC. Stable right suprahilar opacity, compatible with history of right upper lobe mass. Elevation of the right hemidiaphragm. Right-sided pneumothorax noted measuring approximately 1.8 cm from the the right apex. Stable postsurgical changes left axilla. Degenerative changes thoracic spine. Stable streaky opacities right base. XXXX opacity right midlung, question fluid level, incompletely evaluated, no recent XXXX for comparison."
1327,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old female with history of asthma; preoperative evaluation. XXXX: XXXX and lateral chest radiographs XXXX.,,"The heart is normal size with normal appearance the cardiomediastinal silhouette. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact with degenerative changes in thoracic spine.",No acute cardiopulmonary finding.
1328,Calcified Granuloma/lung/left,Calcified Granuloma,Xray Chest PA and Lateral,XXXX-year-old with shortness of breath and weakness. Hypertension. Diabetes.,Two views of the chest dated XXXX.,"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 left lung calcified granuloma noted. There has been resolution of the left-sided airspace disease.",No acute cardiopulmonary disease.
1329,Nodule/lung/upper lobe/right;Nodule/lung/lower lobe/left,Nodule;Nodule,Xray Chest PA and Lateral,History of testicular cancer status post bone marrow transplant,None.,"Two nodules are noted in the right XXXX XXXX measuring 13 mm and one measuring 16 mm in diameter. The smaller one appears to be within the right upper lobe and the large XXXX appears to be within the left lower lobe. No focal consolidation and no other pulmonary nodules are identified. However, if a full evaluation for lung nodules is desired consider XXXX for further evaluation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.",At XXXX 2 right lung pulmonary nodules concerning for<BR>metastatic disease
1330,normal,normal,PA and lateral chest radiographs. XXXX/XXXX at XXXX hours. ,XXXX-year-old male with shortness of breath.,PA and lateral chest radiographs XXXX.,"Heart size and cardiomediastinal silhouette are normal. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures are grossly intact.",Negative for acute cardiopulmonary findings.
1331,Lung/hypoinflation;Opacity/lung/base/bilateral;Markings/bronchovascular,Lung;Opacity;Markings,CHEST 2V FRONTAL/LATERAL ,"Positive PPD, hemoptysis",None,"The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. with XXXX opacities in the lung bases, XXXX bronchovascular crowding. No focal consolidation or pleural effusion are seen.",Low lung volumes with bibasilar opacities XXXX bronchovascular crowding. No acute infiltrate.
1332,Aorta/tortuous;Calcinosis/aorta;Opacity/lung/base/left;Opacity/lung/lingula;Pulmonary Atelectasis;Cicatrix/lung,Aorta;Calcinosis;Opacity;Opacity;Pulmonary Atelectasis;Cicatrix,Xray Chest PA and Lateral,XXXX XXXX and chills for one XXXX. Chest pressure.,None,,"Heart size is upper normal. Tortuous and calcified aorta. No edema. Bandlike left base and lingular opacities XXXX scarring or atelectasis. No lobar consolidation, pleural effusion or pneumothorax."
1333,"Hernia, Diaphragmatic;Bone Diseases, Metabolic/thoracic vertebrae;Deformity/thoracic vertebrae/anterior","Hernia, Diaphragmatic;Bone Diseases, Metabolic;Deformity",PA AND LATERAL VIEWS OF THE CHEST dated XXXX at XXXX hours ,Shortness of breath,XXXX,"Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascularity is unremarkable. Morgagni hernia, stable. Lungs are expanded and clear of air space disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals diffuse demineralization with stable anterior wedging at the lower thoracic levels.",1. No acute cardiopulmonary abnormality.
1334,normal,normal,PA and lateral views of the chest ,XXXX heartbeat and dizziness,None,Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,No acute cardiopulmonary abnormality.
1335,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",upper back pain,"XXXX, XXXX",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.,1. No acute pulmonary disease.
1336,Implanted Medical Device/left;Cardiac Shadow/enlarged;Cardiomegaly,Implanted Medical Device;Cardiac Shadow;Cardiomegaly,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. ",XXXX-year-old male with continued XXXX. Evaluate for pneumonia.,XXXX.,"Left-sided XXXX/ICD device and leads are stable. Stable enlarged cardiac silhouette. No focal airspace consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.",Stable cardiomegaly without acute cardiopulmonary disease.
1337,Lung/hypoinflation;Technical Quality of Image Unsatisfactory ,Lung;Technical Quality of Image Unsatisfactory ,"Two-view XXXX and lateral, XXXX ",Chronic pain after arrest,None,,1. Low lung volumes 2. Exam limited on lateral view by superimposed soft tissue and bony structures of the arm 3. Lungs appear grossly clear. No evidence of pneumonia. 4. Heart and pulmonary XXXX appear normal 5. Pleural spaces are clear 6. Mediastinal contours appear normal 7. No acute cardiopulmonary disease on this exam
1338,No Indexing,No Indexing,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",worsening XXXX,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1339,Pneumothorax/right/small,Pneumothorax,Chest radiograph AP and left lateral decubitus XXXX/XXXX at XXXX. ,XXXX-year-old male for rule out pneumothorax.,,Small 3.3 mm right-sided pneumothorax only visible on the left lateral decubitus film. Left lung is clear. Normal cardiac contour. No evidence of pleural effusion.,1. Small 3.3 mm right-sided pneumothorax.
1340,normal,normal,Xray Chest PA and Lateral,XXXX year old female with XXXX.,Two views of the chest from XXXX from XXXX.,Heart size is normal. No focal consolidations. No pneumothorax or pleural effusion.,Negative chest. .
1341,"Catheters, Indwelling/right","Catheters, Indwelling",PA and lateral chest radiograph (2 views) (2 images) ,"Rule out tuberculosis, facility placement.","XXXX, XXXX",Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. The distal tip of a right IJ dual-lumen central venous catheter is at the XXXX which junction.,No evidence of active disease.
1342,Lung/hyperdistention/mild;Diaphragm/posterior/flattened,Lung;Diaphragm,PA and Lateral Chest,"XXXX-year-old female, XXXX distress",None,"Mildly hyperinflated lungs with flattened posterior diaphragm. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. No pneumothorax.","Mildly hyperinflated lungs, air trapping versus inspiratory XXXX."
1343,"Cardiomegaly/mild;Calcinosis;Hernia, Hiatal/moderate;Thoracic Vertebrae/degenerative","Cardiomegaly;Calcinosis;Hernia, Hiatal;Thoracic Vertebrae",Xray Chest PA and Lateral,XXXX year old preop assessment.,Two-view chest XXXX.,There is mild cardiomegaly. The transverse XXXX is calcified. There is a moderate hiatal hernia. The lungs are clear without focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes of the thoracic spine are noted.,1. Mild cardiomegaly and moderate hiatal hernia.
1344,normal,normal,PA and lateral views of the chest ,"Epigastric pain, vomiting, XXXX, chills for one XXXX","XXXX, XXXX",Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,No acute cardiopulmonary abnormality.
1345,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX 10 ",chest pain,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
1346,"Catheters, Indwelling/right;Spine/degenerative/diffuse","Catheters, Indwelling;Spine",Xray Chest PA and Lateral,XXXX-year-old male with altered mental status. Evaluate central venous catheter placement.,,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.
1347,normal,normal,"Portable radiograph of the chest, single view, Portable AP view.",XXXX-year-old female. Left numbness after XXXX.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.",Negative for acute abnormality.
1348,"Lung/hypoinflation;Markings/lung/base/bronchovascular/mild;Pulmonary Atelectasis/base/bilateral/mild;Fractures, Bone/ribs/left;Deformity/ribs/right","Lung;Markings;Pulmonary Atelectasis;Fractures, Bone;Deformity",Xray Chest PA and Lateral,Right-sided chest pain.,None.,"The lungs are hypoinflated with mild basilar bronchovascular crowding/atelectasis. There is a fracture of the left anterior 7th rib and XXXX the left anterior 6th rib, of uncertain acuity. Correlate with XXXX tenderness. There is mild XXXX atelectasis in the left lung base. There is corticated deformity of the right anterior 7th rib, XXXX remote fracture. There is no evidence of pneumothorax or large pleural effusion.","1. Suspected fractures of the left anterior 6th and 7th ribs, of uncertain acuity. Correlate with XXXX tenderness. 2. Low lung volumes with mild basilar atelectasis, left greater than right. ."
1349,Calcified Granuloma,Calcified Granuloma,PA and Lateral Chest X-XXXX dated XXXX.,Throat cancer.,XXXX.,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma is identified.,1. No evidence of active disease.
1350,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with hand and chest pain.,None.,Chest. No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size is normal. No focal thoracic bony findings. Hand. There is also cortical and trabecular irregularity through the XXXX of the scaphoid. There is a small cortical lucency through the base of the fourth metacarpal that may be a vascular XXXX.,Hand 1. Minimally displaced fracture through the XXXX of the scaphoid. 2. Lucency through the base of the fourth metacarpal. This may represent a vascular XXXX or if XXXX tenderness exists over this location then fracture is more XXXX. Chest 1. No acute cardiopulmonary findings. .
1351,Aorta/enlarged/tortuous/mild,Aorta,"PA and lateral chest XXXX, XXXX at XXXX with comparison 23 XXXX ",History of XXXX loss,,,"Heart size is normal. Stable dilated slightly tortuous aorta. Lungs are clear. No edema or effusions. No nodules, masses, or adenopathy."
1352,Cicatrix/lung/upper lobe/right,Cicatrix,"PA and lateral views of the chest dated XXXX, XXXX.",Chest pain.,"XXXX, XXXX.","The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is stable XXXX scarring in the right upper lobe. Lungs are otherwise clear. There is no XXXX focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",No acute cardiopulmonary findings.
1353,"Airspace Disease/lung/right/diffuse;Consolidation/lung/base/right;Catheters, Indwelling/right;Pneumonia/right/focal/multiple","Airspace Disease;Consolidation;Catheters, Indwelling;Pneumonia",PA and Lateral Chest ,XXXX-year-old female with XXXX.,Portable chest from XXXX.,"There is diffuse right-sided airspace disease, with dense consolidation in the right base. A right upper extremity PICC is seen with the tip in the right brachiocephalic vein, representing an interval retraction of approximately 6 cm. No pneumothorax or large effusions. Heart size within normal limits.",Multifocal right-sided pneumonia.
1354,Lung/hypoinflation;Markings/bronchovascular,Lung;Markings,PA and lateral views of the Chest performed XXXX/XXXX.,XXXX year old with chest pain.,None.,"The heart is normal in size and contour. The lung volumes are low with bronchovascular crowding. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.",No acute cardiopulmonary disease.
1355,Lung/hypoinflation;Markings/bronchovascular;Opacity/lung/base/bilateral/streaky;Pulmonary Atelectasis;Pulmonary Congestion;Technical Quality of Image Unsatisfactory ,Lung;Markings;Opacity;Pulmonary Atelectasis;Pulmonary Congestion;Technical Quality of Image Unsatisfactory ,PA and lateral chest,"XXXX year old female, chest pain",None,"Low lung volumes with streaky bibasilar opacities, right greater than left. Bronchovascular crowding, indistinct central vascular margination. No findings to suggest pleural effusion. Accounting for technical factors heart size XXXX within normal limits.","Low lung volumes with bronchovascular crowding, bibasilar opacities XXXX due at XXXX in part to atelectasis, infiltrates, pulmonary edema difficult to entirely exclude."
1356,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX. ",XXXX-year-old female status post assault.,None.,"Normal heart size. Normal mediastinal contour. No pneumothorax, airspace consolidation, or pleural effusion. No chest XXXX XXXX. No acute bony abnormality.",No acute cardiothoracic abnormality.
1357,Cardiomegaly;Calcified Granuloma/lung/base/right,Cardiomegaly;Calcified Granuloma,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old XXXX with dyspnea, XXXX history of pulmonary fibrosis..","Two-view chest radiograph dated XXXX, XXXX..","The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardiomegaly is noted and is stable compared to prior examination from XXXX. Stable right basilar calcified granuloma. Visualized osseous structures of the thorax are without acute abnormality.",Stable cardiomegaly without acute cardiopulmonary abnormality..
1358,Thoracic Vertebrae/degenerative/moderate;Surgical Instruments/right,Thoracic Vertebrae;Surgical Instruments,PA and lateral chest radiographs XXXX XXXX hours. ,XXXX-year-old female with chest pain.,None.,"The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are moderate degenerative changes in the thoracic spine. There are postsurgical clips in the right upper quadrant.",No acute cardiopulmonary findings.
1359,normal,normal,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old male with chest pain,None available,"The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.",No acute cardiopulmonary findings.
1360,Opacity/lung/base/bilateral;Pulmonary Atelectasis/base/bilateral,Opacity;Pulmonary Atelectasis,Xray Chest PA and Lateral,"DESATURATION EPISODE OVERNIGHT, PLEASE EVALUATE FOR INFILTRATE;",Chest AP portable. XXXX.,"There are XXXX opacities within both lung bases, XXXX representing atelectasis. Heart size is upper limits of normal. No pneumothorax. No pneumothorax.",Bibasilar atelectasis. No pneumonia. .
1361,Cardiomegaly/mild;Aorta/tortuous;Opacity/right/paratracheal;Scoliosis/thoracic vertebrae/right/mild;Osteophyte/thoracic vertebrae/degenerative;Spondylosis/thoracic vertebrae,Cardiomegaly;Aorta;Opacity;Scoliosis;Osteophyte;Spondylosis,"Two-view CHEST: XXXX, XXXX at XXXX hours.",Dyspnea,"XXXX, XXXX",,"Mild cardiomegaly. Tortuous aorta. No XXXX consolidation, pleural effusion or pneumothorax. Stable right paratracheal opacity. XXXX correlated XXXX of the chest XXXX, XXXX this represents vascular shadows. Mild right apex curvature of the lower thoracic spine. Degenerative endplate spurring mid and lower thoracic spine with minimal grade 1 anterolisthesis of a lower thoracic vertebral level, XXXX T10 on T11."
1362,"Diaphragm/left/elevated;Pulmonary Atelectasis/base/left;Pulmonary Atelectasis/base/right/mild;Cardiomegaly;Atherosclerosis/aorta;Heart/left/obscured;Kyphosis/thoracic vertebrae;Bone Diseases, Metabolic/thoracic vertebrae;Deformity/thoracic vertebrae/multiple;Thoracic Vertebrae/degenerative","Diaphragm;Pulmonary Atelectasis;Pulmonary Atelectasis;Cardiomegaly;Atherosclerosis;Heart;Kyphosis;Bone Diseases, Metabolic;Deformity;Thoracic Vertebrae","Chest, 2 views, frontal and lateral",Chest pain,"XXXX, XXXX",,"Marked elevation left diaphragm with atelectasis in the left base. Mild atelectasis in the right base. Stable or line cardiac enlargement with atherosclerotic aorta. Obscured left heart XXXX. Kyphotic degenerated thoracic spine with osteopenia multilevel XXXX deformities, poorly defined due to the extensive osteopenia."
1363,normal,normal,Xray Chest PA and Lateral,XXXX,None.,"The cardiomediastinal silhouette is normal in size and contour. Negative for effusion, pneumothorax, or focal airspace consolidation. The lungs are normally aerated.","Clear lungs, no focal airspace consolidation."
1364,normal,normal,"PA and lateral views of the chest dated XXXX, XXXX.","XXXX, chest pain and XXXX x2 weeks.",None.,"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.
1365,"Fractures, Bone/ribs/right/healed;Density/bilateral/round/small","Fractures, Bone;Density",PA and Lateral Chest,"XXXX-year-old male, XXXX",XXXX,"Heart size within normal limits, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax. Small rounded bilateral axillary densities not seen on the previous exam most suggestive of artifacts, healed right lateral 10th rib fracture noted..",No acute cardiopulmonary findings
1366,normal,normal,"PA and lateral views of the chest XXXX hours XXXX, XXXX. ",XXXX-year-old with XXXX,None,Lungs are clear. Heart size normal. The XXXX are unremarkable.,No acute cardiopulmonary finding.
1367,normal,normal,Chest radiograph PA and lateral. ,XXXX-year-old XXXX with chest pain.,XXXX.,The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.,No acute cardiopulmonary findings.
1368,normal,normal,Xray Chest PA and Lateral,XXXX;,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1369,Epicardial Fat/prominent,Epicardial Fat,PA and lateral chest dated XXXX ,Dyspnea,XXXX,Heart size normal. Prominent epicardial fat. Lungs are clear. No pleural effusion or pneumothorax.,Unremarkable examination of the chest.
1370,Opacity/lung/right;Opacity/lung/base/left;Deformity/thoracic vertebrae,Opacity;Opacity;Deformity,"PA and Lateral Chest. XXXX, XXXX XXXX PM . ",XXXX-year-old with shortness of breath and XXXX.,XXXX.,"Stable cardiomediastinal silhouette. There is mild haziness in the right lung and left base, which could represent infiltrate. No pleural effusion. No pneumothorax. Stable XXXX deformity of a midthoracic vertebra.","1. Possible infiltrates in the right lung and left base. Consider CT for further evaluation, if clinically indicated."
1371,Aorta/tortuous/mild;Calcified Granuloma/lung/base/left;Granulomatous Disease;Nodule/lung/base/left,Aorta;Calcified Granuloma;Granulomatous Disease;Nodule,"2 view CHEST: XXXX, XXXX XXXX hours. ",Chest pain,None,,"Heart size is normal. Mildly tortuous aorta, otherwise mediastinal silhouette and pulmonary vascularity are within normal limits. No focal airspace consolidation of pneumonia, pleural effusion or pneumothorax. Couple of XXXX nodules in the left base are XXXX calcified sequela of old granulomatous disease. No pleural effusion or pneumothorax."
1372,Mediastinum/prominent/mild;Opacity/lung/base/bilateral/interstitial;Airspace Disease/lung/base/bilateral/mild;Pulmonary Atelectasis/base/bilateral,Mediastinum;Opacity;Airspace Disease;Pulmonary Atelectasis,"PA and Lateral Chest Radiographs : XXXX, XXXX XXXX PM","Shortness of breath, Hodgkin's lymphoma",XXXX XXXX,Heart size is within normal limits. Mild prominence of the mediastinum. Bibasilar predominantly interstitial pulmonary opacities. No visualized pneumothorax. No pleural effusion.,"1. Mild bibasilar airspace disease, probably atelectasis."
1373,Atherosclerosis/aorta;Arthritis,Atherosclerosis;Arthritis,Xray Chest PA and Lateral,Chest pain,,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.,No acute pulmonary disease.
1374,normal,normal,Xray Chest PA and Lateral,Left arm tingling.,"CT from XXXX, XXXX",Normal heart size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable XXXX.,No acute cardiopulmonary process. .
1375,Cardiomegaly;Pulmonary Edema/interstitial,Cardiomegaly;Pulmonary Edema,"PA and lateral chest XXXX, XXXX at XXXX ",History of dyspnea,None,,"Cardiomegaly with interstitial edema. No effusions, pneumonia, nodules or masses."
1376,Granulomatous Disease;Spine/degenerative,Granulomatous Disease;Spine,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",CP,XXXX,Sequelae of old granulomatous disease is again noted. Lungs are clear without focal air space disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,Clear lungs.
1377,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX XXXX ",XXXX-year-old male with chest pain.,None.,The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,No acute radiographic cardiopulmonary process.
1378,normal,normal,Chest 2 views. ,Chest pain.,"Chest single view from XXXX, XXXX.",Heart size is normal. Cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally without pleural effusion or pneumothorax. No pulmonary nodules. Bony structures are intact.,Negative for acute abnormality.
1379,normal,normal,PA lateral views the chest. ,XXXX-year-old male with XXXX.,None available.,Heart size is within normal limits. No focal airspace disease. No pneumothorax or effusion.,No acute cardiopulmonary findings.
1380,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Ventral hernia,Chest radiograph on XXXX at XXXX.,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.
1381,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with dyspnea,None.,"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..",Chest radiograph. 1. No acute radiographic cardiopulmonary process.
1382,normal,normal,Xray Chest PA and Lateral,XXXX.,"XXXX, XXXX.","2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",No acute cardiopulmonary abnormality identified.
1383,Opacity/lung/middle lobe/right;Opacity/lung/lower lobe/right;Pleural Effusion/right/small;Pulmonary Atelectasis/right;Consolidation/lung/middle lobe/right;Consolidation/lung/base/right,Opacity;Opacity;Pleural Effusion;Pulmonary Atelectasis;Consolidation;Consolidation,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, XXXX, known right pleural effusion.",Chest radiographs XXXX 10 and CT chest with contrast XXXX.,There is significant interval decrease in right middle and right lower lobe opacification. Persistent small right pleural effusion and XXXX XXXX atelectasis. No pneumothorax. Stable appearance of the cardiomediastinal silhouette. No acute bone abnormality.,1. Improved right mid lung and right basilar consolidation. 2. Decreasing right pleural effusion.
1384,normal,normal,PA and Lateral Chest X-XXXX XXXX at XXXX ,"MVA, pain",None,"The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The Heart and mediastinum are normal size and shape. XXXX and soft tissues are unremarkable.",No Acute cardiopulmonary disease.
1385,"Fractures, Bone/ribs/left/multiple/healed","Fractures, Bone",Xray Chest PA and Lateral,Onset of difficulty breathing starting last XXXX. History of reactive airway disease.,None.,"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. Old healed left 5th and 6th rib fractures are seen laterally.",No evidence of acute cardiopulmonary process.
1386,Pulmonary Artery/bilateral/prominent,Pulmonary Artery," Frontal and lateral views of the chest were obtained on XXXX, XXXX at XXXX a.m. and compared to prior study performed XXXX, XXXX ",Dyspnea,,"The cardiac silhouette and upper mediastinum are within normal limits. There is no pulmonary venous congestion. There is prominence of the pulmonary arteries, right greater than left. There is no acute air space infiltrate, pleural effusion or pneumothorax.","1. No acute pulmonary infiltrate or effusion. There is no pneumothorax. 2. Prominent bilateral XXXX, right greater than left. This appears slightly increased from the prior studies. Findings could be related to hilar lymph XXXX or enlarged pulmonary arteries. If clinically indicated, further evaluation with contrast-enhanced CT of the thorax could be performed."
1387,No Indexing,No Indexing,"PA and lateral views of the chest dated XXXX, XXXX.",Pacemaker placement.,"XXXX, XXXX.","The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is a single cardiac XXXX projecting over the right ventricle. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.","Cardiac XXXX projects over the right ventricle, without evidence of acute complication."
1388,Lung/hypoinflation,Lung,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours.",XXXX-year-old female. Pain.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX. XXXX cholecystectomy.","Low lung volumes, otherwise clear."
1389,Lung/hyperdistention,Lung,"PA and lateral chest 3 images XXXX, XXXX at XXXX comparisXXXX/XXXX ",History of chest pain XXXX nausea.,,,Heart size is normal. Lungs are clear. Overexpanded lungs suggests emphysema. No nodules masses or effusions
1390,"Catheters, Indwelling","Catheters, Indwelling",PA and lateral chest x-XXXX XXXX,"Slipped , XXXX back on right side",None,"The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. VP shunt tubing is identified. The bony structures, as visualized, appear unremarkable.",No evidence of active disease.
1391,Lung/hypoinflation;Technical Quality of Image Unsatisfactory ,Lung;Technical Quality of Image Unsatisfactory ,Xray Chest PA and Lateral,XXXX-year-old female. Weakness. Multiple sclerosis.,"XXXX, XXXX.","Stable cardiomediastinal silhouette. Low lung volumes. without focal consolidation, pneumothorax or pleural effusion. Limited lateral view given overlapping tissue silhouettes. Negative for acute bone abnormality.","Low lung volumes, otherwise clear."
1392,No Indexing,No Indexing,Two views of the chest ,"Shortness of breath, XXXX inhalation",No prior,"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.",1. No acute cardiopulmonary process.
1393,Opacity/lung/base/left;Cicatrix/lung/base/left;Pulmonary Atelectasis/base/left,Opacity;Cicatrix;Pulmonary Atelectasis,Xray Chest PA and Lateral,Endstage renal disease. History of testicular carcinoma.,,Right central venous line has been removed. Heart size and pulmonary vascularity appear within normal limits. A few bandlike opacities are present at the lateral left base. The appearance XXXX scarring or atelectasis. No focal airspace disease is seen. No discrete nodules are identified. No pneumothorax or pleural effusion is seen.,1. XXXX opacities at the lateral left base. The appearance XXXX atelectasis.
1394,Nodule/thorax/left,Nodule,"PA and lateral chest XXXX, XXXX at XXXX comparison CT from XXXX ",cigarette smoking with XXXX,,,Vague 1.5 cm nodule left mid chest periphery overlying the posterior lateral left 7th rib. Further evaluation will require a chest CT. Remainder of the lungs are clear. There is no effusion or adenopathy. Heart size is normal.
1395,normal,normal,"Radiographs of chest PA and lateral, two views. Examination date XXXX, XXXX ",Pain.,None.,,Lungs are clear. No parenchymal infiltrates. No pulmonary edema. No XXXX of pleural effusions. No XXXX of acute cardiopulmonary disease. normal
1396,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Preoperative evaluation for internal fixation of ankle fracture.,No comparison studies are currently available.,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.
1397,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, pain",,,"Heart size near top normal limits, stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema."
1398,Pulmonary Atelectasis/base/right/mild;Diaphragm/right/elevated,Pulmonary Atelectasis;Diaphragm,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. ",XXXX-year-old woman with chest pain.,None.,"The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Mild right basilar atelectasis and relative elevation of the right hemidiaphragm noted. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",No acute cardiopulmonary abnormality.
1399,Spinal Fusion/lumbar vertebrae;Spinal Fusion/thoracic vertebrae;Spondylosis/thoracic vertebrae,Spinal Fusion;Spinal Fusion;Spondylosis,Xray Chest PA and Lateral,COPD,None.,The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Partial fusion of 2 vertebral bodies near the thoracolumbar junction.,No acute process.
1400,normal,normal,CHEST 2V FRONTAL/LATERAL ,"History of sarcoidosis, XXXX, XXXX",XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1401,Infiltrate/lung/upper lobe/bilateral;Nodule/lung/upper lobe/bilateral,Infiltrate;Nodule,"PA and lateral chest XXXX, XXXX at XXXX comparison XXXX ",XXXX XXXX of breath sputum production,,,"Heart size is normal. Bilateral upper lobe XXXX, fibronodular infiltrates which have been there on prior exams."
1402,normal,normal,Xray Chest PA and Lateral,Chest tightness and dizziness with exertion x1 XXXX.,None.,"The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",No evidence of acute cardiopulmonary process.
1403,Pulmonary Atelectasis/base/bilateral/mild,Pulmonary Atelectasis,Frontal and lateral views of the chest dated XXXX ,Chest pain,None,Heart size is normal. Mild XXXX XXXX atelectasis. Lungs are otherwise clear. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,"Bibasilar atelectasis. Otherwise, no acute abnormality"
1404,"Deformity/thoracic vertebrae/anterior/multiple;Fractures, Bone/Thoracic Vertebrae","Deformity;Fractures, Bone","CHEST PA and Lateral on XXXX, XXXX ","XXXX year old with chest pain, shortness of breath, hypertension.",XXXX,No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. No acute bony abnormalities. There are stable anterior wedge XXXX deformities of 2 midthoracic vertebral bodies.,1. No acute findings. 2. Stable midthoracic vertebral body XXXX fractures.
1405,Cicatrix/lung/middle lobe/right;Cicatrix/lung/upper lobe/right;Surgical Instruments/lung/right;Atherosclerosis/aorta;Arthritis,Cicatrix;Cicatrix;Surgical Instruments;Atherosclerosis;Arthritis,Xray Chest PA and Lateral,XXXX XXXX lung surgery. Followup,"XXXX, XXXX",There is scarring in the right mid and upper lung zone with surgical clips identified as well. 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.,No acute pulmonary disease.
1406,Lung/hyperdistention,Lung,PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old HIV-positive male with a XXXX for a few days.,Two views of the chest XXXX.,The heart and mediastinum are unremarkable. The lungs are hyperexpanded. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,1. No acute cardiopulmonary disease.
1407,Granuloma/lung/base/right;Spondylosis/thoracic vertebrae,Granuloma;Spondylosis,"Chest, 2 views, frontal and lateral",XXXX.,None.,Cardiac and mediastinal contours are within normal limits. Right lung base granuloma. The lungs are otherwise clear. Thoracic spondylosis.,No acute pulmonary findings.
1408,Calcified Granuloma/lung/upper lobe/right,Calcified Granuloma,Xray Chest PA and Lateral,The patient is a XXXX-year-old female with lymphadenopathy.,,"Stable right upper lobe calcified granuloma. No pneumothorax, pleural effusion or airspace consolidation. Normal heart size and pulmonary vasculature. XXXX XXXX are grossly intact. No thoracic XXXX fractures.",No acute cardiopulmonary abnormality. .
1409,normal,normal,PA and lateral of the chest ,XXXX-year-old with XXXX.,None,No focal consolidation. No visualized pneumothorax. Heart size and cardiomediastinal silhouette are grossly unremarkable. No large pleural effusions.,1. No acute cardiopulmonary findings.
1410,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX PM ",XXXX-year-old female with history of XXXX.,None.,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.
1411,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,Xray Chest PA and Lateral,XXXX-year-old female with XXXX.,Comparison is XXXX to chest radiograph examination dated XXXX.,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.,No acute cardiopulmonary process. .
1412,Lung/apex/bilateral/obscured,Lung,Xray Chest PA and Lateral,V70.0 ROUTINE XXXX MEDICAL EXAMINATION AT A XXXX XXXX FACILITY 305.1 NONDEPENDENT TOBACCO USE XXXX,None,The lungs are clear. The heart and pulmonary XXXX appear normal. Pleural spaces are clear. The mediastinal contours are normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.,No acute cardiopulmonary disease
1413,Lung/hypoinflation;Markings/bronchovascular,Lung;Markings,Xray Chest PA and Lateral ,Chest pain.,XXXX at XXXX p.m.,Heart size is within normal limits for AP technique. Low lung volumes with bronchovascular crowding. No focal infiltrate. No visible pneumothorax. No pleural effusion.,Low lung volumes with grossly clear lungs.
1414,normal,normal," PA and lateral chest XXXX, XXXX at XXXX comparison XXXX ",XXXX XXXX,,,Heart size normal. Lungs clear. Resolution of effusion seen on prior exam
1415,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX XXXX ",chest pain,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
1416,Lung/hilum/bilateral/prominent/mild;Opacity/left;Cicatrix/left;Thoracic Vertebrae/degenerative/mild,Lung;Opacity;Cicatrix;Thoracic Vertebrae,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old female with chest pain.,Comparison is XXXX to chest radiograph examination dated XXXX.,"The cardiac silhouette is at the upper limits of normal for size. Stable, mild prominence of the bilateral hilar regions. No focal areas of pulmonary consolidation. No pneumothorax. Stable XXXX opacity in the left XXXX, XXXX representing a scar. No pleural effusion. Minimal degenerative changes of the thoracic spine. No acute, displaced rib fractures.","1. No acute intrathoracic abnormality. 2. Stable, mild prominence of the bilateral hilar regions, possibly consistent with enlarged pulmonary arteries/pulmonary hypertension. Please correlate clinically."
1417,"Lung, Hyperlucent/apex/bilateral;Lucency/lung/apex/bilateral;Cicatrix/lung/upper lobe/left","Lung, Hyperlucent;Lucency;Cicatrix","Two views, XXXX and lateral ",XXXX-year-old male for preop XXXX of subclavian arterial stent.,None available,"Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. There are increased lucencies in the bilateral apices along with horizontal oblique scarring in the left upper lobe. This could suggest emphysematous bullae. XXXX are grossly unremarkable.",1. No active disease.
1418,normal,normal,Xray Chest PA and Lateral,dexa scan osteoporosis,,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
1419,"Pulmonary Atelectasis/base/bilateral/focal/mild;Atherosclerosis/aorta, thoracic/mild",Pulmonary Atelectasis;Atherosclerosis,Xray Chest PA and Lateral,Dyspnea and congestion,None available,Cardiac silhouette and pulmonary vascularity are normal. There is mild bibasilar focal atelectasis. No evidence of pleural effusion or pneumothorax. Minimal atherosclerotic changes are present in the thoracic aorta.,Minimal bibasilar focal atelectasis.
1420,Calcinosis/lung/hilum/left;Nodule/lung/left;Markings/bronchovascular,Calcinosis;Nodule;Markings,Xray Chest PA and Lateral,"XXXX-year-old male, dyspnea, XXXX",,,"No focal alveolar consolidation, no definite pleural effusion seen, left hilar calcifications and dense nodule in the left lung suggest a previous granulomatous process. Considering differences in technical factors XXXX stable cardiomediastinal silhouette with normal heart size, bronchovascular crowding without typical findings of pulmonary edema."
1421,Cicatrix/lung/apex/right;Cicatrix/lung/base/left;Spine/degenerative/mild,Cicatrix;Cicatrix;Spine,Xray Chest PA and Lateral,XXXX-year-old with right apical scarring. Followup study. Coughing with shortness of breath. Occasional XXXX.,Two views of the chest dated XXXX and XXXX.,"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 persistent stable appearing right apical scarring. There is persistent left basilar scarring. There are minimal degenerative changes of the spine.",Chronic lung disease without superimposed acute disease identified.
1422,Opacity/lung/upper lobe/right;Opacity/lung/upper lobe/left/patchy;Consolidation/lung/upper lobe/bilateral;Pneumonia,Opacity;Opacity;Consolidation;Pneumonia,"Chest x-XXXX XXXX and lateral performed on XXXX, XXXX at XXXX hours. ",XXXX-year-old male with XXXX.,Chest x-XXXX XXXX and lateral XXXX.,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."
1423,Calcinosis/breast implants;Calcinosis/aorta;Cardiomegaly/borderline,Calcinosis;Calcinosis;Cardiomegaly,"PA and LAT view CHEST XXXX, XXXX XXXX PM","Chest pain for 3-4 days, now shortness of breath",None.,Heart size upper limits normal. Vascularity normal.Calcified breast implants obscure some detail. Lungs are clear. Vascular calcifications aorta. No pleural effusions or pneumothoraces.,"Borderline cardiomegaly, otherwise unremarkable exam."
1424,normal,normal,PA and Lateral Chest X-XXXX dated XXXX.,Abdominal pain.,XXXX.,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.,1. No evidence of active disease.
1425,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ","XXXX-year-old female, XXXX onto wheelchair..","Two-view chest radiograph dated XXXX, XXXX.","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 acute cardiopulmonary abnormality..
1426,normal,normal,"CHEST 2V FRONTAL/LATERAL RADXXXX XXXX, XXXX XXXX PM ",XXXX,,,"Comparison XXXX, XXXX. Scoliosis as before. Clear lungs. No effusions. Unremarkable mediastinal contour. No acute cardiopulmonary abnormality identified.. Stable chest."
1427,"Catheters, Indwelling;Atherosclerosis","Catheters, Indwelling;Atherosclerosis",Xray Chest PA and Lateral,"XXXX.2,780.79,786.05 bronchitis, fatigue, sob",None.,The lungs are clear. Heart size is normal. No pneumothorax. There is a cardiac XXXX with leads terminating in the right atrium and right ventricle. There are atherosclerotic calcifications.,No acute cardiopulmonary abnormality.
1428,normal,normal,PA and lateral of the chest ,XXXX-year-old with XXXX.,"Chest radiograph XXXX, XXXX.",No focal consolidation. No visualized pneumothorax. No large pleural effusions. Heart size is normal. The cardiomediastinal silhouette is grossly unremarkable.,1. No acute bony findings.
1429,normal,normal,PA and lateral views of the chest ,Chest pain.,Chest x-XXXX dated XXXX.,Mediastinal contours are normal. Heart size is within normal limits. Lungs are clear. There is no pneumothorax or large pleural effusion.,No acute cardiopulmonary abnormality.
1430,Opacity/lung/base/bilateral/patchy/mild;Pulmonary Atelectasis;Pneumonia;Pleura/blunted/mild;Pleural Effusion/bilateral,Opacity;Pulmonary Atelectasis;Pneumonia;Pleura;Pleural Effusion,Xray Chest PA and Lateral,SOB on exertion,,"Minimal patchy bibasilar airspace opacities, XXXX atelectasis or evolving pneumonia. The heart pulmonary XXXX appear normal. Is minimal blunting of the pleural spaces, XXXX XXXX effusions.","1. Minimal patchy bibasilar opacities, XXXX evolving pneumonia or atelectasis 2. XXXX bilateral pleural effusions"
1431,normal,normal,"PA and lateral views of the chest dated XXXX, XXXX.","Left arm, back, shoulder pain.",None.,"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.
1432,Spine/degenerative,Spine,Xray Chest PA and Lateral,COPD.,None.,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.,1. No evidence of active disease.
1433,Atherosclerosis/mild;Spondylosis/thoracic vertebrae,Atherosclerosis;Spondylosis,"Chest, 2 views, frontal and lateral",Preop knee surgery,"XXXX, XXXX",The cardiac contours are normal. Mild atherosclerosis. The lungs are clear. Thoracic spondylosis.,No acute preoperative findings.
1434,normal,normal," XXXX CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM. ",,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1435,normal,normal,PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old with a headache.,None.,The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,1. No acute cardiopulmonary disease.
1436,Calcinosis/aorta;Lung/hyperdistention;Diaphragm/flattened;Opacity/lung/apex/right;Density/lung/base/right/round;Nodule/lung/base/right;Emphysema;Spine/degenerative/mild,Calcinosis;Lung;Diaphragm;Opacity;Density;Nodule;Emphysema;Spine,"PA and lateral chest radiograph, XXXX at XXXX hours. ",XXXX-year-old male with worsening XXXX loss. Rule out malignancy.,None available.,"The cardiac and mediastinal contours are within normal limits. There are calcifications of the aortic XXXX. The lungs are hyperinflated with increased retrosternal airspace and flattening of hemidiaphragms. There is haziness in the right lung apex. There is a 1.7 cm nodular density in the medial right lung base seen on the frontal view, not identified on the lateral view. This may represent a vessel on end. There is no consolidation, pneumothorax, or effusion. There are mild degenerative changes of the spine.","1. Haziness in the right lung apex and questionable right middle lobe pulmonary nodule. These may be explained by overlapping structures, XXXX chest would be useful for further evaluation. 2. Emphysematous changes."
1437,Lung/hyperdistention;Granuloma/scattered,Lung;Granuloma,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Left chest and back pain.,"Radiograph Chest PA and Lateral XXXX, XXXX",The heart is normal in size and contour. There is no mediastinal widening. The lungs are hyperexpanded. Scattered granuloma. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.,No acute cardiopulmonary abnormalities.
1438,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old XXXX with positive PPD..,"Two-view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality.. Specifically, no evidence of active tuberculous process."
1439,"Opacity/lung/base/left;Pulmonary Disease, Chronic Obstructive;Pulmonary Atelectasis/base/left/focal","Opacity;Pulmonary Disease, Chronic Obstructive;Pulmonary Atelectasis",CHEST 2V FRONTAL/LATERAL XXXX,"30 lb XXXX loss in 4 XXXX, XXXX term XXXX",None,Lungs are XXXX. XXXX opacities are present in the left lung base. Heart size normal. Mediastinum normal.,Findings of COPD and left base focal atelectasis.
1440,normal,normal,"Chest, 2 views, frontal and lateral",Preoperative exam for bariatric surgery.,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute preoperative findings.
1441,"Density/retrocardiac;Hernia, Hiatal;Lung/hypoinflation","Density;Hernia, Hiatal;Lung",Xray Chest PA and Lateral,HYPERTENSION; preop hiatal hernia,None,The heart is normal in size. The mediastinum is within normal limits. There is retrocardiac density which XXXX corresponds to patient's known hiatal hernia. The lungs are hypoinflated. No focal consolidation is seen.,No acute disease. Retrocardiac density XXXX corresponding to known hiatal hernia.
1442,Spondylosis/thoracic vertebrae,Spondylosis,Xray Chest PA and Lateral,Scleroderma,None.,The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,No acute process.
1443,"Markings/lung/bilateral/interstitial;Pulmonary Disease, Chronic Obstructive;Calcinosis/lung/hilum/lymph nodes","Markings;Pulmonary Disease, Chronic Obstructive;Calcinosis","Chest PA and lateral views. XXXX, XXXX XXXX PM ",dyspnea,none,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.,1. No acute pulmonary disease.
1444,"Fractures, Bone/ribs/left/healed;Deformity/spine","Fractures, Bone;Deformity",Xray Chest PA and Lateral,"Multiple myeloma, preprocedure evaluation prior to bone marrow transplant",None,There is a healing fracture involving the left posterolateral 7th rib. There is XXXX deformity of the 8th vertebral body. These bony lesions may be secondary to the patient's known multiple myeloma. The lungs appear clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.,No acute cardiopulmonary disease.
1445,"Diaphragm/right/elevated;Pulmonary Atelectasis/base/right;Consolidation/lung/base/left;Pleural Effusion/base/left;Catheters, Indwelling/left;Tube, Inserted/large;Airspace Disease/lung/base/left","Diaphragm;Pulmonary Atelectasis;Consolidation;Pleural Effusion;Catheters, Indwelling;Tube, Inserted;Airspace Disease",Xray Chest PA and Lateral,"XXXX-year-old female, status post chest tube removal.",,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 overlying the mid SVC and large XXXX feeding tube courses below the diaphragm.,"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. ."
1446,Pulmonary Fibrosis/upper lobe/left;Pulmonary Atelectasis/upper lobe/left;Thickening/pleura/apex/left,Pulmonary Fibrosis;Pulmonary Atelectasis;Thickening,"Diminution PA and lateral chest XXXX, XXXX 12 level with comparison chest x-XXXX XXXX comparison CT from XXXX ",lung cancer followup,,,Further fibrosis and collapse of the left upper lobe with left apical pleural thickening. No evidence of recurrence. Heart size normal. No effusion.
1447,normal,normal,Xray Chest PA and Lateral,Increasing shortness of breath and XXXX,,The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures short thready changes of the spine.,No acute pulmonary disease.
1448,normal,normal,TWO-VIEW CHEST (AP/PA and lateral): 02/010/XXXX.,XXXX-year-old male with pulmonary stenosis.,,XXXX XXXX and lateral views of the chest were obtained on 02/010/XXXX. The lung volumes are normal. The lungs are clear and there are no pleural effusions. There is stable mild tenting of the medial aspect of the right diaphragm. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.,No acute cardiopulmonary abnormalities are seen. END OF REPORT.
1449,Cardiac Shadow/enlarged;Lung/hypoinflation;Diaphragmatic Eventration/right/anterior;Markings/bronchovascular;Thoracic Vertebrae/degenerative,Cardiac Shadow;Lung;Diaphragmatic Eventration;Markings;Thoracic Vertebrae,Xray Chest PA and Lateral,Mid chest pain starting tonight.,None.,"The cardiac silhouette is enlarged with no comparison studies. Findings are XXXX accentuated by low lung volumes and eventration of the anterior right hemidiaphragm, however, cardiomegaly or less XXXX, pericardial effusion is suspected. The lungs are hypoinflated with central bronchovascular crowding but no evidence of overt pulmonary edema. The lungs are grossly clear of focal airspace disease, pneumothorax, pleural effusion. There are no acute bony findings. There are degenerative changes of the thoracic spine. Patient appears morbidly obese.","1. Suspected cardiomegaly, less XXXX pericardial effusion. Prior comparison studies would be helpful. 2. Low lung volumes. No evidence of focal airspace disease. ."
1450,normal,normal,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours. ",XXXX-year-old male. Chest pain.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion.",Negative for acute abnormality.
1451,Calcified Granuloma/lung/lower lobe/left;Pulmonary Atelectasis/right/mild;Emphysema/mild,Calcified Granuloma;Pulmonary Atelectasis;Emphysema,PA and lateral chest dated XXXX ,Pleuritic chest pain and XXXX,None available,Left lower lobe calcified granuloma. Heart size normal. No pleural effusion or pneumothorax. Mild medial right atelectasis. Mild emphysema.,Emphysema and mild medial right atelectasis. No acute process.
1452,normal,normal,2 views chest PA and Lateral XXXX ,XXXX x3 weeks,XXXX,"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.
1453,Lung/hypoinflation,Lung,"Chest x-XXXX, 2 views, XXXX, XXXX XXXX PM","Chest pain, assault",none,"Normal cardiomediastinal contours, given patient position and technique. No pneumothorax or large pleural effusions. The lung volumes.",Low lung volumes. No acute cardiopulmonary abnormalities.
1454,normal,normal,CHEST 2V FRONTAL/LATERAL ,Positive PPD,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1455,Calcified Granuloma/lung/middle lobe/left,Calcified Granuloma,Xray Chest PA and Lateral,Preop removal of XXXX body in knee,None,The lungs are clear. A calcified granuloma is seen in the left midlung zone. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,No acute pulmonary disease.
1456,normal,normal,PA and lateral chest ,XXXX.,None,No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette are grossly unremarkable.,1. No acute cardiopulmonary findings.
1457,Implanted Medical Device,Implanted Medical Device,Xray Chest PA and Lateral,COPD,,"Normal heart size. Stable position of 2 pacemaker electrodes, with a XXXX tip in the expected region of the right atrium and another XXXX tip in the expected region of the right ventricle. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax. XXXX are unremarkable.",There is no evidence of acute cardiopulmonary disease. .
1458,"Cardiomegaly;Opacity/lung/base/left;Epicardial Fat;Hyperostosis, Diffuse Idiopathic Skeletal/thoracic vertebrae","Cardiomegaly;Opacity;Epicardial Fat;Hyperostosis, Diffuse Idiopathic Skeletal",XR Chest PA and Lateral,"XXXX-year-old female, SOB , dyspnea/drug-induced XXXX, nonsmoker.",Chest radiograph from XXXX and XXXX from XXXX..,"Stable cardiomegaly and mediastinal contour. Lungs are clear without focal consolidation, large pleural effusion, or pneumothorax. Left basilar airspace opacity XXXX secondary to epicardial fat and overlying soft tissues. DISH of the thoracic spine is noted. Otherwise, visualized osseous structures are unremarkable.",Stable cardiomegaly. Clear lungs. .
1459,Calcified Granuloma/lung/base/right;Cardiomegaly,Calcified Granuloma;Cardiomegaly,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old male shortness of breath..,"Two-view chest radiograph dated XXXX, XXXX.","No stable cardiomegaly, without focal consolidation, pneumothorax, or pleural effusion. Stable right basilar calcified granuloma. No acute osseous abnormality identified.",Stable cardiomegaly without acute cardiopulmonary abnormality.
1460,normal,normal,"Chest, 2 views, frontal and lateral",XXXX.,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,Negative chest x-XXXX.
1461,normal,normal,XR Chest PA and Lateral,XXXX XXXX UP;,none,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1462,normal,normal, Adequate. ,"XXXX XXXX. Female, 35 years",None.,"No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. XXXX XXXX is intact.",1. Negative for acute cardiopulmonary findings.
1463,normal,normal,Xray Chest PA and Lateral,XXXX,,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.
1464,Calcified Granuloma/lung/base/left;Granulomatous Disease,Calcified Granuloma;Granulomatous Disease,Xray Chest PA and Lateral,XXXX-year-old with initiation of XXXX medication. Ordered for a XXXX up prior to beginning the medicine.,None.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma in the left lung base.",No acute cardiopulmonary disease. Evidence of previous granulomatous infection.
1465,Stents/coronary vessels;Thoracic Vertebrae/degenerative/mild,Stents;Thoracic Vertebrae,"Chest x-XXXX XXXX and lateral performed on XXXX, XXXX at XXXX hours. ",XXXX-year-old male with chest pain.,Chest x-XXXX XXXX and lateral from XXXX.,"The heart is normal in size. Stable appearance of coronary stent. XXXX sternotomy changes are present. No focal consolidation, pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.",No acute cardiopulmonary abnormalities.
1466,normal,normal,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX p.m. ",XXXX-year-old male with clavicle pain,None,"The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.",No acute cardiopulmonary abnormality.
1467,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. ",XXXX-year-old woman with shortness of breath.,"Two-view chest radiograph dated XXXX, XXXX.","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.",No acute cardiopulmonary abnormality.
1468,normal,normal,Chest 2 views dated XXXX at XXXX hours.,XXXX-year-old female with dyspnea.,None Available.,The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.,No radiographic evidence of acute cardiopulmonary disease.
1469,normal,normal,Xray Chest PA and Lateral,Kidney transplant XXXX,Chest 2 views. XXXX.,There is no focal airspace consolidation or pleural effusion. Heart size is normal. No pneumothorax.,No acute cardiopulmonary abnormality. .
1470,normal,normal,PA and lateral views of the chest ,Chest pain,None,Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,No acute cardiopulmonary abnormality.
1471,Lung/hyperdistention;Diaphragm/bilateral/flattened;Markings/lung/mild;Thoracic Vertebrae/degenerative/moderate;Calcified Granuloma/lung/hilum/left;Emphysema;Thickening/lung/interstitial,Lung;Diaphragm;Markings;Thoracic Vertebrae;Calcified Granuloma;Emphysema;Thickening,Xray Chest PA and Lateral,XXXX-year-old male with a history of smoking and dyspnea.,Comparison is XXXX to chest radiograph examination dated XXXX.,The cardiomediastinal silhouette is within normal limits for appearance. The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. Mild increased lung markings XXXX due to chronic changes. No focal pulmonary consolidation. No pneumothorax. No pleural effusion. Moderate degenerative changes of the thoracic spine. Calcified left perihilar granuloma redemonstrated.,1. Findings consistent with emphysema with interstitial thickening. This could be due to edema superimposed on emphysema or pneumonitis or fibrosis. XXXX chest if warranted clinically given recent onset of dyspnea. .
1472,Lung/bilateral/hyperdistention,Lung,Chest radiograph PA and lateral XXXX/XXXX at XXXX. ,XXXX-year-old male with shortness of breath and XXXX.,Chest radiograph XXXX/XXXX.,Normal cardiac contour. Clear hyperexpanded lungs bilaterally with no pneumothorax or pleural effusion.,1. No acute cardiopulmonary abnormalities.
1473,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, preop lipoma excision.",PA and lateral chest radiographs XXXX.,"The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.",No acute cardiopulmonary process.
1474,Granuloma/lung/right,Granuloma,"Chest x-XXXX, 2 views dated XXXX ",XXXX-year-old female with chest pain,None,No pneumothorax. Heart size is normal. Granulomas are seen within the right lung. No large pleural effusions. No focal airspace consolidation.,No acute cardiopulmonary abnormalities.
1475,Density/lung/upper lobe/right/round,Density,PA and lateral chest x-XXXX ,XXXX-year-old female with XXXX.,,"Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Vague nodular density right upper lobe overlying the right anterior 2nd and posterior 6th ribs. This could represent healing fracture or superimposed structures. Bony thorax is unremarkable.",1. No acute cardiopulmonary abnormalities. 2. Vague left upper lobe nodular density as described above. Further imaging XXXX may be helpful.
1476,normal,normal,Xray Chest PA and Lateral,,None XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1477,normal,normal,XR Chest PA and Lateral,"XXXX-year-old female, pain",None,"Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",No acute cardiopulmonary findings
1478,Calcinosis/mediastinum,Calcinosis,Xray Chest PA and Lateral,"XXXX-year-old male, pain",,"Stable cardiomediastinal silhouette with normal heart size, mediastinal calcifications suggest a previous granulomatous process. Apical irregularities also present on the previous exam suggestive of scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",No acute findings
1479,Granuloma/ribs/right/posterior;Opacity/ribs/right/posterior/round,Granuloma;Opacity,"2 view CHEST: XXXX, XXXX at XXXX hours. ",XXXX,"XXXX, XXXX",,"Heart size, mediastinal silhouette, pulmonary vascularity are within normal limits. No focal consolidation or pleural effusion. No pneumothorax. Mild right apex curvature of the upper thoracic spine is nonspecific and could be related to patient positioning. Nodular opacity projecting over the posterior right 9th rib and XXXX reflects granuloma."
1480,normal,normal,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Syncope.,None.,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.
1481,normal,normal,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old XXXX with chest pain.,"XXXX, XXXX","The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.",No acute cardiopulmonary abnormality.
1482,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, chest pain",None,"Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",No acute cardiopulmonary findings
1483,"Diaphragmatic Eventration/right;Aorta, Thoracic/tortuous","Diaphragmatic Eventration;Aorta, Thoracic",Xray Chest PA and Lateral,Head neck cancer,,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.
1484,Calcified Granuloma/lung/lower lobe/left;Thoracic Vertebrae/degenerative,Calcified Granuloma;Thoracic Vertebrae,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, congestion.",PA lateral views of the chest dated XXXX.,Calcified left lower lobe granuloma. No focal areas of consolidation. No pleural effusions. No pneumothorax. Degenerative changes noted of the thoracic spine.,No acute cardiopulmonary abnormality.
1485,"Opacity/lung/base/bilateral;Cicatrix/lung/base/bilateral;Pulmonary Atelectasis/base/bilateral;Osteophyte/thoracic vertebrae/multiple;Calcified Granuloma/lung/hilum/right;Density/costophrenic angle/sulcus/right;Fractures, Bone/ribs/left/healed","Opacity;Cicatrix;Pulmonary Atelectasis;Osteophyte;Calcified Granuloma;Density;Fractures, Bone",Xray Chest PA and Lateral,"Irregular heartbeat, right hip replacement.","XXXX, XXXX.",Again seen are platelike horizontal opacities in both lung bases through this is consistent with scarring or subsegmental atelectasis. There are T-spine osteophytes. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There there is no lobar pneumonia. There are calcified right hilar granuloma. There are degenerative changes of the XXXX. There is a curvilinear density within and along the right costophrenic sulcus which most XXXX represents a skinfold. There is a unchanged fracture with callus at the left 9th lateral rib.,Unchanged platelike bibasilar opacities most XXXX representing scarring or subsegmental atelectasis. No acute cardiopulmonary abnormality.
1487,No Indexing,No Indexing,"Two-view chest. XXXX hours XXXX, XXXX. ",Prior renal cell carcinoma.,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1488,normal,normal,PA and Lateral Chest X-XXXX dated XXXX.,Positive PPD.,XXXX.,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.,1. No evidence of active disease.
1489,normal,normal,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Chest pain.,"Radiograph Chest PA and Lateral XXXX, XXXX.",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.
1491,Lung/hypoinflation;Calcified Granuloma/lung/apex/right;Density/lung/apex/right;Calcinosis/lung/apex/right,Lung;Calcified Granuloma;Density;Calcinosis,"Chest PA and lateral. XXXX, XXXX at XXXX.",XXXX-year-old female. Pain,None.,"There are low lung volumes. The lungs are otherwise clear. No focal airspace consolidation or pleural effusion. Calcific density in the right lung apex, compatible with calcified granuloma.",No acute cardiopulmonary abnormality.
1492,Lucency/clavicle/right,Lucency,Xray Chest PA and Lateral,XXXX removed right-sided of face,,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 acute cardiopulmonary disease
1493,Diaphragm/left/elevated;Foreign Bodies/thorax/left;Nodule/lung/middle lobe/right,Diaphragm;Foreign Bodies;Nodule,"Examination and lateral chest XXXX, XXXX XXXX with comparison XXXX ",History of dyspnea,,,Stable chest. Elevated left diaphragm. Two bullets overlie the left chest. Heart size normal. Persistent 1.8 cm right midlung nodule without definite calcification. CT scan may be informative if patient is at high XXXX for lung cancer.
1494,Lung/hypoinflation;Pleural Effusion/bilateral;Diaphragm/bilateral/elevated,Lung;Pleural Effusion;Diaphragm,Xray Chest PA and Lateral,History XXXX,2 days prior,,Decreasing lung volumes. Probable bilateral pleural effusions and elevation of both hemidiaphragms.
1496,Cardiomegaly;Opacity/pleural sinus/bilateral,Cardiomegaly;Opacity,Xray Chest PA and Lateral .,"INDICATION: DYSPNEA; Admit Comments: 424.1, 414.01",XXXX.,,"Status post mediastinal surgery. Significantly improved aeration. Remaining obliteration of the bilateral pleural sinus, more on left than right side, which may represent scarring alternatively small pleural effusions. For more detailed evaluation, if clinically indicated, consider decubitus views. No acute air space disease. No pulmonary edema. Cardiomegaly."
1497,Opacity/lung/lingula;Deformity/thoracic vertebrae/mild,Opacity;Deformity,PA and Lateral Chest X-XXXX dated XXXX.,COPD.,XXXX.,The heart size size and pulmonary vascularity appear within normal limits. Ill-defined opacity is again noted in the region of the lingula. This is increased since the previous study. The remainder of the lungs appear clear. Mild XXXX deformity is noted in the mid-thoracic spine. No pneumothorax or pleural effusion is seen.,1. Ill-defined opacity in the lingula. Increased since the previous study. May represent increased atelectasis or scarring.
1498,Aorta/tortuous;Deformity/clavicle/left/chronic,Aorta;Deformity,AP and Lateral Chest,"XXXX-year-old male, pain, syncope",None,"Apical lordotic frontal view. Heart size within normal limits, mild aortic ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Chronic appearing contour irregularity of the distal left clavicle and XXXX XXXX widening may be posttraumatic or postsurgical, verterbroplasty noted at the thoracolumbar junction.",No acute cardiopulmonary findings
1499,Lung/hypoinflation,Lung,PA and lateral chest x-XXXX ,XXXX-year-old male with chest pain.,,"Cardiomediastinal silhouettes are within normal limits. Low lung volumes. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",No acute cardiopulmonary abnormalities.
1500,Calcinosis/aorta;Granuloma/lung/lingula;Spondylosis/thoracic vertebrae;Nodule/lung/lingula,Calcinosis;Granuloma;Spondylosis;Nodule,Xray Chest PA and Lateral,"XXXX loss, tobacco history","XXXX, XXXX","Normal heart size. Aortic calcification. Granulomatous nodule left midlung, stable. No acute pulmonary abnormalities. Thoracic spondylosis.",No acute pulmonary findings.
1501,Diaphragm/right/elevated;Consolidation/lung/base/right;Pulmonary Atelectasis/base/right;Airspace Disease/lung/lower lobe/right,Diaphragm;Consolidation;Pulmonary Atelectasis;Airspace Disease,Two-view chest: Three-view right shoulder; two-view right clavicle. ,scapula fx,"XXXX hours XXXX, XXXX.",Chest. Right hemidiaphragm remains elevated. Consolidation and atelectasis are present in the right lung base. Left lung is clear. No pleural air collections. Shoulder and clavicle. Fractures present in the right scapula the base of the glenoid process. It is attached to the coracoid process and a portion of the spine. The humeral head is located within the glenoid articular surface. Cutaneous air is present. Fracture is present in the posterior portion of the right 3rd rib. The acromioclavicular joint and coracoclavicular joints are widened.,1. Chest. Continued right hemidiaphragm elevation with right lower lobe airspace disease. 2. Right shoulder. Scapular fracture. 3. Clavicle. Acromioclavicular separation.
1502,normal,normal,Xray Chest PA and Lateral,Chest pressure on left,None,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.
1503,normal,normal,"Two-view chest, XXXX Soft tissue neck, XXXX","Dysphasia, possible allergic reaction. Midline chest pain.",None.,,AP lateral view soft tissue neck. 1. No subglottic edema or prevertebral soft tissue XXXX. 2. Slight rotation of the patient's head limits evaluation of the epiglottis which is XXXX normal in size and caliber. PA and lateral views of the chest. 1. No acute pulmonary findings.
1504,normal,normal,"Chest, 2 views, supine and crosstable lateral","Unwitnessed XXXX, right-sided pain","XXXX, XXXX",,"Grossly, the heart size is normal in the lungs are clear. No displaced bony injuries are present."
1505,"Opacity/mediastinum/base;Hernia, Hiatal","Opacity;Hernia, Hiatal",Chest radiograph 2 image. ,XXXX-year-old with XXXX.,None.,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.
1506,"Catheters, Indwelling/left;Pulmonary Congestion/mild;Thickening/bronchovascular;Pulmonary Edema","Catheters, Indwelling;Pulmonary Congestion;Thickening;Pulmonary Edema","2 view ( PA and lateral) chest radiograph dated XXXX, XXXX at XXXX a.m.",XXXX-year-old male with history of membranoproliferative glomerulonephritis also having shortness of breath.,A portable chest radiograph from XXXX.,"There is interval placement of a XXXX on the left chest with the catheter tip in the cavoatrial junction. The heart size is within normal limits. Lung volumes within normal limits. Slightly prominent pulmonary vascularity noted. Increased peribronchial cuffing. No large consolidation, effusion, or pneumothorax. There is subpleural edema outlining the right XXXX fissure.","1. Stable and adequately placed XXXX. 2. Prominent pulmonary vasculature, subpleural edema, and peribronchial cuffing suggestive of volume overload versus viral bronchiolitis."
1508,No Indexing,No Indexing,"Single view chest. XXXX hours XXXX, XXXX compared to XXXX, XXXX. ",Shortness of breath.,,The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1509,normal,normal,"Chest Two views PA and lateral XXXX, XXXX XXXX p.m. ",Chest pain,None,"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.
1510,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,XXXX with sputum.,"PA and lateral views of the chest on XXXX, XXXX.",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.
1511,normal,normal," Two-view chest. XXXX hours XXXX, XXXX. ",Chest pain.,,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1512,normal,normal,"PA and lateral views of the chest, XXXX, XXXX XXXX PM",PAIN RT SCAPULAR AREA AND BELOW BREASTS,None,The lungs appear clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. The mediastinal contours are normal.,No acute cardiopulmonary disease
1513,Opacity/lung/base/right/streaky;Granulomatous Disease;Pulmonary Atelectasis/lower lobe/right;Infiltrate/lung/lower lobe/right,Opacity;Granulomatous Disease;Pulmonary Atelectasis;Infiltrate,PA AND LATERAL CHEST X-XXXX at XXXX XXXX/XXXX ,XXXX with XXXX,None,There is mild streakiness in the right base. No focal infiltrate or effusion. No pneumothorax. Calcified granulomatous disease noted. Heart and mediastinal contours within normal limits. Osseous structures intact.,"Mild streakiness, subsegmental atelectasis versus early infiltrate right lower lobe."
1514,Opacity/lung/lingula;Pulmonary Atelectasis/lingula;Cicatrix/lung/lingula,Opacity;Pulmonary Atelectasis;Cicatrix,"PA AND LATERAL VIEWS OF THE CHEST dated XXXX, XXXX XXXX hours ",Chest pain,None.,"Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. There are XXXX opacities in the left XXXX, XXXX subsegmental atelectasis or scar. Otherwise, the lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality.",1. No acute cardiopulmonary abnormality. 2. Left midlung subsegmental atelectasis versus scar.
1515,normal,normal,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old female shortness of breath.,Comparison is XXXX to chest radiograph examination dated XXXX.,The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.,1. No acute cardiopulmonary process.
1516,normal,normal,CHEST 2V FRONTAL/LATERAL ,throat pain,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1517,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old female shortness of breath.,"Two-view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality..
1518,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old male with XXXX, right lower lobe rales..","CT the chest dated XXXX, XXXX..","No focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is stable and unremarkable. No acute osseous abnormalities are identified.",No acute cardiopulmonary abnormality..
1519,Lung/hypoinflation/mild;Diaphragm/right/elevated;Markings/lung/base/bronchovascular/mild,Lung;Diaphragm;Markings,Xray Chest PA and Lateral,Acute mental status changes.,None.,"Lungs are mildly hypoinflated with asymmetric elevation of the right hemidiaphragm, of uncertain chronicity. There is mild basilar bronchovascular crowding, without evidence of focal airspace disease. Heart is XXXX within normal limits for low lung volumes and AP technique. There is no pneumothorax or large pleural effusion.","Low lung volume exam. Otherwise, no acute findings. ."
1520,normal,normal,Xray Chest PA and Lateral,,,"Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Postsurgical changes of the cervical spine are present.",No acute cardiopulmonary disease.
1521,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX PM ",XXXX-year-old male with history of renal cancer.,PA and lateral chest x-XXXX dated XXXX.,Three images are available for review. 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.
1522,normal,normal," Chest radiograph, frontal and lateral views",,XXXX,"Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are unchanged.",No acute cardiopulmonary disease.
1523,normal,normal,"PA and lateral views of the chest dated XXXX, XXXX XXXX PM.","XXXX year old, bone marrow XXXX, asymptomatic.",None.,"Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.",No acute cardiopulmonary process.
1524,Aorta/tortuous;Granulomatous Disease;Spine/degenerative,Aorta;Granulomatous Disease;Spine,"PA and LAT view CHEST XXXX, XXXX XXXX PM",Preop right knee total knee replacement,None.,"Heart size is normal. The aorta is tortuous, and cannot exclude ascending aortic aneurysm. The pulmonary vascularity is normal. There residual to prior granulomatous infection. Lungs are otherwise clear. Degenerative change of the spine.","1. No acute cardiopulmonary process. 2. Tortuous aorta, cannot exclude ascending aortic aneurysm."
1525,Hydropneumothorax/left/large;Pulmonary Atelectasis/left/severe;Opacity/lung/upper lobe/right/interstitial;Opacity/lung/base/right/interstitial;Opacity/lung/apex/right/patchy;Lucency/lung/apex/right/focal/round,Hydropneumothorax;Pulmonary Atelectasis;Opacity;Opacity;Opacity;Lucency,Xray Chest PA and Lateral,XXXX.,None. Clinical,"4 images. There is a large hydropneumothorax within the left chest. There is essentially complete collapse of the left lung. Within the right lung, there are increased interstitial opacities within the medial right lung base and right upper lobe, with patchy airspace opacity within the right lung apex. At the right lung apex, there is a more focal ovoid lucency which measures approximately 1.3 cm. This could indicate cavitation. Left-sided cardiomediastinal contours are obscured by collapse of the left lung. No convincing acute bony findings.","1. Large left hydropneumothorax, with complete collapse of the left lung. 2. Airspace and interstitial opacity within the right upper and lower lobes. Possible apical cavitation. Tuberculosis should be excluded clinically."
1526,Technical Quality of Image Unsatisfactory ,Technical Quality of Image Unsatisfactory ,PA and lateral of the chest ,XXXX-year-old with shortness of breath.,None,No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette is grossly unremarkable. There is motion artifact on the lateral radiograph.,1. No acute cardiopulmonary findings.
1527,Pulmonary Emphysema;Atherosclerosis/aorta;Lung/hyperdistention;Diaphragm/flattened;Spine/degenerative,Pulmonary Emphysema;Atherosclerosis;Lung;Diaphragm;Spine,Frontal and lateral views of the chest XXXX at XXXX hours.,Dyspnea and weakness,None available.,"Heart size slightly upper normal. Atherosclerotic calcifications within the aorta.. Lungs are hyperexpanded with flattening of the diaphragms consistent with emphysematous change. No focal airspace disease, pleural effusion, or pneumothorax. Degenerative changes of the spine are noted.",1. Emphysematous change without acute radiographic cardiopulmonary process.
1528,Implanted Medical Device,Implanted Medical Device,Frontal and Lateral view of the chest XXXX/XXXX at 600 hours.,Post XXXX closure device placement,None available.,The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Note is XXXX of an XXXX closure device which appears grossly appropriate The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,1. No acute radiographic cardiopulmonary process.
1529,Density/right/paratracheal;Atherosclerosis/aorta;Spine/degenerative/mild;Surgical Instruments/breast/left;Diaphragmatic Eventration/mild,Density;Atherosclerosis;Spine;Surgical Instruments;Diaphragmatic Eventration,Xray Chest PA and Lateral,XXXX-year-old female with anterior midline chest pain.,,The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits. Right paratracheal density is stable from prior radiographs and may reflect tortuous vasculature. There is aortic atherosclerotic vascular calcification. There are mild degenerative changes of the spine. Surgical clips are noted in the region of the left breast. There is mild diaphragm eventration.,No evidence of active disease.
1530,normal,normal,PA and lateral views of the chest ,Seizure and XXXX,None,Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,No acute cardiopulmonary abnormality.
1531,Aorta/tortuous;Calcinosis/lung/lower lobe/left;Calcinosis/lung/hilum/left;Granulomatous Disease,Aorta;Calcinosis;Calcinosis;Granulomatous Disease,PA and Lateral Chest,"XXXX-year-old female, preop evaluation",XXXX,"Heart size within normal limits, stable mediastinal contours with aortic ectasia/tortuosity. Left hilar and left lower lobe calcifications XXXX indicate a previous granulomatous process. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.",No acute findings
1532,normal,normal," Two-view chest. XXXX hours XXXX, XXXX. ",Edema.,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease. No evidence for heart failure.
1533,normal,normal,CHEST- PA AND LATERAL ,XXXX,None,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,Normal chest film.
1534,"Atherosclerosis/aorta;Lung/hyperdistention;Density/lung/middle lobe/right;Density/lung/hilum/right;Opacity/lung/base/bilateral/streaky;Opacity/lung/upper lobe/left/round;Fractures, Bone/thoracic vertebrae","Atherosclerosis;Lung;Density;Density;Opacity;Opacity;Fractures, Bone",Xray Chest PA and Lateral,XXXX-year-old female. Preoperative chest x-XXXX. Left wrist fracture.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. Aortic atherosclerosis. Hyperexpanded lungs. XXXX right perihilar/midlung density. Streaky bibasilar opacities, as well. Left upper lobe nodular opacity (anterior first rib interspace) may be exaggerated by overlapping bone silhouettes. Grossly similar midthoracic vertebral XXXX fracture.","1. No focal air space consolidation. 2. Nodular opacity at the left apex may be exaggerated by overlapping bone silhouettes. XXXX chest may provide further evaluation, if warranted."
1535,normal,normal,"PA and Lateral Chest. XXXX, XXXX &gt;]. ",XXXX-year-old with pain.,XXXX.,"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.
1536,normal,normal,XR Chest PA and Lateral,,,,
1537,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old male, history of positive PPD, completed treatment. HIV positive.",None.,"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.",No acute cardiopulmonary process. No evidence of active tuberculosis.
1538,"Heart Ventricles/left/prominent;Aorta, Thoracic/tortuous","Heart Ventricles;Aorta, Thoracic","PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old male, hypertension, chest pain.",None available,Normal heart size is prominent left ventricular contour. Unfolding of the thoracic aorta. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable appearance.,No acute cardiopulmonary abnormalities.
1539,normal,normal,CHEST- PA AND LATERAL ,Dyspnea,Radiograph from XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,Normal chest film.
1540,normal,normal,Xray Chest PA and Lateral,XXXX,,Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,No acute cardiopulmonary findings.
1541,Cardiomegaly/borderline;Pulmonary Congestion;Pulmonary Atelectasis/base;Pleural Effusion/posterior,Cardiomegaly;Pulmonary Congestion;Pulmonary Atelectasis;Pleural Effusion,"Chest, 2 views, frontal and lateral",Difficulty breathing,None.,,"Borderline cardiac enlargement. Vascular congestion without overt pulmonary edema. Basilar atelectasis with XXXX posterior recess pleural effusions. Overall, findings of mild volume overload."
1542,Atherosclerosis/aorta;Opacity/lung/base/bilateral;Cicatrix/lung/base/bilateral;Pulmonary Atelectasis/base/bilateral,Atherosclerosis;Opacity;Cicatrix;Pulmonary Atelectasis,CHEST 2V FRONTAL/LATERAL ,Dyspnea,XXXX,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.,Chronic changes without acute disease.
1543,"Hernia, Hiatal/large","Hernia, Hiatal",PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, XXXX.",Chest radiographs XXXX.,"The cardiomediastinal silhouette is within normal limits. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality. Large hiatal hernia.",1. No acute cardiopulmonary process. 2. Large hiatal hernia.
1544,normal,normal,Chest 2 views. ,XXXX-year-old with XXXX.,None.,Normal heart. Clear lungs. No pneumothorax. No pleural effusion.,No acute cardiopulmonary abnormality.
1545,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, chronic XXXX.",Chest x-XXXX dated XXXX.,No focal areas of consolidation. No pneumothorax. Heart size within normal limits. No pleural effusions. Osseous structures intact.,No acute cardiopulmonary abnormality. .
1546,No Indexing,No Indexing,CHEST 2V FRONTAL/LATERAL XXXX,SOB,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1547,Epicardial Fat/left/prominent,Epicardial Fat,Xray Chest PA and Lateral,Burshe chest pain x3 days.,Intermittent radiation to left arm and neck.,The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Prominent left epicardial fat XXXX.,No acute cardiopulmonary abnormality.
1548,Osteophyte/thoracic vertebrae/multiple/small,Osteophyte,Xray Chest PA and Lateral,Back pain. Jaw pain.,None available.,The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Small T-spine osteophytes.,No acute cardiopulmonary abnormality.
1549,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ","XXXX-year-old woman, elbowed in abdomen..","Two view chest radiograph XXXX, XXXX..","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 acute cardiopulmonary abnormality.
1550,normal,normal,"PA and lateral views of the chest dated XXXX, XXXX XXXX PM.","XXXX year old, XXXX XXXX one month.",None.,"Heart size, cardiomediastinal silhouette, and pulmonary vasculature are within normal limits. There are no infiltrates, effusions, or pneumothorax.",No acute cardiopulmonary process.
1551,normal,normal,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old female chest pain.,None.,"The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.",1. No acute intrathoracic abnormality.
1552,Lung/hypoinflation;Pulmonary Atelectasis/lingula/mild,Lung;Pulmonary Atelectasis,"Chest, 2 XXXX and Lateral ",XXXX-year-old male with chest pain,None available,"Low lung volumes. Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. Mild left lingular platelike atelectasis. XXXX are grossly unremarkable.",1. No acute cardiopulmonary disease. Clear lungs.
1553,Osteophyte/spine/multiple,Osteophyte,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours. ","Left chest, shoulder and midback pain.","XXXX, XXXX.","Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. No pleural effusion. There are XXXX spine marginal osteophytes.",Stable chest. No acute disease process identified.
1554,Thoracic Vertebrae/degenerative/multiple,Thoracic Vertebrae,CHEST 2V FRONTAL/LATERAL ,"XXXX, XXXX",XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Multilevel degenerative changes of the thoracic spine are noted.,No acute disease.
1555,Diaphragm/right/elevated;Pneumonectomy/lung/upper lobe/right ,Diaphragm;Pneumonectomy,Xray Chest PA and Lateral,+PPD. No known exposure. History of right upper lobectomy.,,XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. There is elevated right hemidiaphragm and evidence of right upper lobectomy. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,1. No acute cardiopulmonary disease.
1556,Aorta/tortuous;Opacity/lung/base/left/multiple;Infiltrate/lung/base/left/interstitial;Infiltrate/lung/base/pulmonary alveoli/left,Aorta;Opacity;Infiltrate;Infiltrate,"PA and lateral chest, XXXX, XXXX XXXX XXXX. ",XXXX-year-old male with history of XXXX.,PA and lateral chest x-XXXX dated XXXX.,Heart size appears upper limits of normal. Tortuous aorta. Otherwise normal mediastinum. Confluent and XXXX opacities seen within the left base. There are no visible nodules or masses. No visible pneumothorax. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,1. Left basilar mixed interstitial and alveolar infiltrate. Interval followup to resolution is recommended.
1557,Cardiac Shadow/enlarged/mild;Opacity/lung;Costophrenic Angle/bilateral/blunted;Thickening/pleura/upper lobe/right;Pleural Effusion/upper lobe/right;Opacity/lung/hilum/right;Pulmonary Atelectasis/base/bilateral/mild;Infiltrate/lung/base/bilateral/mild;Pleural Effusion/bilateral/small,Cardiac Shadow;Opacity;Costophrenic Angle;Thickening;Pleural Effusion;Opacity;Pulmonary Atelectasis;Infiltrate;Pleural Effusion,Xray Chest PA and Lateral,XXXX-year-old male with a history of partial right lung resection presents for evaluation.,Comparison is XXXX to chest radiograph examination dated XXXX.,"There is interval removal of the tracheostomy tube and right subclavian central venous catheter. The cardiac silhouette is mildly enlarged. There are XXXX XXXX pulmonary opacities with blunting of the bilateral costophrenic XXXX, on the right greater than left, with pleural thickening versus loculated pleural fluid along the peripheral aspect of the right upper lobe. Right perihilar opacities. No pneumothorax identified.","1. Enlarged cardiac silhouette, possibly consistent with mild cardiomegaly versus a small pericardial effusion. 2. Mild bibasilar atelectasis and/or infiltrates with probable small bilateral pleural effusions, on the right greater than left, and pleural thickening versus loculated pleural fluid along the peripheral aspect of the right upper lobe. ."
1558,Lung/hypoinflation,Lung,PA AND LATERAL VIEWS OF THE CHEST dated XXXX XXXX hours ,"Shortness of breath, chest pain",None.,Low lung volumes. Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascularity is within normal limits. Lungs are clear airspace disease. Negative for pneumothorax or pleural effusion. XXXX XXXX are grossly intact.,1. No acute cardiopulmonary abnormality.
1559,Surgical Instruments/lung/hilum/right;Volume Loss/lung/right;Density/lung/lower lobe/left,Surgical Instruments;Volume Loss;Density,"Radiograph Chest PA and Lateral XXXX, XXXX. ","Shortness of breath, chest pain, productive XXXX.","Radiograph Chest PA and Lateral XXXX, XXXX","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."
1560,normal,normal,"Chest radiographs, 2 images. ",XXXX-year-old female with blood-tinged sputum.,CT thorax from XXXX and chest radiographs from XXXX.,Normal heart. Clear lungs. No pneumothorax. No pleural effusion.,No acute findings.
1561,normal,normal,Chest x-XXXX XXXX and lateral on XXXX ,"XXXX-year-old male, chest pain","Chest x-XXXX, XXXX.","Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Soft tissues unremarkable",Negative for acute cardiopulmonary abnormality.
1562,Lung/hypoinflation,Lung,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old female with dyspnea,"Chest x-XXXX, 8 XXXX","Low lung volumes with magnified appearance of the heart, XXXX normal heart size. Negative for consolidation, effusion, or pneumothorax. Bony thorax and soft tissues grossly unremarkable.",Negative for acute cardiopulmonary abnormality.
1563,Thoracic Vertebrae/degenerative/mild;Emphysema,Thoracic Vertebrae;Emphysema,PA and lateral views of the chest. ,XXXX-year-old male with dizziness.,None available.,Heart size within normal limits. No focal airspace opacities. No pneumothorax. No effusions. Mild degenerative changes of the thoracic spine. No XXXX deformities. Emphysematous changes.,"Chronic lung disease, with no acute cardiopulmonary findings."
1564,"Stents/coronary vessels;Surgical Instruments;Calcinosis/mediastinum;Calcinosis/lung/hilum;Granulomatous Disease;Lung/hyperdistention;Nodule/pleura/upper lobe/bilateral;Nodule/lung/upper lobe/bilateral;Opacity/lung/right;Cicatrix/lung/right;Fractures, Bone/thoracic vertebrae;Bone Diseases, Metabolic","Stents;Surgical Instruments;Calcinosis;Calcinosis;Granulomatous Disease;Lung;Nodule;Nodule;Opacity;Cicatrix;Fractures, Bone;Bone Diseases, Metabolic",PA and Lateral Chest,"XXXX-year-old female, chest pain",XXXX,"Heart size within normal limits, stable mediastinal and hilar contours, coronary artery stent artifact, XXXX XXXX and clips suggest CABG. Mediastinal and hilar calcifications XXXX indicate a previous granulomatous process. Stable hyperinflation, bilateral upper lobe pleuroparenchymal near and nodular irregularities, right greater than left, XXXX opacities in the peripheral right lung most compatible with scarring. No XXXX abnormal pulmonary opacities, no definite pleural effusion seen. No typical findings of pulmonary edema. Osseous demineralization, stable appearance of T9 and T12 XXXX fractures.","Chronic changes as described, no acute findings"
1565,Pulmonary Atelectasis/base/mild;Density/lung/base/bilateral,Pulmonary Atelectasis;Density,2 views chest XXXX,Preop right knee surgery,XXXX,"PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Mild basilar atelectasis. Increased density the lung bases, favored this attenuation from overlying breast shadows.",1. No acute cardiopulmonary disease.
1566,normal,normal,Xray Chest PA and Lateral,,,,
1567,Opacity/lung/lingula,Opacity,CHEST 2V FRONTAL/LATERAL ,Chest pain,None,The heart is normal in size. The mediastinum is unremarkable. XXXX XXXX opacity in left midlung. The lungs are clear.,No acute disease.
1568,Lung/hypoinflation,Lung,Xray Chest PA and Lateral,testis cancer,,The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but clear.,No acute disease.
1569,Arthritis,Arthritis,"PA and lateral chest XXXX, XXXX at XXXX hours.",The patient's physical. Smoking history.,,The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures show arthritic changes.,No acute pulmonary disease.
1570,Technical Quality of Image Unsatisfactory ;Thoracic Vertebrae/degenerative/mild,Technical Quality of Image Unsatisfactory ;Thoracic Vertebrae,"PA and Lateral views of the Chest performed on XXXX, XXXX. ",XXXX-year-old male with XXXX.,"XXXX, XXXX.",Evaluation for pneumothorax is limited due to exclusion of the superior-most pulmonary apices. No visible pleural XXXX. No focal air space opacities or pleural effusion. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air. Mild degenerative changes of the thoracic spine. Included osseous structures are grossly intact.,No acute pulmonary disease.
1571,"Pleural Effusion/base/left;Density/lung/lingula;Mass/lung/lingula;Hernia, Hiatal;Pulmonary Atelectasis/right;Bone Diseases, Metabolic/spine;Deformity/spine;Surgical Instruments/multiple","Pleural Effusion;Density;Mass;Hernia, Hiatal;Pulmonary Atelectasis;Bone Diseases, Metabolic;Deformity;Surgical Instruments",Xray Chest PA and Lateral,Lung cancer.,None.,The heart size and pulmonary vascularity appear within normal limits. Left pleural effusion is present. A mass density is present in the left midlung zone. This measures approximately 3.2 cm in diameter. Air-fluid level is present behind the heart which probably represents a hiatal hernia. Some XXXX of right lung atelectasis are noted. Osteopenia and XXXX deformities are present in the spine. Multiple surgical clips are noted. No pneumothorax is seen.,1. Left midlung mass. 2. Left base effusion. 3. Probable hiatal hernia.
1572,Calcified Granuloma/lung/upper lobe/left,Calcified Granuloma,"PA and lateral chest, XXXX, XXXX XXXX XXXX ",XXXX-year-old male with chest pain.,PA and lateral chest x-XXXX dated XXXX.,The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There is redemonstration of a calcified granuloma within the left upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,1. No acute radiographic cardiopulmonary process.
1573,normal,normal," AP and lateral chest XXXX, XXXX XXXX comparison XXXX ",XXXX XXXX placement,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest No evidence of tuberculosis
1574,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,"Shortness of breath, wheezing, XXXX.","XXXX, XXXX.",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.
1575,Calcified Granuloma/lung/left;Calcified Granuloma/lung/hilum/left,Calcified Granuloma;Calcified Granuloma,"PA and lateral chest and left shoulder 3 views XXXX, XXXX at XXXX ",chest pain.,,,Chest. Heart size is normal lungs are clear. Calcified left lung and left hilar granulomas. Left shoulder. No fractures and no dislocations. Minimal XXXX degenerative disease.
1576,"Hernia, Hiatal/large;Fractures, Bone/thoracic vertebrae;Scoliosis/thoracic vertebrae;Scoliosis/lumbar vertebrae","Hernia, Hiatal;Fractures, Bone;Scoliosis;Scoliosis"," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,None,Lumbar and are low. No infiltrates. Heart size normal. A large hiatal hernia is present. An age-indeterminate XXXX fracture is present in the lower thoracic vertebra. Scoliosis is present in the thoracic and thoracolumbar spine.,No visible active cardiopulmonary disease.
1577,Lung/hypoinflation,Lung,Chest XXXX and lateral,XXXX-year-old female with right pleuritic pain for 7 days.,XXXX.,"Heart size is normal. Low lung volumes. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures grossly intact.",Low lung volumes without acute cardiopulmonary findings.
1578,Lung/hypoinflation;Markings/bronchovascular;Surgical Instruments/abdomen/right,Lung;Markings;Surgical Instruments,Xray Chest PA and Lateral,"XXXX-year-old female with history of XXXX, MVC.",None.,"Cardiac and mediastinal XXXX appear normal. Low lung volumes and bronchovascular crowding. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. Surgical clips are seen within the right upper abdomen.",No acute radiographic cardiopulmonary process. .
1579,normal,normal,Xray Chest PA and Lateral,Preop surgical XXXX for knee surgery,None,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.
1580,Lung/hyperdistention/mild;Spine/degenerative/diffuse,Lung;Spine,Xray Chest PA and Lateral,"XXXX-year-old female with history of asthma, preoperative evaluation for back surgery",None,Lungs are mildly hyperexpanded. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are diffuse degenerative changes of the spine.,"1. No focal airspace consolidation. 2. Mildly hyperexpanded lungs, suggestive of obstructive lung disease."
1581,Nodule/lung/upper lobe/right/multiple,Nodule,PA and lateral chest x-XXXX ,XXXX-year-old female XXXX.,None,"Cardiomediastinal silhouettes are within normal limits. There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",Right upper lobe lung nodules. Recommend XXXX.
1582,normal,normal, CHEST 2V FRONTAL/LATERAL. ,"PRE-OP VENTRAL HERNIA REPAIR, OBESITY, XXXX APNEA, XXXX",None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1583,Scoliosis/mild,Scoliosis,Xray Chest PA and Lateral,"XXXX-year-old female, chest pain",None,"Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mild spine curvature noted.",No acute cardiopulmonary findings
1584,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,"Chest x-XXXX XXXX and lateral, XXXX. ","XXXX-year-old female with XXXX, wheezing, dyspnea","Chest x-XXXX, XXXX","The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Degenerative changes of the thoracic spine.",Negative for acute cardiopulmonary abnormality.
1585,Surgical Instruments/mediastinum,Surgical Instruments,Xray Chest PA and Lateral,,,"Sternotomy XXXX and mediastinal clips are unchanged. Cardiomediastinal silhouette is unchanged. Pulmonary vasculature and XXXX are unchanged. No XXXX consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are unchanged.",No interval change.
1586,Deformity/thoracic vertebrae/multiple,Deformity,PA and lateral chest radiograph (2 views) (2 images) ,XXXX-year-old male with atrial fibrillation,"PA and lateral view of the chest on XXXX, XXXX.",The cardiac silhouette mediastinal contours are within normal limits. The lungs are clear bilaterally. No focal opacities. There is no large pleural effusion. No pneumothorax. There is XXXX deformities involving multiple vertebral bodies of the thoracic spine which appear stable compared to the previous exam.,No acute cardiopulmonary abnormality. Stable XXXX deformities of the upper thoracic segments.
1587,normal,normal,Xray Chest PA and Lateral,Duchenne's muscular dystrophy,XXXX portable chest,"PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is within limits. Postoperative changes from spinal rods are demonstrated. There is elevation of the left hemidiaphragm. Multiple colonic loops are demonstrated in the left upper quadrant. The lungs are clear bilaterally. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation.","1. No active cardiopulmonary disease. 2. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation. This is XXXX related to the muscular dystrophy and decreased shoulder muscles support. 3. XXXX postoperative changes from the spinal XXXX placement."
1588,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",XXXX XXXX,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
1589,Lung/hyperdistention;Markings/lung/interstitial/mild;Calcinosis/lung/hilum/lymph nodes/right;Shoulder/right/degenerative,Lung;Markings;Calcinosis;Shoulder,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old XXXX, XXXX, preop..","Two-view chest radiograph dated XXXX, XXXX.","The lungs are hyperinflated with mildly coarsened interstitial markings consistent with chronic lung disease. No focal consolidation, pneumothorax, or effusion identified. The mediastinal silhouette is stable and within normal limits for size. There is redemonstration without significant change in right hilar calcified lymph XXXX. The bony structures of the thorax demonstrate degenerative changes of the right shoulder and a XXXX right humerus consistent with distal humeral amputation. No acute bony abnormality identified.",Changes of chronic lung disease without acute cardiopulmonary abnormality identified.
1590,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old female with wheezing, XXXX, XXXX..","Two-view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality..
1591,Lung/hypoinflation;Pulmonary Atelectasis/base/bilateral;Markings/bronchovascular;Thoracic Vertebrae/degenerative,Lung;Pulmonary Atelectasis;Markings;Thoracic Vertebrae,Xray Chest PA and Lateral,The patient is a XXXX-year-old XXXX with XXXX and hyperglycemia.,None available.,The trachea is midline. The cardio mediastinal silhouette is of normal size and contour. No evidence of focal infiltrate or effusion. Low lung volumes XXXX XXXX atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals degenerative changes of the thoracic spine.,1. No acute cardiopulmonary abnormalities. 2. Low lung volumes causing bibasilar atelectasis and bronchovascular crowding .
1592,Cardiomegaly/borderline;Opacity/lung/interstitial/diffuse;Granulomatous Disease/chronic;Density/round,Cardiomegaly;Opacity;Granulomatous Disease;Density,Chest XXXX and lateral ,XXXX-year-old female with chest pain and XXXX,XXXX,Stable cardiomediastinal silhouette with borderline cardiomegaly. No pneumothorax or large pleural effusion. No focal airspace disease. Diffuse interstitial opacities. Bony structures appear intact. Nodular densities consistent with chronic granulomatous disease.,Negative for acute cardiopulmonary disease.
1593,Pleural Effusion/right/moderate;Pulmonary Atelectasis/lower lobe/right;Atherosclerosis/aorta,Pleural Effusion;Pulmonary Atelectasis;Atherosclerosis,Chest radiograph PA and lateral XXXX at XXXX. ,XXXX-year-old male with dyspnea.,None.,Moderate sized right loculated pleural effusion with right lower lobe atelectasis. Normal cardiac contour with atherosclerotic changes throughout the aorta. Clear left lung XXXX.,1. Moderate right pleural effusion.
1594,normal,normal,PA and lateral chest radiographs. ,XXXX-year-old male with chest pain.,None.,"The heart and cardiomediastinal silhouette are normal in size and shape. There is no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",No acute cardiopulmonary finding.
1595,Cardiomegaly;Opacity/lung/middle lobe/right;Cicatrix/lung/middle lobe/right,Cardiomegaly;Opacity;Cicatrix,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",dyspnea,"XXXX, XXXX.",The heart is large. Lung volumes are XXXX. XXXX opacity persists in the right midlung. No focal infiltrates.,Persistent cardiomegaly. Right midlung scar. No visible acute failure or pneumonia.
1596,Calcified Granuloma/lung/lingula,Calcified Granuloma,Chest 2 views. ,Chest pain.,XXXX at XXXX p.m.,Normal heart. Clear lungs. Stable calcified granuloma left midlung. No pneumothorax. No pleural effusion. Midline trachea.,Normal chest exam.
1597,normal,normal,"Chest radiographs, 2 XXXX and lateral ","XXXX-year-old pregnant woman with chest pain, palpitations, shortness of breath.","Chest x-XXXX XXXX, XXXX.","Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.",No acute abnormality.
1598,normal,normal,Xray Chest PA and Lateral,XXXX-year-old woman with XXXX.,"Two-view chest graft dated XXXX, XXXX.","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. .
1599,Atherosclerosis/aorta;Osteophyte/thoracic vertebrae/multiple,Atherosclerosis;Osteophyte,CHEST 2V FRONTAL/LATERAL ,syncope,None.,"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.
1600,"Fractures, Bone/clavicle/right/healed;Aorta, Thoracic/tortuous/mild","Fractures, Bone;Aorta, Thoracic", (XXXX) XXXX CHEST 2V FRONTAL/LATERAL ACCESSION NO: XXXX ,Chest pain,XXXX,"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.",Clear lungs.
1601,normal,normal,2 views Chest: XXXX,Chest pain,None.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,1. No acute pulmonary abnormality.
1602,normal,normal,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.","XXXX, XXXX symptoms",None,,The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.
1603,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX ",Tuberculosis positive PPD,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest No evidence of tuberculosis
1604,Deformity/thoracic vertebrae/right/mild,Deformity,"2 view CHEST: XXXX, XXXX at XXXX hours. ",XXXX onset hemoptysis,None,,"Heart size, mediastinal silhouette and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion or pneumothorax. Very mild right apex curvature and upper thoracic spine is nonspecific."
1605,normal,normal,"CHEST 2V FRONTAL/LATERAL RADXXXX XXXX, XXXX XXXX PM ",XXXX pleuritic pain,,,No comparison chest x-XXXX. Clear lungs. No effusions. Unremarkable mediastinal contour. No acute cardiopulmonary abnormality identified..
1606,normal,normal,Xray Chest PA and Lateral,HYPERTENSION; preop,,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1607,Foreign Bodies/clavicle/left,Foreign Bodies,"Chest x-XXXX XXXX and lateral, XXXX ","XXXX-year-old male, XXXX","Chest x-XXXX, XXXX","The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Unchanged multiple XXXX foreign bodies overlying the left clavicle and midline in the posterior soft tissues. The bony thorax is grossly intact.",Negative for acute cardiopulmonary abnormality.
1608,normal,normal,Two-view chest radiograph dated from today ,History of nodule,,"The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax. No pulmonary nodules are identified.","No acute process. No definite pulmonary nodules are seen. If clinically indicated, further evaluation with CT of the thorax can be performed to identify a small nodule. Correlation with prior radiographs would be helpful to identify the location of the previously described nodule."
1609,Calcinosis/lymph nodes/bilateral;Pulmonary Atelectasis/left/retrocardiac/focal,Calcinosis;Pulmonary Atelectasis,Chest X XXXX 2 XXXX PA and lateral ,"The patient is a XXXX-year-old male with history of cirrhosis, SBP, fevers.",XXXX,"Calcified lymph XXXX in both XXXX. XXXX amount of focal atelectasis posterior to the left heart. The trachea is midline. Negative for pneumothorax, pleural effusion or large focal airspace consolidation. The heart size is normal.","1. Focal atelectasis to the left lung, posterior to the heart."
1610,No Indexing,No Indexing,"Two-view chest. XXXX hours XXXX, XXXX compared to XXXX, XXXX. ",Weakness and dizziness.,,The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1612,"Cardiomegaly/mild;Aorta, Thoracic/tortuous;Atherosclerosis/aorta, thoracic;Thoracic Vertebrae/degenerative","Cardiomegaly;Aorta, Thoracic;Atherosclerosis;Thoracic Vertebrae",XR frontal and lateral chest ,Seizure,None,Mild cardiomegaly. Tortuous thoracic aorta with atherosclerosis. No pneumothorax or pleural effusion. Degenerative changes in the thoracic spine without evidence of XXXX deformity. The visualized osseous structures are intact. No displaced rib fractures. No edema or airspace consolidation,No evidence of acute cardiopulmonary process.
1614,Cardiomegaly/borderline;Aorta/tortuous;Lung/hilum/prominent;Opacity/lung/middle lobe/right/patchy,Cardiomegaly;Aorta;Lung;Opacity,Xray Chest PA and Lateral,Hypoxia,"XXXX, XXXX",,"Borderline cardiac enlargement. Tortuous aorta. Prominent hilar contours. Worsening patchy peripheral opacification in the right midlung, somewhat pleural based. A pneumonia superimposed on changes of emphysema and parenchymal scarring would be a consideration. A followup study and 4 to 6 weeks could be considered to evaluate for resolution. If this area does not resolve, further characterization with XXXX may be warranted."
1615,normal,normal,Xray Chest PA and Lateral,,,,
1616,normal,normal,1. Two views of the chest frontal and lateral views 2. Two views of the ribs frontal and oblique views ,Persistent XXXX. Osteopenia and recent XXXX on left chest. Lower rib pain XXXX on a XXXX one XXXX ago,"XXXX, XXXX. XXXX, XXXX.","Chest. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. Ribs. There are no displaced rib fractures, or obvious nondisplaced rib fractures. Soft tissues appear normal.","Chest. No acute cardiopulmonary abnormality. Ribs. No displaced rib fractures, or obvious nondisplaced rib fractures."
1617,"Calcinosis/aorta, thoracic;Aorta, Thoracic/tortuous;Emphysema;Cicatrix/lung/apex/mild;Spondylosis/thoracic vertebrae","Calcinosis;Aorta, Thoracic;Emphysema;Cicatrix;Spondylosis",Xray Chest PA and Lateral,XXXX,None.,The cardiac contours are normal. Calcified tortuous thoracic aorta. Emphysema. Mild apical scarring. The lungs are otherwise clear. Thoracic spondylosis.,No acute process.
1618,normal,normal," PA and lateral chest XXXX, XXXX at XXXX comparisXXXX/XXXX ",chills and XXXX XXXX,,,Heart size is normal and lungs are clear. No pneumonia.
1619,"Lung/hypoinflation/mild;Surgical Instruments;Fractures, Bone/sternum","Lung;Surgical Instruments;Fractures, Bone",Xray Chest PA and Lateral,Chest pain.,None.,"The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but clear of focal airspace disease, pneumothorax, or pleural effusion. There are multiple XXXX sternotomy XXXX and surgical clips compatible with prior CABG. The most caudal XXXX sternotomy XXXX is fractured. There are no acute bony findings.","1. Low lung volumes. No acute pulmonary findings. 2. Fractured XXXX sternotomy XXXX, without evidence of complication. ."
1620,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX year-old male, chest pain",None.,The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. No pneumothorax or pleural effusion. XXXX lucency under the right hemidiaphragm may represent a focus of free air.,1. XXXX lucency under the right hemidiaphragm may represent free intraperitoneal air. Left lateral decubitus film may be helpful. 2. Clear lungs.
1621,Calcified Granuloma/lung/lower lobe/right,Calcified Granuloma,Chest X XXXX 2 XXXX PA and lateral ,"XXXX-year-old female with XXXX onset, XXXX with wheezing in bilateral lung XXXX.","CT chest XXXX, XXXX, chest x-XXXX XXXX","The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is at the upper limits of normal. Calcified granuloma in the right lower lobe is stable in appearance XXXX compared to the previous examinations.",No acute cardiopulmonary abnormality.
1622,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, right rib pain.",Chest radiographs XXXX.,"The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality..",No acute cardiopulmonary process.
1623,normal,normal,"Chest x-XXXX, 2 views, XXXX, XXXX XXXX PM",Chest pain,XXXX,"Normal cardiomediastinal contours. No pneumothorax, pleural effusions or focal lung consolidation.",No acute cardiopulmonary abnormality.
1624,Cardiomegaly/mild;Calcinosis/mediastinum,Cardiomegaly;Calcinosis,Xray Chest PA and Lateral,"XXXX-year-old female, chest pain, short of breath",,"Heart size mildly enlarged, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.","Mild cardiomegaly, no acute pulmonary findings"
1625,Atherosclerosis/aorta,Atherosclerosis,CHEST 2V FRONTAL/LATERAL ,Ramicade therapy; evaluate for tuberculosis,XXXX,The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aortic XXXX are present. The lungs are clear.,No acute disease.
1626,Nodule/lung/bilateral/multiple;Nodule/lung/lower lobe/left,Nodule;Nodule,Xray Chest PA and Lateral,"XXXX x 6 months, XXXX; history brain tumor",XXXX,"The heart is normal in size. The mediastinal contours are within normal limits. There are numerous bilateral pulmonary nodules of varying sizes. The largest is noted in the left lower lobe, posteriorly measuring approximately 7.0 cm. No acute infiltrate or pleural effusion are appreciated.",Numerous bilateral pulmonary nodules with dominant nodule/mass in the left lower lung. Diagnostic considerations would include primary lung carcinoma with metastatic nodules versus secondary metastatic disease from known brain tumor. Suggest clinical correlation and further imaging XXXX examination.
1627,normal,normal,Xray Chest PA and Lateral,Dyspnea. Left upper quadrant pain.,None.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .,1. No acute pulmonary abnormality.
1629,normal,normal,Xray Chest PA and Lateral,Evaluate for sarcoidosis,None available.,The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. No significant hilar process to suggest adenopathy. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,1. No active disease.
1630,Nodule/lung/upper lobe/right,Nodule,Xray Chest PA and Lateral,XXXX for one XXXX.,None. Clinical,"2 images. There is a poorly defined lung nodule in the right upper lobe measuring approximately 7 mm and partially superimposed upon anterior right second rib. Otherwise, the lungs are clear. No pleural effusion or pneumothorax. Heart size is normal. Critical result notification documented through Primordial.",7 mm right upper lobe lung nodule. Recommend followup characterization with XXXX.
1631,Opacity/lung/upper lobe/left/round/multiple/small;Nodule/lung/upper lobe/left/multiple/small;Calcinosis/mediastinum/lymph nodes;Calcinosis/lung/hilum/lymph nodes;Granulomatous Disease;Spine/degenerative/mild;Opacity/ribs/left/round/multiple/small,Opacity;Nodule;Calcinosis;Calcinosis;Granulomatous Disease;Spine;Opacity,"PA and LATERAL views of the chest, dated XXXX, XXXX XXXX XXXX","XXXX-year-old male with atrial fibrillation, V58.69",None,"There are a few small nodular opacities in the left lung, XXXX seen on the frontal view overlying the left 6th posterior rib. Lungs otherwise appear clear. No focal airspace consolidation. No overt pulmonary edema. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. Calcified mediastinal and hilar lymph XXXX are consistent with prior granulomatous disease. There are mild degenerative changes of the spine.","Few small nodular opacities in the left upper lung. These small nodules are relatively dense, suggestive of chronic granulomatous disease. Comparison with an XXXX chest radiograph would be helpful to establish stability."
1632,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old male with dyspnea..,"Two-view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality..
1633,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old XXXX with chest pain.,"Two-view chest radiograph dated XXXX, XXXX..","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.
1634,"Calcified Granuloma/multiple;Calcinosis/lung/hilum;Lung/hyperdistention;Calcinosis/aorta;Thoracic Vertebrae/degenerative;Pulmonary Disease, Chronic Obstructive","Calcified Granuloma;Calcinosis;Lung;Calcinosis;Thoracic Vertebrae;Pulmonary Disease, Chronic Obstructive",Xray Chest PA and Lateral,"XXXX-year-old female, chronic airway obstruction, history of COPD.",PA lateral views of the chest dated XXXX.,Calcified granulomas. Calcified hilar XXXX. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Question large pulmonary arteries. Lung XXXX are hyperexpanded. Prominent substernal air space. Aortic calcifications. Degenerative changes thoracic spine.,Hyperexpanded lung XXXX compatible with COPD. No evidence of acute cardiopulmonary abnormality. .
1635,Calcified Granuloma/lung/base/right;Opacity/lung/base/bilateral/multiple;Cicatrix/lung/base/bilateral;Pulmonary Atelectasis/base/bilateral;Granulomatous Disease,Calcified Granuloma;Opacity;Cicatrix;Pulmonary Atelectasis;Granulomatous Disease,Xray Chest PA and Lateral,Bone marrow transplant evaluation.,None.,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma is present in the right lung base. Bibasilar bandlike opacities are present. The appearance XXXX scarring or atelectasis.,1. Evidence of previous granulomatous infection. 2. Bibasilar bandlike opacities. The appearance XXXX atelectasis/scar.
1636,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX PM ","Chest pain, re: XXXX/ altercation",XXXX,Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,Clear lungs.
1637,Thoracic Vertebrae/degenerative/mild;Cardiomegaly,Thoracic Vertebrae;Cardiomegaly,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with chest pain.,Chest radiograph XXXX.,"No acute osseous abnormality. Mild degenerative changes of the thoracic spine. There is stable enlargement of the heart. No focus of consolidation, pleural effusion, or pneumothorax.",1. No acute radiographic cardiopulmonary process.
1638,Technical Quality of Image Unsatisfactory ;Cardiomegaly;Pulmonary Congestion;Markings/lung/interstitial,Technical Quality of Image Unsatisfactory ;Cardiomegaly;Pulmonary Congestion;Markings,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old woman with XXXX.,None.,"Study is somewhat limited by body habitus. Cardiomegaly is noted, with central pulmonary vascular prominence and coarsened interstitial markings, suspicious for developing interstitial pulmonary edema. No focal consolidation, pneumothorax, or definite effusion identified. No acute bony abnormality seen.","Cardiomegaly with central pulmonary vascular prominence and coarsened interstitial markings, concerning for interstitial pulmonary edema."
1639,Aorta/tortuous/mild,Aorta,Xray Chest PA and Lateral,,None.,The lungs are relatively clear with XXXX sulci. Heart size normal in LV contour. Slightly unfolded ascending and descending aorta. T-spine unremarkable.,No significant finding.
1640,Nodule/lung/upper lobe/right/small,Nodule,CHEST 2V FRONTAL/LATERAL ,"Testicular cancer, Shielded.",XXXX,The heart is normal in size. The mediastinum is unremarkable. Small nodule in the right upper lung is stable. The lungs are otherwise clear.,"Small right upper lobe nodule, stable. Otherwise, no acute disease."
1641,Airspace Disease/lung/lower lobe/left,Airspace Disease,"Chest 2 views XXXX, XXXX XXXX PM ",XXXX,XXXX,Two views of chest was obtained in AP projection. The cardiomediastinal silhouette is not enlarged. Lungs demonstrate segmental air space disease within the left lower lobe. There is no effusion or pneumothorax. There is evidence of CABG.,1. Left lower lobe airspace disease suspicious for pneumonia.
1642,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,Xray Chest PA and Lateral,History of sarcoidosis with pretibial lesion,None.,Lungs are clear. No pleural effusions or pneumothoraces. Heart size is normal with postoperative changes consistent with CABG. Degenerative changes in the thoracic spine.,Clear lungs
1643,normal,normal,Xray Chest PA and Lateral,Sensation of food XXXX in throat. Choking sensation.,None.,"3 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",No acute cardiopulmonary abnormality identified.
1644,Calcinosis/lymph nodes;Spine/degenerative,Calcinosis;Spine,Xray Chest PA and Lateral,chest pain,,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.,No evidence of active disease.
1645,Opacity/lung/base/left/chronic;Thoracic Vertebrae/degenerative,Opacity;Thoracic Vertebrae,PA lateral views of the chest dated XXXX. ,"XXXX-year-old male, XXXX.",CT chest dated XXXX. Chest x-XXXX dated XXXX.,Stable chronic appearing left basilar opacities. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures appear intact. Degenerative changes of the visualized thoracic spine.,No acute cardiopulmonary abnormality.
1646,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old female with syncope and XXXX..,None.,"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 acute cardiopulmonary abnormality..
1647,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old male with chest pain.,None.,"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 acute cardiopulmonary abnormality..
1648,Lung/hyperdistention/mild;Spine/degenerative,Lung;Spine,Xray Chest PA and Lateral,"XXXX-year-old female with history breast cancer, XXXX for 2 weeks. 272.4","Chest x-XXXX XXXX, CT chest XXXX",The lungs are mildly hyperexpanded. There is no focal airspace consolidation. No suspicious pulmonary mass or nodule is identified. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.,"1. No focal airspace consolidation. 2. Mildly hyperexpanded lungs, suggestive of emphysema."
1649,"Pleural Effusion/bilateral/focal/moderate;Airspace Disease/lung/base/bilateral;Catheters, Indwelling/right;Spine/degenerative/mild","Pleural Effusion;Airspace Disease;Catheters, Indwelling;Spine","PA and LATERAL views of the chest, dated XXXX, XXXX XXXX XXXX","Metastatic ovarian cancer, evaluate pleural effusion","XXXX chest x-XXXX, XXXX scan","There is a moderate layering left pleural effusion, grossly stable. There is a moderate right pleural effusion, which is partially loculated. There is some pleural fluid tracking along the right XXXX fissure. There is bibasilar airspace disease, possibly passive atelectasis. No pneumothorax is identified. Heart size is within normal limits. Right PICC tip is at the SVC. There are mild degenerative changes of the spine.","1. Partially loculated right pleural effusion, grossly stable. 2. Stable moderate layering left pleural effusion. 3. Bibasilar airspace disease, possibly atelectasis."
1650,No Indexing,No Indexing,Xray Chest PA and Lateral,",719.41,185 XXXX. Prostate cancer.",,,"Comparison XXXX, XXXX. Anticipated senescent findings with grossly clear lungs and stable/unremarkable mediastinal contour. No effusions. No XXXX acute abnormalities since the previous chest radiograph. No destructive bony lesions are seen."
1651,Calcified Granuloma/lung/upper lobe/right,Calcified Granuloma,"PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX ","tuberculosis positive PPD in the XXXX. Patient is"" allergic""' to PPD serum",,,Heart size or great lungs are clear. Calcified 5 mm granuloma in the right upper lobe underneath the second anterior rib end.
1652,Scoliosis/thoracic vertebrae/right,Scoliosis,Chest radiograph PA and lateral XXXX/XXXX at XXXX. ,XXXX-year-old female with the right rib pain after assault.,None.,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.
1653,Implanted Medical Device/left,Implanted Medical Device,Chest XXXX and lateral ,XXXX-year-old female status post pacemaker placement,XXXX,"Pacemaker generator overlying the left chest in stable position with 2 leads terminating in the right atrium and right ventricle in stable position. Stable XXXX sternotomy XXXX. No pneumothorax, pleural effusion, or focal airspace disease. Minimal fluid within the right horizontal fissure.","Stable pacemaker generator within the left chest with 2 distal leads terminating in the right atrium and right ventricle, also in stable position. No pneumothorax."
1654,Aorta/tortuous;Atherosclerosis/aorta;Lung/hypoinflation;Opacity/lung/base/bilateral/mild;Pulmonary Atelectasis/base/bilateral/mild,Aorta;Atherosclerosis;Lung;Opacity;Pulmonary Atelectasis,PA and lateral views of chest performed on XXXX at XXXX. ,Short of breath with acute mental status changes..,PA and lateral chest XXXX.,"The heart and mediastinum are unremarkable. There is tortuosity of the aorta, compatible with atherosclerosis. Low lung volumes. Minimal XXXX opacities within the lung bases, XXXX subsegmental atelectasis. The lungs are clear without infiltrate. There is no effusion or pneumothorax.",1. Low lung volume study with minimal subsegmental atelectasis in the lung bases. No acute pulmonary process.
1655,normal,normal,2 views chest XXXX,"Knee pain, preop XXXX",XXXX,"PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Degenerative spine.",1. No acute cardiopulmonary disease.
1656,normal,normal,Xray Chest PA and Lateral,XXXX and Chest congestion.,XXXX-year-old female. XXXX and chest congestion.,The lungs are clear. Heart size is normal. No pneumothorax.,Clear lungs. No acute cardiopulmonary abnormality. .
1657,normal,normal,Xray Chest PA and Lateral,,"None ,786.09 XXXX ABNORMALITY XXXX",The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1658,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old female with chest pain.,Comparison is XXXX to chest radiograph examination dated XXXX.,"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.. No acute, displaced rib fractures.",1. No acute intrathoracic abnormality.
1659,normal,normal,PA and lateral views of the chest. ,XXXX-year-old male with right chest wall contusion.,None available.,"Heart size within normal limits. No focal airspace disease. No pneumothorax, no pleural effusion. No displaced rib fractures.",No acute cardiopulmonary findings. No displaced fractures.
1660,Lung/hypoinflation,Lung,XR Chest PA and Lateral,"719.41, XXXX XXXX male with left shoulder pain",None.,There are low lung volumes. The lungs are otherwise clear. Heart size is normal. No pneumothorax.,No acute cardiopulmonary abnormality. .
1661,normal,normal," Two-view chest; right SHOULDER COMPLETE XXXX 2V XXXX, XXXX XXXX XXXX ",right shoulder pain.,"XXXX, XXXX. Chest. Both lungs remain in clear and expanded. Heart and mediastinum are normal. Right shoulder. The glenohumeral joint show slight narrowing. Fracture line in the scapula is less distinct than previously. XXXX change in the XXXX XXXX alignment of the scapula XXXX and spine.",,1. Chest. No active disease. 2. Right shoulder. Healing scapular fracture.
1662,Markings/lung/interstitial/prominent;Markings/lung/upper lobe/right/interstitial/focal,Markings;Markings,PA and lateral of the chest ,XXXX-year-old chest pain and dyspnea.,Chest radiograph XXXX.,"No focal consolidation. There are prominent interstitial markings, including focally in right upper lobe, which are similar from prior examination. No visualized pneumothorax. The heart size is normal. There are no pleural effusions.",1. No acute cardiopulmonary findings.
1663,normal,normal,PA and lateral chest radiograph on XXXX at 02: 45 hours. ,XXXX-year-old XXXX with chest pain.,PA and lateral chest from XXXX.,"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.
1664,Cardiomegaly/borderline;Aorta/tortuous/mild;Markings/bronchovascular/mild,Cardiomegaly;Aorta;Markings,Xray Chest PA and Lateral,"XXXX-year-old male, pain, short of breath",None,,"Borderline cardiomegaly, mild aortic ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. Mild bronchovascular crowding without typical findings of pulmonary edema."
1665,Calcified Granuloma/lung/upper lobe/left,Calcified Granuloma,Chest radiograph PA and lateral XXXX at XXXX. ,XXXX-year-old male with chest pain.,Chest radiograph XXXX,Normal cardiac contour. Stable calcified granuloma left upper lobe. No pleural effusion or pneumothorax. Clear lungs bilaterally.,1. No acute cardiopulmonary abnormalities
1666,Cardiac Shadow/enlarged/mild;Opacity/lung/bilateral/scattered;Opacity/lung/middle lobe/right/scattered;Pulmonary Atelectasis/middle lobe/right;Spine/degenerative/diffuse;Cardiomegaly;Pericardial Effusion,Cardiac Shadow;Opacity;Opacity;Pulmonary Atelectasis;Spine;Cardiomegaly;Pericardial Effusion,Xray Chest PA and Lateral,"Preoperative evaluation, pericardial effusion",None,"The cardiac silhouette is mildly enlarged. There are scattered bilateral XXXX opacities, most notably in the right middle lobe, XXXX XXXX of subsegmental atelectasis. No pleural effusion. No pneumothorax is identified. There are diffuse degenerative changes of the spine.","1. Scattered XXXX of subsegmental atelectasis, most notably in the right middle lobe. 2. Mildly enlarged cardiac silhouette; cardiomegaly versus pericardial effusion."
1667,Thickening/pleura;Deformity/ribs/right/posterior,Thickening;Deformity,"PA and lateral chest radiograph, XXXX at XXXX hours.",XXXX-year-old male with preoperative prostate surgery. No chest complaints. Hypertension.,None.,The cardiac and mediastinal silhouettes are normal. The lungs are well-expanded and clear. There is no focal airspace opacity. There is no pneumothorax or effusion. There is irregularity of the 7th posterior right rib with underlying pleural thickening.,"1. No evidence of acute cardiopulmonary process. 2. Irregularity of the posterior right 7th rib with underlying pleural thickening. This may be related to XXXX XXXX, however, if there is no known history, consider comparison with prior studies if available XXXX of the chest for further evaluation"
1668,Nodule/lung/lower lobe/right/anterior;Opacity/round/multiple;Granulomatous Disease/chronic;Foreign Bodies/breast/right,Nodule;Opacity;Granulomatous Disease;Foreign Bodies,Chest XXXX and lateral ,XXXX-year-old female with colon sinus symptoms for 3 weeks,None available,"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."
1669,Calcinosis/aorta;Calcified Granuloma/lung/lower lobe/left,Calcinosis;Calcified Granuloma,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old woman with dyspnea.,"XXXX, XXXX","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.",No acute cardiopulmonary abnormality.
1670,"Catheters, Indwelling","Catheters, Indwelling"," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",Chest pain.,None.,Both lungs are clear and expanded. Heart and mediastinum normal. XXXX-A-XXXX XXXX has its tip at the caval atrial junction.,No active disease.
1671,normal,normal,CHEST (PA AND LATERAL),"XXXX-year-old male, tobacco use. Scheduled for melanoma surgery.",None.,"Heart size and mediastinal contours are within normal limits. There is no pneumothorax, pleural effusion, focal airspace consolidation.",No acute cardiopulmonary findings.
1672,normal,normal,Xray Chest PA and Lateral .,XXXX non productive chronic XXXX. no XXXX. XXXX. does st XXXX sweats.,XXXX.,,"Clear lungs. No airspace disease or other parenchymal infiltrates. No XXXX of pleural effusions. No pulmonary edema. Normal heart size, mediastinal contours and normal pulmonary vasculature. No XXXX of active cardiopulmonary disease. Unchanged."
1673,Lung/hyperdistention,Lung,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",sob,"XXXX, XXXX.",Heart size is normal in cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally. No XXXX consolidations. No pleural effusion. No pneumothorax. XXXX and soft tissues are unremarkable. Lungs are hyperinflated.,No acute cardiopulmonary abnormality
1674,normal,normal,Chest radiograph PA and lateral. ,XXXX-year-old XXXX with XXXX XXXX.,XXXX.,The previously seen right-sided PICC has been removed. The heart size is normal. Lungs are clear. There is no pneumothorax or large pleural effusion. Bony structures are within normal limits.,No acute cardiopulmonary findings.
1675,Lung/hypoinflation,Lung," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",dyspnea,"XXXX, XXXX.",Lung volumes remain low. No infiltrates. Heart and pulmonary XXXX remain normal.,XXXX change. Hypoinflation with no visible active cardiopulmonary disease.
1676,Atherosclerosis/aorta;Emphysema;Density/ribs/right/anterior/round/multiple,Atherosclerosis;Emphysema;Density,PA and Lateral Chest Radiograph ,Preoperative evaluation. Patient on home oxygen.,AP chest radiograph XXXX,"Heart size and mediastinal contour within normal limits. Aortic atherosclerotic calcifications. Emphysematous changes. Nodular densities projecting over right anterior fifth and six ribs. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",Nodular densities projecting over right 5th and 6th ribs may healing rib fracture; XXXX recommended to rule-out underlying pulmonary nodule. XXXX level Veriphy message was sent XXXX. XXXX regarding possible lung nodules at XXXX hours XXXX/XXXX.
1677,normal,normal,"PA and lateral chest radiograph, XXXX at XXXX hours. ",XXXX-year-old male with right upper quadrant pain.,None.,"The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There is no focal air space opacity, pneumothorax, or effusion. The bony structures of the thorax are intact with no evidence of acute abnormality. .",No evidence of acute cardiopulmonary process. Unremarkable examination of the chest.
1678,"Catheters, Indwelling/right;Diaphragm/right/elevated;Pleural Effusion/right;Opacity/lung/upper lobe/right;Airspace Disease/lung/base;Catheters, Indwelling/abdomen/right","Catheters, Indwelling;Diaphragm;Pleural Effusion;Opacity;Airspace Disease;Catheters, Indwelling",Xray Chest PA and Lateral,"TRANSPLEURAL BILOMA XXXX, XXXX, RIGHT CHEST PAIN RADIATING TO SHOULDER, LOCULATED RIGHT EFFUSION XXXX/10 US;",XXXX,"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."
1679,normal,normal," PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX 10 ",XXXX.,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
1680,Calcinosis/lung/hilum/lymph nodes/left,Calcinosis,"PA and lateral chest XXXX, XXXX at XXXX with comparison available from XXXX XXXX ",History of arthritis. Tobacco use and elevated XXXX level rule out sarcoidosis,,,heart size is normal and lungs are clear. Calcified left hilar lymph XXXX.
1681,normal,normal, CHEST 2V FRONTAL/LATERAL. ,"pt with ? h/o COPD/XXXX smoking, r/o infiltrate/mass",None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1682,Mediastinum/paratracheal/enlarged ,Mediastinum,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old male with XXXX.,None.,"There is a lobulated contour to the right paratracheal stripe, possibly consistent with a vascular structure or lymph XXXX. The cardiomediastinal silhouette is otherwise within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.","1. Lobulated contour of the right paratracheal stripe. This may represent a vascular structure or enlarged lymph node and could be evaluated further with chest CT. Otherwise, no acute intrathoracic abnormality."
1683,"Lung/hypoinflation;Lung/hilum/lymph nodes/bilateral/enlarged;Mediastinum/lymph nodes/enlarged;Trachea, Carina/lymph nodes/enlarged;Cardiac Shadow/enlarged/prominent;Deformity/clavicle/left;Sarcoidosis","Lung;Lung;Mediastinum;Trachea, Carina;Cardiac Shadow;Deformity;Sarcoidosis",Xray Chest PA and Lateral,"XXXX, difficulty breathing. History of sarcoidosis.",XXXX XXXX.,"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.
1684,normal,normal,Chest x-XXXX XXXX and lateral performed on XXXX. ,Left-sided rib pain.,None.,The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,No acute cardiopulmonary abnormalities.
1685,Lung/hyperdistention;Diaphragm/posterior/flattened/mild,Lung;Diaphragm,Xray Chest PA and Lateral,"XXXX-year-old male, XXXX",None,"Hyperinflated lungs with mildly flattened posterior diaphragm. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits, no typical findings of pulmonary edema.","Hyperinflated lungs, air trapping versus inspiratory XXXX."
1686,Calcinosis/aorta/lymph nodes;Calcinosis/pulmonary artery/lymph nodes,Calcinosis;Calcinosis,CHEST 2V FRONTAL/LATERAL XXXX,Hx of chest pain ..no XXXX,XXXX common XXXX.,The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No change calcified aorticopulmonary XXXX node.,No active disease.
1687,"Tube, Inserted","Tube, Inserted",PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, dysphasia, XXXX.",PA and lateral views of the chest dated XXXX.,Feeding tube noted with tip XXXX distal to the gastroesophageal junction. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. Osseous structures intact.,1. No acute cardiopulmonary abnormality. 2. Feeding tube tip XXXX distal to the gastroesophageal junction.
1688,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,"XXXX, XXXX.",Heart size is normal and cardiomediastinal contours are normal. Lungs are otherwise clear bilaterally without effusion or pneumothorax. Bony structures and soft tissues are unremarkable.,No acute cardiopulmonary abnormality.
1689,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX PM . ",XXXX-year-old with XXXX.,XXXX.,"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.
1690,normal,normal,Xray Chest PA and Lateral,,,,
1691,"Lung/hypoinflation;Airspace Disease/lung/base/left/streaky;Pneumothorax/left;Fractures, Bone/ribs/left","Lung;Airspace Disease;Pneumothorax;Fractures, Bone",Xray Chest PA and Lateral,"XXXX vehicle collision, rib fracture, pneumothorax",,There are persistent low lung volumes. There is stable streaky left lower lobe airspace disease. Probable XXXX residual left pneumothorax. No large pleural effusion. Stable cardiomediastinal contour. Left-sided rib fractures are better appreciated on the XXXX chest comparison.,"1. Probable XXXX residual left pneumothorax. 2. Stable streaky left basilar airspace disease, possibly atelectasis."
1693,Lung/hypoinflation;Cicatrix/lung/base/left/chronic/mild,Lung;Cicatrix,Xray Chest PA and Lateral,pre-liver transplant,,The heart is normal in size. The mediastinum is stable. The lungs are hypoinflated with scarring in the left lung base. There is no focal consolidation or significant effusion.,Mild chronic changes in the left lung base without acute disease.
1694,Sclerosis/thoracic vertebrae/posterior/mild,Sclerosis,Xray Chest PA and Lateral,XXXX XXXX,,The lungs are clear. The heart and pulmonary XXXX appear normal. The pleural spaces are clear. There is XXXX minimal sclerotic change overlying the midthoracic spine the lateral view. Unclear whether this is a pulmonary finding or skeletal finding. Bone scan would be helpful to evaluate for potential metastatic disease. The mediastinal contours are normal.,"1. Vague increased sclerotic focus overlying the posterior spine on lateral XXXX, XXXX from prior study. Although this may be artifact or a pulmonary density, a XXXX sclerotic focus within the thoracic XXXX cannot be excluded. Bone scan would be helpful to evaluate for metastatic disease to the bone."
1695,Calcified Granuloma/lung/base/left,Calcified Granuloma,Xray Chest PA and Lateral,XXXX-year-old with difficulty breathing. Feels like she has choking. XXXX XXXX. Throat pain. Nonsmoker. Shortness of breath.,None.,"CHEST. The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma in the left lung base. SOFT TISSUE NECK. There is reversal of the normal cervical lordosis which may indicate muscle spasm versus a positional phenomenon. There is no prevertebral soft tissue XXXX. The epiglottis is within normal limits. There is a 3 mm x 1 mm density identified on the lateral exam only, possibly within one of the piriform sinuses.",SOFT TISSUE NECK. Small 3 x 1 mm density possibly in a piriform sinus only seen on the lateral exam. CHEST. No acute cardiopulmonary disease.
1696,normal,normal,Xray Chest PA and Lateral,XXXX year old with pain.,None.,"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.
1697,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,XXXX,None,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.
1698,normal,normal,"Chest, 2 XXXX and Lateral ","XXXX-year-old XXXX with XXXX, productive XXXX, XXXX for nodule or TB.",None available,"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.",1. Clear lungs.
1699,"Consolidation/lung/lower lobe/left/focal;Pneumonia/lower lobe/left;Pleural Effusion/left/small;Aorta, Thoracic/tortuous;Implanted Medical Device","Consolidation;Pneumonia;Pleural Effusion;Aorta, Thoracic;Implanted Medical Device",2 views Chest: XXXX,Chest pain,XXXX,"There is mild XXXX mentally without pulmonary edema. Tortuous thoracic aorta, unchanged. Stable positioning of the dual-XXXX cardiac XXXX device. No visible pneumothorax. There is a small left pleural effusion. Focal airspace consolidation is visualized in the superior segment of the left lower lobe, XXXX appreciated on lateral projection. Increased retrosternal clear space suggesting chronic obstructive pulmonary disease.","1. Left lower lobe, superior segment, airspace consolidation, radiographic appearance most typical for pneumonia. Based on patient's age, a followup chest x-XXXX to document resolution is recommended. 2. XXXX left parapneumonic pleural effusion."
1700,Density/thorax/left,Density,"PA and lateral chest XXXX, XXXX at XXXX with comparison 3 XXXX ",preop lipoma.,,,Heart size is normal and lungs are clear. Soft tissue density overlying the left lateral upper chest may represent the patient's lipoma.
1701,normal,normal,"Chest, 2 views, frontal and lateral",XXXX XXXX resulting in the anterior chest pain,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute findings.
1702,Cardiomegaly/borderline,Cardiomegaly,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with chest pain,None.,"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.
1703,Lung/hypoinflation/mild;Thoracic Vertebrae/degenerative/mild,Lung;Thoracic Vertebrae,"Chest PA and lateral dated XXXX, XXXX at XXXX hours ",Shortness of breath,Chest XXXX,"Lung volumes are mildly low. The cardiomediastinal silhouette is within normal limits for size contour. No consolidation. No pleural effusion or pneumothorax. Mild degenerative disc change at the thoracic spine, no XXXX deformity.","Low lung volumes, no acute cardiopulmonary findings."
1704,"Costophrenic Angle/left/blunted;Pleural Effusion/left/large;Opacity/lung/base/left;Pulmonary Atelectasis/base/right/mild;Catheters, Indwelling/bilateral;Pulmonary Atelectasis/left;Airspace Disease/lung/left","Costophrenic Angle;Pleural Effusion;Opacity;Pulmonary Atelectasis;Catheters, Indwelling;Pulmonary Atelectasis;Airspace Disease",Xray Chest PA and Lateral,XXXX-XXXX placement. PICC placement.,None. Clinical,There is blunting of the left costophrenic XXXX compatible with a moderate to large left pleural fluid collection. There are areas of airspace opacity within the left lung base which may represent atelectasis or infiltrate. Minimal bandlike atelectasis within the right lung base. Heart size is normal. Left-sided tunneled catheter terminates at the caval atrial junction. Right IJ venous catheter terminates at the proximal SVC.,"Lines and tubes as above. Moderate-to-large left pleural effusion, with adjacent airspace disease or atelectasis."
1705,normal,normal,PA AND LATERAL VIEWS OF THE CHEST dated XXXX at XXXX hours ,"Assault, XXXX with tire iron on right lateral chest","XXXX, XXXX","Stable cardiomediastinal silhouette. Pulmonary vascular is unremarkable lungs are expanded and clear of airspace disease. Negative for pneumothorax, pneumomediastinum, or pleural effusion. Limited evaluation reveals the XXXX XXXX to be grossly intact. Prominent rib cartilage of the anterior lower ribs seen on lateral view.",1. No acute cardiopulmonary abnormality.
1706,Lung/hypoinflation,Lung,Portable AP chest radiograph (1 view) ,Positive PPD,"PA and lateral views of the chest on XXXX, XXXX.",Cardiac silhouette and mediastinal contours are within normal limits. There are low lung volumes. There is no focal opacities. No pneumothorax. No large pleural effusion.,Low lung volumes without acute cardiopulmonary disease.
1707,normal,normal,Xray Chest PA and Lateral,Productive XXXX.,None.,"Frontal and lateral views of the chest show normal size of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.","No acute or active cardiac, pulmonary or pleural disease."
1708,Calcinosis/lung/hilum/lymph nodes/left,Calcinosis,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old male with chest pain.,None.,"The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. Calcified lymph XXXX are identified in the left infrahilar region. No pneumothorax. No pleural effusion. No acute, displaced rib fractures identified.",1. No acute intrathoracic abnormality.
1709,Opacity/lung/base/bilateral/mild,Opacity,Xray Chest PA and Lateral,"Syncope, loss of consciousness on XXXX XXXX.",None.,The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal XXXX opacity in the lung bases. The lungs are otherwise grossly clear. There are no acute bony findings.,No acute cardiopulmonary findings. .
1710,normal,normal,Xray Chest PA and Lateral ,Chest pressure. No known XXXX.,None.,Heart size is normal. Lungs are clear. No pneumothorax or pleural effusion.,No acute cardiopulmonary findings.
1711,Diaphragmatic Eventration/left,Diaphragmatic Eventration,Xray Chest PA and Lateral,"XXXX-year-old male, XXXX",,"Heart size within normal limits, stable mediastinal and hilar contours. Left hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",No acute findings
1712,Thickening/lung/lower lobe/bronchi/bilateral;Bronchitis/lower lobe/bilateral,Thickening;Bronchitis,Chest radiograph PA and lateral XXXX at XXXX. ,XXXX-year-old female with dyspnea.,None.,Normal cardiac contours. No pleural effusion or pneumothorax. Bilateral lower lobe bronchial thickening consistent with bronchitis.,1. Bilateral lower lobe bronchitis.
1713,normal,normal,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.","Chest congestion, XXXX for one XXXX.",None,,"The heart size is top normal, cardiomediastinal silhouette within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax."
1714,Spine/degenerative,Spine,Xray Chest PA and Lateral,Chronic XXXX.,,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.,1. No evidence of active disease.
1715,Nodule/lung/lower lobe/right,Nodule,Xray Chest PA and Lateral,"XXXX-year-old female, pain, XXXX",,"Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense nodule again noted in the right lower lobe suggesting a previous granulomatous process.",No acute findings
1716,normal,normal,Xray Chest PA and Lateral,XXXX WITH BREATHING XXXX XXXX WALKS,,,"comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified. Stable chest."
1717,Granulomatous Disease;Spondylosis/thoracic vertebrae,Granulomatous Disease;Spondylosis,Xray Chest PA and Lateral,Achalasia,None.,The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.,No acute process.
1718,Opacity/lung/interstitial/reticular/mild,Opacity,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.","XXXX, dyspnea.","XXXX, XXXX",Increased interstitial opacities non-specific. Question edema or atypical infection?,"Heart size normal. Stable mediastinal silhouette. No lobar consolidation, large pleural effusion or pneumothorax. Mild increased reticular interstitial opacity."
1719,normal,normal,"2 view ( PA and lateral) chest radiograph dated XXXX, XXXX at XXXX a.m. ","XXXX-year-old male, XXXX for mass/infiltrate",CT of the chest with high-resolution from XXXX.,"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.",No acute cardiopulmonary abnormality.
1720,Lung/hypoinflation/severe;Markings/bronchovascular;Diaphragm/left/elevated;Opacity/lung/base/bilateral/streaky;Scoliosis/thoracic vertebrae;Kyphosis/thoracic vertebrae,Lung;Markings;Diaphragm;Opacity;Scoliosis;Kyphosis,Xray Chest PA and Lateral,XXXX-year-old male with pain.,None.,There are very low lung volumes with associated central bronchovascular crowding. There is elevation of the left hemidiaphragm. There are XXXX-filled loops of mildly dilated colon in the left upper quadrant. The bowel XXXX pattern is not well evaluated secondary to incomplete imaging of the abdomen. There is no pneumothorax or definite pleural effusion. The streaky opacities in the lung bases may represent atelectasis. No definite infectious infiltrate is seen. There is scoliosis and exaggeration of the thoracic kyphosis.,1. Very low lung volumes without definite acute cardiopulmonary finding. .
1721,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with XXXX chest pain.,None.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. The patient was shielded.",No acute cardiopulmonary disease.
1722,Lung/hyperdistention;Density/ribs/bilateral/posterior/round;Nipple Shadow/ribs/bilateral/posterior,Lung;Density;Nipple Shadow,2 views Chest: XXXX,XXXX and congestion for 2 days.,None.,The lungs and pleural spaces show no acute abnormality. Nodular densities projecting over the posterior 9th ribs bilaterally are consistent with nipple shadows. Lungs are hyperexpanded. Heart size and pulmonary vascularity within normal limits.,1. Hyperexpansion without acute pulmonary abnormality.
1723,Calcinosis/mediastinum/lymph nodes;Calcinosis/lung/hilum/lymph nodes/right,Calcinosis;Calcinosis,"2 views of the chest XXXX, XXXX XXXX hours. ",MVA.,None.,Heart size is normal. There are densely calcified mediastinal and right hilar lymph XXXX which suggest prior histoplasmosis exposure. No consolidating airspace disease is seen within the lungs. No pleural effusion or pneumothorax. No convincing acute bony findings.,No acute abnormality identified.
1724,"Lung/hyperdistention/mild;Lucency/lung/upper lobe/bilateral;Lung, Hyperlucent/upper lobe/bilateral;Emphysema","Lung;Lucency;Lung, Hyperlucent;Emphysema","Two views of the chest XXXX, XXXX XXXX hours. ",Chest pain.,None available.,"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.",Emphysema.
1725,Opacity/lung/base/right;Costophrenic Angle/right/blunted;Technical Quality of Image Unsatisfactory ,Opacity;Costophrenic Angle;Technical Quality of Image Unsatisfactory ,PA and lateral chest radiograph (2 views) (2 images) ,Chest pain.,None.,"There is right basilar opacity with associated blunting of the costophrenic XXXX seen on lateral view. In addition, there is a interface along the left hemidiaphragm. This may represent attenuation artifact however further evaluation with right lateral decubitus views would better evaluate. There is no pneumothorax. The XXXX lungs are clear. Cardiac silhouette and mediastinal contours are within normal limits.","1. Right basilar opacity with associated blunting of costophrenic XXXX on lateral view may represent small pleural effusion, atelectasis, and/or consolidation. 2. Interface at the left hemidiaphragm may represent artifact however further evaluation with right lateral decubitus films would better evaluate."
1726,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM. ",pain,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1727,"Catheters, Indwelling/right;Opacity/lung/base/left;Opacity/lung/lingula;Lung/hypoinflation;Thoracic Vertebrae/degenerative;Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left","Catheters, Indwelling;Opacity;Opacity;Lung;Thoracic Vertebrae;Pulmonary Atelectasis;Cicatrix",Xray Chest PA and Lateral,"XXXX-year-old male, mediastinal germ cell tumor, surgery on mediastinum last XXXX.",Portable chest dated XXXX.,"Right-sided internal jugular central venous catheter with tip approximating the right atrium. Postsurgical changes of the mediastinum including sternotomy XXXX. Left base opacities again noted, stable. There is a left lung opacity, not well appreciated on prior. There is no evidence of pneumothorax. Low lung volumes. Degenerative changes thoracic spine.","1. Left midlung opacity, not well seen on prior exam, may represent focus of airspace disease. 2. Stable left base opacities, XXXX scarring or atelectasis. 2. Postsurgical changes as above. ."
1728,Opacity/lung/upper lobe/right/focal;Pneumonia/upper lobe/right,Opacity;Pneumonia,"Frontal and lateral view of the chest on XXXX, XXXX at XXXX hours. ",Rule out pneumonia.,None.,The cardiac silhouette mediastinal contours are within normal limits. There is no pneumothorax. There is no large pleural effusion. There is no focal opacity.,After further review with staff radiologist there is a right upper lobe focal opacity XXXX reflecting pneumonia.
1729,Emphysema/bilateral/chronic/severe,Emphysema,Chest x-XXXX XXXX and lateral on XXXX at XXXX hours. ,XXXX-year-old male with dizziness.,Chest x-XXXX XXXX.,Chronic bilateral emphysematous changes. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.,Significant bilateral emphysematous changes. No acute cardiopulmonary abnormalities.
1730,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"CHEST 2V FRONTAL/LATERAL Sept 8, XXXX XXXX XXXX ",XXXX,"chest x-XXXX and lateral from XXXX, XXXX.","The trachea is midline. Cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine.",No acute cardiopulmonary abnormalities.
1731,Lung/bilateral/hypoinflation,Lung,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old female with XXXX and weakness..,"Two-view chest radiograph dated XXXX, XXXX.","Low lung volumes bilaterally. 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 acute cardiopulmonary abnormality..
1732,normal,normal,"CHEST X-XXXX XXXX and LATERAL dated XXXX, XXXX at XXXX hours. ",XXXX-year-old female with chest pain.,Chest x-XXXX XXXX.,"Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. XXXX and soft tissue are unremarkable.",No acute cardiopulmonary abnormality.
1733,Lung/obscured;Opacity/lung/base/left;Pleural Effusion/left;Pulmonary Atelectasis/base/left;Technical Quality of Image Unsatisfactory ,Lung;Opacity;Pleural Effusion;Pulmonary Atelectasis;Technical Quality of Image Unsatisfactory ,Xray Chest PA and Lateral,HYPERTENSION;,"Comparison XXXX, XXXX",,"Pulmonary detail obscured secondary to body habitus and superimposed soft tissue. Again seen is a left basilar opacity compatible with some effusion and adjacent left basilar atelectasis. Overall, size of effusion appears slightly smaller. Right lung stable and grossly clear. No XXXX acute abnormalities since the previous chest radiograph."
1734,normal,normal,Xray Chest PA and Lateral,Back pain,None.,Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,No acute cardiopulmonary process.
1735,Surgical Instruments/mediastinum;Costophrenic Angle/right/blunted;Lung/hyperdistention,Surgical Instruments;Costophrenic Angle;Lung,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",Shortness of breath.,"chest x-XXXX, 2 views from XXXX.",The trachea is midline. The cardiomediastinal silhouette is normal in size and unchanged from prior examinations with sternotomy XXXX and surgical clips overlying. There is blunting of the right costophrenic XXXX which appears unchanged from prior examination and may be secondary to scarring or pleural thickening of the right lung base. There is no evidence of acute infiltrate. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.,1. Hyperexpanded lung XXXX. 2. No acute cardiopulmonary abnormalities.
1736,Lung/hypoinflation/mild,Lung,"Chest radiograph 2 views on XXXX, XXXX XXXX XXXX ",Chest pain,XXXX,"The cardiomediastinal contours are stable and normal. Mid sternotomy XXXX again noted. Mildly low lung volumes. No significant pulmonary edema, focal lung consolidation, pleural effusions or pneumothorax seen.",1. No acute cardiopulmonary abnormalities.
1737,normal,normal,"Chest x-XXXX XXXX and lateral performed on XXXX, XXXX at XXXX hours. ",XXXX-year-old female with chest pain.,None.,The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,No acute cardiopulmonary abnormalities.
1738,Aorta/tortuous/mild,Aorta,Xray Chest PA and Lateral,XXXX.,None.,Cardiac and mediastinal contours are within normal limits. Mild aortic tortuosity. The lungs are clear. Bony structures are intact.,No acute findings.
1739,"Deformity/sternum/anterior;Aorta, Thoracic/tortuous;Opacity/lung/base/left/streaky;Pulmonary Atelectasis/base/left;Kyphosis/thoracic vertebrae;Lung/hyperdistention","Deformity;Aorta, Thoracic;Opacity;Pulmonary Atelectasis;Kyphosis;Lung","Frontal and lateral view of the chest, 2 views of the sternum on XXXX, XXXX at XXXX hours. ",Chest pain after XXXX.,None.,"There is a cortical irregularity along the anterior margin of the sternum. In addition, there is a focal retrosternal hypodense convexity. The cardiac silhouette is within normal limits. The thoracic aorta is torturous however the mediastinal contours are within normal limits. There is no pneumothorax. There is no large pleural effusion. There is streaky XXXX opacity within the left lung base XXXX representing atelectasis. Otherwise, the lungs are clear. There is thoracic kyphosis. There is hyperinflation of the lungs.","Core irregularity along the anterior margin of the sternum may represent an age-indeterminate nondisplaced fracture. In addition, focal lentiform hyperdensity along the XXXX aspect of the sternum may represent callus formation. Left basilar atelectasis otherwise clear lungs."
1740,Opacity/lung/middle lobe/right;Opacity/lung/base/right/patchy;Consolidation/lung/upper lobe/right,Opacity;Opacity;Consolidation,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours.","XXXX, shortness of breath, history of pneumonia 6 months ago.","XXXX, XXXX.",Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is XXXX airspace opacity in the mid right lung radiating from the right hilum to the pleura and bordered inferiorly by the fissures. The XXXX fissure is convex upward. There is right base patchy airspace opacity. This appears chronic and may be due to scarring. There is no significant pleural effusion.,Right upper lobe airspace consolidation Please correlate clinically for pneumonia.
1742,Cardiomegaly/mild;Scoliosis,Cardiomegaly;Scoliosis,PA and Lateral Chest,"XXXX-year-old female, XXXX",None,"Heart size mildly enlarged. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax. S-shaped spine curvature noted.","Cardiomegaly, no acute pulmonary findings"
1743,Cardiomegaly;Markings/bronchovascular;Technical Quality of Image Unsatisfactory ,Cardiomegaly;Markings;Technical Quality of Image Unsatisfactory ,Xray Chest PA and Lateral,"XXXX-year-old female, dyspnea",,"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 acute findings
1744,normal,normal,"CHEST X-XXXX XXXX and LATERAL dated XXXX, XXXX at XXXX hours. ","XXXX-year-old male with history of XXXX cell disease, pain.",Chest x-XXXX 11//15/XXXX.,"Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. XXXX and soft tissue are unremarkable.",No acute cardiopulmonary abnormality.
1745,normal,normal,Xray Chest PA and Lateral,XXXX. MVA today.,,"Frontal and lateral views of the chest show normal size cardiac silhouette, allowing for an AP projection. Normal contour of the mediastinum and aorta. Grossly clear lungs. No obvious pneumothorax or hemothorax. No acute displaced clavicle or rib fractures.",No acute thoracic XXXX.
1746,normal,normal," PA chest XXXX, XXXX XXXX comparison outside films from XXXX, XXXX ",TB,,,Heart size normal. Lungs clear. No evidence of tuberculosis. No change from prior exam
1747,Opacity/left/retrocardiac,Opacity,Xray Chest PA and Lateral,,None available this institution.,"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. ."
1748,normal,normal,Chest radiograph PA and lateral. ,XXXX-year-old XXXX with XXXX.,XXXX.,The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.,No acute cardiopulmonary findings.
1750,"Calcinosis/aorta, thoracic;Lung/hyperdistention;Diaphragm/bilateral/flattened;Opacity/lung/base/left/streaky;Cicatrix/lung/base/left;Kyphosis/thoracic vertebrae/severe;Calcified Granuloma/lung/bilateral/scattered;Emphysema/chronic",Calcinosis;Lung;Diaphragm;Opacity;Cicatrix;Kyphosis;Calcified Granuloma;Emphysema,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old female with chest pain,XXXX,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.
1751,normal,normal," PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX ",chest pain,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest.
1752,Opacity/lung/hilum/right;Nodule/lung/upper lobe/hilum/right,Opacity;Nodule,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",dx with lung mass,None .,Size is normal limits. Cardiomediastinal silhouette has normal contour. There is a vague opacity in the right infrahilar region. There is also a 5 mm well circumscribed nodule in the right upper lung XXXX. It is not well visualized on lateral view.,1. Right perihilar lung nodule. Recommend CT thorax with contrast to further assess. Dr. XXXX XXXX the findings XXXX.
1753,Cardiomegaly;Lung/hypoinflation,Cardiomegaly;Lung,Chest radiograph PA and lateral. ,XXXX-year-old woman with dyspnea.,XXXX.,The heart size is persistently enlarged. Lung volumes are low. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.,No acute cardiopulmonary findings.
1754,Opacity/lung/lower lobe/bilateral/interstitial,Opacity,"PA and lateral views of the chest, XXXX ",XXXX.,Chest x-XXXX for a 7 XXXX,,1. XXXX interstitial airspace opacities in the lower lobes most consistent with atypical infectious process in the setting of XXXX. 2. No pleural effusion or visible pneumothorax.
1755,Diaphragm/right/elevated/mild;Markings/lung/base/right;Calcinosis/mediastinum;Nodule/lung/hilum/left,Diaphragm;Markings;Calcinosis;Nodule,Xray Chest PA and Lateral,"XXXX-year-old male, dyspnea",None,,"Heart size within normal limits. Mild right hemidiaphragm elevation with crowded markings in the right lung base. Otherwise, no focal alveolar consolidation. No definite pleural effusion seen. Mediastinal calcifications and dense nodule in the left suprahilar lung suggest a previous granulomatous process. No typical findings of pulmonary edema."
1756,normal,normal,Xray Chest PA and Lateral,LBOT CA,"Comparison XXXX, XXXX.",,No suspicious appearing lung nodules identified. Findings compatible with right apical chronic inflammatory change. No acute airspace process or pleural effusion. Stable mediastinal contour. No XXXX acute abnormalities since the previous chest radiograph.
1757,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX PM ",XXXX-year-old male with chest pain and shortness of breath.,PA and lateral chest x-XXXX dated XXXX.,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.
1758,Mediastinum/prominent/mild;Lucency/mediastinum/mild;Lung/hypoinflation;Adipose Tissue/mediastinum,Mediastinum;Lucency;Lung;Adipose Tissue,CHEST 2V FRONTAL/LATERAL ,"Chest pain, dyspnea",None,The heart is normal in size. The mediastinal contours are within normal limits. There is mild prominence of the superior mediastinum which is somewhat lucent and XXXX reflects mediastinal and vascular structures. No focal consolidation is seen. There is no pleural effusion.,1. Hypoinflation without acute parenchymal infiltrate. 2. Mild mediastinal prominence XXXX related to superimposed XXXX and mediastinal fat.
1759,Lung/hyperdistention;Density/ribs/right/round/multiple;Emphysema,Lung;Density;Emphysema,"CHEST 2V FRONTAL/LATERAL dated XXXX, XXXX XXXX XXXX ",Evaluate for pneumonia,CT of the chest dated XXXX,There is hyperexpansion. The heart size is normal. There is no pleural effusion or pneumothorax. Two circular densities overlying the right ribs which were not present in the XXXX CT. No focal infiltrates,Emphysema. Recommend rib series to to establish that circular densities overlying ribs are in the ribs.
1760,Cardiomegaly/mild;Pulmonary Atelectasis/lingula/small,Cardiomegaly;Pulmonary Atelectasis,PA and lateral chest x-XXXX dated XXXX ,Preop,None available,Mild cardiomegaly. Small area of platelike atelectasis in left mid lung. No pneumothorax or pleural effusion. Soft tissue and bony structures unremarkable.,No active disease.
1761,normal,normal,Xray Chest PA and Lateral,,,,
1762,Calcinosis/lymph nodes/right/paratracheal;Calcified Granuloma/lung/upper lobe/right,Calcinosis;Calcified Granuloma,"PA and lateral chest XXXX, XXXX at XXXX ",tuberculosis in the XXXX +PPD,,,Heart size is normal. Calcified right paratracheal lymph XXXX calcified granuloma in the peripheral portion right upper lobe. No arteriographic evidence of tuberculosis.
1763,Lung/hyperdistention,Lung,"Chest x-XXXX AP and lateral, 2 views. ","Productive XXXX, history of COPD",XXXX,"Heart XXXX, mediastinum, XXXX, bony structures are unremarkable. Stable increased lung volumes consistent with chronic lung disease. No XXXX infiltrates noted.",No radiographic evidence of acute cardiopulmonary disease
1764,"Fractures, Bone/ribs/left/multiple/healed","Fractures, Bone","PA and LAT view CHEST XXXX, XXXX XXXX XXXX",Hepatitis C. Hepatocellular carcinoma.,XXXX,Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. old left rib fractures.,Lungs are clear without suspicious pulmonary nodules or masses.
1765,Calcinosis/lung/lower lobe/left/round;Density/lung/lower lobe/left/round;Granuloma/lung/lower lobe/left/round,Calcinosis;Density;Granuloma,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old male, XXXX.",None.,The cardiomediastinal silhouette is within normal limits. There is rounded calcified density within the left lower lobe most consistent with granuloma. Remaining lungs are clear without evidence of focal opacification. No pneumothorax or large pleural effusion. No acute bone abnormality.,No acute cardiopulmonary process.
1766,normal,normal,Xray Chest PA and Lateral,Dizziness and shortness of breath. Lightheadedness.,"XXXX, XXXX.","2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",No acute cardiopulmonary abnormality identified.
1767,Calcified Granuloma/lung/lower lobe/right,Calcified Granuloma,PA and Lateral Chest Radiographs XXXX XXXX hours,"XXXX loss, chest pain",None.,The cardiomediastinal silhouette is within normal limits. Calcified right lower lobe granuloma. No focal airspace consolidation.. No visualized pneumothorax or large pleural effusion. No acute bony abnormalities.,No acute cardiopulmonary abnormality.
1768,Cicatrix/lung/apex/bilateral/mild;Scoliosis/right,Cicatrix;Scoliosis,Xray Chest PA and Lateral,786.2 XXXX,None.,There is minimal scarring in the lung apices. The lungs are otherwise clear. Heart size is normal. No pneumothorax. There is dextrocurvature within the spine.,No acute cardiopulmonary abnormality. .
1769,Consolidation/lung/lower lobe/left;Pulmonary Atelectasis/lower lobe/left;Infiltrate/lung/lower lobe/right/interstitial/patchy;Costophrenic Angle/bilateral/blunted;Airspace Disease/lung/base/bilateral;Pleural Effusion/bilateral,Consolidation;Pulmonary Atelectasis;Infiltrate;Costophrenic Angle;Airspace Disease;Pleural Effusion,CHEST 2V FRONTAL/LATERAL ,Patient with dyspnea and XXXX,None,Consolidation and some atelectasis are present in the left lower lobe. Patchy interstitial infiltrates are also present in the right lower lobe. Bilateral costophrenic XXXX blunting is present. Heart and pulmonary XXXX are normal.,"Bibasilar airspace disease, left worse right. Bilateral pleural fluid."
1770,normal,normal,"Chest radiograph PA and lateral XXXX/XXXX XXXX, right foot radiograph XXXX/XXXX at XXXX. ",XXXX-year-old male with crackles on lung examination and follow up for osteomyelitis.,"Chest radiograph XXXX/XXXX, right foot radiograph XXXX/XXXX.",No pneumothorax or pleural effusion. Normal cardiac contours. Clear lungs bilaterally. Redemonstration of transmetatarsal amputation. No evidence of acute fracture-dislocations. No evidence of any bony erosions or osseous infections.,Right foot 1. No evidence of the bony erosions or osseous infection. Chest radiograph 1. No acute cardiopulmonary abnormalities.
1771,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",1 h/o HTN,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1773,Implanted Medical Device/pulmonary artery,Implanted Medical Device,Chest PA and lateral,PDA,None,,"Presumed closure device at the level of the ligamentum arteriosum. Normal cardiac silhouette and clear lungs, with no evidence of left-to-right shunt."
1774,No Indexing,No Indexing,Xray Chest PA and Lateral,low back pain,None,The lungs appear clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.,No acute cardio pulmonary disease
1775,normal,normal,2 views Chest: XXXX,Chest pain with shortness of breath,None.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,1. No acute pulmonary abnormality.
1776,Thoracic vertebrae/degenerative/mild,Thoracic vertebrae,XR Chest PA and Lateral,Chest pain,,Heart size and mediastinal contours are stable. Pulmonary vasculature is unremarkable. No focal consolidation. No visible pleural effusion or pneumothorax. No displaced rib fractures are seen. There are mild degenerative changes along the thoracic spine.,No acute cardiopulmonary abnormality.
1777,Technical Quality of Image Unsatisfactory ;Lucency/heart ventricles/left;Opacity/lung/upper lobe/patchy;Opacity/lung/hilum/right/patchy;Kyphosis/thoracic vertebrae/severe;Pneumonia/upper lobe/right,Technical Quality of Image Unsatisfactory ;Lucency;Opacity;Opacity;Kyphosis;Pneumonia, PA and lateral views. ,XXXX-year-old male. XXXX.,"CT chest, dated XXXX, XXXX.","The patient is rotated to left. The cardiomediastinal silhouette is normal in size. XXXX lucency along the left ventricular XXXX XXXX related to interface between the heart and aerated lung. Patchy right perihilar/upper lobe opacities, which abut the XXXX fissure on lateral projection. No pneumothorax or large pleural effusion. Exaggerated thoracic kyphosis. No definite acute bone abnormality.","Right upper lobe pneumonia. Consideration may be given for followup chest x-XXXX, following appropriate therapy."
1778,normal,normal,Xray Chest PA and Lateral,,,,
1779,normal,normal," PA and lateral chest XXXX, XXXX time XXXX. ",XXXX.,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
1780,normal,normal,Xray Chest PA and Lateral,XXXX-year-old male status post XXXX,None,"Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.",No acute cardiopulmonary abnormality. .
1781,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old female, axillary lymphadenopathy",None available,Heart size mediastinal contours are normal in appearance. No focal airspace consolidation. No pleural effusion or pneumothorax. Mild degenerative changes of the thoracic spine.,No acute cardiopulmonary abnormalities.
1782,"Granulomatous Disease;Diaphragm/right/elevated;Spondylosis/degenerative;Fractures, Bone/clavicle/right/mild","Granulomatous Disease;Diaphragm;Spondylosis;Fractures, Bone","Chest, 2 views, frontal and lateral",Kicked by XXXX.,None.,Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. Elevated right diaphragm. The lungs are clear. XXXX degenerative spondylosis. There appears to be a mildly displaced fracture of the mid right clavicle.,Mildly displaced fracture of the mid right clavicle. No acute pulmonary findings.
1783,Lung/hyperdistention/mild;Markings/lung/interstitial/scattered/irregular/chronic;Aorta/tortuous;Diaphragmatic Eventration/right,Lung;Markings;Aorta;Diaphragmatic Eventration,Xray Chest PA and Lateral,"XXXX-year-old male, XXXX, XXXX of breath",,,"Mild hyperinflation. Scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation. No definite pleural effusion seen. Heart size near top normal limits, aortic ectasia/tortuosity similar to prior. Right hemidiaphragm eventration. No typical findings of pulmonary edema."
1784,Calcinosis/lymph nodes/right/paratracheal;Calcinosis/lung/hilum/lymph nodes/right,Calcinosis;Calcinosis,Xray Chest PA and Lateral,History of testicular cancer,,,"Heart size is normal. No nodules, masses, or adenopathy. Calcified right paratracheal and right hilar lymph XXXX unchanged."
1785,Calcified Granuloma/paratracheal;Cicatrix/lung/upper lobe/right/streaky/mild,Calcified Granuloma;Cicatrix,Xray Chest PA and Lateral,Pneumonia followup,"No comparisons were available at the time of this dictation. If outside comparisons become available, an addendum will be XXXX at the time of comparison.",Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications in the paratracheal region. Mild streaky scarring in the right upper lobe. No active pneumonia. Bony structures are intact.,No lobar pneumonia is present.
1786,Foreign Bodies/breast/left,Foreign Bodies,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old woman with chest pain.,"Two view chest radiograph dated XXXX, XXXX.","The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Stable XXXX foreign body over the left breast (XXXX nipple piercing). Visualized osseous structures of the thorax are without acute abnormality.",No acute cardiopulmonary abnormality.
1787,Granulomatous Disease/mild,Granulomatous Disease,CHEST 2V FRONTAL/LATERAL ,"Preop for cholecystectomy, history of XXXX apnea",None,The heart is normal in size. The mediastinum is unremarkable. Mild granulomatous sequela are noted. The lungs are grossly clear.,No acute disease.
1788,normal,normal,Chest X XXXX 2 XXXX PA and lateral ,The patient is a XXXX-year-old male with XXXX.,XXXX,"The trachea is midline. Negative for pneumothorax, pleural effusion, or focal airspace consolidation. The heart size is normal.",1. No acute cardiopulmonary abnormality.
1789,Diaphragm/right/elevated,Diaphragm,"AP and lateral chest XXXX, XXXX XXXX comparison XXXX XXXX ",History of syncope,,,"Heart size is normal. Lungs are clear. Elevated right diaphragm, unchanged"
1790,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old woman with 2 years of XXXX and dyspnea..,None.,"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 acute cardiopulmonary abnormality.
1791,Technical Quality of Image Unsatisfactory ;Lung/hyperdistention/mild;Calcified Granuloma/lung/base/right/large;Thoracic Vertebrae/degenerative/multiple/mild,Technical Quality of Image Unsatisfactory ;Lung;Calcified Granuloma;Thoracic Vertebrae,"PA and lateral chest, XXXX, XXXX XXXX PM ",XXXX-year-old male with chest pain.,PA and lateral chest x-XXXX dated XXXX.,Limited exam as the left costophrenic XXXX is excluded from the PA view. The heart size is normal. The mediastinal contour is within normal limits. Mild lung hyperinflation. The lungs are free of any focal infiltrates. There is large calcified granuloma within the medial right lung base. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Mild multilevel degenerative changes seen within the thoracic spine. No visible acute fracture. There is no visible free intraperitoneal air under the diaphragm.,1. No acute radiographic cardiopulmonary process. 2. Mild hyperinflation.
1792,Opacity/lung/base/left/streaky;Costophrenic Angle/sulcus/left/blunted;Pleural Effusion/left/small;Pulmonary Atelectasis/base/left,Opacity;Costophrenic Angle;Pleural Effusion;Pulmonary Atelectasis,"Chest radiographs, 2 XXXX and lateral ","XXXX-year-old female with C-section 5 days ago, XXXX",None available,The heart size and mediastinal contours appear within normal limits. There are streaky left basilar opacities and blunting of the left costophrenic sulcus XXXX secondary to a small effusion. No pneumothorax. No acute bony abnormalities.,Small left pleural effusion with left basilar atelectasis.
1793,normal,normal,PA and lateral chest X-ray,,None.,"No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. XXXX XXXX is intact.",1. Negative for acute cardiopulmonary findings.
1794,normal,normal,"CHEST PA and Lateral on XXXX, XXXX ",XXXX-year-old complaining of dizziness,None.,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.
1795,Cardiomegaly/moderate;Thoracic Vertebrae/degenerative/mild,Cardiomegaly;Thoracic Vertebrae,"PA and Lateral Chest. XXXX, XXXX XXXX hours ","XXXX-year-old female, CHF",None available,There is moderate cardiomegaly. No interstitial edema or pleural effusion. No focal airspace consolidation. No pneumothorax. There is mild degenerative disc disease of the thoracic spine.,1. Cardiomegaly without radiographic evidence of heart failure. 2. No acute cardiopulmonary abnormality.
1796,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old female with history of right cervical lymphadenopathy..,"Two-view chest dated XXXX, XXXX.","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 acute cardiopulmonary abnormality..
1797,Osteophyte/thoracic vertebrae/multiple/small,Osteophyte,Xray Chest PA and Lateral,Shortness of breath.,None available.,The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Small T-spine osteophytes.,No acute cardiopulmonary abnormality.
1798,Calcified Granuloma/lung/lingula;Granuloma/lung/hilum/left/multiple,Calcified Granuloma;Granuloma,PA and lateral chest XXXX,History of malaise and fatigue,None,,Heart size is normal. Lungs are clear. Calcified left midlung 5 mm granuloma and left hilar granulomas. No effusions. No nodules or masses. No pneumonia. No bony abnormalities. Status post left shoulder replacement.
1799,normal,normal,PA and lateral views of the chest. ,XXXX-year-old female dyspnea.,PA lateral views the chest from XXXX.,Heart size within normal limits. No focal airspace disease. No pneumothorax or pleural effusion.,No acute right pulmonary findings.
1800,Lung/bilateral/hyperdistention,Lung,"Chest 2 views PA and lateral XXXX, XXXX XXXX p.m. ",XXXX,Chest single frontal portable AP XXXX XXXX a.m.,"Lungs are hyperexpanded bilaterally, with no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX are unremarkable.",No acute cardiopulmonary abnormality.
1801,Cardiomegaly/mild,Cardiomegaly,"2 views chest, XXXX hours, XXXX, XXXX ",Chest pain,XXXX,Stable mild cardiomegaly. Mediastinal contours are unchanged. Lungs are clear without focal consolidation. No visible pleural effusion or pneumothorax.,Stable mild cardiomegaly. Clear lungs.
1802,normal,normal,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old male with chronic kidney disease; preoperative evaluation.,None.,"The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",No acute cardiopulmonary findings.
1803,"Aorta, Thoracic/prominent/mild;Calcinosis/aorta","Aorta, Thoracic;Calcinosis","PA and lateral chest 3 images XXXX, XXXX at XXXX ",tuberculosis positive PPD,,,Heart size is normal. Lungs are clear. No evidence of tuberculosis. Mildly prominent ascending aorta with calcification of aortic XXXX question hypertension.
1804,"Catheters, Indwelling/right","Catheters, Indwelling",PA and Lateral Chest: XXXX at 14: 18 hours.,"XXXX-year-old woman with XXXX and chest tightness, history of leukemia.",XXXX.,"Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is a right chest XXXX with central venous catheter tip overlying the high SVC. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.",No acute cardiopulmonary abnormality.
1805,normal,normal,Xray Chest PA and Lateral,"XXXX, congestion, pain",None available,,"Heart size, mediastinal silhouette and pulmonary vascularity are within normal limits. Lungs are well expanded with no focal infiltrate or pleural effusion. No pneumothorax."
1806,No Indexing,No Indexing,CHEST 2V FRONTAL/LATERAL XXXX,42y female with positive ppd,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1807,Cardiomegaly/mild;Pulmonary Congestion/mild;Markings/lung/interstitial/mild;Pulmonary Edema,Cardiomegaly;Pulmonary Congestion;Markings;Pulmonary Edema,CHEST 2V FRONTAL/LATERAL ,Dyspnea,,The heart is mild enlarged. Central pulmonary vascularity is again accentuated. There are also mild increased interstitial markings without focal consolidation or pleural effusion.,"Mild stable cardiomegaly with mild central pulmonary vascular congestion and interstitial accentuation, XXXX edema."
1808,Osteophyte/thoracic vertebrae/anterior/multiple,Osteophyte,Xray Chest PA and Lateral,Preoperative evaluation,None.,"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 pleural effusion. There is no evidence of pneumothorax. Multilevel flowing anterior thoracic spine osteophytes, which could represent changes of diffuse idiopathic skeletal hyperostosis (DISH).",There is no evidence of acute cardiopulmonary disease. .
1809,normal,normal, PA and lateral chest. ,chest pain,None.,,Heart size is normal and lungs are clear.
1810,normal,normal,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX p.m. ",XXXX-year-old female with XXXX,"Chest radiograph XXXX, XXXX","The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.",No acute cardiopulmonary abnormality.
1811,Cardiomegaly/mild;Aorta/tortuous;Lung/hypoinflation/mild;Thoracic Vertebrae/degenerative/mild,Cardiomegaly;Aorta;Lung;Thoracic Vertebrae,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with shortness of breath,None.,"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.
1812,normal,normal,"PA and Lateral Chest. XXXX, XXXX ",Chest pain,None available,"No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.",No acute cardiopulmonary abnormality.
1813,normal,normal,Xray Chest PA and Lateral,"Wheezing, chest pain.",None.,"The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. Lung volumes are low normal. There are no acute bony findings.",No acute cardiopulmonary findings. .
1814,normal,normal, XXXX PA and lateral chest.,chronic XXXX.,,,Heart size normal and lungs clear.
1815,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,PA and Lateral of the Chest,XXXX-year-old bone marrow transplant XXXX workup.,None.,There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits. There are mild thoracic spine degenerative changes.,No acute cardiopulmonary findings.
1816,Calcinosis/mediastinum/lymph nodes;Calcinosis/lung/upper lobe/left/large;Calcinosis/lung/lower lobe/left/large;Granulomatous Disease,Calcinosis;Calcinosis;Calcinosis;Granulomatous Disease,PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old male with chest pain.,CT of the chest with contrast XXXX.,The heart and mediastinum are unremarkable. Again identified are numerous calcified mediastinal lymph XXXX as well as large calcifications within the left upper and left lower lobes. These appear similar to the patient's previous chest CT and are XXXX the sequela of prior granulomatous disease. The lungs are otherwise clear without infiltrate. There is no effusion or pneumothorax.,"1. Evidence of prior granulomatous disease, stable. No acute abnormality."
1817,"Technical Quality of Image Unsatisfactory ;Opacity/lung/bilateral/interstitial/mild;Emphysema;Calcified Granuloma/lung/base/left;Deformity/ribs/right;Fractures, Bone/ribs/right;Thoracic Vertebrae/degenerative","Technical Quality of Image Unsatisfactory ;Opacity;Emphysema;Calcified Granuloma;Deformity;Fractures, Bone;Thoracic Vertebrae",Xray Chest PA and Lateral,Generalized weakness.,,"The XXXX examination consists of frontal and lateral radiographs of the chest. Upper thorax is poorly visualized due to patient's overlying head and chin. The cardiomediastinal contours are within normal limits. Background of mild coarse interstitial opacities seen throughout the lungs XXXX related to background of emphysema. Calcified granuloma is seen in the left medial lung base. There is no consolidation, pleural effusion or pneumothorax. Deformity of the right 6th rib laterally has appearance of acute or subacute fracture. Degenerative changes of the thoracic spine are again seen.",Age indeterminant but XXXX acute to subacute right 6th rib fracture.
1818,Lung/hypoinflation/severe;Markings/bronchovascular;Pulmonary Atelectasis/base/bilateral,Lung;Markings;Pulmonary Atelectasis,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.",Chest pain,None,,"Very low lung volumes, bronchovascular crowding and bibasilar areas of atelectasis. No lobar consolidation. No appreciable pleural effusion or pneumothorax. Heart size within normal limits."
1819,Cardiomegaly;Pulmonary Congestion;Pulmonary Atelectasis/base/left/patchy;Airspace Disease/lung/base/left,Cardiomegaly;Pulmonary Congestion;Pulmonary Atelectasis;Airspace Disease,XR Chest PA and Lateral,Dyspnea,"XXXX, XXXX",,Stable cardiac enlargement. Vascular congestion is redemonstrated. Patchy atelectasis and airspace disease is present in the left base. Right base is clear. No large effusion or pneumothorax.
1820,Diaphragmatic Eventration/right,Diaphragmatic Eventration,"PA and Lateral Chest. XXXX, XXXX &gt;]. ",XXXX-year-old with XXXX.,None.,"Heart size and mediastinal contours appear within normal limits. Eventration of the right hemidiaphragm. No focal lung consolidation, pleural effusion or pneumothorax. No acute bony abnormality.",No acute cardiopulmonary abnormality.
1821,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,PA and lateral chest radiographs. ,XXXX-year-old male with positive PPD.,PA and lateral chest radiographs XXXX.,"The heart and mediastinum are normal in size and contour. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.",No acute cardiopulmonary finding. Specifically there is no evidence of active tuberculosis infection.
1822,Lung/hilum/prominent,Lung,"Radiograph Chest PA and Lateral XXXX, XXXX. ",XXXX. Chest pain.,Radiograph Chest PA and Lateral None.,The heart is normal in size and contour. There is no mediastinal widening. No focal air space disease. Prominent hilar XXXX. No large pleural effusion or pneumothorax. The XXXX are intact.,No acute cardiopulmonary abnormalities.
1823,Nodule/lung/lower lobe/right;Calcinosis/lung/hilum/lymph nodes/right;Granuloma/lung/lower lobe/right,Nodule;Calcinosis;Granuloma,Xray Chest PA and Lateral,",786.50 pt.states has a soreness lt.lower and lateral rib and upper lt.abd.since having a mammogram one month ago.no XXXX or lung complaints./pkd",None. INDICATION /,"Chest. Heart size is normal. Pulmonary vasculature is normal. There is a 13 mm nodule in the right lower lobe that is relatively dense, but not obviously calcified on the corresponding rib series. There are probably right hilar calcified lymph XXXX. Lungs otherwise are clear. There is no pleural effusion. Left ribs. No fracture or focal bony destruction.","1. Chest. Large nodule at the right lung base that probably represents a granuloma although not it is not densely calcified. A low KV P chest radiograph can be obtained for confirmation as a there are no comparison studies available in the XXXX. If the patient has an outside chest radiograph, comparison can be XXXX and the report addended. 2. Ribs. Normal. Critical result notification documented through Primordial. If there are questions regarding this interpretation, please XXXX XXXX."
1824,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ","h/o smoking, dm, xol. evaluate mediastinum.",None,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1825,Scoliosis/mild,Scoliosis, PA and lateral chest. ,tuberculosis +PPD,None.,,Heart size is normal lungs are clear. No evidence of tuberculosis. Minimal scoliosis.
1826,normal,normal,PA and lateral chest x-XXXX dated XXXX at XXXX hours.,XXXX-year-old male with significant smoking history and complaints of chest pain.,Xray of the ribs 3 views dated XXXX XXXX p.m.,"The central airway is midline and is XXXX. The cardiomediastinal silhouette is within normal limits. There is no focal lung consolidation, pleural effusion, or pneumothorax seen. The osseous structures appear within normal limits.",1. No acute cardiopulmonary abnormalities. 2. Normal chest radiograph.
1827,normal,normal,PA and Lateral of the chest ,XXXX-year-old with dyspnea.,"XXXX, XXXX.",The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.,No acute cardiopulmonary findings.
1828,normal,normal,Xray Chest PA and Lateral,Positive PPD,,,"Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified. No evidence of active tuberculosis."
1829,Pleural Effusion/bilateral/posterior/mild,Pleural Effusion,"Chest PA and lateral views. XXXX, XXXX XXXX PM",Status post chest tube removal,"XXXX, XXXX",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.
1830,Implanted Medical Device/left;Kyphosis/thoracic vertebrae/severe;Osteophyte/thoracic vertebrae,Implanted Medical Device;Kyphosis;Osteophyte,Xray Chest PA and Lateral,XXXX-year-old male. Shortness of breath. Back pain.,"XXXX, XXXX.","Left anterior chest wall pacemaker/defibrillator. Stable cardiomediastinal silhouette. No focal consolidation, pneumothorax or large pleural effusion. Exaggerated thoracic kyphosis. Spurring of thoracic spine.",Negative for acute abnormality.
1831,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, XXXX, chest pain",None,"Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",No acute cardiopulmonary findings
1832,Cardiomegaly;Opacity/lung/base/left/streaky;Pulmonary Atelectasis;Infiltrate/lung,Cardiomegaly;Opacity;Pulmonary Atelectasis;Infiltrate,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, chest pain.",PA and lateral views of the chest dated XXXX.,Interval removal of cardiac XXXX generator. Cardiomegaly. Left base streaky opacities again noted. No large focal areas of consolidation. No pleural effusions. Osseous structures intact. No pneumothorax.,"1. Streaky left basilar opacities, XXXX atelectasis versus infiltrate. 2. Cardiomegaly, stable."
1833,Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left/mild;Calcified Granuloma/lung/lower lobe/right/posterior/multiple,Pulmonary Atelectasis;Cicatrix;Calcified Granuloma,"PA and lateral chest XXXX, XXXX.",Alveolar and adenopathy.,"XXXX, XXXX.",There is a small area of scarring or atelectasis in the left base. Calcified granulomas seen in the posterior right lower lobe. Lungs are otherwise clear. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.,Minimal small area scarring of the left base.
1834,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX 10 ",tuberculosis +PPD,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest No evidence of tuberculosis
1835,Lung/hypoinflation,Lung,Chest x-XXXX XXXX and lateral on XXXX. ,XXXX-year-old female with chest pain.,None available,Low lung volumes. The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.,Low lung volumes. No acute cardiopulmonary abnormalities.
1836,Atherosclerosis/aorta;Aorta/tortuous;Lung/hypoinflation/mild,Atherosclerosis;Aorta;Lung,Xray Chest PA and Lateral,"Previous XXXX with shortness of breath, XXXX",XXXX,The heart is top normal in size. The mediastinum is stable. Aorta is tortuous and atherosclerotic. Lungs are mildly hypoinflated. No acute infiltrate is seen.,No acute disease.
1837,normal,normal,Xray Chest PA and Lateral,XXXX year old XXXX for several days.,None.,"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.
1838,Diaphragm/right/elevated,Diaphragm,PA and Lateral Chest ,XXXX-year-old female with dyspnea.,PA and lateral views of the chest from XXXX.,Stable elevation of the right hemidiaphragm. Stable cardiomediastinal silhouette. No focal airspace disease. No pneumothorax or large effusion.,No acute cardiopulmonary finding.
1839,Granulomatous Disease,Granulomatous Disease,Xray Chest PA and Lateral,,"XXXX ,780.60 XXXX congestion; previous XXXX",The heart is normal in size. The mediastinum is stable. Granulomatous sequela are noted. The previously visualized nodular density in the right upper lobe is not well-seen on today's study. There is no acute infiltrate or pleural effusion.,No acute disease.
1840,Opacity/lung/hilum/left,Opacity,2 views chest XXXX,XXXX left chest pain,None,PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is asymmetric opacity to left suprahilar chest. No discrete correlate is seen on lateral view. Findings may reflect focal airspace disease or adenopathy. No pleural effusion. No pneumothorax.,"1. Asymmetric left suprahilar opacity, consider focal airspace disease or adenopathy. Correlate clinically as to XXXX or symptoms of infection. Recommend followup radiograph to document resolution."
1841,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",cxr for XXXX placement s/p calc fx and distal tibia fx,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1842,Nodule/lung/middle lobe/right;Calcinosis/lung/middle lobe/right,Nodule;Calcinosis,"PA and lateral chest XXXX, XXXX at XXXX comparison XXXX XXXX ",History of dyspnea,,,Heart size normal. Lungs clear. Stable 5 mm calcified right midlung nodule
1843,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old XXXX with shortness of breath.,"Two-view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality.
1844,Lung/hyperdistention;Diaphragm/bilateral/flattened,Lung;Diaphragm,"Chest x-XXXX, 2 views, XXXX, XXXX XXXX PM",Syncope,none,"Normal cardiomediastinal contours. Hyperexpansion of the lungs with flattening of the diaphragm. No focal lung consolidation, pneumothorax or pleural effusions.",No cardiopulmonary abnormality.
1845,"Catheters, Indwelling/left;Pleural Effusion/left;Fractures, Bone/ribs/left/chronic","Catheters, Indwelling;Pleural Effusion;Fractures, Bone",Xray Chest PA and Lateral,"XXXX, XXXX outside chest radiographs available on PACs, labeled SFHHC",None,,"There is a left IJ approach central catheter. There is a XXXX noted in the catheter at the level of the medial clavicle. The tip of the catheter reaches the level of the brachiocephalic venous confluence. Heart size is normal. Mediastinal silhouette is stable. No edema. Essentially resolved bibasilar atelectasis, no XXXX consolidation or pneumothorax. XXXX left pleural effusion. Chronic left 6th rib fracture."
1846,Calcified Granuloma/lung/upper lobe/left,Calcified Granuloma,Xray Chest PA and Lateral,XXXX.,None. Clinical,"2 images. Calcified granuloma left upper lobe. 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.
1847,Calcified Granuloma/mediastinum/large;Calcified Granuloma/lung/hilum/right/large,Calcified Granuloma;Calcified Granuloma,"PA lateral chest radiograph, XXXX XXXX hours. ",XXXX-year-old female with dysphasia for 3 months.,"PA lateral chest radiograph, XXXX.","The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There is no focal air space opacity, pneumothorax, or effusion. There are large calcified mediastinal and right hilar granulomas. The bony structures of the thorax are intact with no evidence of acute abnormality.",No evidence of acute cardiopulmonary process. Stable appearance of the chest.
1848,Granulomatous Disease;Nodule/lung/bilateral/round/multiple/small;Density/lung/bilateral/round/multiple/small;Calcinosis/lung/bilateral/round/multiple/small,Granulomatous Disease;Nodule;Density;Calcinosis,"CHEST 2V FRONTAL/LATERAL Sept 12, XXXX XXXX PM ",XXXX h/o sarcoma.,None,"The trachea is midline. The cardiomediastinal silhouette is normal. There are small round calcific density nodules consistent with prior granulomatous disease bilaterally. Otherwise, the lungs are clear without evidence of acute infiltrate or effusion. There are no masses seen. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",No acute cardiopulmonary abnormalities.
1849,Calcified Granuloma/lung/base/right,Calcified Granuloma,PA and lateral views of the chest. ,XXXX-year-old male with COPD.,None available.,Heart size is within normal limits. 8mm calcified granuloma in the right base. No focal airspace consolidations. No pneumothorax or effusion.,No acute cardiopulmonary findings.
1850,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old XXXX with chest pain and shortness of breath.,None.,"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 acute cardiopulmonary abnormality..
1851,normal,normal,Xray Chest PA and Lateral,XXXX-year-old male with XXXX and dyspnea.,Chest radiographs from XXXX.,Heart size is normal. No focal airspace consolidations. No pneumothorax or effusion. No acute osseous findings.,No acute cardiopulmonary findings. .
1852,normal,normal,PA AND LATERAL CHEST X-XXXX at XXXX on XXXX ,Chest pain,None,"Lungs are clear. No focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Osseous structures intact.",No acute cardiopulmonary disease
1853,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. ","XXXX-year-old woman with left-sided chest pain x3 days, increased today.",None.,"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.",No acute cardiopulmonary abnormality.
1854,normal,normal,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours. ",XXXX-year-old male. Chest pain. HIV.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.",Negative for acute abnormality.
1855,Airspace Disease/lung/base/left/focal;Opacity/lung/middle lobe/right/round;Deformity/humerus/right,Airspace Disease;Opacity;Deformity,PA and Lateral Chest ,XXXX-year-old male with pneumonia.,PA and lateral views of the chest from XXXX.,Heart size within normal limits. There is focal left lateral base airspace disease. There is a 6 mm nodular opacity in the right midlung. No pneumothorax. No pleural effusion. No displaced rib fractures. There is an apparent deformity of the right humeral surgical neck. This is not seen on the comparison. Correlate clinically with history of fracture.,Left base airspace disease and nodular opacity in the right midlung.
1856,normal,normal,"Chest, 2 views, XXXX XXXX ComparisXXXX/XXXX ",Dyspnea,,Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,No acute cardiopulmonary findings.
1857,Cardiomegaly/mild,Cardiomegaly,Xray Chest PA and Lateral,Syncope.,None.,Mild cardiomegaly. Normal size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable XXXX.,Mild cardiomegaly. Clear lungs. .
1859,"Hernia, Hiatal;Cicatrix/lung/upper lobe/right/scattered","Hernia, Hiatal;Cicatrix",Xray Chest PA and Lateral,",723.1","XXXX, XXXX",,"Hiatal hernia as before. Scattered right upper lung scarring as before. Overall, Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified."
1860,Scoliosis/lumbar vertebrae/left;Scoliosis/thoracic vertebrae/right;Deformity/thoracic vertebrae;Lumbar Vertebrae/degenerative/severe,Scoliosis;Scoliosis;Deformity;Lumbar Vertebrae,"PA and lateral chest radiograph, XXXX at XXXX hours.","XXXX-year-old female, bone marrow transplant workup. Productive XXXX for one XXXX.",None.,The cardiac and mediastinal silhouettes are normal. The lungs are well-expanded and clear. There is no focal airspace opacity. There is no pneumothorax or effusion. There is dextrocurvature of the thoracic spine. There is XXXX deformity of the T9 vertebral body. Levocurvature of the lumbar spine with significant degenerative change is also noted.,1. No evidence of acute cardiopulmonary process. 2. Scoliotic curvature of the spine with XXXX deformity of the T9 vertebral body.
1861,normal,normal,2 views of the Chest on XXXX. ,"Back pain, XXXX.",None.,Normal cardiomediastinal silhouette. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.,There is no radiographic evidence of acute cardiopulmonary disease.
1863,Cardiomegaly/mild;Aorta/tortuous;Lung/hypoinflation;Markings/bronchovascular;Pulmonary Atelectasis/base/patchy;Spine/degenerative,Cardiomegaly;Aorta;Lung;Markings;Pulmonary Atelectasis;Spine,Xray Chest PA and Lateral,Left-sided chest pain,None available.,Heart size is mildly enlarged. Tortuous aorta. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.,1. Low volume study without acute process. 2. Mild cardiomegaly.
1864,Cardiomegaly/borderline;Nodule/lung/lower lobe/right;Density/lung/lower lobe/right,Cardiomegaly;Nodule;Density,Xray Chest PA and Lateral,"XXXX-year-old male, pain",None,"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"
1865,Calcified Granuloma/lung/upper lobe/right;Calcinosis/lung/hilum/lymph nodes/right,Calcified Granuloma;Calcinosis,Xray Chest PA and Lateral,Syncope,None,Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. Calcified right upper lobe pulmonary granuloma and calcified right hilar lymph XXXX. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,No acute abnormality. .
1866,No Indexing,No Indexing,"XXXX CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1867,"Cardiomegaly/mild;Aorta, Thoracic/tortuous;Calcinosis/aorta, thoracic;Opacity/lung/base/bilateral/streaky/mild;Costophrenic Angle/left/blunted;Bone Diseases, Metabolic;Spine/degenerative;Deformity/humerus/right/chronic;Fractures, Bone/ribs/right/multiple/healed;Pulmonary Atelectasis/base/bilateral/mild;Cicatrix/lung/base/bilateral/mild;Pleural Effusion/left/small","Cardiomegaly;Aorta, Thoracic;Calcinosis;Opacity;Costophrenic Angle;Bone Diseases, Metabolic;Spine;Deformity;Fractures, Bone;Pulmonary Atelectasis;Cicatrix;Pleural Effusion",Xray Chest PA and Lateral,"XXXX, fractured femur, preop",Outside chest radiograph earlier XXXX,Cardiomegaly and tortuous calcified thoracic aorta are unchanged. Normal pulmonary vascularity. Minimal streaky bibasilar opacities. Blunted left costophrenic XXXX. Bony demineralization. Degenerative changes of the spine. Verterbroplasty change near the thoracolumbar junction. Upper abdominal surgical changes. Chronic appearing deformity of the proximal right humerus. Old right rib fractures.,1. Mild cardiomegaly without pulmonary edema. 2. Minimal bibasal subsegmental atelectasis/scar. 3. Very small left pleural effusion.
1868,Pleural Effusion/bilateral/small;Lung/hilum/interstitial/prominent;Infiltrate/lung/hilum/right;Markings/bronchovascular,Pleural Effusion;Lung;Infiltrate;Markings,"PA and LAT view CHEST XXXX, XXXX XXXX PM","Ovarian hyperstimulation syndrome, rest for abnormality",XXXX,Heart size and pulmonary vascularity normal. There is a small right pleural effusion. There is infrahilar interstitial prominence which may represent bronchovascular crowding lung. Small left pleural effusion. No pneumothorax.,Small bilateral pleural effusions and right infrahilar infiltrate versus bronchovascular crowding.
1870,Cardiomegaly/severe;Lung/hypoinflation;Markings/lung/interstitial/prominent;Diaphragm/right/elevated,Cardiomegaly;Lung;Markings;Diaphragm,"PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old female, chest pain",None available,There is marked cardiomegaly. There is questionable dilation of the pulmonary arteries. Low lung volumes. No focal airspace consolidation. No pleural effusion or pneumothorax. Prominent interstitial markings are XXXX due to low lung volumes. Elevated right hemidiaphragm.,1. Marked cardiomegaly. 2. Low lung volumes.
1871,normal,normal,"2 views chest, XXXX hours, XXXX, XXXX ",XXXX,XXXX,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.,No acute cardiopulmonary abnormality.
1872,Osteophyte/thoracic vertebrae/anterior/multiple,Osteophyte,Chest radiograph PA and lateral and XXXX at XXXX. ,XXXX-year-old male with vertigo.,None.,No pneumothorax or pleural effusion. Clear lungs bilaterally. Normal cardiac contours. Multiple anterior endplate osteophyte formation along thoracic spine.,1. No acute cardiopulmonary abnormalities.
1873,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,Xray Chest PA and Lateral,XXXX-year-old female with pain and shortness of breath.,,"Cardiomediastinal silhouette is within normal limits. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormalities. Degenerative changes of the thoracic spine.",No acute cardiopulmonary findings. .
1874,"Pneumothorax/apex/right/small;Subcutaneous Emphysema/thorax/right/severe;Subcutaneous Emphysema/neck/severe;Fractures, Bone/ribs/right/anterior/multiple;Airspace Disease/lung/base/right/streaky/mild;Hernia, Hiatal/small;Catheters, Indwelling/thoracic vertebrae;Pulmonary Atelectasis/base/right;Opacity/lung/base/right","Pneumothorax;Subcutaneous Emphysema;Subcutaneous Emphysema;Fractures, Bone;Airspace Disease;Hernia, Hiatal;Catheters, Indwelling;Pulmonary Atelectasis;Opacity",Xray Chest PA and Lateral,"XXXX, rule out pneumothorax.","XXXX, XXXX.",The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is a thin right apical pneumothorax measuring approximately 5 mm in thickness. There is extensive subcutaneous emphysema in the right chest wall and neck. There are fractures of the right anterior 5th through 9th anterior ribs with mild displacement. Additional fractures cannot entirely be excluded. There is mild streaky airspace disease in the right lung base. Left lung is clear. There is a small hiatal hernia. There is an intrathecal catheter terminating in the lower thoracic spine.,"1. XXXX right apical pneumothorax measuring approximately 5 mm in thickness. 2. Multiple right-sided rib fractures involving at XXXX the right anterior 5th through 9th ribs with mild displacement. 3. Mild right basilar airspace disease, atelectasis versus contusion. ."
1875,Aorta/tortuous/mild;Thoracic Vertebrae/degenerative,Aorta;Thoracic Vertebrae,Xray Chest PA and Lateral,"ICD 9 code 786.51, intermittent left chest pain",XXXX,Heart size and mediastinal contour are normal. Mild tortuosity of the aorta. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,No acute cardiopulmonary process
1876,"Deformity/pleura/apex/right;Lung/hyperdistention;Diaphragm/bilateral/flattened;Pulmonary Disease, Chronic Obstructive;Thoracic Vertebrae/degenerative","Deformity;Lung;Diaphragm;Pulmonary Disease, Chronic Obstructive;Thoracic Vertebrae",PA and lateral chest x-XXXX ,XXXX-year-old female with COPD exacerbation.,,"Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Right apical pleural retraction. Hyperexpansion, flattening of diaphragms, and increased AP diameter consistent with history of COPD. Degenerative disease of the thoracic spine is present.",No acute cardiopulmonary abnormalities.
1877,normal,normal," PA and lateral chest XXXX, XXXX at XXXX comparison available from XXXX 10 ",XXXX,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
1878,Calcified Granuloma,Calcified Granuloma,"Chest PA and lateral views. XXXX, XXXX XXXX PM ComparisXXXX/XXXX ",XXXX,,XXXX XXXX and lateral chest examination was obtained. XXXX calcified granuloma seen. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,1. No acute pulmonary disease.
1879,normal,normal,PA and lateral views of the chest. ,"XXXX-year-old female with tuberculosis contact, rule out TB.",None available.,Heart size within normal limits. No focal airspace disease. No cavitations. No pneumothorax or pleural effusion.,"No acute cardiopulmonary findings. Specifically, no radiographic evidence of tuberculosis."
1880,Nodule/lung/lingula;Spine/degenerative/mild,Nodule;Spine,Xray Chest PA and Lateral,XXXX-year-old with left arm tingling and heaviness. Possible blood clot in the left leg. And tingling and chest. Asthma. History of XXXX calf.,AP chest dated XXXX.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is an 8mm nodule identified within the left lateral midlung partially overlying the posterior left 7th rib. There are mild degenerative changes of the spine.",Left midlung pulmonary nodule. Comparison to a previous XXXX would be most helpful alternatively a noncontrast chest CT could be performed in the nonemergent setting for further characterization. No acute disease.
1881,Atherosclerosis/aorta,Atherosclerosis,Xray Chest PA and Lateral,XXXX-year-old female. Chest pain.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. Aortic atherosclerosis. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",Negative. No significant change from XXXX.
1882,normal,normal,Chest radiograph PA and lateral XXXX/XXXX at XXXX. ,XXXX-year-old female with shortness of breath.,Chest radiograph XXXX/XXXX.,Clear lungs bilaterally. Normal cardiac contours. No pneumothorax or pleural effusion.,1. No acute cardiopulmonary abnormality.
1883,Surgical Instruments/abdomen/right,Surgical Instruments,Xray Chest PA and Lateral,XXXX onset of right-sided weakness for one XXXX.,None.,"Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion. There are right upper quadrant surgical clips, perhaps from cholecystectomy.","No acute or active cardiac, pulmonary or pleural disease."
1884,"Spine/degenerative;Aorta, Thoracic/tortuous/mild;Mediastinum/prominent","Spine;Aorta, Thoracic;Mediastinum",PA and Lateral Chest X-XXXX dated XXXX.,Low back pain.,None.,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is noted. Degenerative changes are noted in the spine. The descending thoracic aorta is mildly tortuous. The mediastinum appears somewhat prominent.,"1. Prominent mediastinum. May be due to mediastinal fat. Comparison films, if available, would be useful to determine if this is a chronic appearance. 2. Clear lungs."
1885,normal,normal,"PA and Lateral Chest. XXXX, XXXX at XXXX ",XXXX,"XXXX, XXXX.","Heart size is normal. Mediastinal contour and pulmonary vascularity within normal limits. No focal airspace consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.","Clear lungs, no acute cardiopulmonary abnormality."
1886,Atherosclerosis/aorta;Calcified Granuloma/bilateral/multiple;Thoracic Vertebrae/degenerative,Atherosclerosis;Calcified Granuloma;Thoracic Vertebrae,PA and Lateral Chest Radiograph ,Chest pain,XXXX,"Heart size and mediastinal contour within normal limits. Atherosclerotic calcification within the aorta. Calcified granulomas in bilateral XXXX and overlying the T9 vertebral body(lateral view). No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes of thoracic spine. No acute osseous abnormality.",No acute cardiopulmonary abnormality.
1887,Atherosclerosis/aorta;Scoliosis;Arthritis;Kyphosis/thoracic vertebrae,Atherosclerosis;Scoliosis;Arthritis;Kyphosis,Xray Chest PA and Lateral,Complains of intermittent left arm pain,"XXXX, XXXX",The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Scoliosis and arthritic changes of the skeletal structures are noted. There is increased kyphosis of the thoracic spine similar to the prior study,Senescent changes no acute pulmonary disease.
1888,"Fractures, Bone;Lung/hyperdistention;Spine/degenerative","Fractures, Bone;Lung;Spine",Xray Chest PA and Lateral,Pain and shortness of breath.,"XXXX, XXXX",Cardiomediastinal contours are unchanged. There are stable fractures of several XXXX XXXX. Lungs are hyperexpanded but clear. No pneumothorax or pleural effusion. Degenerative changes are seen in the spine.,No acute cardiopulmonary process. .
1889,Diaphragm/right/elevated;Pulmonary Atelectasis/base/right;Thoracic Vertebrae/degenerative,Diaphragm;Pulmonary Atelectasis;Thoracic Vertebrae,"PA and Lateral Chest. XXXX, XXXX. &gt;] ",Chest pain.,XXXX.,"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.
1891,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX rll pneumonia,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1892,Calcified Granuloma/lung/lower lobe/right;Osteophyte/thoracic vertebrae,Calcified Granuloma;Osteophyte, PA and lateral views. ,XXXX-year-old female. Chest pain.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. Stable right lower lobe calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Spurring of the thoracic spine.",Negative for acute abnormality.
1893,Lung/hypoinflation/mild;Diaphragm/right/elevated/mild;Spine/degenerative,Lung;Diaphragm;Spine,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",XXXX x 3 weeks,XXXX,Mildly low lung volumes. Lungs are clear without focal air space disease. Persistent mild elevation right hemidiaphragm. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,Stable appearance of the chest without focal air space disease.
1894,Opacity/thorax/right,Opacity,CHEST 2V FRONTAL/LATERAL ,Dyspnea,None,The heart is normal in size. The mediastinum is unremarkable. Subtle increased opacity of right mid hemithorax XXXX related to superimposed soft tissues. The lungs are otherwise clear. There is no pleural effusion or pneumothorax.,No acute disease.
1895,Technical Quality of Image Unsatisfactory ,Technical Quality of Image Unsatisfactory ,"PA lateral views of the chest XXXX hours XXXX, XXXX. ",XXXX-year-old female shortness of breath.,None.,"The lateral images limited secondary to motion artifact. No focal consolidation, large pneumothorax or large pleural effusion. Heart size normal. XXXX unremarkable.","Limited exam, no definite acute intrathoracic finding."
1896,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old XXXX with hemoptysis.,None.,"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 acute cardiopulmonary abnormality. Specifically, no radiographically apparent etiology for hemoptysis."
1897,"Deformity/thorax;Catheters, Indwelling/left","Deformity;Catheters, Indwelling",Xray Chest PA and Lateral,Kidney transplant evaluation,None,The heart is normal in size. The mediastinum is within normal limits. Pectus deformity is noted. Left IJ dual-lumen catheter is visualized without pneumothorax. The lungs are clear.,No acute disease.
1898,Cardiac Shadow/enlarged/severe;Markings/lung/base/bilateral/interstitial;Cardiomegaly/severe;Pulmonary Edema/base/bilateral,Cardiac Shadow;Markings;Cardiomegaly;Pulmonary Edema,Two views of the chest ,Shortness of breath,No prior,"The aortic XXXX, cardiac apex, and stomach are left-sided. The cardiomediastinal silhouette is significantly enlarged. Pulmonary vascular markings centrally are within normal limits and symmetric. Increased interstitial markings bilaterally at the lung bases. This may be related to chronic interstitial changes or edema. No focal airspace disease. No pleural effusion or pneumothorax. No acute bony abnormality.","1. Marked cardiomegaly. 2. Increased interstitial markings in the lower lungs, edema versus chronic interstitial changes."
1899,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old female, preop, XXXX..","Two-view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality..
1900,Calcinosis/aorta;Aorta/tortuous;Calcified Granuloma/lung/bilateral/scattered/multiple;Thoracic Vertebrae/degenerative/mild,Calcinosis;Aorta;Calcified Granuloma;Thoracic Vertebrae,Xray Chest PA and Lateral,XXXX year old hypertension and chest pain.,PA and lateral chest XXXX.,"There are XXXX sternotomy XXXX identified. The heart is within normal limits in size. The aorta is calcified and tortuous. There are scattered calcified granulomas throughout both lungs. No focal infiltrate, pleural effusion, or pneumothorax. Mild degenerative changes of the thoracic spine.",1. Stable appearance of the chest. No acute process.
1901,Surgical Instruments/abdomen,Surgical Instruments,"Chest 2 views dated XXXX, XXXX",Chest pain.,XXXX.,"The XXXX examination consists of frontal and lateral radiographs of the chest. There has been interval CABG. Surgical clips are again seen in the epigastric region. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures are unremarkable.",No evidence of acute cardiopulmonary process. Interval CABG.
1902,normal,normal,"Chest x-XXXX 2 views, XXXX, XXXX XXXX PM ",Chest pain,XXXX,"Normal and stable cardiomediastinal contours. No pneumothorax, pleural effusions or significant pulmonary edema. No focal lung consolidation.",1. No acute cardiopulmonary abnormalities.
1903,normal,normal,CHEST 2V FRONTAL/LATERAL ,Dyspnea,XXXX,The heart is normal in size. The mediastinum is stable. The lungs are clear.,No acute disease.
1904,Osteophyte/thoracic vertebrae/degenerative,Osteophyte," PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX ",persistent XXXX XXXX,,,Heart size is normal and lungs are clear. Degenerative spurring of the thoracic spine
1905,Cardiac Shadow/enlarged;Calcinosis/blood vessels;Granulomatous Disease;Spondylosis/thoracic vertebrae/mild,Cardiac Shadow;Calcinosis;Granulomatous Disease;Spondylosis,"Chest, 2 views, frontal and lateral",Routine medical exam,"XXXX, XXXX","Enlarged cardiac contour, stable. Calcified vasculature. Sequelae of prior granulomatous disease. No confluent consolidation, pleural effusion, or overt pulmonary edema. Mild thoracic spondylosis.",No acute findings. Stable cardiac enlargement.
1906,Opacity/lung/base/bilateral/streaky;Cardiomegaly/mild,Opacity;Cardiomegaly,Xray Chest PA and Lateral,"XXXX-year-old female, chest pain",,,"Streaky bibasilar opacities most suggestive of atelectasis with hypoventilation. Heart size mildly enlarged for technique, stable mediastinal contours. No definite pleural effusion seen, no typical findings of pulmonary edema."
1907,normal,normal, PA and lateral chest. ,dizziness,,,No comparisons. Heart size is normal. Lungs are clear. Status post coronary artery bypass grafting.
1908,Opacity/lung/upper lobe/bilateral/round,Opacity,Xray Chest PA and Lateral,Chest pain,None,"Cardiac silhouette and mediastinal contours are within normal limits. Nodular opacity overlying the upper lungs bilaterally may represent overlying telemetry XXXX XXXX, correlate clinically. Otherwise, lungs are clear. No large pleural effusion no pneumothorax.",No acute cardiopulmonary disease.
1909,Infiltrate/lung/middle lobe/right/patchy;Cardiomegaly/mild;Aorta/tortuous;Airspace Disease/lung/middle lobe/right,Infiltrate;Cardiomegaly;Aorta;Airspace Disease," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chf vs bronchitis,"XXXX, XXXX.","Consolidation, atelectasis, and costophrenic XXXX blunting in the left lower lobe have cleared in the interval. A persistent patchy infiltrate is present in the right middle lobe. No XXXX infiltrates. Heart is slightly large. Pulmonary XXXX are normal. Aorta remains tortuous.",Cleared left lower lobe airspace disease with persistent right middle lobe airspace disease.
1910,Aorta/tortuous/mild;Sulcus/right/posterior/obscured,Aorta;Sulcus,"2 view CHEST: XXXX, XXXX at XXXX hours. ",History of CHF,None,,"Heart size normal. Mildly tortuous aorta. No overt edema. No focal consolidation, no pneumothorax. No significant pleural effusion, though the extreme posterior right sulcus is excluded on the lateral image."
1911,normal,normal,Chest 2 views PA and lateral. ,XXXX-year-old female with two-XXXX history of XXXX,"Chest 2 views, XXXX at 23: 56","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.",1. No active disease.
1912,normal,normal,"Chest, 2 views, frontal and lateral",Asthma,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute findings
1913,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,PA and lateral chest radiographs. ,XXXX-year-old male with chest pain dyspnea.,None.,"The heart size and cardiopulmonary silhouette is normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. The obstruction are intact with mild degenerative change in the thoracic spine.",No acute cardiopulmonary finding.
1914,Opacity/lung/bilateral/interstitial/diffuse,Opacity,PA and lateral views of the chest. ,XXXX-year-old female with HIV and shortness of breath.,AP portable chest from 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."
1915,normal,normal," Two-view chest. XXXX hours XXXX, XXXX. ",Persistent XXXX.,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease..
1916,Costophrenic Angle/left/blunted;Pneumonectomy/lung/left;Markings/lung/base/right/interstitial/chronic;Blister/lung/upper lobe/bilateral,Costophrenic Angle;Pneumonectomy;Markings;Blister,Xray Chest PA and Lateral,COPD,Chest radiograph XXXX.,There is stable left costophrenic XXXX blunting. The patient has undergone prior left lobectomy. There are chronic appearing right basilar interstitial markings. Heart size normal. No visualized pneumothorax. There is stable appearing left upper and right upper lobe bullous disease.,1. No acute cardiopulmonary findings. 2. Unchanged chronic appearance of the left lung.
1918,Opacity/lung/hilum/left/round;Surgical Instruments/thorax;Lung/hilum/left/prominent,Opacity;Surgical Instruments;Lung,2 views of the chest XXXX/XXXX.,Preoperative evaluation,None.,"There is a 1.5 cm nodular opacity projecting over left hilum. The cardiac silhouette is within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax. XXXX opacities XXXX representing surgical clips, in the midline at the level of the thoracic inlet.","1. Prominence of left hilum which could be due to nodule/lymph node or superimposing blood XXXX. In the absence of prior studies for comparison, XXXX chest for further evaluation. Result notification XXXX Primordial."
1919,"Lung/hyperdistention;Lung, Hyperlucent;Diaphragm/bilateral/flattened;Pulmonary Atelectasis/base/bilateral/mild;Airspace Disease/lung/base/bilateral/mild;Pulmonary Emphysema/chronic","Lung;Lung, Hyperlucent;Diaphragm;Pulmonary Atelectasis;Airspace Disease;Pulmonary Emphysema","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. 3 total images. ",XXXX-year-old male shortness of breath.,"Two-view chest radiograph dated XXXX, XXXX.","Hyperexpansion of the lungs with hyperlucency and flattening of hemidiaphragms suggestive of chronic emphysematous lung disease. Heart size within normal limits. Bibasilar, right greater than left atelectasis/airspace disease noted. No pneumothorax or large pleural effusion. No acute bony abnormality.","Chronic emphysematous lung disease with mild bibasilar, right greater than left airspace disease/atelectasis."
1920,normal,normal,"PA and lateral views of the chest dated XXXX, XXXX.","Chest pain, XXXX. MVA.",None.,"Cardiomediastinal silhouette is normal in size and contour. Pulmonary vasculature is normal in caliber. Lungs are clear of focal airspace disease, pneumothorax or pleural effusion. There are no acute bony findings.",No acute cardiopulmonary findings.
1921,"Pulmonary Disease, Chronic Obstructive;Lung/hyperdistention/moderate;Atherosclerosis/aorta, thoracic","Pulmonary Disease, Chronic Obstructive;Lung;Atherosclerosis",Chest XXXX and Lateral,COPD,"Chest radiograph, XXXX.","Redemonstration of moderately-inflated lungs, consistent with COPD and unchanged. Atherosclerotic calcifications of the thoracic XXXX seen. No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.","Moderately hyperinflated lung XXXX, otherwise no acute cardiopulmonary abnormality."
1922,normal,normal,"Chest x-XXXX AP and lateral, 2 views. ",Chest pain.,None.,"Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable.",No radiographic evidence of acute cardiopulmonary disease
1923,Lung/hyperdistention;Cardiomegaly,Lung;Cardiomegaly,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old female with XXXX,None,"Lungs are clear without focal consolidation, effusion, or pneumothorax. Hyperinflated lungs. Cardiomegaly. Bony thorax and soft tissues grossly unremarkable",Cardiomegaly without acute cardiopulmonary abnormality.
1924,Technical Quality of Image Unsatisfactory ;Markings/bronchovascular/mild;Markings/lung/interstitial/scattered/irregular/chronic;Calcinosis/aorta/severe;Aorta/tortuous/mild,Technical Quality of Image Unsatisfactory ;Markings;Markings;Calcinosis;Aorta,AP and lateral chest,"XXXX-year-old female, back pain",None,"Rotated apical lordotic frontal projection, mild bronchovascular crowding and scattered chronic appearing irregular interstitial markings. No definite focal alveolar consolidation or pleural effusion seen. Accounting for technical factors heart size XXXX within normal limits, heavily calcified and mildly tortuous aorta. No typical findings of pulmonary edema.",Limited quality exam shows no definite acute findings.
1925,Lung/hilum/bilateral/prominent,Lung,Xray Chest PA and Lateral,postmenopausal bleeding cxr XXXX 786.2,None,The heart is normal in size. There is bihilar prominence. The lungs are clear.,Bihilar prominence may be secondary mild lymphoid enlargement. Followup chest x-XXXX versus further imaging XXXX may be indicated. Correlation with prior films would be helpful if available.
1926,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",dyspnea,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
1927,Granulomatous Disease,Granulomatous Disease,"Chest, 2 views, frontal and lateral",XXXX.,None.,Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Bony structures are intact.,Negative chest x-XXXX.
1928,normal,normal,Xray Chest PA and Lateral,XXXX.,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute findings.
1929,"Fractures, Bone/humerus/right;Deformity/humerus/right;Lung/hyperdistention;Opacity/lung/base/left;Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left;Atherosclerosis/aorta/mild","Fractures, Bone;Deformity;Lung;Opacity;Pulmonary Atelectasis;Cicatrix;Atherosclerosis",Xray Chest PA and Lateral,Hypoxia,None available,Fracture deformity proximal right humerus. Hyperinflation lungs. No pulmonary consolidation. XXXX opacity left base compatible XXXX atelectasis or XXXX scarring. The cardiomediastinal silhouette appears unremarkable. Mild atherosclerotic calcification aorta. Prior chest surgery. Costophrenic XXXX clear. Visualized spine vertebrae appear normal in XXXX and alignment.,1. Fracture deformity proximal right humerus. 2. No pulmonary consolidation.
1930,Lung/hypoinflation/mild;Thoracic Vertebrae/degenerative/mild,Lung;Thoracic Vertebrae,"PA and lateral views of the chest dated XXXX, XXXX.","Preop, bilateral knee injury.",None.,"The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are mild degenerative endplate changes in the thoracic spine. There are no acute bony findings.",No acute cardiopulmonary findings.
1931,normal,normal,CHEST 2V FRONTAL/LATERAL ,Chest pain,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1932,normal,normal,Xray Chest PA and Lateral,"XXXX, chest pain for shortness of breath for 3 weeks",None.,Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,Normal chest.
1933,Aorta/tortuous;Deformity/thoracic vertebrae/anterior,Aorta;Deformity,PA and lateral views of the chest ,Chest pain,None.,"Aorta is ectatic. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. Age-indeterminate anterior wedging deformity of lower thoracic vertebra.",No acute cardiopulmonary abnormality.
1934,Diaphragm/left/elevated/chronic;Aorta/tortuous;Atherosclerosis/aorta,Diaphragm;Aorta;Atherosclerosis,Xray Chest PA and Lateral,XXXX-year-old with shortness of breath for one XXXX. XXXX for 2 weeks.,AP chest dated XXXX. AP chest dated XXXX.,"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 chronic left hemidiaphragm elevation. The aorta is tortuous and ectatic with atherosclerotic calcifications.",Suspected left hemidiaphragm paralysis. Consider a fluoroscopic evaluation for confirmation. Consider XXXX of the neck and nasopharynx with intravenous contrast if there is no known potential XXXX. Critical result notification documented through Primordial.
1935,"Cardiomegaly/borderline;Aorta/tortuous/mild;Catheters, Indwelling/right","Cardiomegaly;Aorta;Catheters, Indwelling",Xray Chest PA and Lateral,Central line placement,None,The heart is borderline in size. The aorta is mildly tortuous. XXXX right IJ catheter is in XXXX with tip in proximal right atrium/cavoatrial junction. There is no pneumothorax. Lungs are grossly clear. There is no large effusion.,Right IJ catheter tip in proximal right atrium. No pneumothorax.
1936,"Catheters, Indwelling/left;Scoliosis/thoracic vertebrae;Scoliosis/lumbar vertebrae;Cardiomegaly","Catheters, Indwelling;Scoliosis;Scoliosis;Cardiomegaly",Xray Chest PA and Lateral,The patient is a XXXX-year-old male with kidney transplant evaluation.,,"A right internal jugular XXXX this catheter has been exchanged for a large XXXX left internal jugular central venous catheter with the tip at the cavoatrial junction. No pneumothorax, pleural effusion or airspace consolidation. Stable thoracolumbar scoliosis. No acute bone findings. Stable cardiomegaly.",1. Interval central catheter exchange. No acute cardiopulmonary abnormality. 2. Stable cardiomegaly. .
1937,normal,normal,Xray Chest PA and Lateral,Tobacco use. Pre-op evaluation.,None.,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,1. No evidence of active disease.
1938,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",XXXX,None,"No focal lung opacity, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.","No focal lung opacity, pleural effusion of pneumothorax."
1939,Opacity/costophrenic angle/left,Opacity,"Chest 2 views. XXXX, XXXX at XXXX.",XXXX-year-old female with chest pain,None,Lungs are clear. Heart size normal. No pneumothorax. Left costophrenic opacity may represent pleural or pericardial fat.,Clear lungs. No acute cardiopulmonary abnormality.
1940,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, history of breast cancer, no chest complaints.",PA and lateral views of the chest dated XXXX.,Postsurgical changes noted overlying the left axilla. No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.,No acute cardiopulmonary abnormality. .
1941,"Implanted Medical Device/right;Cardiomegaly;Calcinosis/aorta, thoracic;Opacity/lung/interstitial/mild;Opacity/retrocardiac",Implanted Medical Device;Cardiomegaly;Calcinosis;Opacity;Opacity,Xray Chest PA and Lateral,ICD pacemaker implant.,,Stable right chest wall pacemaker with leads overlie the right atrium and right ventricle. Stable cardiomegaly. Calcified thoracic aorta is unchanged. Stable mild interstitial opacities. Unchanged dense retrocardiac opacities. No pneumothorax or large effusion.,Stable chest with stable position right chest pacemaker and leads overlie the right atrium and right ventricle. No pneumothorax identified. .
1942,Cardiomegaly/moderate;Implanted Medical Device;Lung/lingula/obscured,Cardiomegaly;Implanted Medical Device;Lung,Xray Chest PA and Lateral,Shortness of breath with exertion. Cardiomyopathy.,Chest x-XXXX XXXX,"The lungs and pleural spaces show no acute abnormality. Heart size is moderately enlarged, pulmonary vascularity within normal limits. There is a XXXX ICD generator obscuring the left lateral midlung with the leads projecting over the expected location of the right atrium, right ventricle, and coronary sinus.",1. No acute pulmonary abnormality. 2. Moderate cardiomegaly without pulmonary edema.
1943,Calcified Granuloma/bilateral/scattered/multiple;Granulomatous Disease,Calcified Granuloma;Granulomatous Disease,"Chest 2 views PA and Lateral XXXX , XXXX at XXXX .",XXXX-year-old female dyspnea wheezing shortness of breath chronic XXXX x9 years. .,None available .,Heart size normal. Mediastinum unremarkable. Pulmonary vascularity within normal limits. Lungs symmetrically aerated without focal infiltrate or consolidation. Multiple scattered calcified granulomas are present bilaterally. No focal volume loss evident. No pneumothorax or pleural effusion. Bony thorax unremarkable.,"Multiple bilateral calcified granulomas most XXXX sequela of granulomatous process. No focal infiltrate or consolidation. . If one would like to discuss this case further, please XXXX. XXXX at XXXX. Thanks."
1944,Calcinosis/lung/upper lobe/right;Density/lung/upper lobe/right;Lung/azygos lobe,Calcinosis;Density;Lung,Xray Chest PA and Lateral,asthma with acute exacerbation,None,,"Calcific density measuring approximately 25 mm projecting over right upper lung, seen well on PA view only. This may represent residua of a healed rib fracture, possibly an osteocartilaginous lesion, or conceivably a granuloma which is difficult to see on the lateral view. This could be followed up in 6 months to confirm stability. Azygos fissure incidentally noted. Lungs overall well expanded and clear. Mediastinal contour in normal limits. No acute cardiopulmonary abnormality identified."
1945,"Scoliosis/severe;Tube, Inserted/trachea;Catheters, Indwelling/left;Opacity/retrocardiac;Pulmonary Atelectasis;Thorax/left/small;Markings/bronchovascular;Tube, Inserted/right;Catheters, Indwelling","Scoliosis;Tube, Inserted;Catheters, Indwelling;Opacity;Pulmonary Atelectasis;Thorax;Markings;Tube, Inserted;Catheters, Indwelling",Xray Chest PA and Lateral,"XXXX-year-old male, evaluate heart or placement","Thoracic spine series XXXX, chest series XXXX",,"XXXX displacement of a fusion XXXX on the lateral view with distal tip closely approximating the skin surface with a change in alignment since the previous exam. Severe scoliosis, tracheostomy tube, left PICC tip in the right hemithorax in the expected location of the right subclavian vein, repositioning recommended. Heart size within normal limits for technique, retrocardiac opacity XXXX due at XXXX in part to atelectasis with small left hemithorax, bronchovascular crowding without typical findings of pulmonary edema. VP shunt tubing and right nephrostomy tube."
1946,Medical Device,Medical Device,Xray Chest PA and Lateral,Dizziness and hand numbness.,"XXXX, XXXX.","Portable frontal view of the chest with overlying external cardiac monitor leads shows normal cardiomediastinal silhouette, central airways, pulmonary vasculature and lung volumes without focal air space consolidation or pleural effusion.",No acute intrathoracic disease.
1947,Nodule/lung/base/right;Density/lung/base/right,Nodule;Density,Xray Chest PA and Lateral,"XXXX-year-old male, pain ComparisXXXXXXXX",,"Heart size within normal limits, stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. A dense nodule in the right base suggests a previous granulomatous process. No typical findings of pulmonary edema. No pneumothorax.",No acute findings
1948,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with chest pain.,None.,"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..",No acute radiographic cardiopulmonary process.
1949,Pulmonary Emphysema,Pulmonary Emphysema,Xray Chest PA and Lateral,CHRONIC BRONCHITIS WITH ACUTE ACACERBATI chronic bronchitis with acute exacerbation,XXXX XXXX.,,There are chronic changes in both lungs with appearance of emphysema. No acute airspace disease. No pulmonary edema. No XXXX of pleural effusions. Findings are grossly unchanged compared with prior chest CT from XXXX.
1950,normal,normal,"Chest, 2 XXXX and Lateral ",XXXX-year-old male with dyspnea,None available,"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.",1. No acute cardiopulmonary disease.
1951,normal,normal,Xray Chest PA and Lateral,,,"Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are unchanged.",No acute cardiopulmonary disease.
1952,Lung/hypoinflation;Pulmonary Atelectasis/base/bilateral;Markings/bronchovascular;Opacity/lung/base/right,Lung;Pulmonary Atelectasis;Markings;Opacity,Xray Chest PA and Lateral,The patient is a XXXX-year-old XXXX with dyspnea.,None available.,"The trachea is midline. The cardiomediastinal silhouette is normal. There are low lung volumes, causing bibasilar atelectasis and bronchovascular crowding. Pulmonary opacity seen in the right lung base, may indicate focal infiltrate. There is no pleural effusion or pneumothorax. The visualized bony structures reveal no acute abnormalities.",1. Right lower lobe opacity may represent focal infiltrate versus atelectasis. 2. Low lung volumes. .
1953,normal,normal,Chest 2 views dated XXXX at XXXX hours. ,XXXX-year-old male with chest pain.,None Available.,The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.,No radiographic evidence of acute cardiopulmonary disease.
1954,normal,normal,Xray Chest PA and Lateral,TESTIS CA,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1956,normal,normal,"2 views chest, XXXX hours, XXXX, XXXX ",Chest pain,None,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.,No acute cardiopulmonary abnormality.
1957,Pleural Effusion/left/small;Pleural Effusion/right/moderate;Opacity/lung/base/bilateral;Technical Quality of Image Unsatisfactory ,Pleural Effusion;Pleural Effusion;Opacity;Technical Quality of Image Unsatisfactory ,AP and lateral chest,"XXXX-year-old female, short of breath, pain",XXXX,"Bilateral pleural effusions, left small, right moderate in size, abnormal opacities in the adjacent lung bases. Limited assessment of heart size due to obscured margins, stable mediastinal contours.","1. Bilateral pleural effusions, right larger than left 2. Abnormal pulmonary opacities which may be due to atelectasis, differential diagnosis includes infection, aspiration, atypical distribution pulmonary edema"
1958,"Lung/hyperdistention;Surgical Instruments/mediastinum;Pulmonary Disease, Chronic Obstructive","Lung;Surgical Instruments;Pulmonary Disease, Chronic Obstructive",Xray Chest PA and Lateral,"PRE OP EVALUATION -- pre op for colostomy takedown prev hx bilat pleural effusions x 6 XXXX ago, XXXX with chronic dyspnea. Left pneumothorax.",,The lungs are hyperaerated suggestive of chronic obstructive pulmonary disease. No focal lung consolidation. No pleural effusion. No definite pneumothorax. Heart is not enlarged. Postsurgical changes with mediastinal clips and XXXX XXXX.,COPD. No acute abnormality.
1959,Granulomatous Disease,Granulomatous Disease,Frontal and lateral chest on XXXX at XXXX. ,XXXX.,XXXX.,"Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity. Prior granulomatous disease appears stable.",Stable exam without acute abnormality.
1960,normal,normal,"Chest, 2 views, frontal and lateral",XXXX.,"XXXX, XXXX",Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,Negative chest x-XXXX.
1961,Cardiomegaly;Lung/hypoinflation/severe;Markings/bronchovascular;Pulmonary Atelectasis/base/bilateral;Technical Quality of Image Unsatisfactory ,Cardiomegaly;Lung;Markings;Pulmonary Atelectasis;Technical Quality of Image Unsatisfactory ,"AP and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old woman with chest pain and shortness of breath..,"Portable chest radiograph dated XXXX, XXXX..","Stable cardiomegaly with significantly low lung volumes and associated bronchovascular crowding and bibasilar atelectasis. No definite pleural effusion, consolidation, or pneumothorax identified. No acute bony abnormality.",Limited examination with stable cardiomegaly and low lung volumes without acute cardiopulmonary abnormality identified.
1962,Granuloma/lung/lower lobe/right,Granuloma,Xray Chest PA and Lateral,The patient is a XXXX-year-old female with lumbago and cervicalgia.,,"No pneumothorax, pleural effusion or airspace consolidation. Stable right lower lung granuloma. Interval to right clavicle XXXX procedure. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact.",No acute cardiopulmonary abnormality. .
1963,normal,normal,Xray Chest PA and Lateral,MVC.,None.,"2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",No acute cardiopulmonary abnormality identified.
1964,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX PM . ",XXXX-year-old with chest pain.,None.,"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.
1965,Cardiomegaly/moderate;Opacity/lung/bilateral/interstitial;Pulmonary Congestion;Pulmonary Edema/interstitial,Cardiomegaly;Opacity;Pulmonary Congestion;Pulmonary Edema,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old female with chest pain,XXXX,"There is moderate cardiomegaly. There are bilateral interstitial opacities, increased since the previous exam. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.",Moderate cardiomegaly with pulmonary vascular congestion early interstitial edema.
1966,normal,normal,CHEST 2V FRONTAL/LATERAL ,Chest pain,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
1967,Opacity/lung/lingula;Cicatrix/lung/lingula;Pulmonary Atelectasis/lingula,Opacity;Cicatrix;Pulmonary Atelectasis,Xray Chest PA and Lateral,Left anterior and posterior chest pain. Dyspnea.,,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. There has been interval development of some XXXX bandlike opacities in left base. These appear to be located in the lingula. The remainder of the lungs appear clear. No pneumothorax or pleural effusion is seen.,1. XXXX opacities in the lingula. The appearance XXXX scarring or atelectasis. XXXX since the earlier study.
1968,Technical Quality of Image Unsatisfactory ,Technical Quality of Image Unsatisfactory ,Xray Chest PA and Lateral,"XXXX-year-old male, XXXX XXXX ago. Right shoulder pain.","Chest x-XXXX XXXX, XXXX",The lateral view is nondiagnostic due to patient positioning. Normal heart size and mediastinal contours. No focal airspace consolidation. No pneumothorax or large pleural effusion. Visualized osseous structures are unremarkable in appearance.,1. Technically limited exam. 2. No acute cardiopulmonary abnormalities. .
1969,normal,normal,Xray Chest PA and Lateral,kidney cancer f/u.,,,Comparison XXXX. No suspicious appearing lung nodules identified. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
1970,Cardiomegaly/borderline;Lung/hypoinflation;Calcified Granuloma/lung/base/right;Density/lung/hilum/right/round,Cardiomegaly;Lung;Calcified Granuloma;Density,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours.",XXXX-year-old male. XXXX. Headache. Hypertension.,"XXXX, XXXX.","Apparent cardiomegaly XXXX at XXXX partially accentuated by low lung volumes. No focal consolidation, pneumothorax or large pleural effusion. Right base calcified granuloma. Stable right infrahilar nodular density (lateral view). Negative for acute bone abnormality.",Borderline cardiomegaly without heart failure.
1971,normal,normal,Xray Chest PA and Lateral,Chest pain and weakness,"XXXX, XXXX",,"Stable heart size, mediastinal silhouette. No overt edema. No focal consolidation, pleural effusion or pneumothorax."
1972,Opacity/lung/upper lobe/left;Calcinosis/aorta,Opacity;Calcinosis,PA and lateral chest. ,A XXXX-year-old female follow-up XXXX acquired pneumonia.,PA and lateral chest from XXXX 73,There is a XXXX airspace opacity in the left upper lung. Heart size within normal limits. Mild calcification of the aortic XXXX. No pneumothorax or pleural effusions.,XXXX airspace opacity in the left upper lung which may represent streaky atelectasis or resolving pneumonia.
1973,"Atherosclerosis/aorta, thoracic;Aorta, Thoracic/tortuous;Diaphragmatic Eventration/right;Thoracic Vertebrae/degenerative/multiple;Lumbar Vertebrae/degenerative/multiple","Atherosclerosis;Aorta, Thoracic;Diaphragmatic Eventration;Thoracic Vertebrae;Lumbar Vertebrae","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ","XXXX-year-old woman with dyspnea on exertion, history of breast cancer..","Two-view chest radiograph dated XXXX, XXXX..","Cardiomediastinal silhouette is within normal limits for size, with redemonstration of tortuous and atherosclerotic calcified thoracic aorta. No focal consolidation, effusion, or pneumothorax identified. Eventration of the right hemidiaphragm is stable compared to prior examination. Multilevel degenerative disc disease and thoracolumbar spine again noted without acute osseous abnormality.",No acute cardiopulmonary abnormality..
1974,normal,normal,Chest X-XXXX 2 XXXX ,"Chest pain, XXXX",None,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,Negative chest .
1975,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM No comparison. Both lungs are clear and expanded. Heart and mediastinum normal. ",pain,,,No active disease.
1976,Infiltrate/lung/upper lobe/pulmonary alveoli/right/patchy;Opacity/lung/left/round;Nipple Shadow/lung/left,Infiltrate;Opacity;Nipple Shadow,"PA lateral chest XXXX, XXXX at XXXX comparison XXXX XXXX ",History of XXXX,,,Patchy alveolar infiltrates in the right midlung probably within the anterior segment of the right upper lobe. 7 mm nodular opacity overlying the left lung most XXXX represents patient's nipple recommend nipple XXXX films as it may represent a lung nodule as well. Patient being recalled from the XXXX room for the nipple XXXX film
1977,Pulmonary Atelectasis/base/left/mild,Pulmonary Atelectasis,PA and lateral chest,chest pain,None,,Heart size is normal. Lungs are clear. Minimal platelike atelectasis left base.
1978,Surgical Instruments/abdomen,Surgical Instruments,"CHEST ( FRONTAL AND LATERAL): XXXX, XXXX XXXX PM","XXXX. XXXX to feel a rapid heart and chest pain around XXXX this a.m. no cancer hx, nonsmoker",None available.,The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present.,No acute cardiopulmonary abnormality.
1979,normal,normal,2 views of the Chest on XXXX. ,"XXXX, chest pain.",XXXX.,Normal cardiomediastinal silhouette. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.,There is no radiographic evidence of acute cardiopulmonary disease.
1980,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. ",XXXX-year-old woman with chest pain.,None.,"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 acute cardiopulmonary abnormality.
1981,Spine/degenerative/chronic,Spine,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX a.m. ",XXXX-year-old female with chest pain,None,"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.
1982,Opacity/lung/middle lobe/right;Opacity/lung/lingula;Pulmonary Atelectasis/middle lobe/right;Pulmonary Atelectasis/lingula;Cicatrix/lung/middle lobe/right;Cicatrix/lung/lingula,Opacity;Opacity;Pulmonary Atelectasis;Pulmonary Atelectasis;Cicatrix;Cicatrix,Xray Chest PA and Lateral,CLL. SOB,"Comparison to XXXX, XXXX.",,"Some XXXX opacities compatible with subsegmental atelectasis/scarring noted projecting over region of right middle lobe/lingula on lateral view. Overall, well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified."
1983,normal,normal,Xray Chest PA and Lateral,",305.1 TOBACCO USE XXXX",,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
1984,"Fractures, Bone/thoracic vertebrae","Fractures, Bone",PA and Lateral Chest,"Skilled XXXX facility, XXXX fracture of T12.",CT chest dated XXXX.,"Heart size and mediastinal contour are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Again visualized is a wedge-shaped XXXX fracture of T12.",1. No acute cardiopulmonary abnormality. 2. Wedge-shaped XXXX fracture of T12.
1985,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",weakness and XXXX,XXXX,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.,1. No acute pulmonary disease.
1986,Opacity/ribs/anterior;Calcified Granuloma/scattered/multiple;Thoracic Vertebrae/degenerative/mild,Opacity;Calcified Granuloma;Thoracic Vertebrae,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old female with dyspnea.,CT abdomen and pelvis with intravenous contrast XXXX,"The heart size and cardia mediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There is an approximately 8mm opacity overlying the sixth anterior rib. There are other scattered calcified granulomas. The osseous structures are intact. There are mild degenerative changes in the thoracic spine.",No acute cardiopulmonary finding.
1987,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX PM . ",XXXX.,None.,"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.
1988,Lung/hypoinflation;Nodule/lung/base/left/reticular;Opacity/lung/upper lobe/right;Pulmonary Fibrosis/upper lobe/right,Lung;Nodule;Opacity;Pulmonary Fibrosis,Xray Chest PA and Lateral,"pa/lat cxr,490 BRONCHITIS UNSPECIFIED","XXXX, XXXX.",,"Stable appearing chest with low lung volumes. Reticulonodular changes in left lung base and periphery of left lung most XXXX representing chronic inflammatory change. Also some peripheral XXXX fibrotic appearing opacity in the periphery the right upper lobe, grossly stable. No XXXX acute airspace consolidation. Stable mediastinal contour."
1990,"Tube, Inserted/trachea;Cardiomegaly/mild;Pulmonary Congestion","Tube, Inserted;Cardiomegaly;Pulmonary Congestion",2 views chest XXXX,Preop. Bariatric surgery,XXXX,"PA and lateral views of the chest were obtained. Tracheostomy tube. Probable mild cardiomegaly. Prominence of the central vasculature, unchanged. No pneumothorax pleural effusion or focal consolidation.",1. No acute cardiopulmonary disease. 2. Stable mild cardiomegaly. 3. Prominent central vasculature.
1991,Lung/hypoinflation;Opacity/lung/base/left/streaky;Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left;Pulmonary Congestion/mild;Markings/bronchovascular,Lung;Opacity;Pulmonary Atelectasis;Cicatrix;Pulmonary Congestion;Markings,CHEST 2V FRONTAL/LATERAL ,XXXX and XXXX since XXXX XXXX,XXXX,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."
1992,"Cardiomegaly/borderline;Lung/hyperdistention;Lung, Hyperlucent;Pulmonary Disease, Chronic Obstructive;Calcinosis/aorta;Bone Diseases, Metabolic","Cardiomegaly;Lung;Lung, Hyperlucent;Pulmonary Disease, Chronic Obstructive;Calcinosis;Bone Diseases, Metabolic", Frontal and lateral views of the chest dated XXXX,Seizure,"XXXX, XXXX",Borderline heart size. The lungs are hyperexpanded and hyperlucent compatible with chronic obstructive pulmonary disease. There are no XXXX focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Aortic vascular calcifications. Normal pulmonary vascularity. Bone demineralization.,Findings of chronic obstructive pulmonary disease.
1993,Lung/hyperdistention;Emphysema/mild,Lung;Emphysema,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old female with dyspnea,"Chest x-XXXX, XXXX","Lungs are clear without focal consolidation, effusion, or pneumothorax. Hyperexpanded lungs. Normal heart size. Bony thorax and soft tissues grossly unremarkable.",Mild emphysema. Negative for acute cardiopulmonary abnormality.
1994,normal,normal,"Two-view chest XXXX, XXXX. ",XXXX and nonproductive XXXX x1 XXXX.,None.,Lungs are clear. No pneumothorax or pleural effusion. Normal heart and mediastinal contours. Normal pulmonary vasculature. Bony thorax intact.,No acute cardiopulmonary abnormality.
1995,normal,normal,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",43 rolled male with dyspnea.,"XXXX, XXXX","The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.",No acute cardiopulmonary abnormality.
1997,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX XXXX ",XXXX XXXX,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
1999,normal,normal,PA and lateral views of the chest ,Chest pain,None,Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,No acute cardiopulmonary abnormality.
2000,normal,normal,Xray Chest PA and Lateral,XXXX year old with a left-sided rib pain.,None.,"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.
2001,Lung/hypoinflation;Spinal Fusion/thoracic vertebrae;Pulmonary Atelectasis/hilum/right/mild;Infiltrate/lung/hilum/right/mild,Lung;Spinal Fusion;Pulmonary Atelectasis;Infiltrate,AP and lateral chest XXXX 11 XXXX comparison 01 XXXX,XXXX,,,Lordotic film. Low lung volumes. Heart size within normal limits for this projection. Lower thoracic spine fusion. Small area of atelectasis or infiltrate adjacent to the right inferior hilum. This may be projectional followup films may be helpful.
2002,Deformity/ribs/posterior;Foreign Bodies/multiple/small;Lucency/ribs/posterior,Deformity;Foreign Bodies;Lucency,PA and lateral chest radiograph (2 views) (2 images) ,Left rib pain.,CT scan of the thorax on XXXX.,Within the posterior lateral 8th rib there is a deformity along the cortex with associated oblique lucency. In addition within the posterior lateral 9th rib there appears to be a obliquely oriented lucency with cortical disruption. Findings are concerning for possible left rib fractures. Otherwise the cardiomediastinal silhouette is within normal limits. The lungs are clear bilaterally. Multiple small punctate radiopaque foreign bodies are seen within the subcutaneous tissues and are present on previous CT scan from XXXX.,Possible lower posterior lateral left rib fractures as described above. If further concern for rib fractures dedicated rib films would better evaluate. Otherwise no acute cardiopulmonary disease.
2003,Cardiomegaly/borderline;Calcinosis/aorta,Cardiomegaly;Calcinosis,PA and Lateral Chest. ,Liver failure.,XXXX.,"Borderline enlarged heart. Pulmonary vasculature appears within normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. Possible right shoulder calcific tendinitis. Calcifications of the abdominal aorta are seen.",1. Borderline enlarged heart without acute abnormality.
2005,normal,normal, PA and lateral chest. ,dyspnea,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
2006,Cardiomegaly/mild;Calcified Granuloma/lung/base/right;Spine/degenerative/mild;Markings/lung/interstitial/chronic,Cardiomegaly;Calcified Granuloma;Spine;Markings,Xray Chest PA and Lateral,XXXX-year-old with chest pain this XXXX.,Two views of the chest dated XXXX.,Heart size is mildly enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a calcified granuloma in the right lung base. There are mild degenerative changes of the spine. There are some chronic increased interstitial markings noted.,Cardiomegaly without superimposed acute disease identified.
2007,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,Xray Chest PA and Lateral,XXXX SWEATS,"AP portable chest, XXXX at XXXX",The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. The mediastinal contours are normal. There are mild degenerative changes of the thoracic spine.,1. No evidence of pneumonia or post primary tuberculosis infection 2. No acute cardiopulmonary disease
2008,normal,normal,PA and lateral of the chest ,XXXX-year-old chest pain.,None,No focal consolidation. No visualized pneumothorax. No pleural effusions. Heart size normal. The cardiomediastinal silhouette is unremarkable.,1. No acute cardiopulmonary findings.
2010,normal,normal," PA and lateral chest 2 views right knee 2 views XXXX, XXXX XXXX comparison the available from XXXX comparison chest available from XXXX ",XXXX. Knee arthritis.,,,Chest. Heart size is normal. Lungs are clear. Right knee. Severe joint space narrowing and spurring lateral compartment of the knee and patellofemoral compartment.
2011,Contrast Media/abdomen,Contrast Media,Xray Chest PA and Lateral,XXXX-year-old female with history of hemoptysis for the XXXX 2.5 hours.,None.,"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.",No acute cardiopulmonary abnormality. .
2012,normal,normal,"Chest x-XXXX, 2 views, XXXX, XXXX XXXX XXXX",Chest pain,XXXX,Normal cardiomediastinal contours. Lungs are clear bilaterally. No pneumothorax or pleural effusion.,No acute cardiopulmonary abnormality.
2013,"Pulmonary Atelectasis/upper lobe/left/mild;Cicatrix/lung/upper lobe/left/mild;Aorta/tortuous;Hernia, Hiatal","Pulmonary Atelectasis;Cicatrix;Aorta;Hernia, Hiatal",PA and lateral views of the chest. ,"XXXX-year-old female with XXXX, XXXX, shortness of breath.",Two-view chest from XXXX.,Heart size within normal limits. Mild XXXX left upper lobe atelectasis or scarring. No pneumothorax or pleural effusion. Tortuous aorta. Hiatal hernia.,No acute cardiopulmonary findings.
2014,Pneumoperitoneum,Pneumoperitoneum," CHEST, Two (2) Views XXXX, XXXX at XXXX hours. ",Postop abdominal pain.,"XXXX, XXXX.","Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. No focal airspace consolidation or pleural effusion. There is subphrenic intraperitoneal extraluminal XXXX free XXXX.","1. No acute or active cardiac, pulmonary or pleural disease. 2. Pneumoperitoneum, attributed to the patient's recent abdominal surgery."
2015,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX XXXX . ",XXXX and hypoxia.,XXXX.,"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.
2016,normal,normal,Chest 2 views dated XXXX at XXXX hours. ,XXXX-year-old male with XXXX.,None Available.,The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.,No radiographic evidence of acute cardiopulmonary disease.
2017,normal,normal,Xray Chest PA and Lateral,MORBID OBESITY; preop renal surgery and colostomy reversal.,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2018,"Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive","Lung;Pulmonary Disease, Chronic Obstructive",Xray Chest PA and Lateral .,",491.21 chronic bronchitis with acute exacerbation No known XXXX. Bronchitis x1 month. S.O.B and productive XXXX, XXXX XXXX. XXXX, 1 XXXX a XXXX. No pain or previous surgery. Menopausal, no XXXX of pregnancy.",XXXX.,,"Lungs are hyper expanded consistent with COPD. No parenchymal infiltrates. No XXXX of pleural effusions. Normal heart size. No XXXX of acute cardiopulmonary disease, unchanged."
2019,normal,normal,Chest x-XXXX XXXX and lateral on XXXX at XXXX hours. ,XXXX year-old male with XXXX.,None,The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.,No acute cardiopulmonary abnormalities.
2020,normal,normal,"CHEST PA and Lateral on XXXX, XXXX ",XXXX-year-old with chest pain,XXXX,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.
2021,Cardiomegaly/borderline,Cardiomegaly,PA and Lateral Chest,"XXXX-year-old female, dyspnea, short of breath, difficulty breathing",XXXX,"Stable borderline cardiomegaly, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.",No acute cardiopulmonary findings
2022,Cicatrix/lung/lower lobe/left/streaky,Cicatrix,"Two-view chest. XXXX hours XXXX, XXXX compared to XXXX, XXXX. ",Vomiting.,,The heart and lungs have XXXX XXXX in the interval. Both lungs are free of acute infiltrates and expanded. Strandy scarring in the left lower lobe is unchanged. Heart and mediastinum normal.,No active disease.
2023,normal,normal,Xray Chest PA and Lateral,XXXX-year-old male. Chest pain and pressure. XXXX.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",Negative.
2024,normal,normal,Xray Chest PA and Lateral,Pain in chest with apparent,None,,The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.
2025,normal,normal,"Chest 2 views PA and lateral XXXX, XXXX XXXX p.m. ",XXXX,None.,"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.
2026,normal,normal,Xray Chest PA and Lateral,The patient is a XXXX-year-old XXXX with back pain.,None available.,"The trachea is midline. Cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal consolidation or pleural effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",No acute cardiopulmonary abnormalities. .
2027,Nodule/lung/lingula,Nodule,Xray Chest PA and Lateral,"Melanoma, exam for metastatic disease",None,Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. In the left midlung zone there is identified a 1.5 cm nodule. This appears somewhat dense and may contain calcium although this cannot be stated with certainty.,"1.5 cm nodule in the left midlung zone. May contain calcium although this cannot be stated with certainty. Comparison to old films, if available would be useful to determine chronicity and stability. If old films are not available, XXXX scan could be XXXX to evaluate for the presence of calcium."
2028,normal,normal,PA and lateral views of the chest. ,XXXX-year-old male XXXX with abnormal EKG.,None available.,Heart size is normal. No focal airspace disease. No pneumothorax or effusion.,No acute cardiopulmonary finding.
2029,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX hours ",Chest pain,None available,Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. The visualized osseous structures are unremarkable in appearance.,No acute cardiopulmonary abnormalities.
2030,"Lung/hyperdistention;Calcinosis/lung/right/posterior;Atherosclerosis/aorta;Arthritis;Pulmonary Disease, Chronic Obstructive","Lung;Calcinosis;Atherosclerosis;Arthritis;Pulmonary Disease, Chronic Obstructive",Xray Chest PA and Lateral,Look-up on XXXX and does not remember XXXX happened.,,There is hyperinflation lungs due to small calcification is seen posteriorly in the right which may be pleural. 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.,COPD. No acute pulmonary disease.
2031,normal,normal,Xray Chest PA and Lateral,XXXX-year-old XXXX with pulmonary nodule,None.,"Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. No pulmonary nodules identified.",No acute abnormality. No pulmonary nodule identified. .
2032,normal,normal,"PA and LATERAL views of the chest, dated XXXX, XXXX XXXX PM","XXXX-year-old male with XXXX, non-XXXX, 786.2",None,The lungs are clear. No focal air space consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.,Clear lungs.
2033,"Aorta, Thoracic/tortuous/mild;Thoracic Vertebrae/degenerative/mild","Aorta, Thoracic;Thoracic Vertebrae","PA and lateral views of the chest dated XXXX, XXXX.",Chest pain.,None.,"The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is mild tortuosity of the descending thoracic aorta. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. There are mild degenerative endplate changes in the thoracic spine.",No acute cardiopulmonary findings.
2034,"Opacity/lung/lower lobe/right;Pulmonary Atelectasis/lower lobe/right;Cicatrix/lung/lower lobe/right;Funnel Chest;Lung, Hyperlucent;Deformity/thorax","Opacity;Pulmonary Atelectasis;Cicatrix;Funnel Chest;Lung, Hyperlucent;Deformity","PA and Lateral Chest. XXXX, XXXX XXXX hours ","XXXX-year-old male, cachectic HIV patient.","Chest x-XXXX XXXX, XXXX",Normal heart size and mediastinal contours. No focal airspace consolidation. XXXX opacities in the right lower lung representing atelectasis versus scarring. Significantly decreased subcutaneous soft tissue since comparison radiograph. Probable pectus deformity. Negative for acute bony abnormality.,"1. No acute cardiopulmonary abnormality. 2. Hyperlucent lungs, XXXX related to cachexia and probable pectus excavatum deformity."
2035,Lung/hyperdistention;Granulomatous Disease;Spine/degenerative,Lung;Granulomatous Disease;Spine,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",dyspnea,XXXX,Hyperexpanded lungs suggesting obstructive lung disease. Sequelae of old granulomatous disease. No focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,Hyperexpanded but clear lungs.
2036,"Cardiomegaly/mild;Aorta, Thoracic/tortuous;Lung/hypoinflation;Diaphragm/right/elevated;Pulmonary Atelectasis/middle lobe/right;Airspace Disease/lung/base/bilateral;Pulmonary Atelectasis/base/bilateral;Infiltrate/lung/base/bilateral","Cardiomegaly;Aorta, Thoracic;Lung;Diaphragm;Pulmonary Atelectasis;Airspace Disease;Pulmonary Atelectasis;Infiltrate",Xray Chest PA and Lateral,"Question pneumonia, shortness of breath.",None.,"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. ."
2038,normal,normal,PA and lateral chest radiographs. ,XXXX-year-old male with chest pain.,None.,"The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion or pneumothorax. The osseous structures are intact.",No acute cardiopulmonary finding.
2039,Calcified Granuloma/lung/hilum/right/multiple/large;Spinal Fusion/cervical vertebrae,Calcified Granuloma;Spinal Fusion,Xray Chest PA and Lateral,Shortness of breath after cervical spine surgery.,None.,Cardiac and mediastinal contours are within normal limits. Large calcified granulomas in the right hilum. The lungs are otherwise clear. Prior anterior cervical fusion.,No acute pulmonary findings.
2040,Cardiomegaly,Cardiomegaly,"PA and lateral chest XXXX, XXXX XXXX with comparison available from XXXX 28 ",History of dyspnea on exertion,,,Cardiomegaly. No effusions or edema. Clear chest
2041,normal,normal,"Chest x-XXXX, 2 views dated XXXX COMPARISXXXX/XXXX ",XXXX-year-old male with dyspnea,,No pneumothorax. No large pleural effusions. Heart size is normal. No acute focal space opacities.,No acute cardiopulmonary abnormalities.
2042,Cicatrix/lung/apex/right/round;Nodule/lung/apex/right/round,Cicatrix;Nodule,"PA and lateral chest XXXX, XXXX XXXX with comparison XXXX ",History of followup TB,,,"The heart size is normal. There is minimal fibronodular scarring right apex, otherwise lungs clear"
2043,Technical Quality of Image Unsatisfactory ;Cardiomegaly/mild;Calcinosis/lung/right;Nodule/lung/right/multiple,Technical Quality of Image Unsatisfactory ;Cardiomegaly;Calcinosis;Nodule,Xray Chest PA and Lateral,"XXXX-year-old female, dyspnea",,,"Considering differences in technical factors XXXX stable cardiomediastinal silhouette with mild cardiomegaly. No focal alveolar consolidation, no definite pleural effusion seen. Calcified right lung nodules suggest a previous granulomatous process. No typical findings of pulmonary edema."
2044,Lung/hypoinflation;Markings/lung/base/bilateral/bronchovascular,Lung;Markings,PA and lateral chest radiograph (2 views) (2 images) ,XXXX and blood streak sputum,"PA and lateral views of the chest on XXXX, XXXX.",Low lung volumes with bronchovascular crowding at the bases. No focal opacity. No pneumothorax. No large pleural effusion. Cardiac silhouette mediastinal contours within normal limits.,Low lung volumes without acute cardiopulmonary disease.
2045,"Aorta, Thoracic/tortuous/mild","Aorta, Thoracic",PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old with chest pain.,None.,The heart is upper limits of normal in size. Mild tortuosity of the thoracic aorta. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,1. No acute cardiopulmonary disease.
2046,"Fractures, Bone/ribs/right/multiple;Pleural Effusion/right/small;Pulmonary Atelectasis/base/right;Pleural Effusion/left;Scoliosis/thoracic vertebrae/mild","Fractures, Bone;Pleural Effusion;Pulmonary Atelectasis;Pleural Effusion;Scoliosis",Xray Chest PA and Lateral,"786.59, 54yof with chest pain;:attn: sternum,direct XXXX to sternum 3 days ago",None,There is a minimally displaced fracture of the right lateral 7th rib. There is a small right pleural effusion with associated atelectasis of the right lower lobe. There appears to be a healing fracture of the posterolateral right 8th rib. There is questionable cortical defect involving the sternum seen XXXX on lateral view. XXXX would be XXXX to evaluate this finding. As the small right-sided pleural effusion is visible on both PA and lateral views. There is a XXXX left-sided pleural effusion as well. The left lung appears grossly clear. Heart size and pulmonary XXXX appear normal. There is a mild scoliosis involving the thoracic spine.,"1. Minimally displaced fracture involving the lateral right 7th rib, XXXX acute. There is and associated small right pleural effusion and right basilar atelectasis. 2. Questionable anterior XXXX cortical disruption seen XXXX on lateral view. XXXX would be needed to evaluate this. 3. XXXX left-sided pleural effusion"
2047,Calcified Granuloma/lung/lower lobe/right/large,Calcified Granuloma,"Chest x-XXXX, 2 views dated XXXX COMPARISXXXX/XXXX, outside film ","XXXX-year-old male, rule out tuberculosis",,Large calcified granuloma in the right lower lobe is unchanged. No pneumothorax. Heart size is normal. No large pleural effusions. No focal airspace opacification.,No acute cardiopulmonary abnormalities.
2048,Calcified Granuloma/lung/lower lobe/right/multiple;Cicatrix/lung/lingula/small;Surgical Instruments/abdomen/right,Calcified Granuloma;Cicatrix;Surgical Instruments,2 views Chest: XXXX,Midsternal chest pain radiating to the anterior left chest.,Chest x-XXXX XXXX,"The lungs and pleural spaces show no acute abnormality. Stable right lower lobe calcified granulomas. Thin XXXX lingular scar, unchanged. Heart size and pulmonary vascularity within normal limits. Surgical clips are visualized in the right upper quadrant.",1. No acute pulmonary abnormality.
2049,Lung/hyperdistention;Calcinosis/aorta;Aorta/tortuous/mild;Deformity/clavicle/left,Lung;Calcinosis;Aorta;Deformity,Xray Chest PA and Lateral,"XXXX-year-old female, pain",None,,"Hyperinflated lungs with no focal alveolar consolidation. No definite pleural effusion seen. Heart size near top normal limits, aortic calcifications and mild ectasia/tortuosity. No typical findings of pulmonary edema. Contour irregularity of the left clavicle appears chronic and suggests old injury."
2050,Cicatrix/lung/upper lobe/right;Granuloma/lung/upper lobe/right/multiple;Calcinosis/lung/hilum/lymph nodes/right;Opacity/lung/base/left;Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left;Lung/hypoinflation,Cicatrix;Granuloma;Calcinosis;Opacity;Pulmonary Atelectasis;Cicatrix;Lung,"Two-view chest, XXXX ",Chest pain,XXXX,,"1. Stable appearance of XXXX scarring in the right upper lung associated with numerous XXXX XXXX granulomas. There are calcified right hilar lymph XXXX as XXXX. 2. XXXX opacities in the left lung base, XXXX atelectasis or scarring 3. Low lung volumes 4. No focal air space opacities to suggest pneumonia."
2052,"Granuloma/scattered/multiple;Aorta, Thoracic/tortuous/mild","Granuloma;Aorta, Thoracic","Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old with XXXX.,None,"Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Scattered granulomatous changes. Mild unfolding of the thoracic aorta. Bony thorax is unremarkable",Negative for acute cardiopulmonary abnormality.
2053,normal,normal,Xray Chest PA and Lateral,XXXX year old XXXX and migraine.,PA and lateral chest XXXX.,"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.
2054,Opacity/lung/hilum/pulmonary alveoli/left;Opacity/lung/hilum/left/interstitial,Opacity;Opacity,Xray Chest PA and Lateral,"XXXX-year-old male, pain, XXXX",correlation with XXXX XXXX,,"Interstitial and alveolar opacities most confluent in the left perihilar lung may be compatible with infection, differential diagnosis includes atypical pulmonary edema, inflammation. No definite pleural effusion seen. Stable cardiomediastinal silhouette with near top normal heart size. Aeration of the left perihilar lung may be slightly improved compared with the XXXX image from XXXX."
2055,"Calcinosis/aorta;Catheters, Indwelling/right;Pleural Effusion/bilateral/small;Pulmonary Atelectasis/base/bilateral;Opacity/lung/hilum/streaky;Pulmonary Congestion;Pulmonary Edema;Opacity/lung/bilateral/scattered/round/multiple","Calcinosis;Catheters, Indwelling;Pleural Effusion;Pulmonary Atelectasis;Opacity;Pulmonary Congestion;Pulmonary Edema;Opacity",Xray Chest PA and Lateral,CHF,"XXXX, XXXX",,"Stable normal heart size. Calcified aorta. Right chest XXXX in the SVC. Small volume bilateral pleural effusions basilar atelectasis. Streaky perihilar opacification, XXXX a component of vascular congestion in central pulmonary edema persist. Nodular opacities scattered throughout the lungs compatible with known pulmonary parenchymal metastatic disease. Similar appearance to the prior study."
2056,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with nausea and vomiting XXXX eating. Pain and the breast bone that radiates into the abdomen. Shortness of breath. Nonsmoker.,None.,The heart size is upper limits of normal. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.,No acute cardiopulmonary disease.
2058,Lung/hypoinflation/mild,Lung,Xray Chest PA and Lateral,53yof pre-op x-XXXX,,The heart is normal in size. The mediastinum is unremarkable. The lungs are mildly hypoinflated but clear.,No acute disease.
2059,Opacity/lung/lower lobe/right/patchy;Thoracic Vertebrae/degenerative/mild;Infiltrate/lung/lower lobe/right,Opacity;Thoracic Vertebrae;Infiltrate,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old female, XXXX, XXXX, chest pain.",None,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."
2060,Lung/hilum/left/prominent,Lung,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, chest pain.",None.,There is prominence of the left hilum which may represent adenopathy or engorged vasculature. Cardiac silhouette is within normal limits of size and contour. No pneumothorax or large pleural effusion. No acute bone abnormality.,Prominence of the left hilum may be secondary to adenopathy or enlarged pulmonary vasculature. Chest CT with contrast may be helpful for further clarification.
2061,normal,normal,PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old with chest pain.,CT of the chest with contrast XXXX.,The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,1. No acute cardiopulmonary disease.
2062,"Catheters, Indwelling/right;Lung/hypoinflation;Airspace Disease/lung/lower lobe/left;Pulmonary Atelectasis/lower lobe/left","Catheters, Indwelling;Lung;Airspace Disease;Pulmonary Atelectasis",Xray Chest PA and Lateral,"The patient is a XXXX-year-old male admitted for ureteral calculi, renal calculi. Examination to assess line position..",,"Right subclavian catheter, distal tip posterior to the head of the clavicle, the level of the subclavian vein. Low lung volumes. No pleural effusion. Left lower lobe airspace disease, XXXX atelectasis. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact.","1. Right subclavian catheter, distal tip in the region of the subclavian vein at the level of clavicular head. 2. Low lung volumes, with left lower lung atelectasis. ."
2063,Nipple Shadow/bilateral;Granuloma/lung/lower lobe/left,Nipple Shadow;Granuloma,"PA and lateral chest XXXX, XXXX at XXXX comparison 02 XXXX ",History of hypertension,,,Heart size is normal. Bilateral nipple shadows seen. 5 mm left lower lobe granuloma. Heart size normal. No effusions. Lungs clear
2065,Mastectomy/right;Granulomatous Disease;Thoracic Vertebrae/degenerative/mild,Mastectomy;Granulomatous Disease;Thoracic Vertebrae,"PA and Lateral Chest. XXXX, XXXX ",XXXX with XXXX,"XXXX, XXXX.","Stable cardiomediastinal silhouette. No focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. Changes of right mastectomy. Sequelae of prior granulomatous disease. Mild thoracic spine degenerative change",No acute cardiopulmonary abnormality.
2066,Cardiomegaly/mild;Aorta/tortuous;Opacity/lung/lower lobe/right;Pulmonary Atelectasis/lower lobe/right,Cardiomegaly;Aorta;Opacity;Pulmonary Atelectasis,Xray Chest PA and Lateral,XXXX year old right-sided rib pain after a XXXX vehicle accident one XXXX ago.,None.,"There is mild cardiomegaly. The aorta is tortuous. There is XXXX opacities noted in the right lower lobe, XXXX subsegmental atelectasis. There is no pneumothorax or effusion. No displaced rib fractures. If there is high clinical concern, consider dedicated rib views for further evaluation.","Mild cardiomegaly, with subsegmental atelectasis in the right lower lobe."
2067,normal,normal,PA and lateral views of the chest. ,XXXX-year-old female with productive XXXX.,Two-view chest from XXXX.,Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,No acute cardiopulmonary findings.
2068,normal,normal,Chest X-XXXX 2 XXXX ,Shortness of breath,XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,Negative chest.
2069,normal,normal," PA and lateral chest XXXX, XXXX at XXXX comparison XXXX ",chest pain,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
2070,Markings/lung/base/bilateral/interstitial/prominent/mild,Markings,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with chest pain.,None.,"There are no acute osseous abnormalities. Questionable old left posterior third and fourth rib fractures. Visualized soft tissues are within normal limits. Normal heart size. Normal hilar vascular markings. Subtle prominence of interstitial markings in the bases, left worse than right. No focal area of consolidation, pleural effusion, or pneumothorax.","Subtle interstitial markings bilateral, may represent mild pulmonary edema or chronic interstitial changes."
2071,Density/lung/middle lobe/right/round;Pulmonary Congestion/bilateral;Calcinosis/lung/hilum/lymph nodes/left/small,Density;Pulmonary Congestion;Calcinosis,Xray Chest PA and Lateral,Sarcoidosis,XXXX with contrast dated XXXX,"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 mid and lower lungs. This may reflect XXXX parenchymal nodules. XXXX nodules were identified on the prior chest CT. Mediastinal contours appear grossly normal. There are small calcified left hilar lymph XXXX. The heart and pulmonary XXXX otherwise appear normal. Pleural spaces appear clear.",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
2072,Calcified Granuloma/lung/upper lobe/left;Opacity/lung/bilateral/interstitial;Infiltrate/lung/lower lobe/left,Calcified Granuloma;Opacity;Infiltrate,XR PA and lateral chest. ,Shortness of breath. History of sarcoidosis.,"Chest x-XXXX XXXX, XXXX. CT chest XXXX, XXXX.","Stable, nonenlarged cardiomediastinal silhouette. Left upper lobe calcified granuloma noted. Epigastric and right upper quadrant postsurgical changes. Interval increased bilateral interstitial opacities, with probable left lower lobe infiltrate.","Stable, nonenlarged cardiomediastinal silhouette. Left upper lobe calcified granuloma noted. Epigastric and right upper quadrant postsurgical changes. Interval increased bilateral interstitial opacities, with probable left lower lobe infiltrate."
2073,Aorta/tortuous;Ribs/prominent,Aorta;Ribs,"Eburnation PA and lateral chest XXXX, XXXX time XXXX comparison XXXX ",History XXXX with rhonchi bone pain and nosebleed.,,,"Heart size is normal. Lungs are clear. Tortuous aorta. Prominent first ribs. No nodules, masses, or adenopathy."
2074,"Lung/hypoinflation;Aorta, Thoracic/tortuous;Pleural Effusion/bilateral/small;Opacity/lung/base/bilateral;Deformity/thoracic vertebrae/anterior;Pulmonary Atelectasis/bilateral;Opacity/mediastinum/right","Lung;Aorta, Thoracic;Pleural Effusion;Opacity;Deformity;Pulmonary Atelectasis;Opacity",Chest x-XXXX AP and lateral on XXXX ,XXXX-year-old female with chest pain persistent vomiting.,Chest x-XXXX on XXXX,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.
2075,normal,normal,"Radiographs of the chest, 2 views, PA and lateral views.",XXXX-year-old male. Pain. XXXX.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.",Negative for acute abnormality.
2077,"Catheters, Indwelling/right;Density/thorax;Cicatrix/lung/lingula;Pulmonary Atelectasis/lingula;Spine/degenerative/mild","Catheters, Indwelling;Density;Cicatrix;Pulmonary Atelectasis;Spine","Chest, 2 views, XXXX XXXX ","XXXX, history of breast cancer",None,"Right jugular XXXX catheter present with tip overlying the lower SVC. Curvilinear density projecting over the upper chest appears external on the lateral projection. Correlate clinically. Normal heart size and mediastinal contour appear normal pulmonary vascularity. XXXX scar/subsegmental atelectasis in the lingula. No focal airspace consolidation, pleural effusion, or pneumothorax. No acute osseous findings. Mild degenerative changes of the spine.",No acute cardiopulmonary findings.
2078,normal,normal,2 views Chest: XXXX,Abdominal pain and back pain under the ribs.,None.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,1. No acute pulmonary abnormality.
2079,Calcified Granuloma/lung/hilum/right/multiple;Osteophyte/thoracic vertebrae/degenerative/multiple/severe,Calcified Granuloma;Osteophyte,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old woman with chest pain.,"XXXX, XXXX","The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There are calcified granulomas at the right perihilar regions appear stable. There are significant degenerative osteophytes of the thoracic spine also appear stable.",No acute cardiopulmonary abnormality.
2080,Opacity/lung/right/round;Calcified Granuloma/lung/right/small,Opacity;Calcified Granuloma,Xray Chest PA and Lateral,"786.2 XXXX, XXXX",No comparison chest x-XXXX.,,Well-expanded and clear lungs. Conspicuous for size 3-4 mm nodular opacity projecting in right lung is probably a small calcified granuloma. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
2081,normal,normal,Xray Chest PA and Lateral XXXX,"XXXX-year-old XXXX with XXXX for 3 weeks, RLL pneumonia",None,The lungs are well-expanded and clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal contour is normal. No acute osseous lesions are identified.,No active pulmonary disease.
2082,Cardiomegaly;Pulmonary Congestion;Opacity/lung/interstitial/diffuse/patchy/mild;Pulmonary Edema,Cardiomegaly;Pulmonary Congestion;Opacity;Pulmonary Edema,Xray Chest PA and Lateral,"Dyspnea, generalized weakness.",None.,The heart is enlarged. There is pulmonary vascular congestion with diffusely increased interstitial and mild patchy airspace opacities. The distribution XXXX pulmonary edema. There is no pneumothorax or large pleural effusion. There are no acute bony findings.,Cardiomegaly with vascular congestion and suspected pulmonary edema. .
2083,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Chest pain,"XXXX, XXXX",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.
2084,"Catheters, Indwelling/left;Fractures, Bone/thoracic vertebrae;Fractures, Bone/lumbar vertebrae;Sclerosis/thoracic vertebrae;Sclerosis/lumbar vertebrae","Catheters, Indwelling;Fractures, Bone;Fractures, Bone;Sclerosis;Sclerosis",Chest radiograph PA and lateral XXXX. ,XXXX yr old female with dyspnea.,None.,Left chest wall Mediport placement with venous catheter tip in superior XXXX XXXX. Normal cardiac contours. No pneumothorax or pleural effusions. Clear lungs bilaterally. XXXX fracture seen at T5 and L2 with areas of sclerosis throughout the thoracic and lumbar spine.,1. Pathologic fractures seen at T5 and L2. 2. Left venous catheter in SVC.
2085,Spine/degenerative/mild,Spine,Xray Chest PA and Lateral,XXXX-year-old with XXXX.,None.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are mild degenerative changes of the spine.",No acute cardiopulmonary disease.
2086,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old XXXX with chest pain, MVA",None.,The cardiomediastinal silhouette is within normal limits. Lungs are clear without focal consolidation. No visualized pneumothorax or large pleural effusion. No acute bone abnormality.,No acute cardiopulmonary process.
2087,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, syncope",None,,"Heart size within normal limits for technique. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax."
2088,Cardiomegaly;Scoliosis/lumbar vertebrae/right/mild;Scoliosis/thoracic vertebrae/right/mild;Opacity/lung/base/left;Pulmonary Fibrosis/base/left;Cicatrix/lung/base/left,Cardiomegaly;Scoliosis;Scoliosis;Opacity;Pulmonary Fibrosis;Cicatrix,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old XXXX with chest pain and shortness of breath..,"AP chest radiograph dated XXXX, XXXX.","Compared to prior examination from XXXX, there has been extubation and removal of central line and enteric tube. Stable cardiomegaly and mild thoracolumbar dextroscoliosis. Left basilar opacity XXXX represents chronic fibrosis/scar. No focal consolidation, pneumothorax, or effusion. No acute osseous abnormality.",Stable cardiomegaly without acute cardiopulmonary abnormality.
2089,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM No comparison. Both lungs are clear and expanded. Heart and mediastinum normal. ","XXXX XXXX Caucasian female, 14 weeks pregnant with XXXX, tachycardia, shortness of",,,No active disease.
2090,normal,normal,Xray Chest PA and Lateral,XXXX-year-old male. Chest pain.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",Negative.
2091,Spondylosis/thoracic vertebrae,Spondylosis,"Chest, 2 views, frontal and lateral",Chest pain,None.,The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. XXXX XXXX of the spine.,No acute process.
2092,Opacity/lung/lower lobe/right/posterior/round;Nodule/lung/lower lobe/right,Opacity;Nodule,Xray Chest PA and Lateral,,None,"there is a rounded opacity in the right lower zone measuring 2.0 cm which is XXXX to be in the posterobasal segment. There is of uncertain etiology but would benefit from followup at XXXX some concern for neoplasm. A XXXX is recommended. No airspace disease, effusion or cavitary nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.",2 cm noncalcified nodule in the right lower lobe would benefit from a XXXX.
2093,"Catheters, Indwelling/right","Catheters, Indwelling", PA and lateral views of the chest. ,,CT chest XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. A right-sided Mediport catheter is noted. No pleural effusion is identified.,No focal lung infiltrates.
2094,Epicardial Fat/prominent;Granuloma/thoracic vertebrae,Epicardial Fat;Granuloma,Chest 2 views dated XXXX at XXXX hours.,XXXX-year-old female with chest pain.,Chest 2 view dated XXXX.,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.
2095,"Pulmonary Atelectasis/base/bilateral/patchy;Fractures, Bone/ribs/left/healed","Pulmonary Atelectasis;Fractures, Bone",Xray Chest PA and Lateral,PTX,None,"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.
2096,normal,normal,Xray Chest PA and Lateral,Difficulty breathing.,None.,Normal heart size and mediastinal contours. Clear lungs. No pneumothorax or pleural effusion. Unremarkable XXXX.,No acute cardiopulmonary process. .
2097,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",repeat after stab wound,"chest x-XXXX, single view frontal from XXXX XXXX a.m.",The trachea is midline. 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 abnormalities.,No acute cardiopulmonary abnormality seen on chest x-XXXX. No pneumothorax.
2098,normal,normal,Chest radiograph PA and lateral. ,XXXX-year-old XXXX with dyspnea.,None.,The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.,No acute cardiopulmonary findings.
2099,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old woman with pleurisy and positive PPD..,"Two-view chest radiograph dated XXXX, XXXX.","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 acute cardiopulmonary abnormality.
2100,Atherosclerosis/aorta,Atherosclerosis,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old female with hypertension,XXXX,"The heart size and mediastinal contours appear within normal limits. Atherosclerotic calcification of the aorta. No focal airspace consolidation, pleural effusions or pneumothorax. Questionable thin-walled cavitary lesion in the right lower lobe, only seen on the AP view and may represent artifact. No acute bony abnormalities.",1. No acute cardiopulmonary findings.
2102,"Aorta/tortuous;Diaphragmatic Eventration/left;Hernia, Diaphragmatic/small","Aorta;Diaphragmatic Eventration;Hernia, Diaphragmatic",Xray Chest PA and Lateral,"The patient is a XXXX-year-old female with XXXX, productive.",,"Tortuosity of the aorta. No pneumothorax, pleural effusion or airspace consolidation. Cardiomediastinal size is within normal limits. Pulmonary vasculature is normal . XXXX XXXX intact. Unchanged eventration of the left hemidiaphragm versus small hernia (Bochdalek).",No acute cardiopulmonary abnormality. .
2103,normal,normal,Xray Chest PA and Lateral,Transplant patient.,,Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,1. No evidence of active disease.
2105,Calcified Granuloma/lung/lingula;Pneumonectomy/lung/upper lobe/left,Calcified Granuloma;Pneumonectomy,"PA and lateral chest XXXX, XXXX at XXXX",History of smoking and status post left upper lobectomy,None,,"Heart size is normal. Lungs are clear. Calcified 5 mm granuloma in the left midlung. Status post resection of left upper lobe. No adenopathy, nodules, or masses. No effusion."
2106,normal,normal," Two-view chest. XXXX hours XXXX, XXXX. ",Dyspnea.,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
2108,No Indexing,No Indexing,"Two-view chest. 30 hours XXXX, XXXX. Comparison XXXX, XXXX. ",Positive TB skin test.,,The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
2109,Lung/hypoinflation;Surgical Instruments/abdomen,Lung;Surgical Instruments,Xray Chest PA and Lateral,Productive XXXX,,Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Surgical clips are present in the abdomen.,No evidence of active disease.
2110,normal,normal,Xray Chest PA and Lateral,Cervical cancer,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2111,Airspace Disease/lung/lower lobe/right/patchy;Pulmonary Emphysema/severe;Calcinosis/aorta;Spondylosis;Pneumonia/lower lobe/right,Airspace Disease;Pulmonary Emphysema;Calcinosis;Spondylosis;Pneumonia,"Chest, single portable AP view",Confusion,"XXXX, XXXX",Patchy airspace disease is present in the lateral view probably within the right lower lobe. There is severe underlying emphysema. The aorta is calcified. There is spondylosis.,"Patchy airspace disease on the lateral view, probably within the right lower lobe, XXXX a pneumonia superimposed on XXXX severe underlying emphysema. Recommend following this process to resolution."
2112,"Catheters, Indwelling/left;Density/lung/hilum/left;Density/lung/lingula;Cicatrix/lung/lingula;Catheters, Indwelling/left","Catheters, Indwelling;Density;Density;Cicatrix;Catheters, Indwelling", PA and lateral views. ,XXXX-year-old male. Right lateral/mid chest wall pain.,None.,"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.
2113,Lung/hyperdistention/mild;Thoracic Vertebrae/degenerative,Lung;Thoracic Vertebrae,"PA and lateral chest, XXXX, XXXX XXXX XXXX ",XXXX-year-old male shortness of breath.,PA and lateral chest x-XXXX dated XXXX.,The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. Mild lung hyperinflation. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Degenerative changes seen within the midthoracic spine. There is no visible free intraperitoneal air under the diaphragm.,1. No acute radiographic cardiopulmonary process.
2114,Technical Quality of Image Unsatisfactory ;Lung/hypoinflation;Kyphosis;Opacity/lung/base/bilateral;Pulmonary Atelectasis/base/bilateral;Lung/interstitial/abnormal;Calcinosis/lung/hilum/right;Nodule/lung/right;Density/lung/right;Surgical Instruments/heart,Technical Quality of Image Unsatisfactory ;Lung;Kyphosis;Opacity;Pulmonary Atelectasis;Lung;Calcinosis;Nodule;Density;Surgical Instruments,Xray Chest PA and Lateral,"XXXX-year-old male, chest pain",None,,"Exam quality limited by hypoventilation and kyphosis. Low lung volumes, bibasilar opacities XXXX due at XXXX in part to atelectasis. Abnormal interstitial pulmonary pattern, nonspecific in appearance with XXXX differential diagnosis including chronic lung disease, interstitial infiltrates, pulmonary edema. Right hilar calcifications and dense right lung nodule suggest a previous granulomatous process. No definite pleural effusion seen. Heart size near top normal limits for technique, sternotomy XXXX, CABG clips, artifact of aortic valve surgery."
2115,normal,normal,Xray Chest PA and Lateral,,,,
2116,"Fractures, Bone/ribs/bilateral/multiple/healed","Fractures, Bone","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old female with left-sided chest pain, XXXX..","Two-view chest radiograph dated XXXX, XXXX.","The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrate healed, remote bilateral rib fractures without acute abnormality.",No acute cardiopulmonary abnormality..
2117,Diaphragm/left/elevated;Spondylosis/thoracic vertebrae/mild,Diaphragm;Spondylosis,Xray Chest PA and Lateral,XXXX-year-old female history of Hodgkin's lymphoma .,"Two views chest XXXX, XXXX; CT chest XXXX, XXXX .",Stable appearance of chest with no findings of disease progression. Heart and mediastinum stable configuration. Stable elevation of left hemidiaphragm. Lungs clear of consolidation. No pneumothorax or pleural effusion. Bony thorax intact. Minimal spondylosis of the lower thoracic spine.,"Stable appearance of chest without active process evident and without evidence of progression of disease in patient with history of Hodgkin's lymphoma . If one would like to discuss this case further, please XXXX. XXXX at XXXX. Thanks."
2118,Implanted Medical Device/left;Opacity/lung/upper lobe/left;Pulmonary Atelectasis/upper lobe/left;Cicatrix/lung/upper lobe/left,Implanted Medical Device;Opacity;Pulmonary Atelectasis;Cicatrix,Xray Chest PA and Lateral,"XXXX-year-old female history of sarcoidosis, ICD placement.",Portable chest dated XXXX.,"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. .
2119,Nodule/lung/base;Calcinosis/lung/hilum/lymph nodes/right;Granuloma/right,Nodule;Calcinosis;Granuloma,Xray Chest PA and Lateral,EVALUATE FOR METASTATIC DISEASE; Pre op for prostatectomy. No chest complaints.,None.,"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. ."
2120,normal,normal,CHEST 2V FRONTAL/LATERAL ,XXXX loss,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2121,"Aorta, Thoracic/tortuous;Calcinosis/lung/hilum/lymph nodes;Density/lung/lower lobe/left/irregular;Calcinosis/lung/lower lobe/left/irregular;Thoracic Vertebrae/degenerative","Aorta, Thoracic;Calcinosis;Density;Calcinosis;Thoracic Vertebrae","Chest radiographs, 2 XXXX and lateral ",XXXX-year-old female with altered mental status,XXXX,"The heart size is within normal limits. There is ectasia/tortuosity of the thoracic aorta. Calcified hilar lymph XXXX. Irregular calcific density projecting over the left lower lobe, stable since XXXX and may represent mitral annular calcifications. No focal airspace consolidation, pleural effusions or pneumothorax. Degenerative changes of the thoracic spine. No acute bony abnormalities.",No acute cardiopulmonary findings.
2122,Implanted Medical Device/thorax/left,Implanted Medical Device,Xray Chest PA and Lateral,XXXX-year-old with pain.,"XXXX, XXXX.",There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits. The cardiac XXXX generator overlies left upper thorax with XXXX XXXX tips overlying the right atrium and ventricles.,No acute cardiopulmonary findings. .
2123,"Cardiomegaly;Pulmonary Congestion;Aorta/tortuous;Thoracic Vertebrae/degenerative;Hypertension, Pulmonary","Cardiomegaly;Pulmonary Congestion;Aorta;Thoracic Vertebrae;Hypertension, Pulmonary","CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,None,The heart is large. Pulmonary XXXX are engorged. No infiltrates. Aorta is somewhat tortuous. Degenerative disc disease is present in the thoracic spine.,Cardiomegaly and pulmonary venous hypertension
2124,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old female, XXXX.",PA and lateral views of the chest dated XXXX.,There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Degenerative changes of the thoracic spine.,No acute cardiopulmonary abnormality.
2125,Aorta/tortuous;Infiltrate/lung/base/left/mild,Aorta;Infiltrate,"a PA and lateral chest XXXX, XXXX XXXX comparison XXXX 10 ",chest pain,,,Heart size normal. Tortuous dilated aorta. Minimal basilar infiltrate left base
2126,"Density/thorax/right;Density/thorax/base/left;Diaphragm/right/elevated/mild;Costophrenic Angle/left/obscured;Technical Quality of Image Unsatisfactory ;Calcinosis/lung/middle lobe/right/round;Density/lung/middle lobe/right/round;Granulomatous Disease;Thickening/pleura/apex/left/mild;Epicardial Fat/bilateral/prominent;Hyperostosis, Diffuse Idiopathic Skeletal/thoracic vertebrae","Density;Density;Diaphragm;Costophrenic Angle;Technical Quality of Image Unsatisfactory ;Calcinosis;Density;Granulomatous Disease;Thickening;Epicardial Fat;Hyperostosis, Diffuse Idiopathic Skeletal",Xray Chest PA and Lateral,Status post cardiac valve replacement and CABG.,XXXX hours,,Interval improvement/resolution right patchy lateral base opacity. There is continued XXXX density in the right lateral and left base of the chest with minimal tenting of the lateral right hemidiaphragm . Costophrenic XXXX blunting may persist but the left costophrenic XXXX is clipped from view. There is a right middle base calcific nodular density XXXX from old granulomatous disease. Mild left apical pleural thickening. XXXX XXXX and valve XXXX. Probable prominent epicardial fat pads on either side. Thoracic spine DISH.
2127,Cardiomegaly/mild;Pleural Effusion/bilateral/small,Cardiomegaly;Pleural Effusion,CHEST X-XXXX XXXX XXXX and LATERAL DATED XXXX . ,"DORV, post surgery",XXXX.,Changes post bilateral thoracotomy and XXXX sternotomy. Intact XXXX XXXX. Stable position of the epicardial XXXX XXXX. Mild cardiomegaly. The lungs are clear. Bilateral small pleural effusions.,1. Stable postop changes with mild cardiomegaly. 2. Small bilateral pleural effusions.
2128,Lung/hyperdistention;Emphysema,Lung;Emphysema,XR Chest PA and Lateral,",786.4","Comparison XXXX, XXXX.",,"Hyperinflated chest as before, compatible with emphysema. Clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified."
2129,normal,normal,Xray Chest PA and Lateral,XXXX year old physical assault one XXXX ago with pain in the anterior ribs.,PA and lateral chest XXXX.,"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.
2130,Cardiomegaly;Pulmonary Edema/interstitial/mild;Osteophyte/thoracic vertebrae/multiple;Pleural Effusion/posterior;Opacity/lung/bilateral/round/multiple;Density/lung/right/round,Cardiomegaly;Pulmonary Edema;Osteophyte;Pleural Effusion;Opacity;Density,PA and lateral chest radiograph (2 views) (2 images) ,Dyspnea and edema.,"XXXX, XXXX","Cardiomegaly is present. There is interstitial pulmonary edema with the presence of XXXX B-lines. There is no pneumothorax. There is an oval, 17 mm nodular opacity projecting between the posterior left 5th and 6th ribs. There is a 10 mm nodular density projecting over the right posterior 4th rib. There is a XXXX posterior effusion. Normal mediastinal silhouette. T-spine osteophytes.","1. Cardiomegaly with mild interstitial edema and XXXX posterior pleural effusion. 2. 17 mm nodular opacity in the left lung and 10 mm nodular opacity in the right lung. These lesions are XXXX and could be followed up radiographically after treatment of edema, or could be further characterized with CT."
2131,normal,normal,Xray Chest PA and Lateral,The patient is a XXXX-year-old male with hiccups and XXXX.,None available.,"The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal consolidations or pleural effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",No acute cardiopulmonary findings. .
2132,Granuloma/lung/lower lobe/left;Spondylosis/thoracic vertebrae,Granuloma;Spondylosis,Xray Chest PA and Lateral,COPD and shortness of breath,"XXXX, XXXX",The cardiac contours are normal. The lungs are clear. Stable granuloma in the left lower lung zone. Thoracic spondylosis.,No acute findings.
2133,Scoliosis/thoracic vertebrae/mild,Scoliosis,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.",MVA today.,"XXXX, XXXX",,"The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax. Very mild S-shaped curvature of the thoracic spine. No displaced, acute fractures are identified."
2134,Lung/hyperdistention/mild,Lung,Xray Chest PA and Lateral,XXXX,None,,Slightly hyperinflated appearing but clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
2135,Costophrenic Angle/posterior/blunted/mild;Pleural Effusion/small;Cardiomegaly/moderate,Costophrenic Angle;Pleural Effusion;Cardiomegaly,CHEST FRONTAL AND LATERAL VIEWS dated XXXX at XXXX.,"XXXX-year-old female for XXXX XXXX. History of asthma, congestive heart failure. Cardiac arrhythmia.",XXXX.,There is no focal consolidation. Mild blunting of the posterior costophrenic XXXX XXXX represent small effusions. No pneumothorax is present. There is moderate cardiomegaly. The pulmonary vasculature is within normal limits.,1. Unchanged cardiomegaly. 2. Question XXXX pleural effusions.
2136,normal,normal,PA and lateral views of the chest ,XXXX x6 months,None,Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,No acute cardiopulmonary abnormality.
2137,Calcified Granuloma/multiple,Calcified Granuloma,Xray Chest PA and Lateral,"pa/lat cxr,185 MALIGNANT NEOPLASM OF PROSTATE","Comparison XXXX, XXXX.",,Calcified granulomas. No suspicious appearing lung nodules identified. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
2138,"Aorta, Thoracic/tortuous;Granulomatous Disease;Fractures, Bone/ribs/healed;Opacity/lung/lingula/focal","Aorta, Thoracic;Granulomatous Disease;Fractures, Bone;Opacity",Frontal and lateral chest on XXXX at XXXX. ,Abnormal lung exam. Smoking history.,XXXX.,Normal heart size. Stable tortuous thoracic aorta. Prior granulomatous disease. Healed rib fractures appear stable. Focal opacity is noted in the left midlung overlying the 9th posterior rib which XXXX represents healing rib callus. No pneumothorax or pleural effusion.,No acute abnormality seen.
2139,Cardiomegaly/mild;Calcinosis/lung/hilum/lymph nodes/right;Implanted Medical Device/aortic valve,Cardiomegaly;Calcinosis;Implanted Medical Device,Xray Chest PA and Lateral,"Chest pain, nonproductive XXXX. Cutaneous XXXX.",None.,"The lungs and pleural spaces show no acute abnormality. Calcified right hilar lymph XXXX. Heart size is enlarged, pulmonary vascularity within normal limits. XXXX sternotomy XXXX and prosthetic aortic valve noted.",1. No acute pulmonary abnormality. 2. Mild cardiomegaly without pulmonary edema.
2140,"Calcinosis/lung/hilum/lymph nodes/left;Fractures, Bone/thoracic vertebrae;Fractures, Bone/lumbar vertebrae;Spinal Fusion/thoracic vertebrae;Spinal Fusion/lumbar vertebrae","Calcinosis;Fractures, Bone;Fractures, Bone;Spinal Fusion;Spinal Fusion",Xray Chest PA and Lateral,Preop circumcision.,"XXXX, XXXX.",The lungs are clear. There are calcified left hilar lymph XXXX. The heart and mediastinum are normal. The skeletal structures are notable for an old apparent fracture at T12-L1 or congenital fusion unchanged from the prior study.,1. No acute pulmonary disease. 2. Possible old injury or developmental anomaly partially T12-L1.
2141,"Cardiomegaly/mild;Aorta, Thoracic/tortuous","Cardiomegaly;Aorta, Thoracic","Chest radiographs, 2 XXXX and lateral ",XXXX-year-old male with end-stage renal disease on hemodialysis,XXXX,"The heart size is mildly enlarged. There is tortuosity of the thoracic aorta. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.",Cardiomegaly without acute pulmonary findings.
2142,"Hyperostosis, Diffuse Idiopathic Skeletal/thoracic vertebrae","Hyperostosis, Diffuse Idiopathic Skeletal",2 views chest PA and Lateral XXXX ,Chest pain,XXXX,"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.",No acute cardiopulmonary disease.
2143,Lung/hyperdistention;Calcinosis/scattered/multiple/small;Nodule/scattered/multiple/small;Granulomatous Disease,Lung;Calcinosis;Nodule;Granulomatous Disease,Xray Chest PA and Lateral,"XXXX, XXXX breath. XXXX-year-old female. Tamoxifen use.","XXXX, XXXX",,Lungs are hyperinflated suggesting underlying emphysema. No XXXX consolidation or pleural effusion. No pneumothorax. Heart size and mediastinal silhouette appear stable. No edema. Couple scattered small calcified nodules compatible with old granulomatous disease.
2144,Calcified Granuloma/lung/hilum;Calcinosis/lung/hilum,Calcified Granuloma;Calcinosis,"Chest Two views PA and lateral XXXX, XXXX XXXX a.m. ",Dyspnea,"Chest single portable AP XXXX, XXXX p.m.","Stable calcified hilar XXXX and granulomas. 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.
2145,normal,normal,"Chest x-XXXX, AP and lateral. XXXX. XXXX a.m. ",headache.,None.,The cardiomediastinal silhouette is normal. The lungs are clear. There is no pneumothorax or pneumomediastinum. Visualized bony structures are normal.,Normal chest x-XXXX.
2146,normal,normal,Xray Chest PA and Lateral,Chest pain,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,Negative chest x-XXXX.
2147,Spondylosis/mild,Spondylosis,"Chest, 2 views, frontal and lateral",XXXX.,"XXXX, XXXX",Cardiac and mediastinal contours are within normal limits. The lungs are clear. Mild spondylosis.,No acute findings.
2148,normal,normal,Xray Chest PA and Lateral,Preop bariatric surgery,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute preoperative findings.
2149,"Calcinosis/aorta, thoracic;Osteophyte/thoracic vertebrae/multiple/mild;Calcified Granuloma/lung/upper lobe/left",Calcinosis;Osteophyte;Calcified Granuloma,Xray Chest PA and Lateral,XXXX year-old female with headache an chest pain.,Comparison is XXXX to chest repeat examination dated XXXX.,"The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal osteophytes of the thoracic spine. No acute, displaced rib fractures. A calcified granuloma is demonstrated in the left upper lobe.",1. No acute intrathoracic abnormality. .
2150,Nodule/lung/upper lobe/left/small,Nodule,Xray Chest PA and Lateral,XXXX; MVA,None,"The heart is normal in size. The mediastinum is unremarkable. Small nodule seen in the left upper lung, possibly granuloma. The lungs are otherwise clear.","No acute disease. Left lung nodule. Correlate with prior films if available. If none are available, followup imaging in 6 months is suggested."
2151,Lung/hyperdistention;Diaphragm/bilateral/flattened;Pulmonary Edema;Scoliosis/right/mild,Lung;Diaphragm;Pulmonary Edema;Scoliosis,Xray Chest PA and Lateral,"XXXX-year-old male, XXXX",None,"Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits, the typical findings of pulmonary edema. Mild spine dextrocurvature noted.","Hyperinflated lungs, air trapping versus inspiratory XXXX."
2152,normal,normal,Frontal and lateral chest on XXXX at XXXX. ,Shortness of breath.,None available.,"Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity.",Normal exam
2153,Diaphragm/left/elevated,Diaphragm,Xray Chest PA and Lateral,XXXX XXXX for employment,None,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. Left hemidiaphragm is elevated.,1. Elevated left diaphragm. 2. No focal airspace disease.
2154,Hypovolemia/lung/apex,Hypovolemia,Xray Chest PA and Lateral,"HYPERTENSION; Pre op for colon surgery,",No comparison chest x-XXXX.,,Well-expanded and clear lungs. Apical oligemia suggestive of some emphysema. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
2155,Lung/hypoinflation,Lung,"2 view ( PA and lateral) chest radiograph dated XXXX, XXXX ",XXXX-year-old female with chest pain,PA and lateral chest radiograph XXXX/XXXX the,"Low lung volumes noted. The heart size is within normal limits. Pulmonary vasculature is unremarkable. No focal consolidations, effusions, or pneumothoraces.",Low lung volumes without acute cardiopulmonary abnormality.
2156,normal,normal,"Chest x-XXXX XXXX and lateral performed on XXXX, XXXX at XXXX hours. ",XXXX-year-old female with chest pain.,None.,The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,No acute cardiopulmonary abnormalities.
2157,normal,normal,Xray Chest PA and Lateral,"CHEST XXXX XXXX since XXXX, hx of asthma(jm)",,,"Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified."
2158,Markings/lung/interstitial/diffuse;Pulmonary Fibrosis,Markings;Pulmonary Fibrosis,Chest X XXXX 2 XXXX PA and lateral ,"The patient is a XXXX-year-old female with history of pneumonia, upper lobe crackles. Known history of UIP.","CT chest XXXX, XXXX, chest x-XXXX XXXX","There are diffuse increased interstitial markings, suggestive of pulmonary fibrosis in bilateral lung XXXX. The fibrosis appears to slightly increased XXXX compared to previous examination, in XXXX. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal.",1. Redemonstrated pulmonary fibrosis without evidence for acute infiltrate.
2159,normal,normal,Xray Chest PA and Lateral,XXXX onset of substernal chest pain. XXXX for one year.,CT chest XXXX.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .,1. No acute pulmonary abnormality.
2160,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old male, shortness of breath.",None.,"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.
2161,normal,normal,PA and lateral chest radiograph on XXXX at 21: 06 hours. ,"XXXX-year-old XXXX, edema.",None available.,"The heart size is upper limits of normal. Mediastinal contour appears normal and pulmonary vascularity is within normal limits. Otherwise, no focal consolidation, large pleural effusion, or pneumothorax. The visualized osseous structures appear intact.","Borderline heart size. Otherwise, no acute cardiopulmonary abnormality."
2162,Cardiac Shadow/enlarged/moderate;Epicardial Fat/prominent;Lung/interstitial/prominent;Spondylosis;Cardiomegaly,Cardiac Shadow;Epicardial Fat;Lung;Spondylosis;Cardiomegaly,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",Abdominal pain. Dyspnea.,"XXXX, XXXX.","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.
2163,Calcified Granuloma/lung/upper lobe/left;Lung/hyperdistention;Calcinosis/mediastinum/lymph nodes;Calcinosis/lung/hilum/lymph nodes;Granulomatous Disease;Spine/degenerative/mild;Nodule/thorax/multiple/small,Calcified Granuloma;Lung;Calcinosis;Calcinosis;Granulomatous Disease;Spine;Nodule,Xray Chest PA and Lateral,"XXXX-year-old with COPD, pulmonary nodule. Recent diagnosis of prostate cancer.",Chest x-XXXX XXXX XXXX,There is a calcified left upper lobe granuloma. No XXXX suspicious pulmonary mass or nodule is identified. There is no focal airspace consolidation. No pleural effusion or pneumothorax. The lungs remain hyperexpanded. Stable cardiomediastinal silhouette. Calcified mediastinal and hilar lymph XXXX are consistent with prior granulomatous disease. There are minimal degenerative changes of the spine.,"No XXXX suspicious pulmonary mass or nodule identified. However, given the presence of small nodules on the XXXX chest CT scan and patient history of prostate cancer, recommend further evaluation with XXXX scan (unless already recently performed)."
2164,Granuloma/lung/apex/right,Granuloma,"PA and lateral chest XXXX, XXXX at XXXX ",History of chest pain,None,,Heart size is normal. Lungs are clear. 5 mm right apical granuloma overlying the anterior first right rib.
2165,Lung/hypoinflation;Opacity/lung/base/bilateral;Pulmonary Atelectasis/base/right,Lung;Opacity;Pulmonary Atelectasis,PA and Lateral Chest X-XXXX dated XXXX.,Low oxygen saturation.,XXXX.,Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. There has been interval development of bibasilar opacities. The appearance of the right base opacity XXXX atelectasis. The left base opacities could represent early pneumonia or areas of atelectasis. No pneumothorax or pleural effusion is seen.,1. Low lung volumes. 2. XXXX XXXX opacities. Right base appears to represent atelectasis. Left base could be atelectasis or pneumonia.
2166,No Indexing,No Indexing,"Two-view. XXXX hours XXXX, XXXX. Comparison XXXX, XXXX. ",Chest pain.,,The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
2167,Lung/hyperdistention;Diaphragm/bilateral/flattened/mild;Emphysema;Contrast Media/abdomen,Lung;Diaphragm;Emphysema;Contrast Media,Xray Chest PA and Lateral,,None,"There is hyperexpansion with mild flattening of diaphragm. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal. Contrast retained within the renal collecting XXXX.",1. No acute cardiopulmonary disease. 2. Emphysematous changes 3. Retained contrast within the renal collecting XXXX.
2168,Scoliosis/thoracic vertebrae/right,Scoliosis,Xray Chest PA and Lateral,"XXXX-year-old XXXX with history of pneumonia, persistent dyspnea, HIV-positive.","Chest x-XXXX XXXX, XXXX","The heart size is within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.",1. No acute abnormality. 2. Dextroscoliosis of thoracic spine unchanged. .
2169,Lung/hyperdistention;Lucency/lung/upper lobe/right/round/large;Pulmonary Emphysema/severe;Opacity/lung/apex/bilateral;Cicatrix/lung/apex/bilateral;Spine/degenerative/mild,Lung;Lucency;Pulmonary Emphysema;Opacity;Cicatrix;Spine,Xray Chest PA and Lateral,XXXX-year-old male with history of renal mass,CT abdomen and pelvis XXXX,"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.
2170,normal,normal,Xray Chest PA and Lateral,XXXX XXXX BMT W/U LAB;,,,Comparison XXXX Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified. Stable chest.
2171,Calcified Granuloma/lung/upper lobe/right/small,Calcified Granuloma," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",dyspnea,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. No change in the small calcified granuloma in the right upper lobe. Heart and mediastinum normal.,No active disease.
2172,Thickening/pleura/apex/bilateral/round;Cicatrix/lung/apex/bilateral/round;Nodule/lung/apex/bilateral/round;Lung/hyperdistention,Thickening;Cicatrix;Nodule;Lung, PA and lateral views. ,XXXX-year-old male. Bilateral arm pain.,None.,"The cardiomediastinal silhouette is normal in size and contour. Biapical fibronodular thickening/scarring. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",Hyperexpanded lungs. Negative for acute abnormality.
2173,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,Chest 2 XXXX and lateral ,"XXXX-year-old female with XXXX, left hip replacement",PA lateral chest XXXX at XXXX a.m.,"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.
2174,normal,normal,Xray Chest PA and Lateral,XXXX and XXXX.,,"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.",Unremarkable radiographs of the chest.
2175,normal,normal,"PA and lateral chest radiograph, XXXX at XXXX hours. ",XXXX-year-old male chronic XXXX.,"PA lateral chest radiograph, XXXX.",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.
2176,normal,normal,Xray Chest PA and Lateral,"XXXX, XXXX.",None.,"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. .
2177,Cardiac Shadow/enlarged;Lung/hypoinflation;Opacity/lung/base/bilateral;Pulmonary Atelectasis/base/bilateral,Cardiac Shadow;Lung;Opacity;Pulmonary Atelectasis,Xray Chest PA and Lateral,Morbidly obese patient with dyspnea.,,XXXX XXXX and lateral chest examination was obtained. There is enlarged heart silhouette. Decreased lung volumes. Lungs demonstrate bibasilar airspace opacities better visualized on lateral view. There is no effusion or pneumothorax. Degenerative changes of the bilateral XXXX.,1. Decreased lung volumes. Bibasilar airspace opacities seen on lateral XXXX XXXX be atelectasis or possibly pneumonia.
2178,Sclerosis/thoracic vertebrae/mild;Osteophyte/thoracic vertebrae/degenerative,Sclerosis;Osteophyte,"PA and lateral chest XXXX, XXXX at XXXX",History of prostate cancer rule out metastasis,XXXX XXXX,,"Heart size is normal. Lungs are clear. No nodules or masses. No adenopathy or effusion. Stable slightly sclerotic posterior inferior XXXX of one of the midthoracic vertebral bodies, seen on the lateral radiograph only. This most XXXX represents overlying degenerative spurring XXXX than metastasis."
2179,Diaphragm/bilateral/flattened;Lung/hyperdistention/mild,Diaphragm;Lung,Two views of the chest dated XXXX ,SOB,None available,Flattening of the bilateral hemidiaphragms. Lungs are clear. Soft tissues and bony structures unremarkable. No pneumothorax or effusion.,Mild hyperexpansion. No acute process.
2180,Cardiomegaly/severe;Nodule/thorax/left;Granuloma/thorax/left;Lung/hilum/lymph nodes/left/enlarged,Cardiomegaly;Nodule;Granuloma;Lung,"PA and lateral chest XXXX, XXXX XXXX comparison 13 XXXX",preop kidney transplant. No chest complaints,,,"Marked increase in heart size. Cardiomegaly. Question pericardial effusion. Stable 1.5 cm nodule left mid chest, XXXX a granuloma. Lungs are clear. No effusion. Stable left hilar lymphadenopathy."
2181,"Cardiomegaly/moderate;Fractures, Bone/sternum","Cardiomegaly;Fractures, Bone",Xray Chest PA and Lateral,XXXX-year-old with dyspnea.,Two views of the chest dated XXXX.,Heart size is moderately enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is suspected right lower lobe airspace opacity XXXX demonstrated on the lateral study. There is a fracture of superior sternotomy XXXX unchanged.,Possible right lower lobe pneumonia. Cardiomegaly
2183,Cardiomegaly/moderate;Opacity/lung/base/bilateral;Opacity/lung/hilum/interstitial;Pulmonary Edema/interstitial/mild,Cardiomegaly;Opacity;Opacity;Pulmonary Edema,PA and lateral views of the chest. ,XXXX-year-old male with shortness of breath.,Portable chest from XXXX.,Moderate cardiomegaly. Bibasilar and perihilar interstitial opacities. No pneumothorax. No pleural effusions.,Cardiomegaly and mild interstitial pulmonary edema.
2184,Cardiomegaly/mild;Opacity/lung/base/left/streaky;Pulmonary Atelectasis/base/left;Granuloma/lung/upper lobe/left,Cardiomegaly;Opacity;Pulmonary Atelectasis;Granuloma,PA and lateral chest radiograph on XXXX at 03: 21 hours. ,XXXX-year-old woman with XXXX and leukocytosis.,Abdomen and pelvis CT from XXXX.,"The heart is mildly enlarged. Mediastinal contour and pulmonary vascularity are within normal limits. There are streaky left basilar airspace opacities, compatible with atelectasis as seen on comparison abdomen and pelvis CT. There is a left upper lung granuloma. Otherwise, no focal consolidation, large pleural effusion, or pneumothorax. XXXX appear intact.",Left basilar atelectasis. No acute cardiopulmonary abnormalities.
2185,Lung/hypoinflation;Opacity/lung/base/bilateral/streaky;Pulmonary Atelectasis/base/bilateral,Lung;Opacity;Pulmonary Atelectasis,Xray Chest PA and Lateral,XXXX x4 weeks.,,There are low lung volumes with bibasilar opacities XXXX representing subsegmental atelectasis. The cardio the cardiac silhouette is of the XXXX of normal. There is no pneumothorax or pleural effusion.,Low lung volumes with bibasilar streaky opacities most XXXX representing subsegmental atelectasis.
2186,Lung/hypoinflation,Lung,Xray Chest PA and Lateral,",786.52 XXXX",,The lungs appear clear. Lung volumes are low. The heart and pulmonary XXXX appear normal. Pleural spaces are clear.,No acute cardiopulmonary disease.
2187,Aorta/tortuous;Calcinosis/aorta;Calcified Granuloma/lung/lingula;Surgical Instruments/abdomen/right,Aorta;Calcinosis;Calcified Granuloma;Surgical Instruments,"PA and lateral chest, XXXX, XXXX XXXX XXXX ",XXXX-year-old female with XXXX onset dyspnea.,PA and lateral chest x-XXXX dated XXXX.,The heart size is normal. Tortuous aorta. Calcifications are seen within the aortic XXXX. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. Stable calcified granuloma within the lingula. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm. Surgical clips are seen within the right upper abdomen.,1. No acute radiographic cardiopulmonary process.
2188,"Hernia, Hiatal/prominent;Opacity/lung/middle lobe/right;Opacity/lung/lingula;Bronchiectasis","Hernia, Hiatal;Opacity;Opacity;Bronchiectasis",Xray Chest PA and Lateral,",486 XXXX","Comparison XXXX, XXXX",,"Prominent hiatal hernia as before. Anticipated senescent changes of mediastinum. Opacity seen XXXX on lateral XXXX XXXX involving both right middle lobe and lingula compatible with some bronchiectasis and chronic inflammatory change. There may be some chronic indolent infection here associated with some chronic consolidation. Perhaps some slight progression, but overall XXXX change since prior examination. On lateral view, the posterior lung bases are grossly clear. No effusions or CHF."
2189,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX XXXX . ",XXXX-year-old with chest pain.,None.,"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.
2190,Spine/degenerative;Implanted Medical Device,Spine;Implanted Medical Device,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",XXXX,None,Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine. spinal stimulator is in XXXX with tip overlying the T9 vertebral body.,Clear lungs.
2191,Cardiomegaly/borderline;Opacity/lung/base/left/retrocardiac;Airspace Disease/lung/base/left,Cardiomegaly;Opacity;Airspace Disease,PA and lateral chest x-XXXX XXXX at XXXX hours. ,"XXXX-year-old with XXXX, crackles, and coarse breath sounds of the left. Also with fevers.",None.,There is no acute osseous abnormality. Soft tissues are within normal limits. Borderline enlargement of the heart. Normal vascular markings. Left basilar retrocardiac opacity. No pneumothorax.,Findings consistent with left base airspace disease.
2192,"Thoracic Vertebrae/degenerative/mild;Deformity/thoracic vertebrae;Catheters, Indwelling/thorax","Thoracic Vertebrae;Deformity;Catheters, Indwelling",Xray Chest PA and Lateral,"XXXX-year-old with XXXX, history of lung nodules.",XXXX performed XXXX/XXXX,No focal lung consolidation. No pneumothorax or pleural effusion.Heart size and pulmonary vascularity are within normal limits.Minimal degenerative changes of the thoracic spine. The previously<BR>described XXXX deformity in the midthoracic spine is again seen. There is subcutaneous shunt catheter tubing along the anterior chest wall,No acute cardiopulmonary process.
2193,Pleura/right/blunted;Pleural Effusion/right;Cicatrix/pleura/right;Opacity/lung/base/right;Cicatrix/lung/base/right;Thickening/pleura/right,Pleura;Pleural Effusion;Cicatrix;Opacity;Cicatrix;Thickening,Xray Chest PA and Lateral,Kidney transplant evaluation,,"Again noted and is blunting of the right pleural space, XXXX a XXXX effusion or scarring. Opacity in the right lung base also appears unchanged, XXXX scarring. Heart size appears normal, improved from prior study. There is no vascular congestion or edema. There's no pneumothorax.",1. Stable right basilar scarring and right pleural thickening
2194,Cardiac Shadow/enlarged;Aorta/tortuous;Lung/hypoinflation;Opacity/lung/base/left,Cardiac Shadow;Aorta;Lung;Opacity,Xray Chest PA and Lateral,Increased XXXX XXXX,"XXXX, XXXX",,Stable enlarged cardiomediastinal silhouette. Tortuous aorta. Low lung volumes and left basilar bandlike opacities suggestive of scarring or atelectasis. No overt edema. Question small right pleural effusion versus pleural thickening. No visible pneumothorax.
2195,Lung/hyperdistention/mild;Lung/azygos lobe,Lung;Lung,"PA and lateral views of the chest dated XXXX, XXXX.","Vomiting blood, hemoptysis.",None.,"The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated, without evidence of focal airspace disease, pneumothorax, or pleural effusion. Incidental note is XXXX of an azygos fissure. There are no acute bony findings.","Mildly hyperinflated, clear lungs."
2197,Opacity/lung/upper lobe/right/anterior;Thickening/pleura/mild,Opacity;Thickening,"Chest x-XXXX, 2 views dated XXXX ",XXXX-year-old female with XXXX,None,Heart size is normal. There are XXXX opacities which appear to XXXX XXXX above the right XXXX fissure. There is mild thickening in the fissure. No pneumothorax. No large pleural effusions.,XXXX opacities in the right upper lobe anterior segment which may represent atelectasis or infiltrate.
2198,normal,normal,Xray Chest PA and Lateral,Dyspnea. Chest pain.,None.,"Cardiac silhouette, pulmonary vascular pattern within normal limits. No focal infiltrate, pneumothorax or pulmonary edema. No pleural effusion. Osseous structures within normal limits.",No acute cardiopulmonary disease.
2199,"Catheters, Indwelling/right;Opacity/lung/diffuse/patchy;Cystic Fibrosis;Bronchiectasis","Catheters, Indwelling;Opacity;Cystic Fibrosis;Bronchiectasis",Xray Chest PA and Lateral,Cystic fibrosis exacerbation.,,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. .
2200,Lung/hypoinflation;Pulmonary Atelectasis/base/bilateral;Cicatrix/lung/base/bilateral;Surgical Instruments/abdomen/left,Lung;Pulmonary Atelectasis;Cicatrix;Surgical Instruments,Chest x-XXXX AP and lateral on XXXX at XXXX hours. ,XXXX-year-old female with hypotension.,Chest x-XXXX on XXXX,Low lung volumes. Bibasilar atelectasis versus scarring. Stable left abdominal surgical clips. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The XXXX are intact.,Low lung volumes. Bibasilar atelectasis versus scarring.
2201,Calcified Granuloma/lung/bilateral/multiple,Calcified Granuloma,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ","XXXX-year-old female with tobacco use, XXXX loss.","Two-view chest radiograph dated XXXX, XXXX.","Bilateral calcified granulomas stable compared to prior examination, without focal consolidation, pneumothorax, or pleural effusion identified. Cardiomediastinal silhouette stable and unremarkable. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality..
2202,normal,normal,"PA and lateral chest XXXX, XXXX XXXX comparison 14 XXXX ",XXXX loss. Atypical tuberculosis infection,,,Heart size is normal and lungs are clear.
2203,"Fractures, Bone/ribs/right/multiple/healed","Fractures, Bone",2 views chest XXXX,Persistent XXXX,None,"PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Old right rib fractures.",1. No acute cardiopulmonary disease.
2204,No Indexing,No Indexing,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
2205,Aorta/tortuous;Opacity/lung/upper lobe/left/irregular;Cicatrix/lung/upper lobe/left/chronic;Deformity/ribs/posterior;Deformity/thoracic vertebrae/anterior/multiple;Thickening/pleura/upper lobe/left,Aorta;Opacity;Cicatrix;Deformity;Deformity;Thickening,Xray Chest PA and Lateral ,"DYSPNEA; XXXX and chest pressure x 2 days, Hx of lung XXXX in XXXX and XXXX",None.,"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.
2206,Pulmonary Atelectasis/hilum/right/mild,Pulmonary Atelectasis,Chest X XXXX 2 XXXX PA and lateral ,"The patient is a XXXX-year-old male with alcoholic hepatitis, XXXX withdrawal, on CIWA. Smoking history with XXXX COPD, elevated XXXX XXXX.","XXXX, single view","Minimal right sided perihilar atelectasis. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal.",1. No acute cardiopulmonary abnormality. No active disease.
2207,"Aorta, Thoracic/tortuous;Airspace Disease/lung/base/right/patchy;Thoracic Vertebrae/degenerative/mild;Pneumonia/lower lobe/right","Aorta, Thoracic;Airspace Disease;Thoracic Vertebrae;Pneumonia",PA and Lateral Chest ,XXXX-year-old female with dyspnea and productive XXXX.,None.,Heart size is within normal limits. Tortuous thoracic aorta. There is patchy right base airspace disease. No pneumothorax or pleural effusion. There mild degenerative changes throughout the thoracic spine.,Right lower lobe pneumonia.
2208,Cardiomegaly,Cardiomegaly,PA lateral chest radiograph from today XXXX hours ,"XXXX-year-old male, chest pain","Chest 2 views XXXX, XXXX",Persistent cardiomegaly. No abnormal airspace consolidation. Resolved interstitial edema. No pneumothorax or pleural effusion.,Stable cardiomegaly without acute abnormality.
2209,Emphysema,Emphysema,CHEST 2V FRONTAL/LATERAL ,Shortness of breath,,The heart is normal in size. The mediastinum is unremarkable. Emphysematous changes are identified. The lungs are otherwise grossly clear.,Emphysema without acute disease.
2210,normal,normal,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old male with dyspnea.,None.,The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact..,1. No acute cardiopulmonary process.
2211,Cardiomegaly,Cardiomegaly,"2 views chest XXXX hours, XXXX, XXXX ",XXXX,Report only from chest x-XXXX dated XXXX is available for review. The images from the study are currently unavailable due to ongoing upgrade of the AGFA PACS XXXX.,There is persistent cardiomegaly with suggestion of left atrial enlargement as evidenced by cardiac contour the lateral image and XXXX density on the frontal image. The lungs are clear. No visible pleural effusion or pneumothorax.,1. Persistent cardiomegaly. 2. Clear lungs.
2212,normal,normal,Xray Chest PA and Lateral,Productive XXXX.,,The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures and soft tissues have a normal appearance.,No acute pulmonary disease.
2213,Nodule/lung/bilateral/multiple;Calcinosis/lung/bilateral;Cicatrix/lung/lingula;Pulmonary Atelectasis/lingula,Nodule;Calcinosis;Cicatrix;Pulmonary Atelectasis,Xray Chest PA and Lateral,"COPD, XXXX;",CT chest XXXX XXXX,"The heart is normal in size. The mediastinum is stable. Innumerable XXXX bilateral nodules are identified, most of which appear calcified on XXXX examination. There is no acute infiltrate or effusion. XXXX lingular scarring and/or atelectasis.",No acute disease.
2214,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, productive XXXX and dyspnea for one month.",None.,"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.",No acute cardiopulmonary process.
2215,normal,normal,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours. ",XXXX-year-old female. XXXX onset chest pain.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",Negative for acute abnormality.
2216,Diaphragm/right/elevated/mild;Thoracic Vertebrae/degenerative/mild,Diaphragm;Thoracic Vertebrae,Xray Chest PA and Lateral,XXXX with low-grade XXXX and midback pain x2 weeks.,None,Heart size and mediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. No focal airspace consolidation. There is mild elevation right hemidiaphragm. No visible pleural effusion or pneumothorax. There are mild degenerative changes along the thoracic spine.,1. Mildly elevated right hemidiaphragm. Otherwise no acute cardiopulmonary abnormality seen.
2217,Cardiomegaly/borderline;Diaphragmatic Eventration/right,Cardiomegaly;Diaphragmatic Eventration,Xray Chest PA and Lateral,"XXXX-year-old female, pain, difficulty breathing","None, correlation with XXXX XXXX","Heart size borderline enlarged, mediastinal contours appear similar to the XXXX from XXXX, XXXX XXXX noted. Right hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",No acute cardiopulmonary findings
2218,Opacity/lung/base/left;Diaphragm/left/elevated;Cardiac Shadow/enlarged;Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left;Cardiomegaly;Abdomen/enlarged/severe,Opacity;Diaphragm;Cardiac Shadow;Pulmonary Atelectasis;Cicatrix;Cardiomegaly;Abdomen,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX year old woman with chest pain.,"XXXX, XXXX","The opacity at the left lung base appears stable from prior exam. There is elevation of the left hemidiaphragm is stable. The cardiomediastinal silhouette is enlarged but unchanged. XXXX sternotomy XXXX are again noted. There is a large amount of XXXX distending the stomach, which incidentally was also seen on prior exam of 3 years ago. There is no pneumothorax.",1. Left basilar opacity XXXX represents atelectasis/scarring with associated elevated hemidiaphragm. 2. Stable cardiomegaly. 3. No XXXX airspace disease.
2219,Granuloma/lung/hilum/left;Granuloma/lung/base/left,Granuloma;Granuloma,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.",XXXX and chest pain commissure breath x1 XXXX,None,,The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. Left hilar and medial left base granuloma. There is no focal air space consolidation. No pleural effusion or pneumothorax.
2220,Lung/hypoinflation;Pulmonary Congestion;Airspace Disease/lung/base/bilateral;Pleural Effusion/left;Heart Failure/mild,Lung;Pulmonary Congestion;Airspace Disease;Pleural Effusion;Heart Failure,Xray Chest PA and Lateral,Chest pain and shortness of breath.,,The XXXX examination consists of frontal and lateral radiographs of the chest. There low lung volumes. There is pulmonary vascular congestion and indistinctness. Bibasilar airspace disease is also present. Probable XXXX left pleural effusion. No evidence of pneumothorax. Cardiac silhouette is upper lungs are normally accentuated due to low lung volumes.,Mild heart failure versus volume overload.
2221,Cardiomegaly/mild,Cardiomegaly,"PA lateral chest XXXX, XXXX XXXX compressed and XXXX 10 ",History of chest pain.,,,Slight cardiomegaly. Clear lungs.
2222,Density/right/paratracheal/multiple;Density/lung/hilum/left/multiple;Calcinosis/right/paratracheal/multiple;Calcinosis/lung/hilum/left/multiple;Opacity/mediastinum/posterior/round,Density;Density;Calcinosis;Calcinosis;Opacity,"Chest 2 views PA and lateral XXXX, XXXX. XXXX a.m. ",Chest pain.,Chest portable frontal AP XXXX.,"Lungs are clear bilaterally, with no focal consolidation, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. Calcified densities within the right paratracheal region and left perihilar region, may represent calcified granulomas. There is a round opacity measuring 2 cm in diameter within the posterior mediastinum. XXXX are unremarkable.",1. Round opacity measuring 2 cm in diameter within the posterior mediastinum. Recommend further evaluation of this nodule with chest CT with IV contrast.
2223,normal,normal,"Right forearm 2 views, right elbow 2 XXXX and lateral views of the chest, left ankle 3 views of XXXX, XXXX. ",XXXX-year-old MVA.,"Ankle XXXX, chest XXXX","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.
2224,Granuloma/scattered/multiple;Calcinosis/lung/hilum/lymph nodes/bilateral;Cicatrix/lung/lingula;Lung/bilateral/hyperdistention,Granuloma;Calcinosis;Cicatrix;Lung,PA and Lateral Chest,Preoperative lung transplant.,Chest x-XXXX dated XXXX,"Heart size, mediastinal contour, and pulmonary vasculature are within normal limits. Scattered granulomas and bilateral perihilar calcified lymph XXXX. Stable lingular scarring. No focal consolidation, large pleural effusion or pneumothorax is identified. No bony abnormality.",1. No acute cardiopulmonary abnormality.
2225,normal,normal,Xray Chest PA and Lateral,Pain and XXXX,,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.
2226,"Fractures, Bone/ribs/healed","Fractures, Bone",Xray Chest PA and Lateral,MVA on the 14th,,The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. First rib fracture not well demonstrated on XXXX study..,1. No acute radiographic cardiopulmonary process.
2227,"Opacity/lung/base/interstitial/reticular;Lung/hypoinflation;Calcinosis/aorta, thoracic;Implanted Medical Device/left;Lung Diseases, Interstitial","Opacity;Lung;Calcinosis;Implanted Medical Device;Lung Diseases, Interstitial","PA and lateral views of the chest, XXXX, XXXX XXXX PM","Chest pain, shortness of breath, on home oxygen, history of sarcoidosis and smoking",XXXX at XXXX dated XXXX,"There is increasing primarily basilar interstitial reticular opacity. Lung volumes are low. There are no focal airspace opacities to suggest lobar pneumonia. Heart size appears normal. The thoracic aorta is calcified. Since the prior study, there has been placement of an electronic cardiac device overlying the left chest wall, the distal leads overlying the right heart. There's no pneumothorax.",1. Findings consistent with worsening interstitial lung disease. High resolution XXXX is recommended to confirm this. Prior XXXX from XXXX reveals no evidence of interstitial lung disease.
2228,normal,normal, PA lateral chest. ,XXXX and asthma,None,,Heart size is normal and the lungs are clear.
2229,Surgical Instruments/abdomen/right,Surgical Instruments,"PA and lateral chest, XXXX, XXXX XXXX PM. ",XXXX-year-old female with history of dyspnea on exertion.,None.,The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm. Surgical clips are seen the right upper quadrant.,1. No acute radiographic cardiopulmonary process.
2230,normal,normal,PA and lateral views of the chest ,Chest pain.,None.,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.
2231,Technical Quality of Image Unsatisfactory ,Technical Quality of Image Unsatisfactory ,"Chest x-XXXX AP and lateral, 2 views. ",Dyspnea,None.,"Heart XXXX, mediastinum, XXXX, bony structures are unremarkable. Possible subtle increased opacity in right apex versus technique. Otherwise no significant interval change compared to prior study",Possible subtle increased opacity in right apex otherwise unremarkable appearance of lung XXXX
2232,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. ","XXXX-year-old XXXX, chest pain and hypertensive urgency.","Frontal chest radiograph dated XXXX, XXXX.","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.",No acute cardiopulmonary abnormality.
2233,Lung/hyperdistention;Diaphragm/bilateral/flattened;Markings/lung/interstitial/scattered/irregular/chronic,Lung;Diaphragm;Markings,Xray Chest PA and Lateral,"XXXX-year-old male, XXXX",None,"Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. Scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.","Hyperinflated lungs, air trapping versus inspiratory XXXX."
2234,Emphysema;Cicatrix/lung/apex/bilateral;Pulmonary Fibrosis/apex/bilateral,Emphysema;Cicatrix;Pulmonary Fibrosis,"PA and lateral chest XXXX, XXXX XXXX comparison 20 XXXX and XXXX XXXX ",pneumonia followup,,,heart size normal. Emphysema. Biapical scarring and fibrosis unchanged
2235,Lung/hypoinflation,Lung,"Frontal and lateral view of the chest on XXXX, XXXX at XXXX hours. ",XXXX.,Chest radiograph from XXXX.,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.
2236,normal,normal,Xray Chest PA and Lateral,XXXX-year-old male with XXXX's syndrome and worsening XXXX,None,"The cardiac silhouette, mediastinum, and pulmonary vasculature are within normal limits. Lungs are clear. No pleural fluid or pneumothorax is appreciated.",Unremarkable chest x-XXXX. .
2237,Calcified Granuloma/lung/lingula;Calcinosis/aorta,Calcified Granuloma;Calcinosis,"PA and lateral chest XXXX, XXXX at XXXX with comparison 5 XXXX",bronchitis. XXXX. XXXX. XXXX. Dyspnea.,,,Heart size is normal. Lungs are clear. Stable 5 mm calcified left midlung granuloma. Calcified aortic XXXX.
2238,normal,normal,CHEST 2V FRONTAL/LATERAL ,Chest pain,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2239,Medical Device;Lung/interstitial/prominent;Opacity/lung/base/patchy;Airspace Disease/lung/base/patchy,Medical Device;Lung;Opacity;Airspace Disease,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",Dyspnea.,None.,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 effusion.,"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."
2240,normal,normal,CHEST 2V FRONTAL/LATERAL ,XXXX,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2241,"Opacity/lung/apex/bilateral;Catheters, Indwelling/right;Surgical Instruments/right;Mastectomy/right;Cicatrix/lung/apex/bilateral","Opacity;Catheters, Indwelling;Surgical Instruments;Mastectomy;Cicatrix","PA and LATERAL views of the chest, dated XXXX, XXXX XXXX PM","XXXX-year-old female with ALL, possible XXXX cell transplant. Additional history of breast cancer.",CT chest XXXX,"There are biapical opacities, possibly scarring. Lungs otherwise appear clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. Right-sided chest XXXX catheter tip is at the lower SVC. Several right axillary surgical clips are noted. There are postoperative changes of right mastectomy.","No acute findings. Biapical opacities, XXXX scarring."
2242,Diaphragm/bilateral/elevated;Pulmonary Atelectasis/base/bilateral;Spondylosis/mild,Diaphragm;Pulmonary Atelectasis;Spondylosis,"Chest, 2 views, frontal and lateral","Mid chest pain, XXXX",None.,,Elevated diaphragms with atelectasis in the bases. Normal heart size. Mild spondylosis.
2243,Calcified Granuloma/lung/lower lobe/left;Thoracic Vertebrae/degenerative/chronic,Calcified Granuloma;Thoracic Vertebrae,"PA and Lateral Chest Radiograph XXXX, XXXX XXXX XXXX",XXXX-year-old female with chest pain,"Chest radiograph XXXX, XXXX","The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is a stable calcified granuloma within the left lower lobe. There are stable chronic degenerative changes of the thoracic spine.",No acute cardiopulmonary abnormality.
2244,normal,normal,Xray Chest PA and Lateral,",V72.82,305.1 preop chest x-XXXX GYN surgery. XXXX.",,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
2245,normal,normal,PA and lateral chest x-XXXX ,"XXXX-year-old male, metastatic workup.",None,"Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",No acute cardiopulmonary abnormalities.
2246,Airspace Disease/lung/base/right;Opacity/lung/base/left;Pulmonary Atelectasis/base/left;Deformity/thoracic vertebrae/mild,Airspace Disease;Opacity;Pulmonary Atelectasis;Deformity,"PA lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. ",XXXX-year-old male status post XXXX.,None.,Normal heart size and mediastinal contour. Right lung base airspace disease on frontal XXXX. XXXX opacities in the left lung base consistent with atelectasis. No pneumothorax. No pleural effusion. Mild wedge XXXX deformity of T12.,Right lung base airspace disease and left base atelectasis.
2247,normal,normal,PA and lateral chest dated XXXX ,Dyspnea,None available,The cardiomediastinal silhouette is normal in size and appearance. No pleural effusion or pneumothorax. Lungs are clear.,Normal chest.
2248,normal,normal,Frontal and lateral views of the chest dated XXXX ,Abdominal pain,"XXXX, XXXX",Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,No acute abnormality.
2249,Lung/hilum/lymph nodes/right/enlarged;Thoracic Vertebrae/degenerative/mild,Lung;Thoracic Vertebrae,"Two-view chest, XXXX ",XXXX,XXXX,,"PA and lateral views of the chest show enlarging right hilar adenopathy. The lungs appear grossly clear. Heart size and pulmonary XXXX are normal. There is no pneumothorax. Pleural spaces are clear. There is mild thoracic spine degenerative change. FINDINGS COULD REPRESENT RESOLVING HISTOPLASMOSIS INFECTION, SARCOIDOSIS, OR MALIGNANCY XXXX AS LYMPHOMA OR PRIMARY LUNG CANCER. RECOMMEND CONTRAST-ENHANCED CHEST CT FOR FURTHER EVALUATION."
2250,Cicatrix/lung/lingula/mild;Cardiomegaly;Heart Atria/left/enlarged,Cicatrix;Cardiomegaly;Heart Atria,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",dyspnea,XXXX,There has been interval XXXX sternotomy with mitral valve surgery. There is a small amount of scarring in the left midlung. No focal consolidation. No pleural effusions or pneumothoraces. there is continued cardiomegaly with especially enlarged left atrium.,1. Scarring in the left midlung. 2. Cardiomegaly with especially enlarged left atrium with postoperative changes of mitral valve surgery.
2251,normal,normal,CHEST 2V FRONTAL/LATERAL ,"XXXX, asthma, dyspnea",XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2252,normal,normal, PA and lateral chest. ,XXXX XXXX,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
2253,"Lung/hyperdistention;Breast Implants/bilateral;Pulmonary Disease, Chronic Obstructive","Lung;Breast Implants;Pulmonary Disease, Chronic Obstructive","PA and lateral chest XXXX, XXXX.",Chronic bronchitis.,None.,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.
2254,Surgical Instruments/abdomen,Surgical Instruments,Xray Chest PA and Lateral,XXXX year old female. Bladder cancer,None.,Lungs are clear. Heart size is normal. No pneumothorax. There are surgical clips seen within the upper abdomen.,Clear lungs. No acute cardiopulmonary abnormality. .
2255,Density/lung/right/round/multiple;Calcinosis/lung/right/round;Granulomatous Disease,Density;Calcinosis;Granulomatous Disease,"CHEST 2V FRONTAL/LATERAL Sept 12, XXXX XXXX XXXX ",chest pain,chest x-XXXX and lateral from XXXX.,"The trachea is midline. Cardiomediastinal silhouette is normal and unchanged from prior examination. There are round calcific densities in the right lung consistent with prior granulomatous disease. Otherwise, the lungs are clear without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",No acute cardiopulmonary abnormalities.
2256,normal,normal,Chest PA and lateral views. ,dyspnea,XXXX,XXXX XXXX and lateral chest examination was obtained. One AP view is expiratory and was repeated. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no focal infiltrates. There is no effusion or pneumothorax.,1. No acute pulmonary disease.
2257,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,Xray Chest PA and Lateral,"XXXX year old female, hypertension, preop thyroid surgery. No complaints.",None,No focal areas of consolidation. Heart size normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.,No acute cardiopulmonary abnormality. .
2258,Markings/lung/middle lobe/bilateral/interstitial/prominent;Markings/lung/base/bilateral/interstitial/prominent;Lung/hypoinflation;Markings/bronchovascular;Technical Quality of Image Unsatisfactory ,Markings;Markings;Lung;Markings;Technical Quality of Image Unsatisfactory ,PA and Lateral Chest,"XXXX-year-old male, XXXX",None,"Mild hypoventilation with bronchovascular crowding and prominent central and basilar interstitial markings. No focal alveolar consolidation, no pleural effusion demonstrated. Considering technical factors heart size XXXX within normal limits.","Prominent interstitial markings in the central lungs and bases which may be secondary to low lung volumes with bronchovascular crowding, differential considerations include interstitial infiltrates of inflammatory or infectious etiology and mild pulmonary edema. Clinical correlation is recommended."
2259,Humerus/bilateral/degenerative;Thoracic Vertebrae/scattered/degenerative;Cardiomegaly/mild;Density/mediastinum/prominent;Opacity/lung/upper lobe/left/focal;Cicatrix/lung/upper lobe/left;Opacity/ribs/left,Humerus;Thoracic Vertebrae;Cardiomegaly;Density;Opacity;Cicatrix;Opacity,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with chest pain and shortness of breath,Chest radiograph on XXXX,"Bilateral glenohumeral degenerative joint disease. Scattered degenerative changes of the thoracic spine. Stable mild heart enlargement.Prominence of soft tissue density in the upper mediastinum. It is increased from most recent prior exam on XXXX. However, it appears similar compared to XXXX exams performed in XXXX. No focal area of consolidation, pleural effusion, or pneumothorax. Focal opacity in the left upper lobe XXXX represents scarring or related to overlying rib opacity.",1. No acute cardiopulmonary abnormality. 2. Prominent soft tissue density in the upper mediastinum. Recommend follow PA and lateral radiograph XXXX XXXX or CT thorax for further evaluation.
2260,normal,normal,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours. ",XXXX-year-old female. Shortness of breath.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",Negative for acute abnormality.
2261,Medical Device;Surgical Instruments/abdomen/right;Lung/azygos lobe,Medical Device;Surgical Instruments;Lung,Xray Chest PA and Lateral,Chest pain today.,None.,"Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. Normal pulmonary vasculature and central airways. No focal airspace consolidation or pleural effusion. Incidental note XXXX of an azygos fissure. There are surgical clips, perhaps from cholecystectomy, in the right upper quadrant.","No acute or active cardiac, pulmonary or pleural disease."
2262,Opacity/lung/base/right,Opacity,Chest x-XXXX XXXX and lateral on XXXX at XXXX hours. ,XXXX-year-old male with XXXX onset pleuritic pain.,Chest x-XXXX on XXXX,XXXX right basal airspace opacity. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The XXXX are intact.,XXXX right basilar airspace opacity.
2263,Cardiomegaly/moderate;Opacity/lung/base/left;Pulmonary Atelectasis/base/left,Cardiomegaly;Opacity;Pulmonary Atelectasis,Xray Chest PA and Lateral,"XXXX-year-old female, dyspnea",,"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
2264,Lung/hypoinflation,Lung,"PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old male, XXXX",None available,Normal heart size and mediastinal contours. Low lung volumes. No focal airspace consolidation. No pneumothorax or pleural effusion. Visualized bony structures are unremarkable in appearance.,No acute cardiopulmonary abnormalities.
2265,Lung/hyperdistention;Pulmonary Emphysema;Pulmonary Fibrosis/apex/left/chronic;Deformity/lung/apex/hilum;Opacity/lung/middle lobe/right,Lung;Pulmonary Emphysema;Pulmonary Fibrosis;Deformity;Opacity,Xray Chest PA and Lateral,FOLLOWUP sarcoidosis,"Comparison XXXX, XXXX.",,"Hyperinflated lungs as before compatible with emphysema. Left apical chronic inflammatory and fibrotic changes with apical hilar retraction, unchanged since prior XXXX. XXXX opacities and chronic inflammatory change right midlung as before. Stable mediastinal contour without overt evidence of adenopathy. No acute airspace disease or CHF. No XXXX acute abnormalities since the previous chest radiograph."
2266,Pulmonary Atelectasis/middle lobe/right/focal,Pulmonary Atelectasis,Xray Chest PA and Lateral,FOLLOW UP,"Comparison XXXX, XXXX scan XXXX, XXXX.",,"Senescent changes with XXXX sternotomy. Some focal subsegmental atelectasis suggested on lateral view, probably involving the basilar portion of the right middle lobe. No acute airspace disease, effusions, or CHF. No XXXX acute abnormalities since the previous chest radiograph."
2267,Technical Quality of Image Unsatisfactory ;Spine/degenerative,Technical Quality of Image Unsatisfactory ;Spine,"PA and lateral views of the chest XXXX, XXXX XXXX XXXX ",XXXX,XXXX,The lateral view is degraded by patient motion. Lungs are grossly clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,Mildly limited study with lungs grossly clear.
2268,"Cardiomegaly;Atherosclerosis/aorta, thoracic;Lung/hypoinflation",Cardiomegaly;Atherosclerosis;Lung,Xray Chest PA and Lateral .,",799.02; hypoxia ap XXXX in wheelchair",None.,,Status post mediastinal surgery. Cardiomegaly. Atherosclerotic disease of the thoracic aorta. Lung volumes are reduced. Suspicion for at XXXX XXXX bilateral pleural effusions. No acute airspace disease. No pulmonary edema.
2269,normal,normal,Xray Chest PA and Lateral,GERM CELL TUMOR BMT W/U LAB;,XXXX,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.,No acute disease.
2270,Scoliosis/thoracic vertebrae/right,Scoliosis,Two views of the chest ,Chest pain,No prior,"Cardiomediastinal silhouette is within normal limits in overall size and appearance. Aortic XXXX, cardiac apex, and stomach are left-sided. Central vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. Dextro-convex scoliotic curvature of the thoracic spine. No acute bony abnormality.",No acute cardiopulmonary process.
2271,Density/lung/middle lobe/right;Costophrenic Angle/right/posterior/blunted/mild;Pleural Effusion/right/small;Cicatrix/pleura/right;Cardiomegaly/mild;Thoracic Vertebrae/degenerative;Scoliosis/thoracic vertebrae/right/mild;Pulmonary Atelectasis/middle lobe/right/mild,Density;Costophrenic Angle;Pleural Effusion;Cicatrix;Cardiomegaly;Thoracic Vertebrae;Scoliosis;Pulmonary Atelectasis,PA and lateral radiographs of the chest,Altered mental status. Possible pneumonia.,a single frontal chest radiograph of earlier the same XXXX.,"Again observed is a curvilinear density in the right midlung zone which may represent some pulmonary scarring or thickening of the right XXXX fissure. There is minimal blunting of the right posterior costophrenic XXXX, consistent with a small effusion and/or pleural scarring. The lung parenchyma is otherwise clear. There is mild cardiomegaly. There are degenerative changes and a mild dextroscoliosis in the thoracic spine.","1. Minimal XXXX atelectasis in the right midlung zone versus pleural scarring in the right XXXX fissure. 2. Minimal blunting of the posterior right costophrenic XXXX, consistent with a small pleural effusion and/or pleural scarring. 3. Cardiomegaly. 4. No XXXX abnormalities as compared to prior study of earlier the same XXXX"
2272,Calcified Granuloma/multiple,Calcified Granuloma,Xray Chest PA and Lateral,"This is a XXXX-year-old male patient with history of testicular carcinoma approximately 12 years ago; Nonsmoker. No chest complaints otherwise. ICD-9 code is V-10.47. Date of exam is XXXX, XXXX. Comparison is XXXX to XXXX, XXXX.",,,The cardiac silhouette is at the upper limits of normal for size and configuration. This is essentially unchanged. The mediastinum and perihilar structures appear to be XXXX unremarkable. A few calcified granulomata are noted. No focal infiltrates are seen. No obvious mediastinal lymphadenopathy is appreciated. Osseous structures appear to be XXXX unremarkable.
2273,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX XXXX ",left lower chest pain with XXXX.r/o pneumonia,None,Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,Clear lungs.
2274,Lung/hilum/lymph nodes/bilateral/enlarged,Lung,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",H/O SARCOIDOSIS,"XXXX, XXXX.",The left and right XXXX remain enlarged and unchanged. Lungs are free of infiltrates. Heart size normal.,Stable bilateral hilar adenopathy.
2275,Nodule/lung/middle lobe/right;Calcinosis/lung/middle lobe/right;Spine/degenerative,Nodule;Calcinosis;Spine,PA and lateral chest x-XXXX XXXX at XXXX hours. ,"XXXX, dyspnea, history of asthma",None available,"The cardiomediastinal silhouette is within normal limits for size and contour. There is a right middle lobe nodule which is denser than adjacent XXXX is most XXXX calcified. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative endplate changes of the spine.",1. No acute radiographic cardiopulmonary process.
2276,Lung/hypoinflation;Markings/bronchovascular;Pulmonary Atelectasis/base,Lung;Markings;Pulmonary Atelectasis,Xray Chest PA and Lateral,History of XXXX.,None available.,This radiograph was XXXX available for my interpretation at XXXX hours XXXX/XXXX. There are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,No acute cardiopulmonary abnormality.
2277,normal,normal,Chest 2 views dated XXXX at XXXX hours. ,XXXX-year-old female with chest pain.,None Available.,The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.,No radiographic evidence of acute cardiopulmonary disease.
2278,Calcified Granuloma/lung/right/multiple,Calcified Granuloma,Chest 2 views dated XXXX. History and ,"Chest pain, correlate with V/Q scan.",Chest x-XXXX XXXX.,"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.
2279,Cardiomegaly;Aorta/tortuous;Opacity/lung/base/bilateral/streaky;Infiltrate/lung/base/bilateral/mild;Pulmonary Atelectasis/base/bilateral/mild,Cardiomegaly;Aorta;Opacity;Infiltrate;Pulmonary Atelectasis,"PA and lateral chest, XXXX, XXXX XXXX XXXX ",XXXX-year-old female with history of seizure.,AP portable chest x-XXXX dated XXXX.,Heart size is enlarged. The aorta is unfolded. Otherwise the mediastinal contour is normal. There are streaky bibasilar opacities. 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.,Cardiomegaly with mild bibasilar infiltrates versus atelectasis.
2280,Nodule/thorax/scattered/multiple/small;Calcified Granuloma/thorax/scattered/multiple/small,Nodule;Calcified Granuloma,"PA and lateral chest XXXX, XXXX at XXXX ",chest pain,None,,Heart size is normal. Multiple scattered small 4 mm nodules throughout the chest. These most XXXX represent calcified small granulomas. A low KV film XXXX demonstrate these are probably calcified.
2281,normal,normal,"PA lateral chest x-XXXX, XXXX at XXXX p.m.",XXXX infection chest pain. comparisXXXX/XXXX,,Heart size and vascularity normal. Lungs are clear. No effusions or pneumothorax.,Normal chest.
2282,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old male, XXXX 2 XXXX ago, rib pain..","Two-view chest radiograph dated XXXX, XXXX..","The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Specifically, no evidence of rib fractures.",No acute cardiopulmonary abnormality..
2283,Diaphragm/left/elevated,Diaphragm,PA and Lateral views of the chest on XXXX.,XXXX year old with lymphoma.,XXXX.,"The heart and mediastinal silhouettes are within normal limits. The lungs are clear without focal airspace opacity, large effusion, or pneumothorax. The XXXX are grossly intact. Interval removal of right PICC. Persistent elevation of the left hemidiaphragm.",No acute visualized cardiopulmonary abnormality.
2285,Cardiomegaly;Markings/bronchovascular;Markings/lung/interstitial;Lung/hypoinflation;Technical Quality of Image Unsatisfactory ,Cardiomegaly;Markings;Markings;Lung;Technical Quality of Image Unsatisfactory ,XR AP and lateral views. ,Dyspnea.,"XXXX, XXXX.",XXXX sternotomy XXXX and mediastinal postsurgical changes. Stable cardiomegaly. Crowded bronchovascular and interstitial markings XXXX related to low lung volumes and technique. Grossly stable appearance of the lungs compared to prior exam without overt edema or gross airspace consolidation.,XXXX sternotomy XXXX and mediastinal postsurgical changes. Stable cardiomegaly. Crowded bronchovascular and interstitial markings XXXX related to low lung volumes and technique. Grossly stable appearance of the lungs compared to prior exam without overt edema or gross airspace consolidation.
2286,Opacity/multiple/chronic;Emphysema,Opacity;Emphysema,"Chest x-XXXX, 2 views dated XXXX COMPARISXXXX/XXXX ",XXXX-year-old male with weakness,,Chronic-appearing XXXX opacities are unchanged and represent emphysema. Heart size is normal. No large pleural effusions. No pneumothorax. No focal airspace opacities.,No acute cardiopulmonary abnormalities.
2287,Lung/hypoinflation;Cardiomegaly;Infiltrate/lung/base/left/mild;Infiltrate/lung/hilum/mild,Lung;Cardiomegaly;Infiltrate;Infiltrate,"PA and lateral chest XXXX, XXXX at XXXX with XXXX",rales,,,Low lung volumes. Cardiomegaly. Minimal left base and perihilar minimal infiltrate.
2288,normal,normal,"Chest, 2 XXXX and Lateral ",XXXX-year-old female with positive PPD,None available,"Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. No cavitary lesions. XXXX are grossly unremarkable.",1. Clear lungs. No radiographic evidence of active TB.
2289,Costophrenic Angle/left/blunted;Pleural Effusion/left/small;Airspace Disease/lung/left;Granulomatous Disease;Spine/degenerative,Costophrenic Angle;Pleural Effusion;Airspace Disease;Granulomatous Disease;Spine,PA and lateral views of the chest XXXX ,dyspnea,None,Lungs are clear. blunting of the left costophrenic XXXX consistent with a small left pleural effusion and associated airspace disease. The right lung is clear. Sequelae of old granulomatous disease. Heart size is upper limits of normal. Degenerative changes in the spine.,1. Heart size upper limits of normal. 2. Small left pleural effusion with associated airspace disease.
2290,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX year-old male, XXXX.",None,There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures are intact.,No acute cardiopulmonary abnormality.
2291,Foreign Bodies/abdomen,Foreign Bodies,Xray Chest PA and Lateral,XXXX,None available,Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity. Umbilical piercing.,No acute abnormality. .
2292,normal,normal,"Chest 2 views PA and lateral XXXX, XXXX XXXX a.m. ","Shortness of breath, XXXX",None,"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.
2293,Opacity/lung/base/mild;Cicatrix/lung;Pulmonary Atelectasis,Opacity;Cicatrix;Pulmonary Atelectasis,Xray Chest PA and Lateral,Esophageal cancer,,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.
2294,normal,normal,Xray Chest PA and Lateral,PAIN;,,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
2295,"Calcinosis/aorta, thoracic",Calcinosis,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old female with chest tightness.,None available.,The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact.,1. No acute intrathoracic abnormality.
2296,"Hernia, Hiatal","Hernia, Hiatal",PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old male with chest pain.,None.,"The heart is normal in size with normal appearance of the cardiomediastinal silhouette. There is a hiatal hernia with soft tissue projecting behind the mediastinum. The lungs are clear without focal airspace opacity, pleural effusion, pneumothorax. The osseous structures are intact.",1. No acute cardiopulmonary finding. 2. Hiatal hernia.
2297,Spondylosis/thoracic vertebrae;Scoliosis/thoracic vertebrae/mild;Scoliosis/lumbar vertebrae/mild,Spondylosis;Scoliosis;Scoliosis,"Chest, 2 views, frontal and lateral",Preop breast reduction surgery,None.,The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Mild XXXX XXXX curvature thoracolumbar junction.,No active pulmonary disease.
2298,Spine/degenerative/chronic,Spine,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX a.m. ",XXXX-year-old female with chest pain,"Chest radiograph XXXX, XXXX","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.
2299,Calcified Granuloma/lung/base/right;Opacity/retrocardiac/round,Calcified Granuloma;Opacity,Xray Chest PA and Lateral,XXXX-year-old female. XXXX. XXXX.,None.,"The cardiomediastinal silhouette is normal in size and contour. Peripheral right basilar calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Apparent nodular opacity on lateral projection, immediately retrocardiac, is XXXX to represent confluence of overlapping silhouettes. Negative for acute bone abnormality.",Negative for acute abnormality.
2300,normal,normal,Xray Chest PA and Lateral,XXXX-year-old male with pain.,,Heart size is within normal limits. No focal consolidation. No pneumothorax or pleural effusion. No bony abnormalities.,No acute cardiopulmonary abnormalities. .
2301,Technical Quality of Image Unsatisfactory ;Cardiomegaly,Technical Quality of Image Unsatisfactory ;Cardiomegaly," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,"XXXX, XXXX.","Radiographic attenuation obscures detail. Grossly, the lungs are clear and expanded. Heart is large. Pulmonary XXXX are normal.",Stable cardiomegaly without gross evidence for failure or pneumonia.
2302,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old male, positive PPD, asymptomatic, rule out TB.",None.,"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."
2303,normal,normal, AP chest on XXXX. ,chest pain,None.,,Heart upper limits normal. Lungs clear
2304,normal,normal,Xray Chest PA and Lateral,"XXXX, XXXX vehicle collision",None,Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,No acute cardiopulmonary findings.
2305,Scoliosis/lumbar vertebrae/mild;Scoliosis/thoracic vertebrae/mild,Scoliosis;Scoliosis,CHEST 2V FRONTAL/LATERAL ,XXXX Patient states he has been on antibiotics for approx. 1 XXXX.,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Slight thoracolumbar curvature is noted.,No acute disease.
2306,Thoracic Vertebrae/degenerative/mild;Osteophyte/thoracic vertebrae/anterior/multiple,Thoracic Vertebrae;Osteophyte,Xray Chest PA and Lateral,"The patient is a XXXX-year-old female, preop evaluation. Smoking history positive.",None.,"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. .
2307,Lung/hyperdistention;Opacity/multiple;Cicatrix/lung;Cicatrix/pleura;Emphysema,Lung;Opacity;Cicatrix;Cicatrix;Emphysema,Xray Chest PA and Lateral,COPD XXXX preop evaluation for lung transplant,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated with XXXX XXXX opacities compatible with pleural-parenchymal scarring. There is no acute infiltrate or effusion.,Emphysema and scarring without acute disease
2308,normal,normal," XXXX PA and lateral chest 3 images XXXX, XXXX XXXX ",XXXX.,,,No comparisons. The heart size is normal and the lungs are clear.
2310,normal,normal,PA and lateral of the chest ,XXXX-year-old with shortness of breath.,None,No focal consolidation. No visualized pneumothorax. The heart size is normal. There are no large pleural effusions.,1. No acute cardiopulmonary findings.
2311,normal,normal,"Chest radiographs (PA and lateral views), dated XXXX. ",XXXX-year-old male involved in ATV rollover XXXX.,None.,"Normal cardiac size, mediastinum, and central pulmonary vasculature. Grossly clear lungs, without focal airspace consolidation, pleural effusion, or pneumothorax. No evidence of displaced rib fractures. Normal thoracic vertebral body XXXX.",1. No acute cardiopulmonary abnormality.
2312,normal,normal,CHEST 2V FRONTAL/LATERAL ,Chest pain,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2313,normal,normal,Xray Chest PA and Lateral,Sore throat and XXXX for one XXXX,,The lungs are clear. There is no pleural effusion or pneumothorax. There has been XXXX XXXX sternotomy. The heart and mediastinum are normal. The skeletal structures are normal.,No acute pulmonary disease.
2314,"Opacity/costophrenic angle/right/multiple;Pulmonary Disease, Chronic Obstructive;Pulmonary Atelectasis/costophrenic angle/right/focal","Opacity;Pulmonary Disease, Chronic Obstructive;Pulmonary Atelectasis","CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,"XXXX, XXXX.",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.
2315,Calcified Granuloma/lung/lingula,Calcified Granuloma,"PA and lateral chest, ","XXXX-year-old male with XXXX, wheeze and chills.",None.,The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. There is calcified granuloma in the left lingula. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,1. No acute radiographic cardiopulmonary process.
2316,normal,normal,Chest X-XXXX 2 XXXX ,Shortness of breath,None,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,Negative chest.
2317,Calcified Granuloma/costophrenic angle/right,Calcified Granuloma,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",dyspnea,None,A calcified granuloma is present in the right costophrenic XXXX. Lungs are otherwise clear. Heart size normal.,No active disease.
2318,Lucency/thorax/left;Pneumothorax/left/large;Pulmonary Atelectasis/left/severe,Lucency;Pneumothorax;Pulmonary Atelectasis,"CHEST 2V FRONTAL/LATERAL RADXXXX XXXX, XXXX XXXX PM ",XXXX,,,No comparison chest x-XXXX XXXX lungs. Lucency left chest compatible with relatively large pneumothorax and collapse of substantial portion of left lung. No substantial mediastinal shift seen. Right lung grossly clear.
2319,normal,normal,XR Chest PA and Lateral,"786.59,786.09, 34yof with chest pressure,sob with XXXX activity",,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
2320,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"Chest, 2 views, XXXX, XXXX. ",Dyspnea. Chest pain.,None.,"The cardio mediastinal silhouette, pulmonary vascular pattern are within normal limits. No pneumothorax. No pneumonia. No pleural effusion. Mild degenerative changes mid thoracic spine.",No acute cardiopulmonary disease.
2321,normal,normal,CHEST 2V FRONTAL/LATERAL ,pt states pain couple of days worse today,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2322,Opacity/lung/middle lobe/right;Lung/hypoinflation;Pulmonary Atelectasis/middle lobe/right/focal,Opacity;Lung;Pulmonary Atelectasis,CHEST 2V FRONTAL/LATERAL,chronic XXXX,"XXXX, XXXX.",Lung volumes remain XXXX. XXXX opacity is present in the right middle lobe. No focal infiltrates. Heart size normal.,Continued hypoinflation with right middle lobe focal atelectasis.
2323,normal,normal,Xray Chest PA and Lateral,"XXXX year old male with low blood XXXX, dyspnea.",None.,"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. .
2324,normal,normal,Chest X-XXXX 2 XXXX ,pt states hx of asthma \T\ XXXX,XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,Negative chest .
2325,Opacity/lung/base/left,Opacity,Xray Chest PA and Lateral,"XXXX-year-old male, dyspnea",,,"XXXX opacities in the left base may be compatible with scarring or subsegmental atelectasis. Otherwise, no focal alveolar consolidation. No definite pleural effusion seen. Heart size within normal limits, stable mediastinal contours. No typical findings of pulmonary edema."
2326,Cardiomegaly/mild;Diaphragmatic Eventration/right,Cardiomegaly;Diaphragmatic Eventration,Xray Chest PA and Lateral,"XXXX-year-old female, syncope",,"Heart size mildly enlarged, stable mediastinal and hilar contours. Right hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.","Cardiomegaly, no acute pulmonary findings"
2327,Pleural Effusion/right/large;Deformity/thoracic vertebrae,Pleural Effusion;Deformity,PA and lateral chest radiograph (2 views) (2 images) ,Decreased oxygen saturation.,"PA and lateral views of the chest on XXXX, XXXX CT scan of the thorax on XXXX, XXXX.",There has been interval development of a large right-sided pleural effusion. The left lung is clear. There is no pneumothorax. Heart size mediastinal contours are within normal limits. XXXX deformity is noted at the upper thoracic vertebral body.,Interval development of large right-sided pleural effusion. XXXX deformity noted at the upper thoracic vertebral body XXXX relates to XXXX deformity described on previous CT scan.
2328,"Aorta, Thoracic/tortuous;Calcinosis/aorta;Bone Diseases, Metabolic","Aorta, Thoracic;Calcinosis;Bone Diseases, Metabolic","Frontal and lateral views of the chest dated XXXX, XXXX ",XXXX-year-old XXXX for XXXX XXXX placement,"XXXX, XXXX",Heart size is normal. The lungs are clear. There are no XXXX focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Again noted is tortuosity and unfolding of the thoracic aorta. Aortic vascular calcifications. Normal pulmonary vascularity. Bone demineralization.,No acute abnormality.
2329,normal,normal,"PA and lateral chest x-XXXX, XXXX at XXXX","XXXX-year-old male, upper abdominal pain, nausea",None,"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.",No acute cardiopulmonary abnormality.
2330,"Tube, Inserted/trachea;Cardiomegaly/moderate;Opacity/lung/base/interstitial/patchy;Markings/lung/base/interstitial","Tube, Inserted;Cardiomegaly;Opacity;Markings","2 view CHEST: XXXX, XXXX at XXXX hours. ",Productive XXXX x4 days,"XXXX, XXXX",,"Tracheostomy tube terminates at the level of the clavicles. Moderate cardiomegaly stable. Increased interstitial markings and patchy opacities through the bases. Nonspecific, findings may indicate edema or atypical infection. No pleural effusions. No pneumothorax."
2331,Aorta/tortuous;Lung/hypoinflation;Opacity/lung;Pulmonary Atelectasis/focal;Thoracic Vertebrae/degenerative;Kyphosis/thoracic vertebrae,Aorta;Lung;Opacity;Pulmonary Atelectasis;Thoracic Vertebrae;Kyphosis,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old male with chest pain.,PA and lateral chest radiographs XXXX.,The heart is near top normal in size with tortuosity of the aorta. The pulmonary vascular markings are symmetric and normal. There are low lung volumes with XXXX opacities consistent with focal atelectasis. There is no pleural effusion or pneumothorax. There are degenerative changes in thoracic spine and thoracic kyphosis.,Low lung volumes with XXXX opacities consistent with focal atelectasis.
2332,normal,normal,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old female with 100 XXXX XXXX loss.,PA and lateral chest radiographs XXXX.,"The heart and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, pneumothorax. The osseous structures are intact.",No acute cardiopulmonary finding.
2333,Calcified Granuloma/lung/base/right,Calcified Granuloma,PA and Lateral Chest ,XXXX-year-old male with weakness.,None available.,Heart size is normal. No focal consolidations. There is a 6 mm calcified granuloma at the medial right lung base. No pneumothorax or pleural effusion.,No acute cardiopulmonary findings.
2334,Thoracic Vertebrae/scattered/degenerative;Granuloma/lung/bilateral/scattered/multiple;Opacity/lung/base/left/patchy;Pleural Effusion/bilateral/small,Thoracic Vertebrae;Granuloma;Opacity;Pleural Effusion,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with chest pain.,Portable chest XXXX.,No acute osseous abnormality. Scattered degenerative changes throughout the thoracic spine. Stable normal cardiomediastinal silhouette and hilar contours. Scattered bilateral granulomas. Patchy left basal airspace opacity. Bilateral small effusions.,1. Left base opacity may represent early infection or atelectasis. Recommend followup PA and lateral chest x-XXXX in 6 weeks to ensure resolution. 2. Bilateral small pleural effusions.
2335,Osteophyte/thoracic vertebrae/anterior/multiple,Osteophyte,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ","DKA, ALONG W/ CHANGE IN MENTAL STATUS","chest 2 views from XXXX, XXXX.",The heart size is normal. There is normal cardiomediastinal silhouette. Lungs are clear bilaterally. Thoracic spine shows anterior osteophyte formation.,No acute cardiopulmonary abnormality.
2336,Lung/hyperdistention;Calcinosis/mediastinum,Lung;Calcinosis,PA AND LATERAL CHEST X-XXXX at XXXX XXXX/XXXX ,XXXX-year-old male with dyspnea,None,Lungs are hyperinflated but clear. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. Calcified mediastinal XXXX identified.,Hyperinflated but clear lungs.
2337,Density/paratracheal;Lung/hyperdistention,Density;Lung,2 views Chest: XXXX,Chest pain and hypertension,Chest x-XXXX XXXX,"The lungs and pleural spaces show no acute abnormality. Stable paratracheal soft tissue density dating back to exams in XXXX, XXXX confluence of vascular shadows. Lungs are hyperexpanded. Heart size and pulmonary vascularity within normal limits.",1. No acute pulmonary abnormality.
2338,Opacity/lung/middle lobe/bilateral/streaky/mild;Airspace Disease/lung/bilateral,Opacity;Airspace Disease,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old XXXX with XXXX.,"Single view of the chest dated XXXX, XXXX.","Compared to prior examination, there is significant improvement in aeration bilaterally, with improved bilateral airspace opacities. Currently, there are only minimal streaky opacities in the bilateral midlung, which may represent mild residual airspace disease, atelectasis, or underlying changes of chronic lung disease. No large focal consolidations, pneumothorax, or definite pleural effusions identified. The mediastinal silhouette is stable and within normal limits for size and contour. No acute osseous abnormality is identified.",Significant improvement in bilateral airspace disease and improved aeration bilaterally as described above.
2339,normal,normal,PA and Lateral Chest X-XXXX dated XXXX.,"Pre-op evaluation, XXXX surgery.",None.,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. Multiple XXXX-filled loops of bowel are present. Gastrostomy is noted.,1. Clear lungs.
2340,Lung/hypoinflation,Lung," Single view chest; ABDOMEN,SINGLE VIEW XXXX, XXXX XXXX PM ",KUB/XXXX constipation postop,"XXXX, XXXX.","Chest. Lung volumes are low, but no focal infiltrates are present. Heart and mediastinum remain normal. Abdomen. Multiple slightly distended loops are present from stomach to rectum. Formed stool is present in the rectum.",1. Chest. Hypoinflation with no visible active cardiopulmonary disease. 2. Abdomen. Negative. No mechanical obstruction.
2341,Spondylosis/thoracic vertebrae,Spondylosis,"Chest, 2 views, frontal and lateral",Dyspnea,"XXXX, XXXX",The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,No acute process.
2342,Nodule/lung/upper lobe/right;Granuloma/lung/upper lobe/right;Calcinosis/lung/upper lobe/right,Nodule;Granuloma;Calcinosis,"Chest 2 views dated XXXX, XXXX.",Chest pain.,XXXX.,"The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are unchanged. Pulmonary vascularity is within normal limits. Calcified right upper lobe nodule with a granuloma is again seen but unchanged. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",No evidence of acute cardiopulmonary process.
2343,Atherosclerosis/aorta;Arthritis,Atherosclerosis;Arthritis,Xray Chest PA and Lateral,Preop bladder surgery,"XXXX, XXXX",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.,No acute pulmonary disease.
2344,Lung/hypoinflation/mild;Deformity/breast/right;Cicatrix/breast/right,Lung;Deformity;Cicatrix,Xray Chest PA and Lateral,,,The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. No focal consolidation is seen. Postsurgical/biopsy changes overlying the right breast.,Mild hypoinflation without acute disease.
2345,Thoracic Vertebrae/degenerative/chronic/mild,Thoracic Vertebrae,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX a.m. ",XXXX-year-old male with diabetic ketoacidosis and chest pain,"Chest radiograph XXXX, XXXX","The heart size is at the upper limits of normal. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild chronic degenerative changes are present within the thoracic spine..",No acute cardiopulmonary abnormality.
2347,Atherosclerosis/aorta;Osteophyte/thoracic vertebrae/multiple,Atherosclerosis;Osteophyte, PA and lateral views. ,XXXX-year-old female. Expiratory wheezing. Lower extremity edema.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic XXXX. No focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.",Negative for acute abnormality.
2348,Pleural Effusion/right/moderate;Pleural Effusion/left/small;Deformity/abdomen,Pleural Effusion;Pleural Effusion;Deformity,Xray Chest PA and Lateral,Short of breath.,,There is a moderate sized right pleural effusion. Severe slightly smaller than is compared to XXXX. There is a small left pleural effusion. This is unchanged as compared to the prior study. There is a right chest wall venous XXXX XXXX which appears accessed. No pneumothorax. Scaphoid abdomen.,1. Moderate sized right pleural effusion appears smaller than the prior study. 2. Small left pleural effusion appears unchanged.
2349,normal,normal,"PA and LAT view CHEST XXXX, XXXX XXXX PM",Positive TB test,None.,Heart size and vascularity normal. These contour normal. Lungs clear. No pleural effusions or pneumothoraces.,Normal chest.
2350,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,Xray Chest PA and Lateral,"Surgery for goiter, XXXX-year-old female.",None,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.,No acute cardiopulmonary abnormality. .
2351,Calcinosis/thorax/scattered/multiple;Granulomatous Disease,Calcinosis;Granulomatous Disease,Xray Chest PA and Lateral,XXXX year old outside chest pain radiating XXXX the left arm.,None.,"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.",No acute cardiopulmonary disease.
2352,"Spinal Fusion/cervical vertebrae;Fractures, Bone/ribs/left/posterior/healed;Emphysema","Spinal Fusion;Fractures, Bone;Emphysema","PA and lateral chest XXXX, XXXX at time XXXX ",History of XXXX loss,None,,"Heart size is normal. Lungs are clear. Lower cervical spine fusion and sternotomy. Old healed left mid posterior rib fractures. Emphysema. No nodules, masses or adenopathy."
2353,normal,normal, An PA and lateral chest. ,chest pain,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
2354,normal,normal,"PA and lateral chest radiographs XXXX, XXXX. ",Chest pain.,Chest radiograph XXXX.,Lungs are clear. No pneumothorax or pleural effusion. Normal heart and mediastinal contours. Normal pulmonary vasculature. Bony thorax intact.,No acute cardiopulmonary abnormality.
2355,Lung/hypoinflation;Cardiomegaly/mild;Pulmonary Atelectasis/base/left/mild;Markings/lung,Lung;Cardiomegaly;Pulmonary Atelectasis;Markings,2 views chest PA and Lateral XXXX ,Shortness of breath,None,"PA and lateral views the chest were obtained. There are low lung volumes on the frontal view, which accentuates heart size and lung markings. The heart size is upper limits normal or mildly enlarged. Mediastinum normal width. The pulmonary vasculature is within normal limits. There is left lung base atelectasis on frontal XXXX XXXX secondary to low volumes. No pneumothorax, pleural effusion, or focal air space consolidation.",Low lung volumes with crowding. Mild left base atelectasis.
2356,Lung/hypoinflation,Lung,"Chest x-XXXX XXXX and lateral, XXXX. ",XXXX-year-old female with abdominal pain,"Chest x-XXXX, XXXX.","Low lung volumes. No focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable",No radiographic evidence of acute cardiopulmonary disease.
2357,normal,normal,"Chest, 2 views, XXXX XXXX ",XXXX with shortness of breath,XXXX,Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,No acute cardiopulmonary findings.
2358,normal,normal,Xray Chest PA and Lateral,XXXX-year-old female with chest pain.,None.,"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. .
2359,Cardiac Shadow/enlarged/moderate;Costophrenic Angle/sulcus/left/blunted;Pleural Effusion/left/small;Adipose Tissue/pleura/left;Cicatrix/pleura/left;Cardiomegaly,Cardiac Shadow;Costophrenic Angle;Pleural Effusion;Adipose Tissue;Cicatrix;Cardiomegaly,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",XXXX 6 feet from ladder. Right shoulder pain.,"XXXX, XXXX.","Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains moderately enlarged. There is no focal airspace consolidation. There is no visible pneumothorax. The left costophrenic sulcus is blunted. However, no retrocardiac pleural fluid collection is seen on the lateral view. The right acromioclavicular joint is mildly widened with respect to the left. This is XXXX-XXXX and may be due to left XXXX XXXX osteoarthritis or a remote right XXXX XXXX mild XXXX.",1. Left-sided small pleural effusion versus extrapleural fat or scarring. 2. Cardiomegaly.
2360,normal,normal,CHEST- PA AND LATERAL ,Chest pain,Chest radiograph from XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,No acute abnormality.
2361,Scoliosis/thoracic vertebrae/right/mild,Scoliosis,PA and lateral views of the chest. ,XXXX year old female with XXXX for 3 years.,PA and lateral views of the chest from XXXX.,Stable mild rightward curvature of the thoracic spine. Heart size is normal. No focal airspace disease. No pneumothorax or pleural effusion. No acute osseous findings.,No acute cardiopulmonary findings.
2362,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,XXXX pleural pain,"XXXX, XXXX",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.
2363,Opacity/lung/base/right;Pneumonia/middle lobe/right;Pneumonia/lower lobe/right,Opacity;Pneumonia;Pneumonia,Xray Chest PA and Lateral,XXXX-year-old with hypertension and XXXX for one XXXX.,None.,Heart size is upper limits of normal. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is right basilar air space opacity.,Right middle lobe and lower lobe pneumonia. Followup radiographs in 8-12 weeks after appropriate therapy are indicated to exclude an underlying abnormality.
2364,Lung/hyperdistention,Lung,Xray Chest PA and Lateral,786.05-,None,The lungs are clear. There is hyperexpansion of the lungs suggesting underlying emphysema. The heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.,No acute cardiopulmonary disease
2365,normal,normal,Xray Chest PA and Lateral,"History of hepatocellular carcinoma, status post transplant.",,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,No evidence of active disease.
2366,Calcified Granuloma/lung/lower lobe/left;Calcinosis/lung/hilum/lymph nodes/left,Calcified Granuloma;Calcinosis,"Radiographs of chest PA and lateral, two views.",Rule out TB for instance the placement.,XXXX.,,"Stable left lower lung XXXX calcified granuloma. Otherwise lungs are clear. Left-sided perihilar calcified lymph node, unchanged. No XXXX of the pleural effusions. No XXXX of active cardiopulmonary disease. No XXXX of active tuberculosis."
2367,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with XXXX and low-grade temperature.,None.,There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits.,No acute cardiopulmonary findings. .
2368,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,PA and lateral views of chest performed XXXX/XXXX at XXXX. ,XXXX-year-old with chest pain.,Two views of the chest XXXX.,The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is mild degenerative changes of the thoracic spine.,1. No acute cardiopulmonary disease.
2369,"Opacity/lung/base/bilateral/interstitial;Opacity/lung/base/left;Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left;Pulmonary Emphysema;Pulmonary Disease, Chronic Obstructive;Pulmonary Fibrosis/base","Opacity;Opacity;Pulmonary Atelectasis;Cicatrix;Pulmonary Emphysema;Pulmonary Disease, Chronic Obstructive;Pulmonary Fibrosis","CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",Abdominal pain and distention.,"XXXX, XXXX.","Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is bibasal interstitial opacity and left basal platelike opacity XXXX due to discoid atelectasis and/or XXXX scarring. There are emphysematous changes, particularly within the right upper lobe. No XXXX focal airspace consolidation or pleural effusion.",1. COPD. Basilar probable pulmonary fibrosis and scarring. 2. No acute cardiac or pulmonary disease process identified.
2370,Consolidation/lung/lower lobe/right;Pulmonary Atelectasis/lower lobe/right;Costophrenic Angle/right/blunted;Airspace Disease/lung/lower lobe/left;Pneumonia/lower lobe/left;Pleural Effusion/right,Consolidation;Pulmonary Atelectasis;Costophrenic Angle;Airspace Disease;Pneumonia;Pleural Effusion,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX,"XXXX, XXXX.","In the interval, consolidation and atelectasis have developed in the right lower lobe. Costophrenic XXXX blunted on the right. Left lung clear. Heart size normal.",Left lower lobe airspace disease consistent with pneumonia. Associated right pleural effusion.
2371,Osteophyte/thoracic vertebrae/multiple;Lung/hypoinflation;Opacity/lung/base/left/streaky;Pulmonary Atelectasis/base/left,Osteophyte;Lung;Opacity;Pulmonary Atelectasis,"CHEST ( FRONTAL AND LATERAL): XXXX, XXXX at XXXX hours. CLINICAL ",Right post thoracic pain.,None available.,There are T-spine osteophytes. 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 low lung volumes.,Lung volumes with streaky left basilar opacity consistent with subsegmental atelectasis.
2372,Lung/hypoinflation;Opacity/lung/right,Lung;Opacity,Xray Chest PA and Lateral,XXXX,None,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.
2373,"Pulmonary Artery/enlarged;Atherosclerosis/aorta;Lung/hyperdistention/moderate;Pulmonary Disease, Chronic Obstructive;Markings/lung/apex/bilateral","Pulmonary Artery;Atherosclerosis;Lung;Pulmonary Disease, Chronic Obstructive;Markings","PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ","Increased dyspnea on exertion, XXXX with COPD on home oxygen","Chest CT XXXX, XXXX","Normal heart size. Dilated pulmonary arteries. Atherosclerotic calcifications of the aorta. No focal airspace consolidation. Decreased biapical vascular markings with moderate hyperexpansion the lungs, consistent with obstructive pulmonary disease. No pleural effusion or pneumothorax.",1. Moderate hyperinflation of the lungs. 2. Dilated pulmonary arteries. This may reflect pulmonary hypertension.
2374,normal,normal,Xray Chest PA and Lateral,",272.4 hyperlidemia",,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
2375,Granulomatous Disease/thorax/right/healed,Granulomatous Disease,"Frontal and lateral views of the chest obtained at XXXX hours on XXXX, XXXX. ",XXXX-year-old female with XXXX.,None.,"Cardiac silhouette is upper limits of normal in size. Normal mediastinal contour and pulmonary vasculature. There is evidence of healed granulomatous disease in the right hemithorax. Lungs are without focal airspace consolidation, large pleural effusion or pneumothorax.",No acute cardiopulmonary findings.
2376,normal,normal,Xray Chest PA and Lateral,XXXX x1 XXXX.,Chest x-XXXX XXXX.,"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.",Unremarkable radiographs of the chest.
2377,normal,normal,Xray Chest PA and Lateral,Thyroid nodule,,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,No evidence of active disease.
2378,"Calcified Granuloma/lung/lower lobe/left;Fractures, Bone/clavicle/left","Calcified Granuloma;Fractures, Bone",PA and lateral chest x-XXXX ,XXXX-year-old male with XXXX loss and history of tobacco use.,CT thorax dated XXXX,"Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Stable left lower lobe calcified granuloma. Remote left clavicle fracture.",No acute cardiopulmonary abnormalities.
2379,"Lung, Hyperlucent;Lung/hyperdistention;Technical Quality of Image Unsatisfactory ","Lung, Hyperlucent;Lung;Technical Quality of Image Unsatisfactory ","PA AND LATERAL VIEWS OF THE CHEST dated XXXX, XXXX at XXXX hours ",Shortness of breath,"PA and lateral chest radiograph dated XXXX, XXXX.",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.
2380,Diaphragm/left/elevated;Diaphragmatic Eventration/right,Diaphragm;Diaphragmatic Eventration,PA and Lateral Chest X-XXXX dated XXXX.,"Abdominal pain, right upper quadrant.",XXXX.,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 left hemidiaphragm is elevated. This is unchanged. No focal airspace disease is seen. No pneumothorax or pleural effusion is noted. There is eventration of the right hemidiaphragm.,1. Continued elevation of the left hemidiaphragm. 2. No evidence of active disease.
2381,Calcified Granuloma/lung/multiple,Calcified Granuloma,Xray Chest PA and Lateral,Preop bariatric surgery,None.,Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications are present. The lungs are otherwise clear. Bony structures are intact. Prior cholecystectomy.,No acute preoperative findings.
2382,Cardiomegaly/moderate;Deformity/mediastinum/severe,Cardiomegaly;Deformity,"Chest x-XXXX 2 views, XXXX, XXXX XXXX PM ","Unexplained leukocytosis, please rule out pneumonia",none,Moderate cardiomegaly with narrowed severe mediastinal contours. Been sternotomy XXXX noted. No pneumothorax. no large pleural effusions. No focal lung consolidation.,1. No acute cardiopulmonary abnormalities. 2. Moderate cardiomegaly without significant pulmonary edema.
2383,Cardiomegaly;Lung/hypoinflation;Surgical Instruments/mediastinum;Osteophyte/thoracic vertebrae/multiple,Cardiomegaly;Lung;Surgical Instruments;Osteophyte,Xray Chest PA and Lateral,XXXX-year-old male. Chest pain.,"XXXX, XXXX.","Stable cardiomegaly, XXXX at XXXX partially accentuated by low lung volumes. Stable XXXX sternotomy XXXX, several of which are interrupted, and mediastinal clips. No focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.",Stable cardiomegaly without heart failure.
2384,"Hernia, Hiatal/large;Spine/degenerative","Hernia, Hiatal;Spine",Xray Chest PA and Lateral,Breast cancer.,None.,The heart size and pulmonary vascularity appear within normal limits. A large hiatal hernia is noted. The lungs are free of focal airspace disease. No pneumothorax or pleural effusion is seen. Degenerative changes are present in the spine.,1. No evidence of active disease.
2385,normal,normal," PA and lateral chest XXXX, XXXX at XXXX with comparisXXXX/XXXX ",asthma. Cigarette smoking,,,"heart size is normal, lungs are clear. No nodular masses. CT scan is more sensitive in detecting small nodules."
2386,"Calcinosis/lung/lingula;Nodule/lung/lingula;Calcinosis/lung/hilum/left;Nodule/lung/hilum/left;Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive","Calcinosis;Nodule;Calcinosis;Nodule;Lung;Pulmonary Disease, Chronic Obstructive",PA and lateral views of the chest. ,"XXXX-year-old female, rule out mass or TB.",None available.,Heart size is normal. No pneumothorax or pleural effusions. There is an 8 mm calcified nodule in the left midlung. There is also a 7 mm calcified nodule near the left hilum. Hyperexpanded lungs consistent with chronic obstructive pulmonary disease.,No acute cardiopulmonary findings.
2387,Thoracic Vertebrae/degenerative/moderate;Technical Quality of Image Unsatisfactory ,Thoracic Vertebrae;Technical Quality of Image Unsatisfactory ,Xray Chest PA and Lateral,Back pain,None.,Heart size is upper limits of normal for AP projection. Mediastinal contours and pulmonary vasculature are unremarkable. The patient's chin obscures the bilateral lung apices. There is no focal airspace consolidation. No visible pleural effusion or pneumothorax. No displaced rib fractures are seen. There are moderate degenerative changes along the thoracic spine.,1. Moderate thoracic spondylosis. 2. No acute cardiopulmonary abnormality.
2388,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",chest pain,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
2389,normal,normal,Xray Chest PA and Lateral,XXXX and XXXX. Chest pain. Vomiting and diarrhea.,None.,"2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",No acute cardiopulmonary abnormality identified.
2390,Cardiomegaly/borderline;Atherosclerosis/aorta;Volume Loss/thorax/left/mild;Diaphragm/left/elevated;Deformity/thorax/left,Cardiomegaly;Atherosclerosis;Volume Loss;Diaphragm;Deformity,CHEST 2V FRONTAL/LATERAL ,Followup lung cancer,XXXX,The heart is borderline in size. The mediastinum is stable with changes of XXXX sternotomy and bypass graft. Aorta is atherosclerotic. There are postsurgical changes of the left hemithorax with mild left-sided volume loss as evidenced by diaphragm elevation. Left post thoracotomy rib changes are noted. The right lung is clear. There is no pleural effusion.,Stable left thoracotomy changes with left-sided volume loss. No acute interval change.
2391,normal,normal,Xray Chest PA and Lateral,"Smoking, COPD.",Chest radiograph XXXX.,Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal heart size. Normal pulmonary vascularity. Bony thorax intact.,No acute cardiopulmonary abnormality.
2392,normal,normal,PA and Lateral Chest Radiograph ,XXXX AND SOB,AP chest XXXX,"Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",No acute cardiopulmonary abnormality.
2393,Lung/hyperdistention;Cicatrix/lung/apex/bilateral,Lung;Cicatrix,Xray Chest PA and Lateral,Asthma,XXXX,Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. Biapical scarring noted. No pleural effusions or pneumothoraces.,Hyperexpanded lungs without focal air space disease.
2394,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, hemoptysis, chest pain and shortness of breath.",PA and lateral chest x-XXXX dated XXXX.,"Cardiac and mediastinal XXXX appear normal. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact.",No acute radiographic cardiopulmonary process. .
2395,normal,normal,"Chest x-XXXX, 2 views, XXXX, XXXX at XXXX PM",XXXX-year-old with dyspnea.,None.,Normal cardiomediastinal contours. Lungs are clear. No pneumothorax.,No acute cardiopulmonary abnormalities.
2396,Opacity/lung/lower lobe/bilateral/prominent;Airspace Disease/lung/lower lobe/bilateral;Pulmonary Edema/lower lobe/bilateral,Opacity;Airspace Disease;Pulmonary Edema,Chest 2 views dated XXXX at XXXX hours. ,XXXX-year-old female with dyspnea.,None Available.,There are bilateral opacities most prominent in the lower lobes bilaterally. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable. There is an embolization XXXX overlying left upper quadrant.,Bilateral opacities most prominent in the lower lobes XXXX representing airspace disease or edema.
2397,normal,normal, PA and lateral chest. XXXX. ,Chest pain.,XXXX.,"Stable normal cardiac size and contour, normal mediastinal silhouette. Normal pulmonary XXXX. Lungs clear, no airspace disease. No pleural effusion or pneumothorax.","Stable chest, no active/acute cardiopulmonary disease."
2398,Technical Quality of Image Unsatisfactory ;Cardiomegaly/mild;Lung/hypoinflation;Diaphragm/bilateral/elevated,Technical Quality of Image Unsatisfactory ;Cardiomegaly;Lung;Diaphragm,Xray Chest PA and Lateral ,DYSPNEA; Shortness of breath for 4 weeks. Bilateral leg XXXX for one XXXX. Patient on 2 liters of oxygen at home.,None.,"Patient is rotated. Mild cardiomegaly. Low lung volumes with elevated hemidiaphragms, greater on the right. This is identified on a thoracic XXXX study from XXXX as well. No pneumothorax. No large pleural effusion. No focal infiltrate.",Cardiomegaly with elevated right hemidiaphragms and no acute findings.
2400,"Cardiomegaly;Hernia, Hiatal/large","Cardiomegaly;Hernia, Hiatal","PA and lateral chest XXXX, XXXX at XXXX comparisXXXX/XXXX ",History of dyspnea.,,,Stable cardiomegaly with large hiatal hernia. The lungs are clear
2401,normal,normal,"PA AND LATERAL VIEWS OF THE CHEST dated XXXX, XXXX at XXXX hours ","Abdominal pain and chest pain, high lipase",None.,"Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear airspace disease. Negative for pneumothorax, pleural effusion, or pneumoperitoneum. Limited bone evaluation reveals no acute abnormality.",1. No acute cardiopulmonary abnormality.
2402,Lung/hypoinflation;Pulmonary Atelectasis/base/left,Lung;Pulmonary Atelectasis,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old female presenting with DKA,XXXX,"The heart size and mediastinal contours appear within normal limits. There are low lung volumes with left basilar subsegmental atelectasis. No focal airspace consolidation, effusions or pneumothorax. No acute bony abnormalities.",No acute cardiopulmonary findings.
2403,Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left,Pulmonary Atelectasis;Cicatrix,Chest x-XXXX XXXX and lateral on XXXX. ,XXXX-year-old male with XXXX loss and XXXX.,Chest x-XXXX on XXXX.,The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact. Stable left basilar atelectasis versus scarring.,Stable left basilar atelectasis versus scarring. No acute cardiopulmonary abnormalities.
2404,Surgical Instruments/mediastinum;Calcinosis/mediastinum;Calcinosis/lung/hilum/right;Opacity/lung/base/left;Cicatrix/lung/base/left;Markings/bronchovascular,Surgical Instruments;Calcinosis;Calcinosis;Opacity;Cicatrix;Markings,Xray Chest PA and Lateral,"XXXX-year-old male, pain, history of surgery",,,"Heart size within normal limits, stable mediastinal contours, mediastinal surgical clips, mediastinal and right hilar calcifications suggest a previous granulomatous process. Improved lung volumes, XXXX left base opacities most suggestive of scarring. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema."
2405,Cicatrix/lung/apex/right;Granuloma/lung/middle lobe/right,Cicatrix;Granuloma,Xray Chest PA and Lateral,testis cancer,"Comparison XXXX, XXXX.",,Right apical scarring as before. Right midlung granuloma. No suspicious appearing nodules identified. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
2406,"Hernia, Hiatal/large","Hernia, Hiatal","CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",coarse wheeze and productive XXXX x 1 XXXX. Hx CHF.,"XXXX, XXXX.",Both lungs remain clear and expanded. Heart and pulmonary XXXX are normal. No change in the large hiatus hernia.,No change. No visible active cardiopulmonary disease.
2407,"Calcified Granuloma/lung/multiple/small;Pulmonary Disease, Chronic Obstructive;Granulomatous Disease","Calcified Granuloma;Pulmonary Disease, Chronic Obstructive;Granulomatous Disease","PA and lateral chest XXXX, XXXX XXXX hours.",Preop surgical XXXX from the surgery.,,Some hyperinflation appears to be present. There are small calcified granulomas. The lungs are otherwise clear. The heart is normal. The mediastinum is normal. The skeletal structures and soft tissues are normal.,Probable COPD and old granulomatous disease.
2408,"Opacity/lung/base/bilateral/streaky;Fractures, Bone/lumbar vertebrae/severe;Deformity/thoracic vertebrae/anterior/moderate;Deformity/lumbar vertebrae/severe;Spine/degenerative;Stents/aorta","Opacity;Fractures, Bone;Deformity;Deformity;Spine;Stents",Xray Chest PA and Lateral,XXXX,,"Cardiomediastinal contour stable and within normal limits. Changes of prior CABG again noted. Normal pulmonary vascularity. Streaky bibasilar opacities decreased from previous, possibly subsegmental atelectasis and/or scar. No pneumothorax or pleural effusion demonstrated. Redemonstrated severe L1 XXXX fracture. Slight interval increase in XXXX loss of T11 and there is XXXX mild to moderate anterior XXXX loss of T10. Degenerative changes of the spine. Abdominal aortic stent.","1. No acute cardiopulmonary finding. 2. Mild to moderate T10 vertebral body anterior XXXX deformity, XXXX from XXXX. Slight interval increase in XXXX loss of T11. Unchanged severe L1 XXXX deformity. If further imaging characterization is needed, recommend MRI. Findings will be conveyed to the ordering physician XXXX the Primordial communication XXXX."
2409,Opacity/lung/base/bilateral/interstitial;Calcified Granuloma/lung/multiple;Markings/lung/base/bilateral/interstitial,Opacity;Calcified Granuloma;Markings,"Two-view chest x-XXXX, XXXX at XXXX. ",XXXX.,XXXX.,"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 pneumothorax.",Stable groundglass and interstitial markings at the lung bases. Overall this is not XXXX to represent a significant change from XXXX.
2410,Calcinosis/lung/hilum/lymph nodes/left;Calcinosis/lung/lower lobe/left;Nodule/lung/lower lobe/left;Granuloma/lung/lower lobe/left;Lung/hyperdistention/severe,Calcinosis;Calcinosis;Nodule;Granuloma;Lung,Chest 2 views PA and lateral. ,"Preoperative for thyroidectomy, COPD, chest pain, XXXX","Chest 2 views from XXXX, XXXX.",The heart size is normal and cardiomediastinal silhouette has normal contour. The left hilar calcified lymph XXXX appear stable. There is persistence of a left lower lobe calcified nodule XXXX representing a granuloma. The lungs are hyperinflated but otherwise clear bilaterally.,1. Severe hyperinflation. 2. Stable left calcified hilar lymph XXXX.
2411,Cardiomegaly/mild;Markings/bronchovascular/mild,Cardiomegaly;Markings,Xray Chest PA and Lateral,"XXXX-year-old female, pain, short of breath",,"Mild cardiomegaly, stable mediastinal contours. No focal alveolar consolidation, no definite pleural effusion seen. Mild bronchovascular crowding without typical findings of pulmonary edema.","Mild cardiomegaly, no acute pulmonary findings"
2412,Calcinosis/abdomen/right,Calcinosis,"Chest x-XXXX XXXX and lateral, XXXX.","XXXX-year-old male with XXXX, congestion and shortness of breath.",Chest x-XXXX XXXX/XXXX,The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact. Calcification in the right upper quadrant of the abdomen XXXX consistent with gallstone.,No acute cardiopulmonary abnormalities.
2413,normal,normal, PA and lateral views of the Chest on XXXX ,Dyspnea,XXXX,"Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.",No acute cardiopulmonary disease.
2414,Technical Quality of Image Unsatisfactory ;Scoliosis/thoracic vertebrae/mild;Cardiomegaly/borderline;Spinal Fusion/cervical vertebrae/posterior/severe;Lung/hypoinflation;Diaphragm/left/elevated;Airspace Disease/lung/base/left/patchy;Pulmonary Atelectasis/base/left,Technical Quality of Image Unsatisfactory ;Scoliosis;Cardiomegaly;Spinal Fusion;Lung;Diaphragm;Airspace Disease;Pulmonary Atelectasis,Xray Chest PA and Lateral,Hypoxemia,"XXXX, XXXX","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 completely exclude a superimposed pneumonia. No significant pleural effusion or pneumothorax. There is an extensive fusion of the posterior cervical spine.","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."
2415,Cardiomegaly/mild;Lung/hypoinflation;Diaphragm/left/elevated/mild;Opacity/lung/base/left/patchy;Markings/prominent;Technical Quality of Image Unsatisfactory ;Emphysema,Cardiomegaly;Lung;Diaphragm;Opacity;Markings;Technical Quality of Image Unsatisfactory ;Emphysema,CHEST 2V FRONTAL/LATERAL ,Shortness of breath,CT chest XXXX,The heart is mildly enlarged. The lungs are hypoinflated with mildly elevated left hemidiaphragm. There is patchy opacity in the left lung base which may be secondary to atelectasis and/or possible infiltrate. Increased markings are noted throughout and were present on prior CT. The study is limited secondary to moderate XXXX motion. Underlying emphysematous changes are identified.,"Hypoinflation with elevated left hemidiaphragm and possible left basilar infiltrate versus atelectasis. Followup evaluation is suggested in 2 to 4 weeks. IMPRESSION: Exam: CHEST 2V FRONTAL/LATERAL Date: XXXX, XXXX XXXX PM Comparison: CT chest XXXX History: Shortness of breath FINDINGS: The heart is mildly enlarged. The lungs are hypoinflated with mildly elevated left hemidiaphragm. There is patchy opacity in the left lung base which may be secondary to atelectasis and/or possible infiltrate. Increased markings are noted throughout and were present on prior CT. The study is limited secondary to moderate XXXX motion. Underlying emphysematous changes are identified. IMPRESSION: Hypoinflation with elevated left hemidiaphragm and possible left basilar infiltrate versus atelectasis. Followup evaluation is suggested in 2 to 4 weeks."
2416,Cardiomegaly/mild,Cardiomegaly,"PA and lateral chest XXXX, XXXX XXXX ",History of tuberculosis.,with comparison of outside films on CD identified with the patient's name from XXXX.,The outside x-XXXX is normal except for slight cardiomegaly.,Heart size upper limits normal. Lungs are clear. No evidence of active tuberculosis. No change from prior exam.
2417,Calcified Granuloma/lung/lower lobe/left;Airspace Disease/lung/base/bilateral/mild;Thoracic Vertebrae/degenerative,Calcified Granuloma;Airspace Disease;Thoracic Vertebrae,"PA and Lateral Chest. XXXX, XXXX XXXX PM . ",Chest pain.,Chest x-XXXX dated XXXX.,Stable cardiomediastinal silhouette. Calcified granuloma in the left lower lobe. Minimal bibasilar airspace disease. No pneumothorax. Degenerative changes of the thoracic spine.,Minimal bibasilar airspace disease.
2418,Calcinosis/aorta;Calcinosis/ribs,Calcinosis;Calcinosis,Xray Chest PA and Lateral,The patient is an XXXX-year-old woman who XXXX XXXX stepping XXXX a ladder. The patient complains of right hip and right femur pain.,"Chest x-XXXX, single view portable from XXXX, XXXX.","The trachea is midline. The cardiomediastinal silhouette is normal. Note is XXXX of calcifications in the aortic XXXX. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. There is calcification of the chondral portions of the ribs.",1. No acute cardiopulmonary abnormalities. 2. No displaced rib fractures are seen. .
2419,"Atherosclerosis/aorta, thoracic",Atherosclerosis,Xray Chest PA and Lateral,PNUEMONIA exsmoker x 10 yrs hx XXXX onset asthma x 5 yrs f/u pneumonia x 1 XXXX ago XXXX XXXX experiencing dyspnea,XXXX.,,Normal heart size. Normal pulmonary vasculature. Atherosclerotic changes in the thoracic aorta. Lung parenchyma is clear. No airspace disease. No pulmonary edema. No XXXX of pleural effusions. No XXXX of acute cardiopulmonary disease.
2420,"Aorta/tortuous;Catheters, Indwelling/right;Deformity/ribs/left/multiple","Aorta;Catheters, Indwelling;Deformity",Xray Chest PA and Lateral,EVALUATE FOR METASTATIC DISEASE;,None,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.
2421,Cardiomegaly/severe;Implanted Medical Device/left;Lung/hilum/enlarged;Opacity/lung;Pulmonary Atelectasis;Cicatrix/lung,Cardiomegaly;Implanted Medical Device;Lung;Opacity;Pulmonary Atelectasis;Cicatrix,CHEST 2V FRONTAL/LATERAL ,Dyspnea,,"The heart is enlarged. The left subclavian ICD is again identified. There is again hilar enlargement, XXXX superimposes enlarged pulmonary vasculature. XXXX opacities are unchanged and compatible with subsegmental atelectasis or scarring. There is no large pleural effusion or focal consolidation.",Stable moderate to marked cardiomegaly.
2422,Consolidation/lung/lower lobe/left;Infiltrate/lung/lower lobe/right/patchy;Pneumonia/base/bilateral,Consolidation;Infiltrate;Pneumonia," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM. ",CP,None,Consolidation is developing in the left lower lobe. A patchy infiltrate is also present in the right lower lobe. Heart size is normal.,Bibasilar pneumonia.
2423,normal,normal,CHEST 2V FRONTAL/LATERAL ,Shortness of breath,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2424,Arthritis,Arthritis,Xray Chest PA and Lateral,Left chest pain rule out rib fracture,None,The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. The mediastinum is normal. Arthritic changes of the skeletal structures are noted.,No acute pulmonary disease. No gross evidence for rib fracture.
2425,Lung/hypoinflation,Lung,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",cp,None,Lung volumes are low. No infiltrates. Heart and mediastinum are normal.,Hypoinflation with no visible active cardiopulmonary disease.
2426,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old female with congestion.,None.,"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.",No acute cardiopulmonary finding.
2427,"Hernia, Hiatal","Hernia, Hiatal","CHEST 2V FRONTAL/LATERAL Sept 22, XXXX XXXX PM ",CP,"chest x-XXXX, 2 views PA and lateral from XXXX.","The trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. There is hiatal hernia.",No acute cardiopulmonary abnormalities.
2428,Lung/hyperdistention/mild;Diaphragm/posterior/flattened;Calcinosis/lung/hilum/left;Nodule/lung/lower lobe/left/multiple;Density/lung/lower lobe/left/round/multiple;Heart Atria/right/prominent,Lung;Diaphragm;Calcinosis;Nodule;Density;Heart Atria,Xray Chest PA and Lateral,"XXXX-year-old male, pain",None,"Lungs mildly hyperinflated with flattened posterior diaphragm and increased retrosternal airspace. No focal alveolar consolidation, no definite pleural effusion seen. Left hilar calcifications and dense left lower lobe nodules suggest a previous granulomatous process. Overall heart size within normal limits with prominent right atrial convexity, no typical findings of pulmonary edema. No pneumothorax.","1. Hyperinflated lungs, air trapping versus inspiratory XXXX. 2. Question mild right atrial enlargement, no findings to suggest pulmonary edema."
2430,"Bone Diseases, Metabolic/thoracic vertebrae;Deformity/thoracic vertebrae;Scoliosis/thoracic vertebrae;Thoracic Vertebrae/degenerative;Calcified Granuloma/lung/upper lobe/left;Nodule/lung/middle lobe/right","Bone Diseases, Metabolic;Deformity;Scoliosis;Thoracic Vertebrae;Calcified Granuloma;Nodule",Xray Chest PA and Lateral,XXXX loss.,None.,"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. Osteopenia and XXXX deformities, degenerative changes and scoliosis are present in the thoracic spine. Calcified granuloma is present in the left upper lobe. On XXXX component of a XXXX scan XXXX XXXX/XXXX, several nodules were identified. A nodule is seen in the right middle lobe which corresponds with one of the nodules present on the previous CT scan.",1. Right middle lobe lung nodule. Corresponds to one of those seen on the previous XXXX scan. The other nodules seen on the chest CT scan are not XXXX identified. This may be due to XXXX having resolved or simply not being visible on the chest x-XXXX. A chest CT scan would be needed to be XXXX to determine whether these have XXXX resolved or XXXX not visible on the chest x-XXXX.
2431,Calcinosis/lymph nodes,Calcinosis,Xray Chest PA and Lateral,XXXX XXXX female. Evaluate for metastatic disease,Chest 2 views. XXXX,Lungs are clear. No focal airspace consolidation or pleural effusion. Heart size is normal. No pneumothorax. Calcified lymph XXXX.,Clear lungs. No acute cardiopulmonary abnormality. .
2432,normal,normal,Xray Chest PA and Lateral,Pain.,"XXXX, XXXX.","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. .
2433,Lung/hypoinflation;Pulmonary Atelectasis/base/bilateral;Thoracic Vertebrae/degenerative,Lung;Pulmonary Atelectasis;Thoracic Vertebrae,"Chest Two views PA and lateral XXXX, XXXX XXXX a.m. ",Chest pain,None,"Low lung volumes with bibasilar subsegmental atelectasis. No focal consolidations, pleural effusions, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the thoracic spine.",No acute cardiopulmonary abnormality.
2434,Cicatrix/lung/apex/bilateral,Cicatrix,CHEST 2V FRONTAL/LATERAL ,Bilateral rhonchi,Nones,The heart is normal in size. The mediastinum is unremarkable. There is XXXX biapical scarring. The lungs are otherwise clear.,No acute disease.
2435,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX No comparison. Both lungs are clear and expanded. Heart and mediastinum normal. ",chest pain,,,No active disease.
2436,normal,normal," PA lateral chest XXXX, XXXX at XXXX. ",dyspnea,None.,,"Heart size is normal. Lungs are clear. No effusions, pneumonia, or edema"
2437,normal,normal,"PA and lateral views of the chest, XXXX, XXXX XXXX XXXX",XXXX chest radiograph prior to initiation of medication,None,The lungs appear clear. The heart and pulmonary XXXX are normal. Mediastinal contours are normal. The pleural spaces are clear.,No acute cardiopulmonary disease.
2438,normal,normal,2 views Chest: XXXX,"Shortness of breath, XXXX inhalation.",None.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,1. No acute pulmonary abnormality.
2439,Lung/hyperdistention;Cicatrix/lung/apex/bilateral;Emphysema,Lung;Cicatrix;Emphysema,Xray Chest PA and Lateral,EMPHYSEMIA; thyroidectomy sched in one XXXX.,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated. There is biapical scarring. No acute infiltrate or pleural effusion seen.,Emphysema without acute disease.
2440,Atherosclerosis/aorta;Emphysema,Atherosclerosis;Emphysema,CHEST 2V FRONTAL/LATERAL ,Chest pain,None,The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. Emphysematous changes are identified. There is no acute infiltrate or effusion.,Emphysema without acute disease.
2441,"Costophrenic Angle/right/blunted/mild;Aorta, Thoracic/tortuous/mild;Thoracic Vertebrae/degenerative/multiple/mild;Lumbar Vertebrae/degenerative/multiple/mild;Fractures, Bone/ribs/left/healed","Costophrenic Angle;Aorta, Thoracic;Thoracic Vertebrae;Lumbar Vertebrae;Fractures, Bone","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old woman with dyspnea..,"CT of the chest dated XXXX, XXXX.","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 abnormality. There is redemonstration of mild multilevel degenerative disc disease of the thoracolumbar spine. Old, healed left rib fractures are noted.","Possible small right pleural effusion, without focal consolidation or pneumothorax."
2442,Technical Quality of Image Unsatisfactory ;Thoracic Vertebrae/degenerative;Deformity/thoracic vertebrae/scattered/multiple;Deformity/shoulder/left;Shoulder/right/degenerative/severe,Technical Quality of Image Unsatisfactory ;Thoracic Vertebrae;Deformity;Deformity;Shoulder,"2 views chest, XXXX hours, XXXX, XXXX. ",Chest pain,XXXX,"Given differences in patient rotation, heart size and mediastinal contours are grossly unchanged. Lungs appear clear without focal consolidation. No visible pleural effusion or pneumothorax. Stable degenerative changes of the thoracic spine with scattered XXXX deformities. Stable postsurgical changes of the left shoulder and marked degenerative changes of the right shoulder.",No acute cardiopulmonary abnormality.
2443,Calcinosis/blood vessels,Calcinosis,Xray Chest PA and Lateral,XXXX.,,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Vascular calcification is noted.,1. No evidence of active disease.
2444,Shoulder/degenerative,Shoulder,2 views of the Chest on XXXX. ,Chest pain,None.,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. Acromioclavicular joint degenerative change.,There is no radiographic evidence of acute cardiopulmonary disease.
2445,normal,normal,Xray Chest PA and Lateral,"XXXX and XXXX infection, XXXX",None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2446,Aorta/tortuous,Aorta,"Two-view chest. XXXX hours XXXX, XXXX. ",Chest pain.,None,"The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. The aorta is tortuous, but the heart and mediastinum otherwise normal.",No active disease.
2447,Calcinosis/lung/hilum/lymph nodes/right;Atherosclerosis/aorta;Thoracic Vertebrae/degenerative/moderate,Calcinosis;Atherosclerosis;Thoracic Vertebrae,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX.",XXXX-year-old female with a history of chronic lymphoid leukemia presents for bone marrow transplant evaluation.,None available.,The cardiomediastinal silhouette is within normal limits for appearance. Calcified right hilar lymph XXXX are demonstrated. Atherosclerotic calcifications of the aortic XXXX. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Mild to moderate degenerative changes of the thoracic spine.,1. No acute intrathoracic abnormality.
2448,Pneumothorax/right;Pleural Effusion/right,Pneumothorax;Pleural Effusion,PA and lateral views of the chest ,Evaluate pneumothorax,XXXX,Mediastinal contours are normal. No significant change in pneumothorax or right pleural fluid..,No significant change in right pneumothorax or pleural fluid.
2449,Foreign Bodies/spine,Foreign Bodies,Chest X-XXXX 2 XXXX ,Dyspnea,XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion. Again seen is XXXX paraspinal foreign body which may represent a bullet fragment.,Negative chest .
2450,normal,normal,"2 views chest, XXXX hours on XXXX, XXXX ",History of XXXX with XXXX.,XXXX,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.,No acute cardiopulmonary abnormality.
2451,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,1. PA and lateral views of the chest. 2. Two views of the right knee. ,"XXXX-year-old male with XXXX, and preoperative evaluation for right total knee replacement.",Radiographs of the right knee from XXXX. PA and lateral views of the chest from XXXX.,Chest. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Mild degenerative changes throughout the thoracic spine. Right knee. There has been prior ligamentous repair. There is tricompartmental joint space narrowing and marginal osteophyte formation which is severe in the medial compartment. No knee joint effusion. No fractures or dislocations.,"1. Chest. No acute cardiopulmonary findings. 2. Right knee. Stable advanced degenerative changes, most severe in the medial compartment."
2453,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Chest pain,None,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.
2454,Costophrenic Angle/left/blunted,Costophrenic Angle,"CHEST X-XXXX XXXX and LATERAL dated XXXX, XXXX at XXXX hours. ","XXXX-year-old male, left pleural effusion with compressive atelectasis.",Chest x-XXXX XXXX.,Cardiomediastinal silhouette appears normal in size and contour. Right lung is clear. Stable blunting of costophrenic XXXX with improved aeration of the left base compared to prior exam. No visualized pneumothorax or focal consolidation. XXXX unremarkable.,Stable blunting of the left costophrenic XXXX which may represent persistent left pleural effusion versus pleural scarring.
2455,Mass/lung/upper lobe/right/anterior,Mass,Xray Chest PA and Lateral,lung cancer preop,None,,3 cm right upper lobe anterior segment mass. No effusion. No adenopathy. CT scan is the XXXX XXXX to determine if there is any mediastinal adenopathy. No bony abnormalities.
2456,"Cardiomegaly/mild;Kyphosis/thoracic vertebrae;Deformity/thoracic vertebrae;Deformity/lumbar vertebrae;Calcinosis/aorta;Fractures, Bone/humerus/right","Cardiomegaly;Kyphosis;Deformity;Deformity;Calcinosis;Fractures, Bone",Xray Chest PA and Lateral,XXXX-year-old woman with decreased breath sounds.,"XXXX, XXXX","Mild cardiomegaly. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is thoracic kyphosis. There is XXXX deformity of T12 and L1, unchanged XXXX abdomen XXXX, XXXX. Aortic calcifications are noted. Fracture of right proximal humerus, incompletely evaluated.","1. No acute abnormality of the chest. 2. XXXX deformities of T12 and L1, unchanged XXXX abdomen XXXX, XXXX abdomen XXXX, XXXX. 3. Fracture of right proximal humerus, incompletely evaluated. ."
2457,normal,normal,Xray Chest PA and Lateral,Chest pain.,,"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.",Unremarkable radiographs of the chest.
2458,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"Chest radiographs, 2 XXXX and lateral ","XXXX-year-old woman, short of breath.","XXXX, XXXX.","Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild degenerative changes thoracic spine.",No acute abnormality.
2459,normal,normal,PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old with dyspnea on exertion.,None.,The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,1. No acute cardiopulmonary disease.
2460,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX No comparison. Both lungs are clear and expanded. Heart and mediastinum normal. ",elevated blood pressure,,,No active disease.
2461,normal,normal,Xray Chest PA and Lateral,XXXX XXXX XXXX DISEASE;,,,No comparison chest x-XXXX. No suspicious appearing lung nodules. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
2462,Cardiomegaly;Calcinosis/aorta;Aorta/tortuous;Calcinosis/pleura/multiple,Cardiomegaly;Calcinosis;Aorta;Calcinosis,CHEST (PA AND LATERAL),XXXX-year-old male with history of XXXX.,"XXXX, XXXX.","There is stable cardiomegaly. Aorta is calcified and tortuous. There are multiple pleural calcifications XXXX representing prior asbestos exposure. These appear unchanged. There is no pneumothorax, pleural effusion, or XXXX focal airspace consolidation.",1. Cardiomegaly and findings of prior asbestos exposure without interval acute cardiopulmonary findings.
2463,Opacity/lung/interstitial/mild,Opacity,"PA and lateral chest XXXX, XXXX XXXX prior comparison 17 XXXX ",dyspnea,,,Heart size normal and lungs are relatively clear. There is minimal underlying interstitial opacities. This is markedly improved compared to prior exam
2464,normal,normal,Xray Chest PA and Lateral,INDICATION: HISTORY OF TOBACCO USE;,None,The lungs appear clear. There are no suspicious appearing pulmonary nodules or masses. There is no evidence of pneumonia. The heart pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.,No acute cardiopulmonary disease
2465,Cardiomegaly/mild,Cardiomegaly,PA and lateral chest x-XXXX XXXX at XXXX hours. ,Hypertension,,"Heart size is mildly enlarged but stable.. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..",1. No acute radiographic cardiopulmonary process.
2466,normal,normal,PA and lateral chest x-XXXX ,"XXXX-year-old with history of testicular cancer, evaluate for recurrence.",Chest x-XXXX dated XXXX,"Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",No acute cardiopulmonary abnormalities.
2467,Opacity/lung/upper lobe/right/round/multiple/small;Lucency/lung/upper lobe/right/round/multiple/small,Opacity;Lucency,"Chest, 2 views, frontal and lateral. ",This is a XXXX-year-old woman with chest pain. History of recent pneumomediastinum.,None.,"Negative for cardiac enlargement. Negative for vascular congestion. There are several small circular opacities in the right upper lung, some of which are centrally lucent. Negative for bony abnormality.",Multiple round opacities in the right upper lobe measuring up to 7 mm. Exact etiology of these is unclear.
2468,Calcinosis/aorta;Diaphragmatic Eventration/right;Cicatrix/lung/apex/bilateral;Spondylosis/thoracic vertebrae,Calcinosis;Diaphragmatic Eventration;Cicatrix;Spondylosis,Xray Chest PA and Lateral,XXXX physical,"XXXX, XXXX",,Stable normal heart size. Calcified aorta. Eventration right diaphragm. Scarring in the pulmonary apices. No acute findings. Thoracic spondylosis.
2469,Opacity/thorax/mild,Opacity,"PA and Lateral views of the Chest performed on XXXX, XXXX. ",XXXX year-old female with dyspnea.,None.,"There is mild XXXX opacification over both XXXX, XXXX secondary to soft tissue attenuation. There are no focal air space opacities. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Trachea is midline. No free subdiaphragmatic air.",No acute pulmonary disease.
2470,normal,normal,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Shortness of breath. History polysubstance abuse.,"Radiograph Chest PA and Lateral XXXX, XXXX.",The heart is normal in size and contour. There is no mediastinal widening. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.,No acute abnormality.
2471,normal,normal,"CHEST 2V FRONTAL/LATERAL Sept 22, XXXX XXXX XXXX ",chest pain,"chest x-XXXX, 2 views from XXXX.","The trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. Lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",No acute cardiopulmonary abnormalities.
2472,Implanted Medical Device,Implanted Medical Device,"PA lateral chest XXXX, XXXX XXXX ",XXXX pacemaker XXXX for pneumothorax,yesterday,,"No pneumothorax. Pacemaker defibrillator tips in the right atrium, right ventricle and a coronary vein. Heart size normal. Lungs are clear."
2473,Lung/hypoinflation,Lung,Xray Chest PA and Lateral,"EVALUATE FOR METASTATIC DISEASE; history of renal cancer; preop adrenalectomy, left-sided pain",XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but clear.,No acute disease.
2474,Infiltrate/lung/lower lobe/bilateral/interstitial/patchy;Costophrenic Angle/bilateral/blunted;Aorta/tortuous/mild;Airspace Disease/lung/base/bilateral/patchy;Pleural Effusion/bilateral/small,Infiltrate;Costophrenic Angle;Aorta;Airspace Disease;Pleural Effusion,"Two-view chest. XXXX hours XXXX, XXXX compared to XXXX, XXXX. ",Shortness of breath.,,"Patchy interstitial infiltrates have developed in both lower lobes. Both costophrenic XXXX are blunted. Aorta is somewhat tortuous, with the heart size is normal. Pulmonary XXXX are normal.",Bibasilar patchy airspace disease with bilateral small pleural fluid collections.
2475,Cardiomegaly/mild;Aorta/tortuous,Cardiomegaly;Aorta," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,"XXXX, XXXX.",Heart size remains slightly large. Pulmonary XXXX are normal. Aorta tortuous.,XXXX change. No active cardiopulmonary disease.
2476,Spine/degenerative,Spine,Xray Chest PA and Lateral,Testicular carcinoma.,,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.,1. No evidence of active disease.
2477,Cardiomegaly;Shift/mediastinum/right;Calcinosis/lung/hilum/lymph nodes/left;Calcified Granuloma/lung/base/left;Markings/lung/interstitial/prominent;Pulmonary Atelectasis/base/bilateral/patchy;Opacity/lung/base/bilateral/prominent,Cardiomegaly;Shift;Calcinosis;Calcified Granuloma;Markings;Pulmonary Atelectasis;Opacity,PA and lateral chest x-XXXX ,XXXX-year-old female with increased XXXX.,,"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.
2478,"Lung/hyperdistention;Arthritis/spine;Pulmonary Disease, Chronic Obstructive;Lung Diseases, Interstitial","Lung;Arthritis;Pulmonary Disease, Chronic Obstructive;Lung Diseases, Interstitial",Xray Chest PA and Lateral,Recently diagnosed with pneumonia.,,There your regular interstitial changes and possibly fibrosis in the left mid and lower lung zone and region of the right middle lobe. Hyperinflation is present. No focal consolidation is seen. There is no evidence for pleural effusion. The heart is not enlarged. Mediastinum is normal. There are arthritic changes of the spine.,XXXX of COPD and interstitial lung disease. No definite pneumonia. There does appear to be progression of changes since XXXX.
2479,"Catheters, Indwelling/right;Lung/hypoinflation;Diaphragm/right/elevated;Spine/degenerative","Catheters, Indwelling;Lung;Diaphragm;Spine", Frontal and lateral views of the chest dated XXXX,"Dyspnea, history of prostate cancer. XXXX, shortness of breath, nausea. Patient on chemotherapy",None,There is a right-sided chest XXXX identified whose distal tip projects over the SVC. Heart size is normal. Low lung volumes with elevated right hemidiaphragm. The lungs are grossly clear. No focal infiltrate. No pleural effusion or pneumothorax. Normal pulmonary vascularity. Normal mediastinal and hilar contours. Degenerative changes of the spine.,Low lung volumes. No acute abnormality
2480,normal,normal,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Chest pain.,None.,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.
2481,Aorta/tortuous;Diaphragm/left/elevated;Opacity/lung/base/posterior;Pulmonary Atelectasis/base/posterior;Scoliosis,Aorta;Diaphragm;Opacity;Pulmonary Atelectasis;Scoliosis,PA and Lateral Chest,Preoperative evaluation,None.,"Heart size is upper limits of normal. Aorta is tortuous. There is elevation of the left hemidiaphragm. There is a posterior basilar XXXX opacity seen on lateral XXXX XXXX representing subsegmental atelectasis, XXXX visualized on lateral view. No large pleural effusion or pneumothorax is identified. Scoliosis of the spine.",1. Posterior basilar XXXX opacity XXXX representing subsegmental atelectasis. The lungs are otherwise clear.
2482,Pneumothorax/apex/right;Pulmonary Atelectasis/base/left/mild,Pneumothorax;Pulmonary Atelectasis,"PA and lateral chest XXXX, XXXX XXXX",History of chest tube removal,earlier today at XXXX,,Stable 1 cm right apical pneumothorax. Minimal atelectasis left base. Heart size normal
2483,Implanted Medical Device/aortic valve,Implanted Medical Device,PA and lateral chest XXXX at XXXX hours.,COPD and shortness of breath.,,There has been previous aortic valve replacement. Heart is towards upper limits normal for size and may be mild pulmonary vascular congestion. The skeletal structures are normal. The soft tissues are normal.,Question mild pulmonary vascular congestion in a patient with prosthetic aortic valve.
2484,Medical Device;Opacity/scattered/round/multiple;Calcified Granuloma/scattered/round/multiple;Granulomatous Disease,Medical Device;Opacity;Calcified Granuloma;Granulomatous Disease,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",Dizzy. Unable to XXXX.,None.,"Frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette. There are scattered nodular opacities, XXXX calcified granulomas. No XXXX focal airspace consolidation or pleural effusion.","No acute or active cardiac, pulmonary or pleural disease. Probable previous granulomatous disease."
2485,Airspace Disease/lung/lower lobe/bilateral;Pleural Effusion/bilateral/moderate;Calcinosis/lung/hilum/lymph nodes/left;Infiltrate/lung/bilateral;Pulmonary Atelectasis/bilateral,Airspace Disease;Pleural Effusion;Calcinosis;Infiltrate;Pulmonary Atelectasis,PA and lateral chest radiograph (2 views) (2 images) ,Hypoxic with low-grade XXXX.,"XXXX, XXXX.","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.
2486,Epicardial Fat/prominent;Deformity/ribs/right/multiple,Epicardial Fat;Deformity,PA and lateral chest,XXXX-year-old male with chest pain.,None.,The heart size is normal. The mediastinal contour is within normal limits. There are no focal infiltrates. There is prominent epipericardial fat. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Right 7th and 8th rib deformities are noted. There is no visible free intraperitoneal air under the diaphragm.,No radiographic evidence of acute cardiopulmonary abnormality.
2487,normal,normal,"PA and lateral chest x-XXXX, AP lateral views thoracic spine, and 3 views lumbar spine XXXX at XXXX hours. ",MVA with back pain,None available,"Chest: The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Thoracic spine: Mild dextro curvature the upper thoracic spine. Evaluation of the upper thoracic bodies is limited secondary to osseous overlap. Vertebral body XXXX and disc spaces are maintained. Mild degenerative endplate changes. Lumbar spine: There are 5 nonrib-bearing lumbar type vertebral bodies. Alignment is within normal limits. Vertebral body XXXX and disc spaces are maintained. Mild degenerative change without acute displaced fracture or dislocation. Moderate amount of stool..",Chest. No acute radiographic cardiopulmonary process. Thoracic spine. Mild degenerative change without acute bony abnormality. Lumbar spine. Mild degenerative change without acute bony abnormality.
2488,Calcified Granuloma/lung/middle lobe/right;Calcinosis/lung/hilum/lymph nodes/right,Calcified Granuloma;Calcinosis,"PA and lateral chest XXXX, XXXX at XXXX ",left chest pain,None,,Heart size is normal. 2 cm calcified granuloma in the right midlung. Calcified right hilar lymph XXXX. No other nodules or masses. It is unchanged XXXX compared to a XXXX for the abdomen CT scan from XXXX. The XXXX 40% of the nodule is on the upper portion of the XXXX film.
2489,Lung/hypoinflation;Calcified Granuloma/lung/hilum/right;Pulmonary Atelectasis/lower lobe/left/mild;Cicatrix/lung/lower lobe/left/mild,Lung;Calcified Granuloma;Pulmonary Atelectasis;Cicatrix,PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old with left lateral chest wall contusion.,None.,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.,1. No acute cardiopulmonary disease.
2490,Calcified Granuloma/multiple,Calcified Granuloma,"PA and lateral chest XXXX, XXXX XXXX comparison XXXX, XXXX ",History of dyspnea,,,Heart size is normal. Lungs are clear. Calcified granulomas.
2491,normal,normal,Xray Chest PA and Lateral,XXXX x2 weeks,None available.,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.
2492,"Atherosclerosis/aorta, thoracic;Deformity/ribs/left/anterior/multiple;Fractures, Bone/ribs/left/anterior/multiple;Scoliosis/lumbar vertebrae","Atherosclerosis;Deformity;Fractures, Bone;Scoliosis","Chest PA and lateral, XXXX, XXXX",Preoperative exam for hip surgery,None available,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.
2493,normal,normal,Xray Chest PA and Lateral,The patient is a XXXX-year-old male who suffered a XXXX.,None available.,"The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pleural effusion or pneumothorax. The visualized bony structures reveal no acute abnormalities.",No acute cardiopulmonary abnormalities. .
2494,Cardiomegaly/mild;Spine/degenerative/mild;Calcinosis/blood vessels/severe;Calcified Granuloma/lung/lingula,Cardiomegaly;Spine;Calcinosis;Calcified Granuloma,Xray Chest PA and Lateral,XXXX-year-old preop evaluation for knee replacement.,None.,Heart size is mildly enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are mild degenerative changes of the spine. There are extensive vascular calcifications. There is a left midlung calcified granuloma.,Cardiomegaly without acute disease.
2495,Granuloma/lung/hilum/right/scattered/multiple;Calcified Granuloma/lung/apex/right;Costophrenic Angle/left/blunted/chronic,Granuloma;Calcified Granuloma;Costophrenic Angle,"PA and lateral chest XXXX, XXXX at XXXX",dyspnea,9 XXXX,,Heart size is normal. Scattered right hilar granulomas and calcified 8mm right apical granuloma. Resolution of right effusion and infiltrate. Stable chronic blunting of the lateral left costophrenic XXXX.
2496,Cardiomegaly/severe;Implanted Medical Device/left;Implanted Medical Device/left,Cardiomegaly;Implanted Medical Device;Implanted Medical Device,PA and lateral chest radiograph on XXXX at 05: 05 hours. ,XXXX-year-old XXXX with dyspnea.,XXXX.,"There is stable marked cardiomegaly and mediastinal contour. Pulmonary vascularity is within normal limits. The left chest pacemaker is unchanged from comparison exam with fractured proximal lateral XXXX and both XXXX tips overlying the right ventricle. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",Stable marked cardiomegaly. No acute cardiopulmonary abnormalities.
2497,Lymph Nodes/bilateral/enlarged,Lymph Nodes,Xray Chest PA and Lateral,XXXX.,None.,,"Bilateral enlargement of the XXXX, XXXX lymphadenopathy. Consider correlation with a XXXX of the chest. Sarcoidosis would be a consideration, less XXXX lymphoproliferative XXXX/lymphoma."
2498,No Indexing,No Indexing,"PA and lateral chest XXXX, XXXX at XXXX",History of dyspnea,24 XXXX,,Heart size upper limits normal. Sternotomy. Right-sided aortic XXXX. Lungs are clear.
2499,Lung/bilateral/hypoinflation;Opacity/lung/base/bilateral;Costophrenic Angle/sulcus/bilateral/blunted;Implanted Medical Device/left;Cardiomegaly;Spine/degenerative;Airspace Disease/lung/base/bilateral;Pleural Effusion/bilateral,Lung;Opacity;Costophrenic Angle;Implanted Medical Device;Cardiomegaly;Spine;Airspace Disease;Pleural Effusion,Xray Chest PA and Lateral,XXXX-year-old male with dyspnea,Chest XXXX,"Low lung volumes bilaterally with bibasilar airspace opacities, right greater than left. There is blunting of the bilateral costophrenic sulci. Cardiac device overlies left chest, leads intact, tips overlying right atrium and right ventricle. No pneumothorax. Cardiomegaly. Degenerative changes of the spine.","Cardiomegaly with bibasilar airspace disease and bilateral pleural effusions, right greater than left. ."
2501,Lung/hyperdistention;Diaphragm/bilateral/flattened;Pulmonary Emphysema;Spine/degenerative/multiple,Lung;Diaphragm;Pulmonary Emphysema;Spine,Frontal and lateral views of the chest XXXX at XXXX hours. ,XXXX,None available.,"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.
2502,Opacity/lung/middle lobe/right/focal;Markings/lung/bilateral/prominent;Pleural Effusion/bilateral/small;Implanted Medical Device/heart;Atherosclerosis/aorta;Arthritis;Pulmonary Congestion/mild,Opacity;Markings;Pleural Effusion;Implanted Medical Device;Atherosclerosis;Arthritis;Pulmonary Congestion,Xray Chest PA and Lateral,CHF and shortness of breath.,,There is a focal area of opacity in the right midlung zone. This was not present on the recent prior study. There is prominence of the pulmonary markings throughout and there are small bilateral pleural effusions. The heart is not significantly enlarged. There is a prosthetic valve. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,1. Focal opacity in the right midlung zone worrisome for pneumonitis. 2. Mild pulmonary vascular congestion.
2503,Atherosclerosis/aorta;Arthritis,Atherosclerosis;Arthritis,Xray Chest PA and Lateral,Preop knee surgery,None,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.,No acute pulmonary disease.
2504,normal,normal,AP lateral views of the chest dated XXXX. ,"XXXX-year-old female, stab wounds, XXXX.",Single view chest dated XXXX.,No focal areas of consolidation. No suspicious bony opacities. Heart size within normal limits. No pleural effusions. No pneumothorax.,No acute cardiopulmonary abnormality.
2505,Calcinosis/aorta,Calcinosis,"PA and Lateral Chest. XXXX, XXXX XXXX hours ","XXXX-year-old female with COPD, XXXX, vomiting, and elevated white blood cell XXXX.","CT chest XXXX, XXXX",Normal heart size and mediastinal contours. Calcified aortic XXXX. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable appearance.,No acute or XXXX pulmonary abnormality.
2506,Cardiomegaly,Cardiomegaly,2 views of the chest XXXX/XXXX.,Preoperative evaluation,XXXX,Cardiomegaly. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax.,Cardiomegaly similar to prior examination. Negative for evidence of acute pulmonary disease.
2507,Airspace Disease/lung/base/bilateral;Costophrenic Angle/right/blunted;Cicatrix/lung/right,Airspace Disease;Costophrenic Angle;Cicatrix,Chest 2 views ,XXXX .,XXXX,There is bibasilar airspace disease. Cardiac silhouette is within normal limits and stable. There is blunting of the right costophrenic XXXX unchanged XXXX scarring. No pneumothorax.,Bibasilar airspace disease.
2509,Lung/hyperdistention;Emphysema,Lung;Emphysema,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old XXXX with chest pain.,"CT of the thorax on XXXX, XXXX","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.
2510,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,"PA and LAT view CHEST XXXX, XXXX XXXX PM",Preop for ear surgery. History of tobacco use.,XXXX,Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.,Clear lungs.
2511,Sutures/lung/upper lobe/left;Cicatrix/costophrenic angle/left;Calcified Granuloma/multiple,Sutures;Cicatrix;Calcified Granuloma,"Chest radiographs, 2 XXXX and lateral ","XXXX-year-old XXXX, chest pain.","XXXX, XXXX.","Sternotomy XXXX noted. Suture material overlies the left upper lobe. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion or pneumothorax. Scarring left costophrenic XXXX, unchanged. Calcified granulomas noted.",No acute abnormality.
2512,"Surgical Instruments;Pleural Effusion/left/moderate;Bone Diseases, Metabolic;Kyphosis/thoracic vertebrae;Bone and Bones/degenerative;Technical Quality of Image Unsatisfactory ","Surgical Instruments;Pleural Effusion;Bone Diseases, Metabolic;Kyphosis;Bone and Bones;Technical Quality of Image Unsatisfactory ",Xray Chest PA and Lateral,This is a XXXX-year-old female patient with history of coronary artery bypass graft x3 and recent open-heart surgery. Coronary artery bypass graft performed XXXX. The patient is an XXXX-XXXX.,Comparison is XXXX to XXXX.,,"Sternotomy XXXX are noted in XXXX. Vascular clips are noted consistent with previous coronary artery bypass graft. The previously seen central venous line catheter has been removed. A left pleural effusion remains. Underlying atelectasis is suspected. Given differences in technique, the effusion is not XXXX to be significantly different but is XXXX favored to be lower end of moderate for size. Osseous structures are remarkable for osteopenia, degenerative changes and there is some kyphosis noted to the thoracic spine."
2513,"Hernia, Hiatal/retrocardiac/large;Pulmonary Atelectasis/base/left","Hernia, Hiatal;Pulmonary Atelectasis",PA and lateral views of the Chest XXXX/XXXX ComparisXXXX/XXXX ,XXXX,,[<Heart size and pulmonary vascularity within normal limits. There is a large hiatal hernia seen projecting in the retrocardiac region. This is XXXX from prior examination. There is associated atelectasis in the left lung base. No pleural effusion or pneumothorax is identified.,1. XXXX large hiatal hernia. 2. Left base atelectasis.
2514,Granulomatous Disease;Thoracic Vertebrae/degenerative,Granulomatous Disease;Thoracic Vertebrae,Xray Chest PA and Lateral,"Dyspnea, history of pancreatic cancer",CT chest XXXX,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.,No acute cardiopulmonary process.
2515,normal,normal,Frontal and Lateral view of the chest XXXX/XXXX at XXXX hours.,Hemoptysis,XXXX,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.
2516,Lung/hyperdistention/mild;Cicatrix/lung/apex/right,Lung;Cicatrix,Xray Chest PA and Lateral,"XXXX-year-old male, chest pain",,"Heart size within normal limits, stable mediastinal and hilar contours. Stable mild hyperinflation, right apical pleural-parenchymal irregularities compatible with scarring. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",No acute findings
2517,normal,normal,"2 views of the chest XXXX, XXXX. ",Chest pain.,XXXX.,Lungs are clear. No pneumothorax or pleural effusion. Normal heart and mediastinal contours. Normal pulmonary vasculature. Bony thorax intact.,No acute cardiopulmonary abnormality.
2518,Osteophyte/thoracic vertebrae/multiple,Osteophyte,Xray Chest PA and Lateral,"Fatigue, low hemoglobin, shortness of breath.",None available for,No 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 T-spine osteophytes.,No acute cardiopulmonary abnormality.
2519,Cardiomegaly/mild,Cardiomegaly,"2 views chest, XXXX hours, XXXX, XXXX. ",Shortness of breath with chest pain and dizziness,"XXXX, XXXX","There is mild cardiomegaly, similar to prior exams. No focal consolidation. No visible pleural effusion or pneumothorax.",Stable mild cardiomegaly. No acute pulmonary abnormality.
2520,Opacity/thorax/multiple/small;Cicatrix/mild;Pulmonary Atelectasis;Diaphragmatic Eventration/right;Calcified Granuloma/lung/left,Opacity;Cicatrix;Pulmonary Atelectasis;Diaphragmatic Eventration;Calcified Granuloma,PA and lateral chest x-XXXX XXXX,Bone marrow transplant evaluation,None,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. A few bandlike opacities are present which are XXXX to represent small areas of scarring or atelectasis. There is eventration of the right hemidiaphragm. Calcified granuloma is present in the left lung.,No evidence of active disease.
2522,Cicatrix/lung/base/bilateral/chronic;Pleura/base/bilateral/abnormal/chronic;Stents,Cicatrix;Pleura;Stents,Xray Chest PA and Lateral,"XXXX-year-old female with XXXX, abdominal pain, nausea and vomiting.","TIPS revision XXXX, XXXX",Normal heart size and mediastinal contours. No focal airspace consolidation. Chronic appearing left greater than right lung base scarring with possible small effusions. No pneumothorax. Visualized osseous structures are unremarkable in appearance.,1. Chronic appearing bibasilar pleural abnormality with possible small effusions. 2. No evidence of pneumonia. TIPS shunt visualized. .
2523,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, chest pain",None,"Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",No acute cardiopulmonary findings
2524,Granulomatous Disease;Spondylosis/thoracic vertebrae,Granulomatous Disease;Spondylosis,"Chest, 2 views, frontal and lateral",XXXX,"XXXX, XXXX",The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.,No acute process.
2525,Cicatrix/lung/base/left;Deformity/clavicle/right,Cicatrix;Deformity,"Chest, 2 views, frontal and lateral",XXXX and congestion,"XXXX, XXXX",,"Normal heart size. XXXX scarring in the left lung base. Otherwise, clear lungs. Reconstructed right clavicle."
2526,normal,normal,Xray Chest PA and Lateral .,Transplant evaluation; No chest complaints; Nonsmoker; No previous surgery; Shielded.,None.,,Normal heart size. Normal pulmonary vasculature. Normal mediastinal contours. Lung parenchyma is clear. No airspace disease. No pulmonary edema. No XXXX of pleural effusions. No XXXX of active cardiopulmonary disease.
2527,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, scapular pain.",Single view chest radiograph XXXX.,"The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality.",1. No acute cardiopulmonary process. 2. Bilateral scapula appear unremarkable.
2528,Spondylosis/thoracic vertebrae,Spondylosis,Xray Chest PA and Lateral,XXXX pulmonary nodule.,"XXXX, XXXX",The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,Lungs appear relatively clear on today's exam. No significant interval change since the prior study and XXXX.
2529,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old female with chest pain..,"Two-view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality..
2530,"Aorta/prominent;Aorta, Thoracic/tortuous;Density/ribs/left/anterior;Fractures, Bone/ribs/left/anterior/multiple","Aorta;Aorta, Thoracic;Density;Fractures, Bone",Xray Chest PA and Lateral,Melanoma,127 x 10,Heart size and pulmonary vascularity appear within normal limits. The ascending aorta is prominent and descending thoracic aorta is is tortuous. Aorta appears unchanged as compared to the study. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules are identified. There is an oblong density projecting over the anterior left 7th rib. Appearance suggests an old rib fracture.,This is XXXX since the previous study. 1. Clear lungs. 2. Apparent old rib fractures in the left anterior chest.
2531,Calcified Granuloma/scattered/multiple;Thoracic Vertebrae/degenerative/multiple/mild;Lumbar Vertebrae/degenerative/multiple/mild,Calcified Granuloma;Thoracic Vertebrae;Lumbar Vertebrae,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old woman with chest pain..,None.,"The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Scattered calcified granulomas noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrate mild multilevel degenerative disc disease of the thoracolumbar spine without acute abnormality.",No acute cardiopulmonary abnormality.
2532,Cardiomegaly;Opacity/lung/base/bilateral/interstitial;Opacity/lung/middle lobe/bilateral/interstitial;Pulmonary Edema;Cardiac Shadow/enlarged;Thickening/pleura,Cardiomegaly;Opacity;Opacity;Pulmonary Edema;Cardiac Shadow;Thickening,Xray Chest PA and Lateral,"XXXX-year-old female, chest pain",,"Stable enlargement of the cardiac silhouette, lateral view interlobar fissural thickening. Interstitial opacities greatest in the central lungs and bases.","1. Cardiomegaly, question small bilateral pleural effusions 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, differential diagnosis includes infectious and inflammatory processes."
2533,normal,normal,XR Chest PA and Lateral,"XXXX, history of acute bronchitis",None,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 cardiopulmonary abnormality.
2535,normal,normal,Chest 2 views PA and lateral. ,Preop for knee surgery.,None.,Heart size is within normal limits. Cardiomediastinal silhouette is normal. Lungs are clear bilaterally without effusion or pneumothorax. No bony or soft tissue abnormalities.,No cardiopulmonary abnormality.
2536,Surgical Instruments/mediastinum,Surgical Instruments,Xray Chest PA and Lateral,mediastinal mass,,The lungs appear clear. The heart and pulmonary XXXX are normal. Mediastinal contours are normal. Surgical clips are identified in the mediastinum. Pleural spaces are clear. Soft tissue XXXX previously noted along the right lateral chest wall has resolved.,No acute cardiopulmonary disease
2537,"Opacity/lung/base/right/patchy;Pulmonary Atelectasis/base/bilateral;Cicatrix/lung/base/bilateral;Calcified Granuloma/lung/apex/right;Airspace Disease/lung/base/right/acute;Lung Diseases, Interstitial","Opacity;Pulmonary Atelectasis;Cicatrix;Calcified Granuloma;Airspace Disease;Lung Diseases, Interstitial","CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",Shortest breath,"XXXX, XXXX.","Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Right-sided aortic XXXX. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. There is right basal XXXX patchy opacity and bibasal atelectasis or scarring. There is no pleural effusion or pneumothorax. Right apical calcified granuloma noted.","1. Right basal acute airspace disease. Please correlate clinically for pneumonia. 2. Chronic interstitial pattern, may reflect COPD."
2538,normal,normal,"PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ",ICD 9 code 795.5,None available,Normal heart size and mediastinal contours. No abnormal airspace opacities or large cavitary lung lesions. Visualized osseous structures are unremarkable in appearance.,No radiographic evidence of tuberculosis.
2539,normal,normal,"Chest x-XXXX 2 views, XXXX, XXXX XXXX XXXX ",Upper XXXX infection symptoms,none,Normal cardiomediastinal contours. No pneumothorax or pleural effusions. No focal lung consolidation.,1. No acute cardiopulmonary abnormalities.
2540,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. ",XXXX-year-old woman with chest pain.,"Two view chest radiograph dated XXXX, XXXX.","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.",No acute cardiopulmonary abnormality.
2541,normal,normal,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old male with left posterior rib pain.,None.,"The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures identified.",1. No acute intrathoracic abnormality.
2542,normal,normal,Chest 2 views dated XXXX. ,Chest pressure.,Chest x-XXXX XXXX.,"The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. [Pulmonary vascularity is within normal limits>]. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",No acute cardiopulmonary abnormality identified.
2543,"Cardiomegaly;Pulmonary Edema/lower lobe/bilateral;Pulmonary Edema/middle lobe/bilateral;Catheters, Indwelling/thorax/right/anterior","Cardiomegaly;Pulmonary Edema;Pulmonary Edema;Catheters, Indwelling","XXXX PA lateral chest 3 images XXXX, XXXX XXXX comparison XXXX XXXX. ",History of XXXX,,,Cardiomegaly with midlung and lower lobe edema. Shunt catheter overlies the right anterior chest.
2544,Cardiomegaly/mild;Granulomatous Disease;Spine/degenerative;Implanted Medical Device/heart,Cardiomegaly;Granulomatous Disease;Spine;Implanted Medical Device,Xray Chest PA and Lateral,Chest pain this a.m.,XXXX,Heart is mildly enlarged but stable. Pulmonary vascularity is normal. The patient is status post valve replacement. XXXX sternotomy XXXX intact. No focal airspace disease or effusion. Residuals of prior granulomatous infection. Degenerative change of the spine. No pneumothorax.,1. Stable cardiomegaly without evidence for acute pulmonary process.
2545,normal,normal,"Chest x-XXXX, 2 views. XXXX. XXXX a.m. ",XXXX.,None.,"The trachea is midline. The cardiomediastinal silhouette is normal. Lung XXXX are clear without evidence of effusion, infiltrate, or pneumothorax. Visualized bony structures are intact. Visualized soft tissues appear normal.",Normal chest x-XXXX.
2546,"Aorta, Thoracic/tortuous","Aorta, Thoracic",PA and lateral chest x-XXXX XXXX,"Chest pain, pressure",None,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.,Tortuous thoracic aorta. Clear lungs.
2547,Opacity/lung/lower lobe/right/mild;Consolidation/lung/lower lobe/right;Pneumonia/lower lobe/right/mild;Airspace Disease/lung/lower lobe/right,Opacity;Consolidation;Pneumonia;Airspace Disease,Xray Chest PA and Lateral,Right upper quadrant abdominal pain and nonproductive XXXX for one XXXX.,"XXXX, XXXX",Normal heart size and mediastinal contours. There is interval improvement in the right lower lobe airspace disease. There is XXXX mild air space opacity in that distribution. No XXXX airspace disease. No pneumothorax or pleural effusion.,Improved right lower lobe consolidation with mild residual or recurrent pneumonia. Recommend radiographic follow up after appropriate therapy to confirm resolution. If there is no improvement consider XXXX for further evaluation. .
2548,Lung/hypoinflation;Pulmonary Atelectasis/base/bilateral/patchy/streaky;Cicatrix/lung/base/bilateral/patchy/streaky;Costophrenic Angle/bilateral/posterior/blunted,Lung;Pulmonary Atelectasis;Cicatrix;Costophrenic Angle,AP portable chest,XXXX PLEURAL EFFUSION SEEN ON XXXX;,at XXXX,,"1. Low lung volumes 2. Patchy and streaky bibasilar atelectasis or scarring, unchanged from prior study 3. Blunting of the costophrenic XXXX suggestive of small pleural effusions. This is seen XXXX in the posterior costophrenic recesses 4. Esophagogastric to the in XXXX, the distal tip coursing inferiorly into the stomach and not included on the study. Previously noted esophagogastric flexion catheter has been removed 5. Previously noted left-sided PICC line has been removed."
2549,normal,normal,Chest x-XXXX XXXX and lateral performed on XXXX ,Chest pain.,Radiograph from XXXX.,The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,No acute cardiopulmonary abnormalities.
2550,No Indexing,No Indexing,Xray Chest PA and Lateral .,"INDICATION: ASPIRATION PNA; aspiration PNA. Pt. states no chest pain, sob, XXXX. XXXX states prev inj/XXXX to chest/ Hx of smoking",XXXX.,,"Compared with prior examination mildly improved inspirational XXXX. Lung parenchyma is not clear. No acute airspace disease, large pleural effusions or pulmonary edema. No XXXX of acute cardiopulmonary disease."
2551,normal,normal,Xray Chest PA and Lateral,Palpitations,XXXX,Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,No acute cardiopulmonary process.
2552,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old female with XXXX and XXXX,None,"Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable",Negative for acute cardiopulmonary abnormality.
2553,Calcified Granuloma/lung/multiple/small;Spine/degenerative,Calcified Granuloma;Spine,Xray Chest PA and Lateral,"XXXX-year-old male with XXXX, 786.2",None,There are several small calcified granulomas. The lungs are otherwise clear. No focal airspace consolidation. No suspicious pulmonary mass or nodule is identified. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are diffuse degenerative changes of the spine.,No evidence of active disease.
2554,Lung/hyperdistention/mild;Costophrenic Angle/left/blunted;Pulmonary Atelectasis/left;Cicatrix/lung/left,Lung;Costophrenic Angle;Pulmonary Atelectasis;Cicatrix,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with chest pain and dyspnea.,Chest radiograph on XXXX.,This is a stable normal cardiomediastinal silhouette. The lungs are mildly hyperexpanded. Some blunting of the left costophrenic XXXX XXXX represent scarring or atelectasis. No large pneumothorax or effusion. There are no acute osseous abnormalities.,1. No acute radiographic cardiopulmonary process.
2555,Lung/hyperdistention/mild,Lung,Xray Chest PA and Lateral,"XXXX, XXXX abdominal pain, XXXX",None,Heart size is normal. Mild lung hyperexpansion. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,No acute abnormality. .
2557,Cardiomegaly/mild;Technical Quality of Image Unsatisfactory ,Cardiomegaly;Technical Quality of Image Unsatisfactory ,Xray Chest PA and Lateral,"XXXX-year-old, syncope",None available,,Mild cardiomegaly. No overt edema. Lateral image is degraded by motion but there suggestion of minimal bibasilar airspace disease/atelectasis. No appreciable pleural effusion or pneumothorax.
2558,normal,normal,Xray Chest PA and Lateral,XXXX-year-old female involved in XXXX vehicle collision.,"XXXX, XXXX.",There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits.,No acute cardiopulmonary findings. .
2559,normal,normal,PA and lateral chest x-XXXX XXXX,Preop evaluation,None,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,No evidence of active disease.
2560,Calcified Granuloma/lung/upper lobe/left,Calcified Granuloma,"2 views chest, XXXX hours, XXXX, XXXX. ",XXXX and chest pain,XXXX,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 calcified granuloma in the left upper lung. No acute bony abnormality is identified.,No acute cardiopulmonary abnormality.
2561,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Chest pain,"PA and lateral views of the chest on XXXX, XXXX.",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.
2562,Lung/hypoinflation;Markings/bronchovascular;Opacity/lung/base/bilateral/mild;Pulmonary Atelectasis/base/bilateral/mild;Thoracic Vertebrae/degenerative;Dislocations/thoracic vertebrae;Dislocations/lumbar vertebrae,Lung;Markings;Opacity;Pulmonary Atelectasis;Thoracic Vertebrae;Dislocations;Dislocations,"PA and lateral chest, XXXX, XXXX XXXX XXXX ",XXXX year-old female with XXXX.,PA and lateral chest x-XXXX dated XXXX.,"The heart size is normal. The mediastinal contour is within normal limits. Low lung volumes and bronchovascular crowding. Mild bibasilar opacities, XXXX atelectasis. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. Stable degenerative change throughout the thoracic spine. Stable thoracolumbar retrolisthesis. There is no visible free intraperitoneal air under the diaphragm.",No acute radiographic cardiopulmonary process.
2563,normal,normal,Xray Chest PA and Lateral,"Pain, seizure.",None.,"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. .
2564,normal,normal, Chest. Two views. XXXX. ,Chest pain,,"Normal cardiac size and contour unremarkable mediastinal silhouette. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease.","Normal cardiac size and contour unremarkable mediastinal silhouette. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease."
2565,"Aorta/tortuous;Lung/hypoinflation;Fractures, Bone/ribs/right/healed","Aorta;Lung;Fractures, Bone",CHEST 2V FRONTAL/LATERAL ,preop patient not XXXX of XXXX date stated pain radiates XXXX both XXXX left side worse XXXX on XXXX of both feet,None,The heart is normal in size. The aorta is tortuous. The lungs are hypoinflated. No focal consolidation or pleural effusion seen. Old right-sided rib fracture is noted.,1. Low lung volumes without acute infiltrate. 2. Aortic tortuosity and mild ectasia.
2566,normal,normal,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.",Abdominal pain.,"XXXX, XXXX",,The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.
2567,normal,normal,Xray Chest PA and Lateral,"XXXX, XXXX and shortness of breath",None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2568,Surgical Instruments/abdomen/right,Surgical Instruments,CHEST FRONTAL AND LATERAL VIEWS dated XXXX at XXXX.,"XXXX-year-old female with history of aortic stenosis, pulmonic stenosis. ICD 9 codes 746.3, 746.02.",XXXX.,XXXX XXXX sternotomy XXXX appear intact. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is within normal limits. There is no focal lung opacity. Clips overlie the right upper quadrant.,No acute cardiopulmonary findings.
2569,"Atherosclerosis/aorta, thoracic;Emphysema/mild;Cicatrix/pleura/apex/bilateral;Calcified Granuloma/lung/lower lobe/right",Atherosclerosis;Emphysema;Cicatrix;Calcified Granuloma,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX p.m. ",XXXX-year-old female with chest pain.,None.,"The heart is normal size. The mediastinum is unremarkable. Atherosclerotic calcifications present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild emphysematous changes are noted. Bilateral apical pleural scarring is present. Calcified granuloma is present within the right lower lobe. The XXXX are generally unremarkable.",No acute cardiopulmonary abnormality.
2570,"Cardiac Shadow/enlarged;Pericardial Effusion/mild;Pulmonary Congestion;Markings/lung/interstitial;Aorta, Thoracic/tortuous;Cardiomegaly;Pulmonary Edema/mild;Thickening/pleura","Cardiac Shadow;Pericardial Effusion;Pulmonary Congestion;Markings;Aorta, Thoracic;Cardiomegaly;Pulmonary Edema;Thickening",Xray Chest PA and Lateral,"XXXX, hypertension.","XXXX, XXXX.","There has been interval increase in size of the cardiac silhouette from XXXX. The cardiac fluid is now mildly enlarged. Pulmonary vasculature is increased with mildly increased interstitial markings and fissural thickening, suggesting mild pulmonary edema. There is no focal airspace disease, pneumothorax, or large pleural effusion. Descending thoracic aorta is tortuous. There are no acute bony findings.",Cardiomegaly which appears XXXX from XXXX with probable mild pulmonary edema. .
2571,Spine/degenerative,Spine,2 views chest PA and Lateral XXXX ,Chest pain,XXXX,"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. Degenerative spine.",No acute cardiopulmonary disease.
2572,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",Patient with suspected Colon Cancer at XXXX stage,None,Lungs are clear without focal consolidation. No suspicious pulmonary nodules identified. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,Clear lungs.
2573,normal,normal,"Chest 2 views PA and lateral XXXX, XXXX XXXX a.m. ",Actinomyces Healing Wound,None,"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.
2574,Calcified Granuloma/lung/middle lobe/right,Calcified Granuloma,"PA lateral chest XXXX, XXXX XXXX comparison XXXX XXXX ",dyspnea,,,heart size normal. Lungs clear. Calcified 5 mm right midlung granuloma.
2575,Spine/degenerative,Spine,Xray Chest PA and Lateral,,Chest 2 views. XXXX.,The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes within the spine.,Clear lungs. No acute cardiopulmonary abnormality. .
2576,Pneumonectomy/lung/upper lobe/left;Cicatrix/lung/hilum/left,Pneumonectomy;Cicatrix," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ","Pt is a XXXX XXXX female w/ XXXX, COPD, hx of XXXX and TB who presents w/ worsening SOB","XXXX, XXXX.",No change in the appearance of the left upper lobectomy. Left parahilar scar is unchanged. No XXXX infiltrates or masses in the lungs. Heart size remains normal.,Stable chest. No evidence for recurrence or metastasis.
2577,Opacity/lung;Pulmonary Atelectasis;Airspace Disease/lung,Opacity;Pulmonary Atelectasis;Airspace Disease,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. ",XXXX-year-old XXXX with syncope.,None.,"Cardiomediastinal silhouette within normal limits. No acute bony abnormality. There are XXXX XXXX opacities, atelectasis versus airspace disease. No large effusion or pneumothorax.",XXXX XXXX atelectasis/airspace disease.
2578,"Sclerosis;Fractures, Bone/ribs/bilateral/multiple/healed","Sclerosis;Fractures, Bone","PA and LATERAL views of the chest, dated XXXX, XXXX XXXX PM","XXXX-year-old female with multiple myeloma, bone marrow transplant workup",XXXX chest x-XXXX and XXXX scan,"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."
2579,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old female with chest pain.,None,"The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax unremarkable.",Negative for acute cardiopulmonary abnormality.
2580,Cicatrix/lung/upper lobe/right;Thickening/pleura,Cicatrix;Thickening,"2 views chest, XXXX hours, XXXX, XXXX. ",Chest pain,XXXX,Heart size and mediastinal contours are unchanged. Stable right upper lobe scarring with pleural thickening. No XXXX consolidation. No visible pleural effusion or pneumothorax.,Stable chest. No acute cardiopulmonary abnormality.
2581,Spine/degenerative/mild;Diaphragm/bilateral/flattened,Spine;Diaphragm,Xray Chest PA and Lateral,XXXX-year-old with XXXX loss and XXXX. XXXX history of abdominal cancer.,AP chest dated XXXX.,"CHEST. The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are minimal degenerative changes of the spine. There is flattening of the hemidiaphragms. ABDOMEN. There is a normal bowel XXXX pattern. There is an IVC XXXX identified. There are phleboliths in pelvis. There mild degenerative changes of the spine.",CHEST. No acute cardiopulmonary disease. ABDOMEN. Normal bowel XXXX pattern.
2582,Lung/hypoinflation;Markings/bronchovascular;Nodule/lung/base/right;Density/lung/base/right,Lung;Markings;Nodule;Density,Xray Chest PA and Lateral,"XXXX-year-old female, dyspnea",None,"Low lung volumes with bronchovascular crowding. Otherwise, no focal alveolar consolidation, no definite pleural effusion seen. A dense nodule in the right base suggest a previous granulomatous process. Heart size within normal limits, bronchovascular crowding without typical findings of pulmonary edema.",Low lung volumes with no definite acute findings.
2583,normal,normal,CHEST 2V FRONTAL/LATERAL ,Chest pain,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2584,normal,normal,Xray Chest PA and Lateral,Chest pain for one XXXX.,"XXXX, XXXX.","2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",No acute cardiopulmonary abnormality identified.
2585,Costophrenic Angle/right/blunted/mild;Heart/right/obscured/mild;Airspace Disease/lung/middle lobe/right;Spine/degenerative,Costophrenic Angle;Heart;Airspace Disease;Spine,"PA and LAT view CHEST XXXX, XXXX XXXX PM",XXXX and shortest breath for 2 weeks,XXXX,Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. There is mild blunting of the right costophrenic XXXX on the frontal view. There is also mild obscuration of the right cardiac XXXX. Airspace disease in expected location of right middle lobe also noted on the lateral view to No pleural effusion. Left lung clear. Degenerative changes spine. No pneumothorax.,"Right middle lobe airspace disease, which could represent pneumonia in the appropriate clinical setting."
2586,Aortic Aneurysm,Aortic Aneurysm,"PA and lateral chest XXXX, XXXX XXXX ",XXXX. Preop exam,with no comparison XXXX film there is a comparison CT scan XXXX,,Lungs are clear. Heart size normal. Dilated aorta secondary to aortic dissection.
2587,"Catheters, Indwelling/right;Implanted Medical Device/humerus/right;Deformity/thoracic vertebrae;Deformity/lumbar vertebrae;Kyphosis/thoracic vertebrae;Kyphosis/lumbar vertebrae","Catheters, Indwelling;Implanted Medical Device;Deformity;Deformity;Kyphosis;Kyphosis","Chest, 2 views, frontal and lateral",XXXX and cardiomyopathy,None.,Right chest XXXX tip low SVC. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Prosthetic right humeral head. Prior lower cervical spine surgery. XXXX deformity at the thoracolumbar junction with an acute kyphosis.,No acute pulmonary findings.
2588,Density/lung/base/left/round,Density,PA and lateral chest,"XXXX-year-old female, pain, alleged physical assault",None,"No focal consolidation, pneumothorax or definite pleural effusion. Nodular density projected over the left base with no lateral view correlate XXXX secondary to soft tissue overlay. Heart size and pulmonary vascularity within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury XXXX demonstrated.",No acute findings. Please note that fractures may not be demonstrated and consider additional imaging as clinically indicated.
2589,Cardiomegaly;Calcinosis/aorta;Calcified Granuloma/bilateral/multiple,Cardiomegaly;Calcinosis;Calcified Granuloma,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with chest pain.,Chest radiograph of XXXX.,"There are no acute osseous abnormalities. Soft tissues are within normal limits. There is stable enlargement of the heart. Calcific aorta. Stable bilateral calcified granulomas. The lungs are clear bilaterally without focal area of consolidation, pleural effusion, or pneumothorax.",No acute radiographic cardiopulmonary process.
2590,normal,normal,Xray Chest PA and Lateral,"Cervical cancer, preop",XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2591,normal,normal,"CHEST PA and Lateral on XXXX, XXXX COMPARISXXXX/XXXX ",XXXX-year-old complaining of chest pain,,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.
2592,normal,normal,Xray Chest PA and Lateral,Chest pain after coughing for 2 weeks.,None,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.
2593,Cardiomegaly/mild;Lung/bilateral/interstitial/prominent,Cardiomegaly;Lung,"Chest, 2 views, XXXX XXXX ComparisXXXX/XXXX ",Back pain,,"Mild cardiomegaly is unchanged. Stable superior mediastinal contour which is within normal limits. Bilateral interstitial prominence. No focal airspace consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities.","Mild cardiomegaly with interstitial prominence, could represent mild interstitial edema, atypical infection, or chronic interstitial changes."
2594,Aorta/tortuous;Lung/hypoinflation;Diaphragm/right/elevated/mild;Opacity/lung/lower lobe/right/streaky;Infiltrate/lung/lower lobe/right/streaky;Pulmonary Atelectasis/lower lobe/right,Aorta;Lung;Diaphragm;Opacity;Infiltrate;Pulmonary Atelectasis,"PA and lateral chest, XXXX, XXXX XXXX XXXX ",XXXX-year-old male with history of XXXX x1 and vomiting/hemoptysis for one XXXX.,None.,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 normal. There is no visible free intraperitoneal air under the diaphragm.,Streaky right lower lobe infiltrate versus atelectasis.
2595,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old female with dyspnea..,"Two-view chest radiograph dated XXXX, XXXX.","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 acute cardiopulmonary abnormality..
2596,normal,normal,Xray Chest PA and Lateral,Pain.,None.,"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 findings. .
2597,Lung/hilum/lymph nodes/bilateral/enlarged;Mediastinum/lymph nodes/bilateral/enlarged,Lung;Mediastinum, CHEST 2V FRONTAL/LATERAL XXXX ,"Sarcoidosis, XXXX CXR","Chest CT in XXXX, XXXX.",The mediastinal and hilar lymph XXXX are less prominent than previously. Heart size remains normal. Lungs are clear.,Decreasing bilateral hilar adenopathy. Continued clear lungs.
2599,Opacity/lung/apex/left/irregular;Opacity/lung/upper lobe/left;Thoracic Vertebrae/degenerative,Opacity;Opacity;Thoracic Vertebrae,Xray Chest PA and Lateral,"XXXX-year-old male, XXXX.",Cervical spine x-XXXX dated XXXX.,There is an irregular opacity projecting over the left apex. Additionally there is a more inferior left upper lobe opacity measuring approximately 6 mm in diameter. No pneumothorax. No pleural effusions. Heart size is normal limits. Degenerative changes thoracic spine.,"Left upper lobe opacities, cannot exclude mass lesions. Recommend CT chest for further evaluation."
2600,Implanted Medical Device/cervical vertebrae,Implanted Medical Device," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ","XXXX, pre-op","XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Note XXXX of placement of a retention XXXX in the lower cervical spine.,No active disease.
2601,normal,normal,Xray Chest PA and Lateral,,,,
2604,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX No comparison.. Both lungs are clear and expanded. Heart and mediastinum normal. ",chest pain,,,No active disease.
2605,normal,normal,"Chest single view. XXXX, XXXX XXXX PM ",XXXX,XXXX,Single view of chest was obtained in AP projection. Limited study secondary to body habitus. The cardiomediastinal silhouette is not enlarged. Lungs demonstrate no focal infiltrates. There is no effusion or pneumothorax.,1. No acute pulmonary disease.
2606,"Lung/interstitial/prominent;Density/mediastinum;Hernia, Hiatal/moderate;Aorta, Thoracic/tortuous;Calcinosis/aorta;Kyphosis/thoracic vertebrae/severe;Deformity/thoracic vertebrae/anterior/multiple;Bone Diseases, Metabolic/diffuse","Lung;Density;Hernia, Hiatal;Aorta, Thoracic;Calcinosis;Kyphosis;Deformity;Bone Diseases, Metabolic","PA and Lateral views of the Chest performed on XXXX, XXXX. ",XXXX-year-old female with chest pain.,"XXXX, XXXX.","There is stable prominence of the pulmonary interstitium. XXXX and fluid containing density seen adjacent to the heart is stable, most consistent with a moderate sized hiatal hernia. There is stable tortuosity and/or ectasia of the thoracic aorta, with calcification of the aortic XXXX. No pleural effusion, focal airspace disease or pneumothorax. Stable exaggerated kyphosis of the thoracic spine, stable anterior wedge deformities of at XXXX 2 thoracic vertebral bodies at the apex of the kyphotic curvature. Diffuse osteopenia.",1. No acute pulmonary disease. 2. Stable moderate hiatal hernia.
2607,Lung/hyperdistention,Lung,Xray Chest PA and Lateral,"786.2, 30yof with XXXX",No comparison chest x-XXXX.,,Lungs appear hyperinflated. This may be secondary to XXXX voluntary XXXX considering patient's age. Clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
2608,Consolidation/lung/lower lobe/bilateral;Costophrenic Angle/lower lobe/bilateral/blunted;Airspace Disease/lung/base/bilateral;Pleural Effusion/bilateral,Consolidation;Costophrenic Angle;Airspace Disease;Pleural Effusion," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX XXXX F with dyspnea and CHF exacerbation,"XXXX, XXXX.",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.
2609,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX No comparison. Both lungs are clear and expanded. Heart and mediastinum normal. ",pain,,,No active disease.
2610,Lung/hyperdistention;Cicatrix/lung/upper lobe/right;Pulmonary Atelectasis/upper lobe/right;Calcinosis/aorta,Lung;Cicatrix;Pulmonary Atelectasis;Calcinosis, PA and lateral views. ,XXXX-year-old female. Shortness of breath. XXXX.,None.,"The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs, without focal consolidation, pneumothorax or large pleural effusion. XXXX right upper lobe scarring/atelectasis. Aortic calcifications.",Hyperexpanded lungs. XXXX right upper lobe scarring/atelectasis. No focal pneumonia.
2611,normal,normal,PA and lateral of the chest ,XXXX-year-old chest pain.,"XXXX, XXXX.",No focal consolidation. No visualized pneumothorax. Heart size is normal. Cardiac and mediastinal silhouette is grossly unremarkable.,1. No acute cardiopulmonary findings.
2612,normal,normal,Xray Chest PA and Lateral,Chest pain.,"XXXX, XXXX.","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. .
2613,Lung/hyperdistention/mild,Lung,Xray Chest PA and Lateral,"XXXX, XXXX LOSS",Comparison XXXX.,,"Lungs appear slightly hyperinflated, suggestive of emphysema. No acute airspace abnormality seen. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified."
2614,Opacity/right/paratracheal/prominent;Lymph Nodes/right/paratracheal/enlarged,Opacity;Lymph Nodes,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old female with dyspnea,CT chest XXXX,"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.
2615,Cardiomegaly/moderate;Pleural Effusion/bilateral/small;Opacity/lung/multiple/abnormal;Pulmonary Edema;Costophrenic Angle/bilateral/blunted/mild;Thickening/pleura;Opacity/lung/middle lobe/bilateral/interstitial/multiple;Opacity/lung/base/bilateral/interstitial/multiple;Pulmonary Congestion;Nodule/lung/lower lobe/right;Density/lung/lower lobe/right;Calcinosis/lung/hilum/right,Cardiomegaly;Pleural Effusion;Opacity;Pulmonary Edema;Costophrenic Angle;Thickening;Opacity;Opacity;Pulmonary Congestion;Nodule;Density;Calcinosis,Xray Chest PA and Lateral,"XXXX-year-old male, pain",,"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"
2616,"Costophrenic Angle/sulcus/right/blunted;Pleural Effusion/right/small;Hernia, Hiatal","Costophrenic Angle;Pleural Effusion;Hernia, Hiatal","CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",History of XXXX. Increasing right lower extremity pain.,None.,Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. The right costophrenic sulcus is blunted. There is an the right base XXXX/fluid level. The left lung is clear.,1. Right-sided small pleural effusion. 2. Right base XXXX/fluid level. Atypical location for a hiatal hernia. Cannot exclude a right lower lobe cavity. Correlation XXXX scan recommended. Does not appear to be a hydropneumothorax or empyema.
2617,Lung/hyperdistention;Kyphosis/severe,Lung;Kyphosis,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Dyspnea.,None.,The heart is normal in size and contour. There is no mediastinal widening. The lungs are hyperexpanded. No focal airspace disease. No large pleural effusion or pneumothorax. Exaggerated kyphosis.,No acute cardiopulmonary abnormalities.
2618,Opacity/lung/retrocardiac/focal/small,Opacity,"Chest X-XXXX portable, AP 1 view, XXXX, XXXX XXXX PM",XXXX-year-old with Left-sided chest pain,NONE,Normal cardiomediastinal contours. No pneumothorax or large pleural effusions. Small focal retrocardiac lung opacity.,"Small left retrocardiac opacity, may represent minimal atelectasis or small focus of airspace disease."
2619,Osteophyte/thoracic vertebrae/degenerative;Calcinosis/lung/hilum/lymph nodes/bilateral;Opacity/lung/middle lobe/bilateral/interstitial/round/small/mild,Osteophyte;Calcinosis;Opacity,"PA and lateral chest XXXX, XXXX XXXX CT chest XXXX ",History of sarcoidosis of the skin,,,Heart size normal. Degenerative spurring of thoracic spine. Calcified right and left hilar lymph XXXX. There is minimal interstitial nodular opacities in the right and left midlung. This could be consistent with sarcoidosis. The small nodular opacities were present on the old CT scan from XXXX
2620,normal,normal,XR frontal and lateral chest ,Chest pain,None,Cardiac silhouette within normal limits. Central pulmonary vasculature is not engorged. No pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. No edema or focal consolidation in the lungs.,No evidence of acute cardiopulmonary process.
2621,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",DYSPNEA/XXXX,None,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
2622,"Tube, Inserted/trachea, carina","Tube, Inserted","PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old male, history of head and neck cancer","Chest x-XXXX XXXX, XXXX",Normal heart size and mediastinal contours. No focal airspace consolidation. Tracheostomy tip approximately 5 cm above the carina. No pleural effusion or pneumothorax.,No acute cardiopulmonary abnormality.
2623,normal,normal,Xray Chest PA and Lateral,XXXX-year-old female with XXXX.,Chest XXXX.,"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. .
2624,Deformity/lumbar vertebrae/anterior/mild,Deformity,Xray Chest PA and Lateral,XXXX,None.,"Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. There is a mild anterior wedge XXXX deformity of L1, age-indeterminate.",1. No acute cardiopulmonary process. 2. Age indeterminant grade 1 anterior wedge XXXX deformity of L1.
2625,normal,normal,Two views of the chest dated XXXX at XXXX hours.,XXXX-year-old with chest pain and sternum pain. XXXX.,None.,Heart size and pulmonary vasculature are normal. Lungs are clear. No pneumothorax large effusion. No acute bony abnormality.,No acute cardiopulmonary abnormality.
2626,normal,normal,"CHEST 2V FRONTAL/LATERAL RADXXXX XXXX, XXXX XXXX PM ",weakness XXXX loss,,,"Comparison XXXX, XXXX. Anticipated senescent changes. No acute airspace disease or CHF. Stable mediastinal contour. No XXXX acute abnormalities since the previous examination.."
2627,Diaphragm/right/elevated/mild;Spine/degenerative,Diaphragm;Spine,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",chest pain,XXXX,Postsurgical changes of the right chest. Mild elevation of the right hemidiaphragm. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,Clear lungs.
2628,Lung/hypoinflation/mild;Pulmonary Atelectasis/base/bilateral/streaky/mild;Cicatrix/lung/base/bilateral;Calcified Granuloma/lung/lingula/posterior,Lung;Pulmonary Atelectasis;Cicatrix;Calcified Granuloma,"PA and lateral views of the chest dated XXXX, XXXX.","XXXX to inside of cheek, shortness of breath.","XXXX, XXXX.",The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. Lungs are mildly hypoinflated with minimal streaky atelectasis or scar in the lung bases. Lungs are otherwise grossly clear of focal airspace disease. There is a stable calcified granuloma in the posterior left midlung. There is no pneumothorax or pleural effusion. There are no acute bony findings.,Mildly low lung volumes with XXXX atelectasis or scarring in the lung bases.
2629,normal,normal,PA and lateral views of the chest ,XXXX,None,Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,No focal infiltrate.
2630,Aorta/tortuous/mild;Calcinosis/lung/hilum/lymph nodes/right,Aorta;Calcinosis,"PA and lateral chest XXXX, XXXX at XXXX",History of sarcoidosis.,None,,Heart size is normal. Slightly tortuous aorta. Calcified right hilar lymph XXXX. No adenopathy or fibrosis.
2631,Implanted Medical Device/humerus/right;Spinal Fusion/lumbar vertebrae,Implanted Medical Device;Spinal Fusion,"Radiographs of the chest, 2 views, PA and lateral views.","XXXX-year-old female. Soft tissue sarcoma, left leg. Recent right shoulder repair.","XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Interval placement of right humeral prosthesis, incompletely evaluated. Incompletely evaluated the lumbar spine fusion XXXX. XXXX cholecystectomy.","Interval placement of right humeral orthopedic XXXX, incompletely evaluated. If attention is desired to this area, consider dedicated shoulder x-XXXX."
2632,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, pain",,"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.",No acute findings
2633,Granulomatous Disease;Density/costophrenic angle/anterior/round;Thoracic Vertebrae/degenerative;Lumbar Vertebrae/degenerative;Scoliosis/mild,Granulomatous Disease;Density;Thoracic Vertebrae;Lumbar Vertebrae;Scoliosis,"Frontal lateral chest x-XXXX dated XXXX, XXXX XXXX","XXXX-year-old female, XXXX. Screening exam.","Gynoid 19, XXXX","Heart size is normal. Prior calcified granulomatous disease. On the lateral view in the anterior costophrenic XXXX, there is a 2.1 x 2 cm nodular density which seems to be present previously but is more nodular in appearance on this examination. No pleural effusion or pneumothorax. Endplate degenerative changes of the thoracolumbar spine and mild scoliosis are unchanged.","2.1 cm nodular density in the anterior costophrenic XXXX on the lateral view, which could represent overlapping shadows or actual pulmonary nodule. Recommend followup with chest CT."
2634,Thoracic Vertebrae/degenerative/moderate,Thoracic Vertebrae,PA AND LATERAL CHEST X-XXXX at XXXX on XXXX ,Chest pain,XXXX,Lungs are clear. No focal infiltrate or effusion. No pneumothorax. Heart and mediastinal contours within normal limits. There are significant degenerative changes of the thoracic spine.,No acute cardiopulmonary disease.
2635,normal,normal,Xray Chest PA and Lateral,XXXX year old with XXXX and congestion.,PA and lateral chest XXXX.,"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.
2636,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old male with dyspnea.,Comparison is XXXX to chest radiograph examination dated XXXX.,XXXX sternotomy XXXX remain in XXXX. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine.,1. No acute intrathoracic abnormality.
2637,Cardiomegaly;Pleural Effusion/bilateral/small;Opacity/lung/multiple/abnormal;Opacity/lung/middle lobe/bilateral/interstitial;Opacity/lung/middle lobe/pulmonary alveoli/bilateral;Opacity/lung/base/bilateral/interstitial;Opacity/lung/base/pulmonary alveoli/bilateral;Pulmonary Edema;Cardiac Shadow/enlarged/severe;Sulcus/bilateral/posterior/blunted/mild;Pulmonary Congestion,Cardiomegaly;Pleural Effusion;Opacity;Opacity;Opacity;Opacity;Opacity;Pulmonary Edema;Cardiac Shadow;Sulcus;Pulmonary Congestion,Xray Chest PA and Lateral,"XXXX-year-old male, short of breath",,"Moderate-to-marked enlargement of the cardiac silhouette, mediastinal contours appear similar to prior. Mild bilateral posterior sulcus blunting, interstitial and alveolar opacities greatest in the central lungs and bases with indistinct vascular margination.","1. Cardiomegaly and small bilateral pleural effusions 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, primary differential diagnosis includes infection and aspiration, clinical correlation recommended"
2638,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,Chest pain,,"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.
2639,Scoliosis/thoracic vertebrae/right/mild,Scoliosis,"TWO VIEWS OF THE XXXX AND LATERAL dated XXXX, XXXX at XXXX hours","XXXX-year-old XXXX with chest pain, tachycardia",None.,"The cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. There is mild midthoracic dextroscoliosis, with the XXXX XXXX otherwise grossly intact.",No acute cardiopulmonary abnormality.
2640,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old female with chest pain and shortness of breath..,None.,"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 acute cardiopulmonary abnormality..
2642,"Tube, Inserted/trachea;Density/lung/lower lobe/left/irregular;Pulmonary Emphysema;Nodule/lung/lower lobe/left/irregular;Costophrenic Angle/bilateral/blunted/mild;Pleural Effusion/bilateral/small;Lung/hyperdistention;Bone Diseases, Metabolic;Deformity/thoracic vertebrae;Density/ribs/left/posterior/irregular;Deformity/ribs/left","Tube, Inserted;Density;Pulmonary Emphysema;Nodule;Costophrenic Angle;Pleural Effusion;Lung;Bone Diseases, Metabolic;Deformity;Density;Deformity",Two-view chest dated XXXX at XXXX p.m.,XXXX failure status post ventilator.,None available,,"1. Tracheostomy tube in satisfactory position with tip in the mid intrathoracic trachea. 2. Ill-defined 2.5 cm x 1.9 cm irregular density in the left lower lung, XXXX lower lobe. This is superimposed on a background of probable emphysematous lung. Although this could be scar, concern is for nodule, and further evaluation XXXX chest is recommended. A message was left with doctor XXXX' service at 142 pm XXXX/11. 3. Mild bilateral costophrenic XXXX blunting XXXX due to small bilateral pleural effusions versus due to the degree of lung hyperinflation. 4. Osteopenia. Minimal loss of XXXX of an upper thoracic vertebra. 5. Irregular 1.8 cm density projecting over the left posterior rib 8 XXXX callus with XXXX similar less severe changes involving the two subjacent ribs posteriorly. 6. Heart size normal."
2643,normal,normal,2 views Chest: XXXX,"Shortness of breath, throat pain",None.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,1. No acute pulmonary abnormality.
2644,Cardiomegaly/mild;Kyphosis/thoracic vertebrae;Density/heart/small;Calcinosis/lung/hilum/lymph nodes/right;Nodule/lung/lingula,Cardiomegaly;Kyphosis;Density;Calcinosis;Nodule,"2 view ( PA and lateral) chest radiograph dated XXXX, XXXX ",XXXX-year-old female with chest pain,None.,"Mild cardiomegaly. Pulmonary vasculature is within normal limits. Costophrenic XXXX are XXXX. There is increased kyphotic curvature of the thoracic spine. Within the heart XXXX, there is a small area of oval-shaped density measuring 2.2 x 1.6 cm without correction for magnification. There is a calcified lymph node in the right hilum. No pneumothorax.","Lingular nodule measuring 2.2 x 1.6 cm. Recommend XXXX to further evaluate. The above findings and recommendations were discussed with XXXX XXXX at XXXX p.m. XXXX, XXXX XXXX telephone."
2645,Surgical Instruments/abdomen/right,Surgical Instruments,"Chest 2 views PA and lateral XXXX, XXXX XXXX p.m. ",Chest pain,"Chest 2 views PA and lateral XXXX, XXXX a.m.","Surgical clips within the right upper quadrant. 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.
2646,Osteophyte/thoracic vertebrae/right/prominent/multiple,Osteophyte,"PA and Lateral views of the Chest performed on XXXX, XXXX. ",XXXX-year-old male with chest pain.,"XXXX, XXXX","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.",No acute pulmonary disease.
2647,Foreign Bodies/posterior,Foreign Bodies,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old XXXX with shortness of breath.,"XXXX, XXXX","The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion. XXXX foreign body in the posterior soft tissues appear stable.",No acute cardiopulmonary abnormality.
2648,Cardiomegaly/borderline;Lung/hypoinflation;Calcified Granuloma/lung/upper lobe/right,Cardiomegaly;Lung;Calcified Granuloma,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours.",XXXX-year-old female. Chest pain for couple days.,"XXXX, XXXX.","Borderline cardiomegaly, XXXX at XXXX partially accentuated by low lung volumes. Right upper lobe calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.","Low lung volumes, otherwise clear."
2649,normal,normal,PA and lateral chest radiograph on XXXX at 21: 28 hours. ,XXXX-year-old female with XXXX.,XXXX.,"Heart size and mediastinal contour are within normal limits. Pulmonary vascularity is normal. No focal consolidation, large pleural effusion, or pneumothorax. The visualized osseous structures appear intact.",No acute cardiopulmonary abnormalities.
2650,Implanted Medical Device/left;Cardiac Shadow/enlarged;Diaphragm/left/elevated;Thoracic Vertebrae/degenerative;Cardiomegaly,Implanted Medical Device;Cardiac Shadow;Diaphragm;Thoracic Vertebrae;Cardiomegaly,"PA and Lateral Chest on XXXX, XXXX XXXX XXXX.","XXXX-year-old male with history of pneumonia and CHF, followup bilateral pneumonia 4 weeks ago, shortness of breath and productive XXXX.",PA and lateral chest x-XXXX dated XXXX.,"There is redemonstration of an AICD in the left chest wall with intact stable XXXX placement. There are multiple intact XXXX sternotomy XXXX. There is persistent enlargement of cardiac silhouette. Mediastinal silhouette appears unremarkable. There is elevation of the left hemidiaphragm. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. Redemonstration of degenerative change in the thoracic spine.",1. Stable cardiomegaly without infiltrates.
2651,normal,normal,PA and lateral chest x-XXXX ,XXXX-year-old female with XXXX.,,"Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",No acute cardiopulmonary abnormalities.
2652,Calcinosis/mediastinum/lymph nodes,Calcinosis,Xray Chest PA and Lateral,Positive PPD. XXXX.,"XXXX, XXXX",XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. There is calcified mediastinal lymph XXXX. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,1. No acute pulmonary disease.
2653,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"PA and Lateral Chest. XXXX, XXXX XXXX XXXX . ",XXXX-year-old with chest pain.,None.,"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.
2654,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",sob,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
2655,normal,normal,PA and lateral chest dated XXXX ,Elevated blood pressure and thoracic pain,XXXX,The cardiomediastinal silhouette is normal in size in appearance and stable from XXXX. The lungs are clear. Soft tissues and bony structures are unremarkable. No pneumothorax or pleural effusion.,Unremarkable examination of the chest.
2656,Granulomatous Disease;Thoracic Vertebrae/degenerative,Granulomatous Disease;Thoracic Vertebrae,Xray Chest PA and Lateral,Chest pain,XXXX,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.,No acute cardiopulmonary process.
2657,Pleural Effusion/bilateral/small;Pulmonary Edema/interstitial,Pleural Effusion;Pulmonary Edema,"PA and lateral chest XXXX, XXXX XXXX ",heart failure. Myopericarditis.,None,,"Heart size is normal. Small bilateral pleural effusions right greater than left. Probable interstitial edema, less XXXX fibrosis."
2658,"Atherosclerosis/aorta, thoracic",Atherosclerosis,"PA lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old female, XXXX","Chest x-XXXX XXXX, XXXX",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.,No acute cardiopulmonary abnormalities.
2659,normal,normal,Xray Chest PA and Lateral,XXXX-year-old complaining of left-sided chest pain for one month.,None.,No focal lung consolidation. No pneumothorax or large pleural effusion. Heart size and pulmonary vascularity are within normal limits. Osseous structures are grossly intact.,No acute cardiopulmonary process.
2660,normal,normal," PA and lateral chest XXXX, XXXX at XXXX comparison XXXX XXXX ",XXXX rule out pneumonia,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
2661,Cardiomegaly/mild;Lung/hypoinflation,Cardiomegaly;Lung,Xray Chest PA and Lateral,XXXX-year-old female. Chest pain.,None.,"Mild cardiomegaly. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",Mild cardiomegaly without heart failure.
2662,normal,normal,Xray Chest PA and Lateral,XXXX and wheezing,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2663,normal,normal,"PA and lateral chest XXXX, XXXX.",XXXX and asthma shortness of breath.,,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.,No active disease.
2664,Opacity/lung/base/left/streaky/mild;Pulmonary Atelectasis/base/left;Infiltrate/lung/base/left,Opacity;Pulmonary Atelectasis;Infiltrate,Xray Chest PA and Lateral,"XXXX-year-old female, chest pain",,,"Stable cardiomediastinal silhouette with normal heart size. XXXX mild streaky opacities in the left base, atelectasis versus infiltrate. No definite pleural effusion seen. No typical findings of pulmonary edema."
2665,normal,normal,"CHEST PA and Lateral on XXXX, XXXX ","XXXX-year-old complaining of XXXX, XXXX, history of asthma. Chest pain.",XXXX,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.
2666,Lung/hyperdistention,Lung,Xray Chest PA and Lateral,Esoph cancer,"Comparison XXXX, XXXX.",,Stable appearing hyperinflated chest. Postop changes mediastinum as before. No suspicious appearing lung nodules or acute airspace disease. No XXXX acute abnormalities since the previous chest radiograph.
2667,normal,normal,PA and lateral views of the chest. ,"XXXX-year-old male with XXXX, XXXX, and XXXX.",None available.,Heart size normal. No focal airspace disease. No pneumothorax or effusions. No bony abnormalities.,No acute cardiopulmonary findings.
2668,normal,normal,CHEST 2V FRONTAL/LATERAL ,Syncope,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2669,Opacity/lung/lower lobe/left/patchy/small,Opacity,Xray Chest PA and Lateral,"XXXX-year-old female, chest pain",None,,"Small patchy left lower lobe opacity, primary differential considerations include atelectasis, infiltrate, aspiration, clinical correlation recommended. No definite pleural effusion seen. Heart size within normal limits for technique, no typical findings of pulmonary edema."
2670,Lung/hyperdistention;Diaphragm/bilateral/flattened;Pulmonary Emphysema;Opacity/lung/lingula/streaky;Opacity/lung/hilum/left/streaky;Costophrenic Angle/bilateral/blunted/mild;Thickening/pleura/bilateral;Cicatrix/pleura/bilateral;Thoracic Vertebrae/degenerative;Pulmonary Atelectasis,Lung;Diaphragm;Pulmonary Emphysema;Opacity;Opacity;Costophrenic Angle;Thickening;Cicatrix;Thoracic Vertebrae;Pulmonary Atelectasis,PA and lateral views of the chest. ,XXXX-year-old male with worsening dyspnea over 2 months.,None available.,"Hyperexpanded lungs with flattened hemidiaphragms, consistent with emphysema. There is streaky airspace opacities in the left suprahilar and lingular regions. No pneumothorax or effusions. Mild bilateral costophrenic XXXX blunting XXXX represents pleural thickening and scarring. Degenerative changes of the thoracic spine.","Emphysematous changes with streaky opacities in the left perihilar and lingular regions, XXXX focal atelectasis and scarring."
2671,Markings/lung/bilateral/prominent/chronic,Markings,Chest x-XXXX,Weakness,XXXX,,"PA and lateral views were obtained. Again, a chronic increased pulmonary markings are seen without change. No acute airspace process. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact."
2672,normal,normal,PA and lateral views of chest performed XXXX/XXXX at XXXX. ,Chest pain.,None.,The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,1. No acute cardiopulmonary disease.
2673,Cardiomegaly;Pulmonary Congestion;Pulmonary Edema/base/bilateral/interstitial;Infiltrate/lung/base/bilateral/interstitial;Heart Failure,Cardiomegaly;Pulmonary Congestion;Pulmonary Edema;Infiltrate;Heart Failure,"Two-view chest. XXXX hours XXXX, XXXX. ",Chest pain.,"XXXX, XXXX.","The heart is large. In the interval, pulmonary venous engorgement has developed. Also, bibasilar interstitial infiltrates are present.",Developing heart failure with pulmonary venous engorgement and bibasilar pulmonary interstitial edema.
2674,normal,normal,Xray Chest PA and Lateral,PRE-OP pre op bladder XXXX. non XXXX. no chest complaints.,None.,,Normal heart size. Normal pulmonary vasculature. Normal mediastinal contours. Lung parenchyma is clear. No airspace disease. No pulmonary edema. No XXXX of pleural effusions. No XXXX of metastasis. No XXXX of active cardiopulmonary disease.
2676,"Tube, Inserted;Lung/hypoinflation;Cardiac Shadow/enlarged;Atherosclerosis/aorta, thoracic;Diaphragm/right/elevated;Diaphragm/left/obscured;Pulmonary Atelectasis/base/bilateral;Cardiomegaly","Tube, Inserted;Lung;Cardiac Shadow;Atherosclerosis;Diaphragm;Diaphragm;Pulmonary Atelectasis;Cardiomegaly", PA and lateral views. ,XXXX-year-old female. Increasing oxygen requirement.,"XXXX, XXXX.","Nasogastric tube tip XXXX within the stomach body, stable. Low lung volumes. Stable enlarged cardiomediastinal silhouette. Atherosclerosis of the thoracic aorta. No focal consolidation, pneumothorax or large pleural effusion. Relative elevation of right hemidiaphragm. Stable obscuration of lateral left diaphragm.",Stable subsegmental bibasilar atelectasis. Cardiomegaly without heart failure.
2677,"Aorta, Thoracic/tortuous/mild;Foreign Bodies/thorax/right","Aorta, Thoracic;Foreign Bodies","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. ",XXXX-year-old XXXX with chest pain.,None.,"Heart size normal. Mild tortuosity of the thoracic aorta. There is no focal consolidation, pneumothorax, or pleural effusion identified. A bullet is noted in the soft tissues of the inferior right chest wall. No acute bony abnormality.",No acute cardiopulmonary abnormality.
2679,Scoliosis/thoracic vertebrae/moderate;Scoliosis/lumbar vertebrae/moderate,Scoliosis;Scoliosis,"Radiographs of chest PA and lateral, two views. Examination date XXXX, XXXX ","Tobacco abuse. XXXX for 3-4 weeks and also XXXX, 10 XXXX.",None.,,Normal heart size and normal mediastinal contours. Normal pulmonary vasculature. No XXXX of pleural effusions. No infiltrates. Moderate scoliosis in the thoracolumbar spine. Normal X-XXXX of chest.
2680,normal,normal,Xray Chest PA and Lateral,XXXX,,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.
2681,Foreign Bodies/thorax/left/small;Calcinosis/aorta;Spine/degenerative/mild,Foreign Bodies;Calcinosis;Spine,Xray Chest PA and Lateral,XXXX-year-old with shortness of breath. History of bladder cancer. XXXX.,Two views of the chest dated XXXX.,"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 small stable XXXX foreign body noted over the left chest. There are vascular calcifications over the aortic XXXX. There are mild degenerative changes of the spine.",No acute cardiopulmonary disease.
2683,normal,normal," PA and lateral chest XXXX, XXXX XXXX with comparison XXXX XXXX ",left chest wall pain,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
2684,Calcified Granuloma/lung/lower lobe/left;Calcinosis/lung/hilum/lymph nodes/left;Thoracic Vertebrae/degenerative/mild,Calcified Granuloma;Calcinosis;Thoracic Vertebrae,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old male with a history of altered mental status.,Comparison is XXXX to chest radiograph examination dated XXXX at XXXX.,The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. A calcified granuloma is identified in the peripheral aspect of the left lower lobe. Calcified lymph XXXX are identified in left hilar region. No pneumothorax. No pleural effusion. Minimal degenerative endplate changes of the thoracic spine.,1. No acute intrathoracic abnormality.
2685,Diaphragmatic Eventration/right/mild,Diaphragmatic Eventration,CHEST 2V FRONTAL/LATERAL ,Chest pain,None,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.,No acute disease.
2686,normal,normal,PA and lateral views of the chest. ,XXXX-year-old female with chest pain.,None available.,Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.,No acute cardiopulmonary findings.
2687,Surgical Instruments/breast/left;Thoracic Vertebrae/degenerative/multiple,Surgical Instruments;Thoracic Vertebrae,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old female with chest pain.,None available.,"The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. Surgical clips overlying the left breast soft tissues. Multilevel degenerative changes of the thoracic spine. No acute bony abnormalities.",No acute cardiopulmonary findings.
2688,"Cardiomegaly/mild;Atherosclerosis/aorta/severe;Aorta/tortuous;Opacity/lung/interstitial/diffuse;Bone Diseases, Metabolic/spine","Cardiomegaly;Atherosclerosis;Aorta;Opacity;Bone Diseases, Metabolic",AP and lateral views of the Chest performed XXXX/XXXX.,XXXX year old with diarrhea and lethargy.,None.,"There is mild cardiomegaly. Aorta is heavily calcified and tortuous, consistent with atherosclerotic disease. There are diffuse increased interstitial opacities identified. This may be secondary to edema, or alternatively atypical infection. No large effusion or visualized pneumothorax. Osteopenia of the spine is identified.",1. Cardiomegaly with diffuse interstitial opacities. Findings may be secondary to pulmonary edema. Atypical infection is another consideration.
2689,Calcified Granuloma/multiple;Density/ribs/right/focal;Density/clavicle/right/focal;Calcinosis/aorta;Mastectomy/left,Calcified Granuloma;Density;Density;Calcinosis;Mastectomy,"PA and lateral chest XXXX, XXXX.",History of breast cancer with mastectomy. COPD.,,Calcified granulomas are present. There is an area of focal density overlying the right first rib and medial clavicle. This is approximately 1.2 cm in diameter. It may be secondary to overlapping structures. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart is normal. Calcifications of the aortic XXXX are seen. The skeletal structures are unremarkable. There has been a left mastectomy.,1. Focal density overlying the right first rib and medial right clavicle. This could be bony in origin but an underlying pulmonary lesion cannot be excluded. No prior images are currently available for comparison. If outside images are available comparison is recommended. Otherwise XXXX scan of the chest.
2690,Calcified Granuloma/lung/lingula,Calcified Granuloma,Xray Chest PA and Lateral,XXXX-year-old for preop evaluation for rectal/anus surgery. XXXX.,Two views of the chest dated XXXX.,"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 left midlung.",No acute cardiopulmonary disease.
2691,Technical Quality of Image Unsatisfactory ;Lung/hypoinflation;Cardiomegaly/mild;Calcinosis/aorta;Aorta/tortuous;Calcinosis/mediastinum;Markings/bronchovascular,Technical Quality of Image Unsatisfactory ;Lung;Cardiomegaly;Calcinosis;Aorta;Calcinosis;Markings,AP and Lateral Chest: XXXX,"XXXX-year-old female, hypoxia, XXXX",None,,"Exam quality limited by hypoinflation and rotation. Considering technical factors heart size XXXX mildly enlarged, aortic calcifications and ectasia/tortuosity, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema."
2692,normal,normal,Xray Chest PA and Lateral,"CP/COPD no known XXXX. mid-XXXX chest pain with inspiration X 3 weeks ago. pt states ""pain XXXX for a few days not XXXX and on"". no prev. inj/XXXX. nonsmoker. no XXXX of pregnancy, shielded.",.,,Normal heart size. Normal pulmonary vasculature. Normal mediastinal contours. Lung parenchyma is clear. No airspace disease. No pulmonary edema. No XXXX of pleural effusions. No XXXX of active cardiopulmonary disease. Unchanged.
2693,"Lung/hypoinflation;Aorta, Thoracic/tortuous","Lung;Aorta, Thoracic",PA and lateral chest radiograph (2 views) (2 images) ,Chest pain for,"Chest radiographs from XXXX, XXXX.",There are low lung volumes. The cardiac silhouette and mediastinal contours are within normal limits. There is tortuosity of the thoracic aorta. No pneumothorax. No large pleural effusion.,Low lung volumes without acute cardiopulmonary disease.
2694,normal,normal,Xray Chest PA and Lateral,"XXXX year old no known XXXX, left anterior chest pain. XXXX.",None.,"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.
2695,Lung/hyperdistention;Diaphragm/bilateral/flattened;Spondylosis/thoracic vertebrae,Lung;Diaphragm;Spondylosis,"Chest, 2 views, frontal and lateral",Preop hernia repair.,None.,The cardiac contours are normal. The lungs are hyperinflated with flattened diaphragms. No acute pulmonary findings. Thoracic spondylosis.,No acute process.
2696,Cardiomegaly;Lung/hypoinflation;Diaphragm/right/elevated;Density/left/retrocardiac/streaky;Surgical Instruments;Pulmonary Atelectasis;Opacity/left/retrocardiac,Cardiomegaly;Lung;Diaphragm;Density;Surgical Instruments;Pulmonary Atelectasis;Opacity, PA and lateral views. ,XXXX-year-old male. Left shoulder pain. Hypertension.,None.,Apparent cardiomegaly XXXX at XXXX partially accentuated by low lung volumes. Relative elevation right hemidiaphragm. Streaky left retrocardiac densities. No pneumothorax or large pleural effusion. Surgical clips near the gastroesophageal junction. Negative for acute bone abnormality.,"1. Cardiomegaly without heart failure. 2. Low lung findings. Left retrocardiac opacities, XXXX subsegmental atelectasis."
2697,normal,normal,Xray Chest PA and Lateral,,,,
2698,normal,normal,Xray Chest PA and Lateral,Bronchiectasis,,The lungs appear clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.,No acute cardiopulmonary disease
2699,normal,normal,Xray Chest PA and Lateral,XXXX year old chest pain and XXXX.,None.,"The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Multiple punctate round XXXX XXXX over the abdomen on the lateral view. These may reside within, or outside of the patient.",No acute cardiopulmonary disease.
2700,Calcified Granuloma/mediastinum/multiple,Calcified Granuloma,"Chest, 2 views, frontal and lateral",Preop XXXX,None.,Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications and mediastinum. The lungs are clear. Bony structures are intact.,No acute findings.
2701,No Indexing,No Indexing, CHEST 2V FRONTAL/LATERAL XXXX ,XXXX XXXX XXXX with h/o dyspnea,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
2702,Cardiomegaly;Lung/hypoinflation;Costophrenic Angle/right/blunted/mild;Pleural Effusion/right,Cardiomegaly;Lung;Costophrenic Angle;Pleural Effusion,Xray Chest PA and Lateral ,"Difficulty breathing, chest pain, XXXX for 3 days.",XXXX.,Cardiomegaly. Prominent XXXX are stable. Low lung volumes. No pneumothorax. Minimal right costophrenic XXXX blunting. No focal infiltrates.,Cardiomegaly with XXXX right pleural effusion.
2704,Aorta/tortuous;Opacity/lung/base/left/streaky;Cicatrix/lung/base/left;Pulmonary Atelectasis/base/left;Calcified Granuloma/lung/middle lobe/right/small;Opacity/lung/base/right/round/multiple/small;Opacity/costophrenic angle/sulcus/right/round/multiple/small,Aorta;Opacity;Cicatrix;Pulmonary Atelectasis;Calcified Granuloma;Opacity;Opacity,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",Abscess. Post left mastectomy.,"XXXX, XXXX.","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."
2705,Calcinosis/aorta,Calcinosis,"PA and lateral chest XXXX, XXXX XXXX with comparison 8 XXXX ",History of dyspnea,,,Heart size is normal and the lungs are clear. Calcified aortic XXXX.
2706,Arthritis/spine,Arthritis,"PA and lateral chest XXXX, XXXX.",Preop XXXX for hip surgery.,"XXXX, XXXX.",The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. Arthritic changes are seen throughout the spine and both XXXX.,No active disease.
2708,Calcinosis/mediastinum/lymph nodes;Calcinosis/lung/lower lobe/right;Nodule/lung/lower lobe/right;Ribs/bilateral/degenerative;Granulomatous Disease,Calcinosis;Calcinosis;Nodule;Ribs;Granulomatous Disease,"PA and lateral chest radiograph, XXXX at XXXX hours.","XXXX-year-old male with left upper quadrant pain, chest pain.","PA and lateral chest radiograph, XXXX.","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.
2709,Opacity/lung/base/left,Opacity,Xray Chest PA and Lateral,,None,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.
2710,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX PM ",XXXX year old male with history of productive XXXX.,PA and lateral chest x-XXXX dated XXXX.,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.
2711,"Catheters, Indwelling/right","Catheters, Indwelling",Xray Chest PA and Lateral,XXXX-year-old female with XXXX,,Right chest central venous line is noted with tip in the mid SVC. There is no pneumothorax. Heart size is normal. No large pleural effusions. No acute focal airspace opacification.,No acute cardiopulmonary abnormalities. .
2712,Calcified Granuloma/lung/upper lobe/left,Calcified Granuloma,PA and lateral chest XXXX,dyspnea.,None,,Heart size is normal. Lungs are clear. Calcified left upper lobe 5 mm peripheral granuloma. No edema or effusions. No pneumonia
2713,Calcinosis/aorta;Aorta/tortuous;Lung/hypoinflation;Diaphragm/right/elevated;Opacity/lung/base/bilateral/streaky/mild;Pulmonary Atelectasis/base/bilateral/mild,Calcinosis;Aorta;Lung;Diaphragm;Opacity;Pulmonary Atelectasis,PA and lateral views of chest performed XXXX/XXXX at XXXX. ,XXXX-year-old with a XXXX.,Two-view chest XXXX.,"The heart is normal in size and contour. The aorta is calcified and tortuous. The lung volumes are low. There is elevation of the right hemidiaphragm. Minimal streaky opacities in the lung bases, XXXX subsegmental atelectasis. No pleural effusion or pneumothorax.",1. Low lung volume study with minimal bibasilar atelectasis. Stable chest.
2714,normal,normal,Xray Chest PA and Lateral,"dizzyness and migranes, pt states she always has a XXXX. nonsmoker, no heart or lung conditions.",,,"Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified."
2715,Nodule/lung/lower lobe/right;Deformity/ribs/right/posterior/multiple,Nodule;Deformity,Xray Chest PA and Lateral,ECF placement,Chest x-XXXX XXXX XXXX,"Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. There is a 9 mm right lower lobe pulmonary nodule, not seen on prior exams. There are posttraumatic deformities of the right posterior ribs. No focal airspace consolidation or effusion. No pneumothorax.",1. Right lower lobe pulmonary nodule. XXXX for better characterization. 2. No acute pulmonary process.
2716,Opacity/lung/lower lobe/right;Consolidation/lung/lower lobe/right;Pulmonary Atelectasis/lower lobe/right;Costophrenic Angle/bilateral/blunted;Pulmonary Atelectasis/base/bilateral;Airspace Disease/lung/lower lobe/right;Pleural Effusion/bilateral,Opacity;Consolidation;Pulmonary Atelectasis;Costophrenic Angle;Pulmonary Atelectasis;Airspace Disease;Pleural Effusion,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old male, dyspnea.",XXXX.,Within the right lower lobes there are XXXX airspace opacities XXXX representing consolidation and atelectasis with blunting of the bilateral costophrenic XXXX. The cardiomediastinal silhouette is within normal limits. Bibasilar subsegmental atelectasis. No acute osseous abnormality.,Right lower lobe airspace disease with bilateral pleural effusions.
2717,Spondylosis/thoracic vertebrae,Spondylosis,Xray Chest PA and Lateral,Preop XXXX XXXX,None.,The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,No acute process.
2718,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,CHEST 2V FRONTAL/LATERAL RADXXXX ,Dizziness,None.,The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. There are mild degenerative changes along the thoracic spine. No acute bony abnormality is identified.,No acute cardiopulmonary abnormality.
2719,Opacity/lung/interstitial/round/prominent;Opacity/costophrenic angle/right/round;Cysts/lung/upper lobe/right;Cystic Fibrosis,Opacity;Opacity;Cysts;Cystic Fibrosis,Xray Chest PA and Lateral,"XXXX-year-old XXXX, followup bronchiectasis. History of cystic fibrosis.","Portable chest x-XXXX XXXX, XXXX. PA and lateral chest x-XXXX XXXX, XXXX.","Heart size within normal limits. Prominent interstitial and nodular opacities are increased since comparison exam. There is a 1 cm nodular opacity in the right costophrenic XXXX, increased since comparison examination. A cystic lesion in the right upper lobe appears similar to prior examination. No pleural effusion or pneumothorax.","Findings of cystic fibrosis with increased interstitial and nodular opacities, XXXX representing acute exacerbation on chronic changes of cystic fibrosis. ."
2720,normal,normal," Two-view chest. XXXX hours XXXX, XXXX. ",Productive XXXX for one XXXX.,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
2721,"Calcified Granuloma/scattered/multiple;Aorta/tortuous;Calcinosis/aorta;Scoliosis/thoracic vertebrae;Kyphosis/severe;Bone Diseases, Metabolic/diffuse;Thoracic Vertebrae/degenerative/multiple;Deformity/thoracic vertebrae/multiple/mild","Calcified Granuloma;Aorta;Calcinosis;Scoliosis;Kyphosis;Bone Diseases, Metabolic;Thoracic Vertebrae;Deformity",Two views of the chest XXXX/XXXX.,"XXXX-year-old, preop carotid endarterectomy.","AP chest XXXX/XXXX, report only. Image not currently available.","Heart size at the upper limits of normal. There are scattered calcified granulomas. No focal airspace consolidation, large effusion, or appreciable pneumothorax. Tortuous, unfolded to descending aorta. Calcified aortic XXXX. XXXX curvature of the thoracic spine. Exaggerated kyphosis. XXXX are diffusely osteopenic. Multilevel degenerative changes of the thoracic spine with minimal anterior XXXX loss of several vertebral bodies.",Chronic changes without acute cardiopulmonary findings.
2722,Lung/hypoinflation;Thickening/pleura/left;Cardiomegaly;Spine/degenerative,Lung;Thickening;Cardiomegaly;Spine,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",SOB,XXXX,Overall low lung volumes. Lungs are grossly clear. Pleural thickening along the inferior left lateral chest. This appears relatively stable compared to the prior examination. No pleural effusions or pneumothoraces. cardiomegaly. Degenerative changes in the spine.,1. Cardiomegaly. 2. Pleural thickening along the inferior left lateral chest wall stable since the prior examination.
2723,Pulmonary Atelectasis/base/left;Thoracic Vertebrae/degenerative/mild,Pulmonary Atelectasis;Thoracic Vertebrae,Xray Chest PA and Lateral,This is a XXXX-year-old woman with midsternal chest pain.,None,Negative for cardiac enlargement or vascular congestion. Minimal subsegmental atelectasis at the left base otherwise negative for focal confluent airspace disease. The visualized bony structures are intact. There are minimal degenerative disc changes of the mid/lower thoracic spine. No pneumothorax.,Negative for acute cardiopulmonary process.
2724,Aorta/tortuous;Thoracic Vertebrae/degenerative,Aorta;Thoracic Vertebrae,"PA and LAT view CHEST XXXX, XXXX XXXX PM",AML. BMT workup.,None.,Lungs are clear. No pleural effusions or pneumothoraces. heart size is normal. There is some tortuosity of the aorta. Degenerative changes in the thoracic spine,Clear lungs.
2725,Emphysema;Deformity/ribs/right/multiple;Spondylosis/thoracic vertebrae,Emphysema;Deformity;Spondylosis,"Chest, 2 views, frontal and lateral",Chest pain.,None.,Cardiac and mediastinal contours are within normal limits. Emphysematous changes are present. The lungs are free of active disease. Deformed right ribs. Thoracic spondylosis.,No acute findings.
2726,normal,normal,CHEST 2V FRONTAL/LATERAL ,"pt has iv''s in XXXX, unable to remove gown or XXXX",XXXX,The heart is normal in size. The mediastinum is within normal limits. The study is somewhat limited. No focal consolidation is seen.,No acute disease.
2727,Density/thorax/round/multiple;Granulomatous Disease/chronic;Emphysema,Density;Granulomatous Disease;Emphysema,Chest XXXX and lateral ,XXXX-year-old male status post left chest nodule,XXXX,"Heart size is normal. Cardiomediastinal silhouette stable. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Emphysema.",Negative for acute cardiopulmonary disease. No pulmonary nodules identified.
2728,"Lung/hyperdistention;Opacity/lung/middle lobe/right;Pulmonary Congestion;Pulmonary Disease, Chronic Obstructive;Cicatrix/lung/middle lobe/right/chronic;Pulmonary Atelectasis/middle lobe/right/chronic;Hypertension, Pulmonary","Lung;Opacity;Pulmonary Congestion;Pulmonary Disease, Chronic Obstructive;Cicatrix;Pulmonary Atelectasis;Hypertension, Pulmonary"," Two-view chest. XXXX hours XXXX, XXXX. ",Dyspnea.,"XXXX, XXXX.",Lungs remain hyperexpanded. No change in the right middle lobe opacification. No XXXX infiltrates or masses. Pulmonary arteries are prominent centrally.,XXXX change COPD. Chronic right middle lobe scar and atelectasis. Pulmonary arterial hypertension.
2729,Diaphragm/left/elevated;Cicatrix/costophrenic angle/left;Foreign Bodies/thoracic vertebrae;Foreign Bodies/lung/lower lobe/left;Foreign Bodies/lung/upper lobe/left;Thoracic Vertebrae/degenerative/mild,Diaphragm;Cicatrix;Foreign Bodies;Foreign Bodies;Foreign Bodies;Thoracic Vertebrae,CHEST 2V FRONTAL/LATERAL ,dyspnea,None.,"Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Elevated left hemidiaphragm with scarring at the left costophrenic XXXX. There is a bullet fragment overlying the left T7 vertebra. Retained XXXX bullet fragments noted within the left upper and lower lobes. No focal consolidation, visible pneumothorax or large pleural effusion. Mild degenerative changes of the thoracic spine.",1. No evidence of active cardiopulmonary disease. 2. Posttraumatic changes compatible with prior gunshot wound.
2730,normal,normal,Xray Chest PA and Lateral,"Chest pain, shortness of breath, XXXX, dizziness.",None.,"2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",No acute cardiopulmonary abnormality identified.
2731,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",XXXX for one month bloody sputum for 3 days.,None.,,Heart size is normal. Lungs are clear.
2733,Opacity/lung/base/bilateral,Opacity,Chest x-XXXX XXXX and lateral on XXXX. ,XXXX-year-old female with chest pain and XXXX.,Chest x-XXXX on XXXX,"Bibasilar airspace opacities, right greater than left. The heart size and mediastinal silhouette are within normal limits for contour. No pneumothorax or pleural effusions. The XXXX are intact.","Bibasilar airspace opacities, right greater than left. These findings are concerning for pneumonia."
2734,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with chest pain and shortness of breath.,Chest radiograph XXXX.,"The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..",1. No acute radiographic cardiopulmonary process.
2735,normal,normal," Two-view chest. XXXX hours XXXX, XXXX. ",Chronic smoking and prior asbestos exposure.,,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
2737,Diaphragm/left/elevated/mild;Pulmonary Atelectasis/base/left,Diaphragm;Pulmonary Atelectasis,Xray Chest PA and Lateral,XXXX;,none,The heart is normal in size. The mediastinum is unremarkable. There is slight elevation of left hemidiaphragm with XXXX left basilar subsegmental atelectasis. The lungs are otherwise grossly clear.,No acute disease.
2738,Aorta/tortuous/mild,Aorta,PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old with the dyspnea.,None.,The heart size is upper limits of normal. Aorta is tortuous. The lungs are clear without focal infiltrate. No pleural effusion or pneumothorax.,1. Upper limits of normal in size heart and mild tortuosity of the aortic XXXX. No acute pulmonary process.
2739,normal,normal,PA and lateral views of the chest. ,XXXX-year-old female XXXX.,None available.,Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.,No acute cardiopulmonary findings.
2740,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,Xray Chest PA and Lateral,The patient is a XXXX-year-old female with dyspnea.,None available.,"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. .
2741,normal,normal,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.",,"XXXX, XXXX",,The heart size and cardiomediastinal silhouette are stable and within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.
2742,Granulomatous Disease;Spondylosis/thoracic vertebrae;Arthritis/cervical vertebrae/degenerative,Granulomatous Disease;Spondylosis;Arthritis,Xray Chest PA and Lateral,Chest pain,None.,The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis. Lower cervical degenerative arthritis.,No acute findings.
2743,Thoracic Vertebrae/degenerative;Calcinosis/aorta,Thoracic Vertebrae;Calcinosis,PA and lateral chest x-XXXX XXXX at XXXX hours. ,"XXXX-year-old woman, followed right middle lobe and right lower lobe pneumonia.",None available.,"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.
2744,normal,normal," PA lateral chest XXXX, XXXX XXXX ",XXXX and hemoptysis,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
2745,Calcified Granuloma/scattered/multiple,Calcified Granuloma,Xray Chest PA and Lateral,XXXX bleed.,None.,Normal heart size and mediastinal contours. Clear lungs besides scattered calcified granulomas. No pneumothorax or pleural effusion. No acute bony abnormalities.,No acute cardiopulmonary process. .
2746,"Catheters, Indwelling/right","Catheters, Indwelling",Xray Chest PA and Lateral,LYMPHOMA BMT W/U LAB;,None,The heart is normal in size. The mediastinum is unremarkable. Right chest XXXX is visualized with tip at cavoatrial junction. There is no pneumothorax. The lungs are clear.,No acute disease.
2747,Pleural Effusion/bilateral/small,Pleural Effusion, PA and lateral views of the chest. ,,None,The lungs are clear. The cardiomediastinal silhouette is within normal limits. Small pleural effusion is identified.,Small bilateral pleural effusions.
2748,normal,normal,"PA and LATERAL views of the chest, dated XXXX, XXXX XXXX PM",XXXX-year-old female with history of tobacco use,XXXX,The lungs are clear. There is no focal airspace consolidation. No suspicious pulmonary mass or nodule is identified. There is no pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits.,No evidence of active disease.
2749,Deformity/ribs/right/multiple/healed,Deformity,CHEST 2V FRONTAL/LATERAL ,"Homeless male, positive PPD",None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. Old right-sided rib deformities are noted.,No acute disease.
2750,Opacity/lung/middle lobe/right/round;Lucency/lung/middle lobe/right/round;Opacity/lung/upper lobe/left/round,Opacity;Lucency;Opacity,Xray Chest PA and Lateral,"XXXX, XXXX loss",No comparison chest x-XXXX.,,"13 - 14 mm ring-shaped opacity with central lucency, seen with certainty on PA view only, projects over right midlung. Uncertain if this represent something within the lung or external to the patient. There is also a 5 mm nodular opacity projecting over the left upper lung at the level of AP XXXX. These findings could be further evaluated XXXX if clinically indicated. No acute airspace disease. Mediastinal contour normal limits. No effusions."
2751,normal,normal,PA and Lateral of the chest ,XXXX year-old with chest pain and right arm numbness.,None.,The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.,No acute cardiopulmonary findings.
2752,Cardiac Shadow/enlarged/mild;Pulmonary Congestion;Pleural Effusion/right/large;Pulmonary Atelectasis/right;Opacity/lung/hilum/mild;Cardiomegaly,Cardiac Shadow;Pulmonary Congestion;Pleural Effusion;Pulmonary Atelectasis;Opacity;Cardiomegaly,Xray Chest PA and Lateral,PLEURAL EFFUSIONS;,None,"The cardiac silhouette is mildly enlarged. Mediastinal contours are within normal limits. The pulmonary vasculaturity is increased. There is large right-sided pleural effusion and probable underlying associated compressive atelectasis. Mild perihilar XXXX opacities, XXXX edema. No pneumothorax is seen.","1. Cardiomegaly and central vascular congestion with perihilar opacities, possibly edema. 2. Large right pleural effusion."
2753,Calcinosis/mediastinum/lymph nodes,Calcinosis,"Chest 2 views PA and lateral XXXX, XXXX XXXX p.m. ","Bronchitis, hemoptysis","Chest 2 views PA and lateral XXXX, XXXX p.m.","Stable calcified superior mediastinal lymph XXXX. 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.
2754,normal,normal,Xray Chest PA and Lateral,",466.0 acute bronchitis cxr",None,The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.,No acute cardiopulmonary disease
2755,Pneumonectomy/lung/lower lobe/right;Cardiomegaly/mild;Diaphragm/right/elevated;Deformity/ribs/right/multiple;Implanted Medical Device/shoulder/left,Pneumonectomy;Cardiomegaly;Diaphragm;Deformity;Implanted Medical Device,Xray Chest PA and Lateral,"XXXX-year-old woman with hypertension, shortness of breath, pain. History of right lower lobectomy.","XXXX and two-view chest radiograph dated XXXX, XXXX.","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. .
2756,Infiltrate/lung/lower lobe/right;Implanted Medical Device/left,Infiltrate;Implanted Medical Device,Chest X XXXX 2 XXXX PA and lateral ,"The patient is a XXXX-year-old male, with lung transplant.","XXXX, CT chest XXXX","Right lower lobe infiltrate. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal. There has been interval placement of a left chest XXXX, with its distal tip in the Left sided SVC","1. Right lower lobe infiltrate, suggestive of pneumonia"
2758,normal,normal,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",XXXX. Headache and lightheadedness. Chills. The patient's lower abdomen was shielded for this exam.,"XXXX, XXXX.","Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.","No acute or active cardiac, pulmonary or pleural disease."
2759,Thoracic Vertebrae/degenerative/mild;Deformity/thoracic vertebrae/mild,Thoracic Vertebrae;Deformity,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX.",XXXX-year-old female presents for renal pretransplant evaluation.,None available.,The cardiomediastinal silhouette is within normal limits for appearance. No focal air is prominent consolidation. No pneumothorax. No large pleural effusion. Minimal degenerative changes of the thoracic spine with a mild wedge XXXX deformity of a midthoracic vertebral body. This is age-indeterminate.,"1. No acute cardiopulmonary process. 2. Mild, age-indeterminate wedge XXXX deformity of a midthoracic vertebral body."
2760,Cicatrix/lung/base/left/mild,Cicatrix,Xray Chest PA and Lateral,"SEASONAL ASTHMA, RECENT PNEUMONIA;",Chest 2 views. XXXX.,There is minimal scarring within the left lung base. The lungs are otherwise clear. Heart size is normal. No pneumothorax.,No acute cardiopulmonary abnormality. .
2761,"Opacity/lung/upper lobe/right/posterior/patchy/mild;Lung Diseases, Interstitial/chronic/mild;Thoracic Vertebrae/degenerative/multiple;Osteophyte/thoracic vertebrae/prominent/multiple","Opacity;Lung Diseases, Interstitial;Thoracic Vertebrae;Osteophyte","Chest radiographs (PA and lateral views), dated XXXX. ",XXXX-year-old male with shortness of breath.,XXXX.,"Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. Interval development of mild patchy airspace opacities within the posterior aspect of the right upper lobe, concerning for underlying pneumonia. Stable mild background chronic interstitial changes. No evidence of associated pleural effusion or pneumothorax. Multilevel midthoracic degenerative changes, with prominent anterolateral marginal osteophytes.","1. Suspected mild patchy right upper lobe pneumonia, for which clinical correlation is recommended."
2762,Granulomatous Disease,Granulomatous Disease,"Chest, 2 XXXX and Lateral ",XXXX-year-old male with history of EtOH abuse with XXXX.,None available,"Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. XXXX are grossly unremarkable. There is evidence of granulomatous disease.",1. Clear lungs.
2763,Markings/lung/interstitial/prominent/mild,Markings,Xray Chest PA and Lateral,"XXXX, congestion and sore throat.",,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is mild prominence of the interstitial markings which are unchanged.,1. No evidence of acute disease.
2764,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",XXXX and hemoptysis XXXX and on for 2 months,None.,,Heart size is normal in the lungs are clear.
2765,normal,normal,Xray Chest PA and Lateral,,,,
2766,Cardiomegaly/moderate;Aorta/tortuous,Cardiomegaly;Aorta,Xray Chest PA and Lateral,Syncope.,None,,There is mild to moderate cardiomegaly. Tortuous and ectatic appearing aorta. No overt edema. No focal infiltrate. No pleural effusion or pneumothorax is seen.
2767,Spine/degenerative/mild,Spine,"Chest x-XXXX and Lateral views, dated XXXX, XXXX XXXX PM ",Syncope,XXXX,Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. There are minimal degenerative changes of the spine.,No evidence of active disease.
2768,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM ComparisXXXX/XXXX. ",Chest pain.,,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.,No acute pulmonary disease.
2769,Bullous Emphysema/lung/apex/bilateral;Thoracic Vertebrae/degenerative/multiple/mild,Bullous Emphysema;Thoracic Vertebrae,"CHEST X-XXXX XXXX and LATERAL dated XXXX, XXXX at XXXX hours. ",XXXX-year-old female with XXXX.,Chest x-XXXX XXXX.,"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.
2770,normal,normal,"Radiographs of the chest, 2 views, PA and lateral views.",XXXX-year-old female. Chest pain and shortness of breath for a few weeks.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",Negative for acute abnormality.
2771,normal,normal," Two-view chest. Three-view left ankle. XXXX hours XXXX, XXXX. ",Chest and ankle pain after XXXX.,,Chest. Both lungs clear and expanded. Heart and mediastinum normal. Ankle. Soft tissue XXXX is present around the malleoli. XXXX intact. Mortise radiographically stable.,1. Chest. No active disease. No evidence for cardiopulmonary injury. 2. Left ankle. Soft tissue edema with no visible bony injury.
2772,normal,normal,History preop transplant evaluation Exam PA and lateral chest XXXX with comparison XXXX XXXX,,,,Heart size normal. Lungs are clear.
2773,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,Xray Chest PA and Lateral,XXXX year old with chest pain.,None.,"The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Mild degenerative changes at the lower thoracic spine.",No acute cardiopulmonary disease.
2774,Cardiomegaly/mild,Cardiomegaly,2 views Chest: XXXX,"Passed out, XXXX",None.,"The lungs and pleural spaces show no acute abnormality. Heart size is mildly enlarged, pulmonary vascularity within normal limits.",1. No acute pulmonary abnormality. 2. Mild cardiomegaly.
2775,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. ",XXXX-year-old woman with XXXX.,None.,"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.",No acute cardiopulmonary abnormality.
2776,Nodule/lung/lingula,Nodule,Xray Chest PA and Lateral,"XXXX-year-old with XXXX, vomiting","XXXX, XXXX",,"1. XXXX 1.9 XXXX left midlung nodule without XXXX benign calcification. CT of the chest is recommended to further evaluate for possible malignancy. 2. Heart size and mediastinal silhouette appear within normal limits. Normal vascularity. No pleural effusions or pneumothorax. Critical results discussed XXXX. XXXX at the time of interpretation, XXXX, XXXX XXXX hours XXXX telephone."
2777,Cicatrix/lung/base/left/mild;Pulmonary Atelectasis/base/left/mild,Cicatrix;Pulmonary Atelectasis,2 views chest PA and Lateral XXXX ,Chest pain,XXXX,"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. Minimal scarring or atelectasis left lung base.",No acute cardiopulmonary disease.
2778,"Catheters, Indwelling/right","Catheters, Indwelling",Xray Chest PA and Lateral,"Metastatic breast cancer, XXXX",Chest 2 views. XXXX.,The pulmonary nodules and masses masses on previous exam are smaller and not definitely seen. The lungs are otherwise clear. Heart size normal. No pneumothorax. There is a right chest XXXX with tip projecting over the lower SVC.,Interval decrease in size of numerous pulmonary nodules and masses. No nodules or masses are definitely seen on XXXX radiograph. .
2779,Scoliosis/lumbar vertebrae;Scoliosis/thoracic vertebrae,Scoliosis;Scoliosis," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ","XXXXyo AAM with XXXX and history of asthma with XXXX for six weeks, immunosuppre","XXXX, XXXX. A thoracolumbar dextroscoliosis is present. Both lungs are clear and expanded. Heart size normal.",,XXXX change. No active cardiopulmonary disease. Thoracolumbar scoliosis.
2780,No Indexing,No Indexing,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
2781,normal,normal,Chest 2 views. ,XXXX-year-old chest pain.,None available.,Normal heart. Clear lungs. No pneumothorax. No pleural effusion. Trachea is midline.,Normal chest exam.
2782,No Indexing,No Indexing," Two-view chest. XXXX hours XXXX, XXXX. ",Chest pain.,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
2783,Aorta/tortuous;Lung/hilum/enlarged,Aorta;Lung,PA and lateral chest on XXXX. ,Followup of pulmonary nodule.,XXXX and a chest CT scan from XXXX.,No interval change is found in the bony thorax. The heart size remains normal with an ectatic tortuous aorta. The pulmonary vasculature is not engorged. Lungs are free of infiltrate and there is no pleural effusion. The fullness to the right hilum is again noted but this is unchanged suggesting no progression of the retrohilar nodule XXXX on the CT scan. No XXXX pulmonary nodule is found.,Stable chest radiograph with no acute or progressive abnormality. There is no suggestion of enlargement of the known right retrohilar pulmonary nodule or XXXX pulmonary nodularity.
2784,normal,normal,"Radiograph Chest PA and Lateral XXXX, XXXX. ","Short of breath, XXXX and wheezing.","Radiograph Chest PA and Lateral XXXX, XXXX.",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.
2785,normal,normal,Xray Chest PA and Lateral,Routine Exam.,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,Negative chest x-XXXX.
2786,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old female with back pain. Right-sided chest pain..,None.,"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 acute cardiopulmonary abnormality..
2787,normal,normal,Xray Chest PA and Lateral,The patient is a XXXX-year-old male with kidney transplant evaluation.,None.,"No pneumothorax, pleural effusion or airspace consolidation. Heart size is upper limits of normal. Pulmonary vasculature appear within normal limits. XXXX XXXX are intact.",No acute cardiopulmonary abnormality. .
2788,normal,normal,PA and Lateral of the Chest,XXXX-year-old with ALL for a bone marrow transplant workup.,"XXXX, XXXX.",There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits.,No acute cardiopulmonary findings.
2789,Aorta/tortuous/mild;Calcinosis/mediastinum;Density/lung/lingula/round;Nodule/lung/lingula,Aorta;Calcinosis;Density;Nodule,Xray Chest PA and Lateral,"XXXX-year-old male, preop for forearm fracture",None,"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.",No acute cardiopulmonary findings
2790,Lung/interstitial/prominent/mild;Lung/base/bilateral/prominent/mild,Lung;Lung,Chest x-XXXX 2 views,Chest pain,XXXX,"Normal and stable cardiomediastinal contours. No pneumothorax, pleural effusions or significant pulmonary edema. No focal lung consolidation. Stable mild interstitial prominence and bilateral lung bases.",1. No acute cardiopulmonary abnormalities. Stable mild interstitial prominence.
2791,normal,normal,Xray Chest PA and Lateral,XXXX,None,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,No evidence of active disease.
2792,normal,normal,"Radiograph Chest PA and Lateral XXXX, XXXX. ",XXXX-year-old female with XXXX onset chest pain..,None.,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.
2793,Lung/hyperdistention/mild,Lung,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours.",XXXX-year-old female. Dyspnea.,None.,"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."
2794,"Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive","Lung;Pulmonary Disease, Chronic Obstructive"," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",in a long XXXX XXXX,"XXXX, XXXX.",Lungs are hyperexpanded. No infiltrates or masses in the lungs. Heart size normal.,XXXX change COPD. No acute findings.
2795,Markings/lung/bilateral/diffuse/reticular/round,Markings,PA and lateral chest x-XXXX ,XXXX-year-old female with edema and dyspnea.,,Cardiomediastinal silhouettes are within normal limits. The there is a diffuse reticulonodular pattern the lungs bilaterally. Pulmonary vasculature is within normal limits. Negative for pneumothorax or large pleural effusion. Bony thorax is unremarkable,"Diffuse reticulonodular pattern bilaterally. The this may represent heart failure, opportunistic infection, or idiopathic interstitial pneumonitis. XXXX of chest for further characterization."
2796,normal,normal,Xray Chest PA and Lateral,Hypercalcemia,"XXXX, XXXX",Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute process.
2797,normal,normal,Xray Chest PA and Lateral,The patient is a XXXX-year-old XXXX with chest pain and shortness of breath for one XXXX.,None available.,"The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.",No acute cardiopulmonary abnormalities. .
2798,"Calcinosis/mediastinum/lymph nodes;Calcinosis/lung/hilum/lymph nodes;Deformity/thoracic vertebrae;Fractures, Bone/thoracic vertebrae","Calcinosis;Calcinosis;Deformity;Fractures, Bone","PA and lateral chest XXXX, XXXX XXXX with comparison 26 XXXX ",History of adenopathy in the XXXX,,,Heart size normal. Lungs are clear. Calcified mediastinal and hilar lymph XXXX unchanged. Old XXXX fracture deformity of approximately T6.
2799,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Dyspnea,"PA and lateral views of the chest on XXXX, XXXX.",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.
2801,Lung/base/bilateral/hypoinflation/mild;Pulmonary Atelectasis/middle lobe/right;Technical Quality of Image Unsatisfactory ,Lung;Pulmonary Atelectasis;Technical Quality of Image Unsatisfactory ,Xray Chest PA and Lateral,"786.2, 53XXXX with XXXX x 6 months","Comparison XXXX, XXXX.",,Suboptimal inspiration with mild bibasilar hypoventilation and some subsegmental atelectasis within right middle lobe. otherwise clear lungs with no acute airspace disease seen. No effusions. Stable and unremarkable mediastinal contour. No XXXX acute abnormalities since the previous chest radiograph.
2802,Lung/hyperdistention;Surgical Instruments/abdomen/multiple,Lung;Surgical Instruments,"Chest x-XXXX XXXX and lateral, XXXX. ",XXXX-year-old female with XXXX,None,"Hyperexpanded lungs. Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Multiple surgical clips overlie the midabdomen.",Negative for acute cardiopulmonary abnormality.
2803,Lung/hypoinflation,Lung," Frontal and lateral views of the chest were obtained at XXXX, XXXX at XXXX p.m. Comparison was XXXX to a prior study performed XXXX, XXXX ",Chest pain,,"There are low lung volumes. The cardiac silhouette, upper mediastinum pulmonary vasculature are within normal limits. There is no acute pulmonary consolidation, pleural effusion or pneumothorax.",No acute cardiopulmonary process.
2804,normal,normal,PA and Lateral Chest X-XXXX dated XXXX.,Testicular carcinoma.,XXXX.,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No nodules or adenopathy is identified.,No evidence of active disease.
2805,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. ",XXXX-year-old woman with chest pain and shortness of breath.,None.,"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.",No acute cardiopulmonary abnormality.
2806,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",chest pain and nausea.,None.,Heart size is normal lungs are clear. No edema or effusions.,Heart size is normal lungs are clear. No edema or effusions.
2807,normal,normal,Xray Chest PA and Lateral,XXXX and flu-like symptoms. pt states she feels like a stabbing pain in XXXX back on the left side. XXXX x3 years. no hx of heart or lung conditions.,"XXXX, XXXX.","Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion.","No acute or active cardiac, pulmonary or pleural disease."
2808,Granulomatous Disease,Granulomatous Disease,"PA and LAT view CHEST XXXX, XXXX XXXX XXXX","Bone marrow transplant XXXX, XXXX.",None.,Sequelae of old granulomatous disease. Lungs are clear without focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,Clear lungs.
2809,"Catheters, Indwelling/left","Catheters, Indwelling","2 VIEW CHEST: XXXX, XXXX at XXXX hours.",To infection and XXXX. Left-sided throat pain. Recently diagnosed with breast cancer.,"XXXX, XXXX chest",,"There is a left IJ tunneled for catheter tip near the caval atrial junction. The heart size is normal. Mediastinal silhouette and pulmonary vascularity appear within normal limits. No edema. No focal airspace consolidation, pleural effusion or pulmonary mass seen."
2810,Aorta/tortuous/mild;Spine/degenerative/mild,Aorta;Spine,PA and lateral chest radiographs. XXXX/XXXX at XXXX hours. ,XXXX-year-old female with chest pain and dyspnea.,PA single view chest radiograph XXXX.,"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.",Negative for acute cardiopulmonary findings.
2811,normal,normal," AP and lateral chest XXXX, XXXX XXXX comparison XXXX 10 ",XXXX hypoxia,,,Heart size normal. Lungs clear
2812,Lung/hypoinflation;Infiltrate/lung/lower lobe/right/patchy;Pneumonia/lower lobe/right,Lung;Infiltrate;Pneumonia,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",dyspnea,"XXXX, XXXX.","Lung volumes are low. In the interval, a patchy infiltrate has developed in the right lower lobe. Heart and pulmonary XXXX are normal.",XXXX. XXXX patchy right lower lobe infiltrate consistent with pneumonia.
2813,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,PA and lateral views of the chest. ,XXXX-year-old female chest pain.,Two-view chest from XXXX.,Heart size within normal limits. No focal airspace disease. No pneumothorax or effusion. Mild degenerative change in the thoracic spine.,No acute cardiopulmonary findings.
2814,Cardiomegaly;Technical Quality of Image Unsatisfactory ;Pulmonary Congestion,Cardiomegaly;Technical Quality of Image Unsatisfactory ;Pulmonary Congestion,Chest X-XXXX:2. XXXX ,Evaluate for effusion .,,,There is cardiomegaly. Lateral view somewhat limited however small bilateral pleural effusions suspected. There is central vascular congestion.
2815,Granulomatous Disease,Granulomatous Disease,CHEST 2V FRONTAL/LATERAL ,Shortness of breath,,The heart is normal in size. The mediastinum is unremarkable. Granulomatous sequela are noted. The lungs are otherwise clear.,No acute disease.
2816,Calcified Granuloma/lung/lingula,Calcified Granuloma,Xray Chest PA and Lateral,"XXXX and shortness of breath for 5 to 7 XXXX. XXXX, chills, bodyaches.",Chest x-XXXX dated XXXX,The lungs and pleural spaces show no acute abnormality. Stable calcified granuloma in the left midlung. Heart size and pulmonary vascularity within normal limits.,1. No acute pulmonary abnormality.
2817,"Technical Quality of Image Unsatisfactory ;Markings/lung/interstitial/chronic;Opacity/lung/middle lobe/right;Cicatrix/lung/middle lobe/right;Pleural Effusion/middle lobe/right/small;Thickening/pleura/middle lobe/right/small;Lung, Hyperlucent;Emphysema","Technical Quality of Image Unsatisfactory ;Markings;Opacity;Cicatrix;Pleural Effusion;Thickening;Lung, Hyperlucent;Emphysema",PA AND LATERAL VIEWS OF THE CHEST 3 total images dated XXXX XXXX hours ,Chest pain,"CT chest dated XXXX, chest 2 views dated XXXX.","Evaluation is limited due to obscuration by the patient's arm on the lateral view. Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascular is unremarkable. XXXX are chronic, coarse interstitial lung markings. Peripheral opacity along the right mid lung XXXX reflects scar or a small amount of loculated pleural fluid or thickening. Otherwise negative for focal airspace disease or consolidation. Hyperlucent lungs with apical XXXX. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX to be grossly intact.",1. No acute cardiopulmonary abnormality. 2. Emphysema.
2818,Cavitation/lung/apex/right;Tuberculosis;Opacity/lung/upper lobe/left;Lung/hyperdistention;Opacity/lung/upper lobe/right,Cavitation;Tuberculosis;Opacity;Lung;Opacity," Frontal lateral views of the chest are obtained XXXX, XXXX at XXXX p.m. and compared to prior study performed XXXX, XXXX ",Shortness of breath,,"There is stable cavity in the right apex, XXXX related to prior tuberculosis infection. There is increased opacity in the left upper lobe, peripherally. There is pulmonary hyperexpansion. There is no large effusion or pneumothorax.","Right upper lobe cavity, consistent with prior tuberculous infection. There is increased right upper lobe opacities XXXX compared to the prior study. This could represent reactivation of tuberculosis or other infection."
2819,Surgical Instruments/mediastinum,Surgical Instruments,"Two-view chest. XXXX hours XXXX, XXXX. ",XXXX for 6 weeks.,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum unremarkable. No change in the mediastinal surgical clips.,No active disease.
2820,normal,normal,CHEST 2V FRONTAL/LATERAL - RADXXXX ,dyspnea,XXXX,PA and lateral views of the chest were obtained. The heart is normal in size. Mediastinal contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax.,No acute disease.
2821,Calcinosis/aorta;Aorta/tortuous;Thoracic Vertebrae/degenerative,Calcinosis;Aorta;Thoracic Vertebrae,"Chest, 2 views, XXXX XXXX ",Right-sided chest pain after XXXX,None,Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Aortic calcifications and tortuosity. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings. Degenerative changes of the thoracic spine.,No acute cardiopulmonary findings.
2822,"Catheters, Indwelling/left;Calcified Granuloma/lung/lower lobe/right/posterior;Spinal Fusion/cervical vertebrae/anterior;Thoracic Vertebrae/degenerative/mild;Deformity/thoracic vertebrae/mild","Catheters, Indwelling;Calcified Granuloma;Spinal Fusion;Thoracic Vertebrae;Deformity",Xray Chest PA and Lateral,"XXXX-year-old male, preop evaluation. History of tobacco use.",Chest radiograph XXXX.,"No focal consolidation, effusion, or pneumothorax. Normal heart size. Stable left subclavian chest XXXX catheter tip in mid SVC. Lungs are well expanded. Calcified granuloma posteriorly in the medial right lower lobe. Postsurgical changes of anterior lower cervical spine fusion. Thoracic spine demonstrates mild degenerative changes with some mild XXXX loss of T4 and T7 vertebral bodies.",Negative for acute cardiopulmonary abnormality
2824,Lung/hyperdistention;Calcified Granuloma/lung/upper lobe/right,Lung;Calcified Granuloma,2 views Chest: XXXX,XXXX in bathtub,Chest x-XXXX XXXX,"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.
2825,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old female with XXXX..,None.,"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 acute cardiopulmonary abnormality..
2826,"Markings/lung/interstitial/prominent;Lung Diseases, Interstitial/chronic/mild;Cicatrix/lung","Markings;Lung Diseases, Interstitial;Cicatrix"," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ","pt with left sided chest pain, nonradiating. Pt with XXXX XXXX smoking histo","in XXXX, XXXX.",Prominent interstitial markings in the lungs are unchanged. No focal infiltrates. Heart and pulmonary XXXX are normal.,Chronic interstitial lung disease and scars unchanged. No acute disease.
2827,"Tube, Inserted/trachea, carina;Foreign Bodies/lung/lower lobe/right;Foreign Bodies/thoracic vertebrae/round;Density/lung/lower lobe/right;Hemopneumothorax/right/moderate;Pneumothorax/right/moderate;Subcutaneous  Emphysema/right;Fractures, Bone/ribs/right","Tube, Inserted;Foreign Bodies;Foreign Bodies;Density;Hemopneumothorax;Pneumothorax;Subcutaneous  Emphysema;Fractures, Bone",Portable chest x-XXXX dated XXXX at XXXX.,"Female with history of XXXX one, gunshot wound to chest.",None.,"There is an endotracheal tube at the level of the carina, recommend retraction. Heart size is normal. The mediastinal silhouette is unremarkable. XXXX shrapnel is overlying the right lower lobe. There is a round XXXX bullet overlying the T10 vertebral body. XXXX density is seen within the right lower lobe XXXX representing hemorrhage. There is a right-sided pneumothorax with 10 mm in maximal thickness. There is right axillary subcutaneous emphysema. Probable lateral right 8th rib fracture. The osseous structures are otherwise normal.","1. Moderate right-sided hemopneumothorax as detailed above. 2. Probable lateral right 8th rib fracture. 3. Endotracheal tube at the level of the carina, recommend retraction."
2828,Lung/hyperdistention;Thoracic Vertebrae/degenerative,Lung;Thoracic Vertebrae,Xray Chest PA and Lateral,"Syncope with collapse, XXXX, pain",None,Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,Findings suggestive of emphysema. No acute cardiopulmonary process.
2829,normal,normal,2 PA views and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old with XXXX onset dyspnea.,Single view chest XXXX at XXXX.,The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,1. No acute cardiopulmonary disease.
2830,Surgical Instruments/abdomen,Surgical Instruments," PA and lateral chest XXXX, XXXX XXXX comparisXXXX/XXXX ",asthma worsening,,,Heart size is normal and lungs are clear. No infiltrates or atelectasis. Gallbladder XXXX clips.
2831,"Pneumothorax;Pleural Effusion/small;Tube, Inserted/abdomen;Surgical Instruments/abdomen;Foreign Bodies/lumbar vertebrae","Pneumothorax;Pleural Effusion;Tube, Inserted;Surgical Instruments;Foreign Bodies","PA and lateral chest XXXX, XXXX at time XXXX ",followup pneumothorax,yesterday,,Persistent 8mm pneumothorax with small amount of pleural effusion. Heart size normal. Enteric tube tip in the stomach. Midline abdominal clips. XXXX in the right upper quadrant. Bullet overlies L3.
2832,"Cardiomegaly;Atherosclerosis/aorta, thoracic;Thoracic Vertebrae/degenerative/chronic",Cardiomegaly;Atherosclerosis;Thoracic Vertebrae,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX a.m. ",XXXX-year-old female with shortness of breath,"Chest radiograph XXXX, XXXX","There is stable cardiomegaly. The mediastinum is unremarkable. Atherosclerotic calcifications are present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are present in the thoracic spine.",1. Stable cardiomegaly without acute cardiopulmonary abnormality.
2833,normal,normal,PA and lateral chest radiographs dated XXXX at XXXX hours.,XXXX-year-old male with XXXX's disease. Chronic fatigue syndrome. Central chest pain.,Two views of the chest dated XXXX.,"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. Both clavicles appear within normal limits on this limited radiographic evaluation.",No acute cardiopulmonary disease.
2835,Lung/hypoinflation,Lung,PA and lateral views of the chest. ,XXXX-year-old female with chest pain.,None available.,Heart size is within normal limits. Low lung volumes. No focal airspace consolidations. No pneumothorax or pleural effusion.,No acute cardiopulmonary findings.
2836,Medical Device;Lung/hypoinflation;Markings/bronchovascular;Pulmonary Atelectasis/base/bilateral;Cardiac Shadow/enlarged/mild;Cardiomegaly/mild,Medical Device;Lung;Markings;Pulmonary Atelectasis;Cardiac Shadow;Cardiomegaly,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",Chest pain.,"XXXX, XXXX.",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.,Mild cardiomegaly. Basilar atelectasis.
2837,Thoracic Vertebrae/degenerative/mild;Opacity/round,Thoracic Vertebrae;Opacity,"Chest x-XXXX XXXX and lateral, XXXX. ",XXXX-year-old female with chest pain,"Chest x-XXXX, XXXX","Rounded 1.4 cm projecting retrosternally on lateral view only. No focal consolidation, effusion, or pneumothorax. Normal heart size. Minimal degenerative changes of the thoracic spine. Negative for pneumoperitoneum.","1. Negative acute bone abnormality. 2. Indeterminate 1.4 cm opacity seen only on lateral view is of unknown clinical significance, and may be located in or on the patient. Clinical correlation, with possible followup chest x-XXXX recommended if clinically appropriate. Dr. XXXX XXXX was notified of the indeterminate rounded opacity at XXXX hours on XXXX and acknowledged receipt of the study finding."
2838,normal,normal,Chest X-XXXX 2 XXXX ,XXXX,XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,Negative chest.
2839,normal,normal,"Chest Two views PA and lateral XXXX, XXXX XXXX p.m. ",Chest pain,"Chest 2 views PA and lateral XXXX, XXXX p.m.","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.
2840,normal,normal,Xray Chest PA and Lateral,Hypoxemia,None,This study is limited by the patient body habitus. Lungs appear to be clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,Limited study but no evidence for acute pulmonary disease.
2841,normal,normal,Xray Chest PA and Lateral,XXXX year old mid to lower back pain since XXXX.,None.,"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.
2842,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old female, preop cholecystectomy, XXXX, history of sarcoidosis..","Two-view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality..
2843,Density/right/paratracheal;Opacity/lung/upper lobe/right/patchy/streaky,Density;Opacity,Xray Chest PA and Lateral,"XXXX,XXXX",None,The heart is normal in size. There is right paratracheal density concerning for lymphadenopathy. There are patchy right upper lobe streaky opacities. The remainder of the lungs are clear. There is no pleural effusion.,"Patchy opacities in right upper lobe, concerning for pneumonia, given history. Right paratracheal density possibly reactive lymphadenopathy. Followup evaluation to resolution is recommended."
2844,"Fractures, Bone/ribs/left/multiple/healed","Fractures, Bone",Xray Chest PA and Lateral,Bradycardia and syncope.,None.,Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. Left shoulder arthroplasty is noted. Old left rib fractures.,No acute cardiopulmonary process. .
2845,normal,normal,"PA and lateral views of the chest XXXX hours XXXX, XXXX. ",Chest pain dyspnea on exertion,"XXXX, XXXX",Lungs are clear. Heart size normal. The XXXX are unremarkable.,No acute cardiopulmonary finding.
2847,"Aorta, Thoracic/tortuous;Stents/aorta;Calcified Granuloma/scattered/multiple;Diaphragm/left/elevated/mild;Spine/degenerative/mild","Aorta, Thoracic;Stents;Calcified Granuloma;Diaphragm;Spine",Xray Chest PA and Lateral,"XXXX-year-old male with history of femoral artery aneurysm, preoperative evaluation.",,"The heart size is within normal limits. The thoracic aorta is tortuous, stable from the prior radiograph. Aortic stent graft overlies the descending thoracic aorta and upper abdominal aorta, grossly stable from the prior chest radiograph. There are scattered calcified granulomas. There is no focal airspace consolidation. No pleural effusion or pneumothorax. The left hemidiaphragm remains mildly elevated. There are mild degenerative changes of the spine.",No acute findings.
2848,Cardiomegaly/mild;Calcinosis/lung/hilum,Cardiomegaly;Calcinosis,PA and lateral chest x-XXXX dated XXXX ,Evaluate for tuberculosis,XXXX,Mild cardiomegaly. Lungs are clear. Calcified hilar XXXX. No pleural effusion or pneumothorax. Soft tissues and showed unremarkable.,No evidence of active tuberculosis.
2850,normal,normal,Xray Chest PA and Lateral,",786.50 chest pain cxr",,,"Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified. Stable chest."
2851,normal,normal,Xray Chest PA and Lateral,"Chest pain, upper stomach pain.",None.,"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. .
2852,normal,normal,Chest radiograph PA and lateral on XXXX at XXXX. ,XXXX-year-old female with rib and back pain.,None.,Normal cardiac contours. No pleural effusion or pneumothorax. No acute bony abnormalities. Clear lung XXXX bilaterally. No intervertebral disc narrowing or loss of vertebral body XXXX.,1. No acute bony abnormalities. 2. No acute cardiopulmonary abnormalities.
2854,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Dyspnea,No comparisons are available,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.
2855,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old XXXX with chest pain.,"Two-view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality.
2856,normal,normal,"PA lateral chest x-XXXX dated XXXX, XXXX at XXXX. ",XXXX-year-old female with asthma and dyspnea.,None.,"Normal heart size. No focal airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No focal bony abnormality.",No acute cardiopulmonary disease.
2857,Surgical Instruments/mediastinum;Osteophyte/thoracic vertebrae;Surgical Instruments/abdomen;Diaphragmatic Eventration/right,Surgical Instruments;Osteophyte;Surgical Instruments;Diaphragmatic Eventration,Xray Chest PA and Lateral,Chest pain,"XXXX, XXXX.",There are XXXX sternotomy XXXX and mediastinal surgical clips XXXX secondary to a CABG procedure. Small T-spine osteophytes. 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 cholecystectomy clips. There is eventration of right hemidiaphragm.,No acute cardiopulmonary abnormality.
2858,Aorta/tortuous;Granulomatous Disease;Osteophyte/thoracic vertebrae/mild,Aorta;Granulomatous Disease;Osteophyte,"PA and lateral views of the chest XXXX hours XXXX, XXXX. ",XXXX-year-old chest pain.,"XXXX, XXXX.",Heart size normal. Tortuous aorta. Sequela primary granulomatous disease. Lungs clear. Minimal spurring in the thoracic spine.,No acute cardiopulmonary finding.
2859,Opacity/lung/upper lobe/left/round;Density/lung/upper lobe/left/round;Pneumonia/upper lobe/left/round,Opacity;Density;Pneumonia,Xray Chest PA and Lateral,Pain and difficulty breathing.,,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.
2860,Thoracic Vertebrae/scattered/degenerative;Surgical Instruments/abdomen/right;Spinal Fusion/cervical vertebrae/anterior;Aorta/tortuous,Thoracic Vertebrae;Surgical Instruments;Spinal Fusion;Aorta,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with hemoptysis,None available.,"No acute osseous abnormality. Scattered degenerative changes of the thoracic spine. Surgical clips overlying the right upper quadrant. Anterior cervical fusion XXXX. Tortuous and ectatic aorta. No focal area of consolidation, pleural effusion, or pneumothorax.",No acute radiographic cardiopulmonary process.
2861,normal,normal,Xray Chest PA and Lateral,"XXXX loss, 783.21.",None.,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.,1. No evidence of active disease.
2862,normal,normal,XXXX and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with XXXX,None.,"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.
2863,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. ",XXXX-year-old male with chest pain..,None.,"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 acute cardiopulmonary abnormality..
2864,Opacity/lung/base/right/irregular;Lucency/lung/base/right/irregular;Costophrenic Angle/right/blunted/mild,Opacity;Lucency;Costophrenic Angle,"2 view chest radiograph, dated XXXX, XXXX XXXX hours",shortness of breath for 3 days. Productive XXXX. Yellowish bloody sputum. XXXX. XXXX blood clot in right lung.,10 11 10,,Decrease ill-defined mixed lucent and opaque area in the right lateral lung base with small XXXX XXXX remaining and minimal associated right lateral costophrenic XXXX blunting. No XXXX pulmonary consolidation. The cardiomediastinal silhouette appears stable. The left costophrenic XXXX is clear. Visualized spine vertebrae appear normal in XXXX and alignment . CT ratio 12/33
2865,Implanted Medical Device/heart/right,Implanted Medical Device,"PA and lateral views of the chest dated XXXX, XXXX.",Post XXXX closure.,None.,"The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. XXXX closure device demonstrated projecting over the right heart. There are no acute bony findings.",No acute cardiopulmonary findings.
2866,normal,normal, PA lateral chest. ,XXXX XXXX,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
2867,Lucency/lung;Pulmonary Emphysema;Density/lung/apex/right;Deformity/thorax/chronic,Lucency;Pulmonary Emphysema;Density;Deformity,Xray Chest PA and Lateral,The patient is a XXXX-year-old woman with XXXX and vomiting.,"Chest x-XXXX, 2 views PA and lateral from XXXX.","The trachea is midline. The cardiomediastinal silhouette is normal. The superior thoracic spine is again noted, unchanged from prior. Lucent pulmonary parenchyma is consistent appearance with emphysema and appears unchanged from prior examinations. No evidence of pneumothorax. No focal airspace disease or pleural effusion. Vague density in the medial right lung apex most XXXX representing overlying shadows of bony structures, which is stable.",1. No acute cardiopulmonary abnormalities. 2. Emphysema and chronic bony abnormalities are unchanged from prior exams. .
2868,Spondylosis/thoracic vertebrae/mild,Spondylosis,"PA and Lateral Chest: XXXX, XXXX",XXXX-year-old female with shortness of breath x 2 days,None,"Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, large pleural effusion, or pneumothorax is identified. Minimal thoracic spondylosis.",No acute cardiopulmonary abnormality.
2870,normal,normal,"Chest 2 views dated XXXX, XXXX ","XXXX, wheezing.",None.,"The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",No acute cardiopulmonary abnormality identified.
2871,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with preop evaluation for bariatric surgery.,None.,The heart size is upper limits of normal. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.,No acute cardiopulmonary disease.
2873,normal,normal,"PA and LAT view CHEST XXXX, XXXX XXXX PM","Allergic rhinitis, sinus drainage and sore throat",None.,Heart size and vascularity normal. External contour normal. Lungs clear. No pleural effusions or pneumothoraces.,No acute cardiopulmonary process.
2874,Calcified Granuloma/lung/base/right;Calcinosis/lung/hilum/lymph nodes/right,Calcified Granuloma;Calcinosis,Xray Chest PA and Lateral,Patient with synovial sarcoma status post resection,None ; XXXX dated XXXX,The lungs appear clear. There is a calcified granuloma in the right lung base and calcified right hilar lymph XXXX. This was seen well on prior XXXX. There are no suspicious appearing pulmonary nodules or masses. Heart and pulmonary XXXX appear normal. The pleural spaces are clear. Mediastinal contours are normal.,No acute cardiopulmonary disease. No evidence of metastatic disease to the lungs.
2876,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, chest pain.",None,There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax.,No acute cardiopulmonary abnormality.
2877,normal,normal,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours. ",XXXX-year-old female. XXXX.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.",Negative for acute abnormality.
2878,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX PM ",XXXX-year-old female with dizziness.,PA and lateral chest x-XXXX dated XXXX a.,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.
2879,Cardiomegaly/borderline;Calcinosis/aorta;Aorta/tortuous;Spondylosis/mild,Cardiomegaly;Calcinosis;Aorta;Spondylosis,"Chest, 2 views, frontal and lateral","Preop XXXX, hip surgery","XXXX, XXXX",Borderline heart size. Tortuous calcified aorta. No active pulmonary disease. Mild spondylosis.,No acute process.
2880,normal,normal,"PA and LAT view CHEST XXXX, XXXX XXXX PM",Throat and lung pain with breathing,None.,Heart and mediastinal contour normal. Pulmonary vascularity normal. Lungs clear. No pleural effusions or pneumothoraces.,Normal chest.
2881,normal,normal,Xray Chest PA and Lateral,,,,
2882,Cardiomegaly/mild;Thoracic Vertebrae/degenerative,Cardiomegaly;Thoracic Vertebrae,PA lateral views of the chest dated XXXX. ,"XXXX-year-old female, abdominal pain.",PA and lateral views of the chest dated XXXX.,There are no focal areas of consolidation. No suspicious bony opacities. Heart size slightly enlarged. No pleural effusions. There is no evidence of pneumothorax. Degenerative changes of the thoracic spine.,"1. No acute cardiopulmonary abnormality. 2. Mild cardiomegaly, stable."
2884,Surgical Instruments/mediastinum;Stents/coronary vessels/left,Surgical Instruments;Stents,Xray Chest PA and Lateral,Chest pain and shortness of breath.,"XXXX, XXXX.","The postoperative cardiomediastinal silhouette is stable and upper limits of normal in size. There are XXXX sternotomy XXXX and surgical clips compatible with prior CABG. There is at XXXX one left-sided coronary artery stent. Pulmonary vasculature is normal in caliber. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",No acute findings. .
2885,Lucency/ribs/right/posterior,Lucency,Xray Chest PA and Lateral,XXXX year old kicked in the right lower side by a XXXX.,None.,"The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. There is an obliquely oriented XXXX lucency through the posterior right 12th rib.","Acute obliquely oriented lucency through the right 12th posterior rib, concerning for acute fracture. Recommend correlation with side of XXXX tenderness. No other fractures are XXXX identified. If there is high clinical concern, recommend further evaluation with dedicated views of the right ribs."
2886,Lung/hypoinflation;Pleural Effusion/right/small;Opacity/lung/base/left/patchy,Lung;Pleural Effusion;Opacity,Xray Chest PA and Lateral,"XXXX-year-old female, XXXX.",None,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. ."
2887,"Opacity/lung/base/bilateral/multiple;Fractures, Bone/clavicle/right;Airspace Disease/lung/base/bilateral/mild;Pulmonary Atelectasis/base/bilateral/mild","Opacity;Fractures, Bone;Airspace Disease;Pulmonary Atelectasis","FRONTAL and LATERAL CHEST dated XXXX, XXXX at XXXX hours",Right-sided pneumothorax,CT chest XXXX,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.
2888,"Aorta, Thoracic/tortuous;Spine/degenerative","Aorta, Thoracic;Spine",Xray Chest PA and Lateral,Melanoma,,Heart size and pulmonary vascularity appear within normal limits. Descending thoracic aorta is tortuous. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.,No evidence of active disease.
2889,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX,None,"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.
2890,Density/adipose tissue/posterior/round/small;Opacity/adipose tissue/posterior/round/small;Foreign Bodies/adipose tissue/posterior/round/small,Density;Opacity;Foreign Bodies,Xray Chest PA and Lateral,"Gunshot wound, XXXX one",None available.,The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. No definite pneumothorax. No displaced fracture. Small rounded radiopaque density within the posterior superficial subcutaneous fat XXXX represents projectile fragment..,1. No acute radiographic cardiopulmonary process.
2891,"Hernia, Hiatal/large","Hernia, Hiatal","Two-view chest. Two-view right hip. XXXX hours XXXX, XXXX. XXXX. ",Chest and hip XXXX from XXXX.,"chest x-XXXX XXXX,","Both lungs remain clear and expanded. No focal parenchymal infiltrates or pleural air collections. Heart and aorta are normal. No change in the large hiatus hernia. Pelvis. Bone density is decreased. Hips are normal and symmetric. No fractures, dislocations, or bone destruction. Note XXXX of a severe rotatory dextroscoliosis in the lumbar spine.",1. Chest. No change no active cardiopulmonary disease. No evidence for cardiopulmonary injury. 2. Pelvis and hips negative for recent bony injury.
2892,Calcified Granuloma/lung/lower lobe/left/multiple,Calcified Granuloma,Xray Chest PA and Lateral,XXXX year old with chest pain.,None.,"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.",No acute cardiopulmonary disease.
2893,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male with rib pain, XXXX, left-sided bruising, evaluate for pneumothorax",Chest XXXX,"Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.",No acute cardiopulmonary abnormality. .
2894,"Tube, Inserted/trachea;Catheters, Indwelling/right;Catheters, Indwelling/left;Surgical Instruments/neck","Tube, Inserted;Catheters, Indwelling;Catheters, Indwelling;Surgical Instruments",Xray Chest PA and Lateral,"XXXX-year-old, rule out neck abscess.","XXXX, XXXX.",The tracheostomy tube is in stable position. Right subclavian catheter tip is in the lower SVC. The left upper extremity PICC tip is in the mid SVC. Surgical XXXX overlie the soft tissues of the neck. The lungs are clear. Heart size is normal. No pneumothorax.,1. No acute cardiopulmonary findings. .
2895,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",XXXX followup,None.,,Heart size is normal and the lungs are clear. No fibrosis. No nodules or masses. Please XXXX XXXX XXXX XXXX XXXX to be followed up as per history
2897,No Indexing,No Indexing,"XXXX CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
2898,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, hypertension",None,"Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",No acute cardiopulmonary findings
2899,normal,normal,Xray Chest PA and Lateral,"Medical XXXX, shortness of breath.",None.,"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. .
2901,Pulmonary Atelectasis/upper lobe/right/mild;Osteophyte/thoracic vertebrae/degenerative,Pulmonary Atelectasis;Osteophyte,"XXXX PA and lateral chest XXXX, XXXX XXXX comparison XXXX XXXX ",History of XXXX.,,,"Minimal atelectasis, platelike in the right upper lobe. Heart size upper limits normal. Degenerative spurring of thoracic spine."
2902,normal,normal,Frontal and Lateral Chest Radiograph,721.3,,"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.",No acute cardiopulmonary process.
2903,Lung/hypoinflation/mild,Lung,Xray Chest PA and Lateral,"XXXX, nausea, vomiting, chest pain.",None.,"Cardiac silhouette is within normal limits in size for AP technique. Lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax, or pleural effusion. Pulmonary vasculature is normal in caliber. There are no acute bony findings.","Mildly hypoinflated, grossly clear lungs. ."
2904,"Cardiomegaly/borderline;Aorta/tortuous;Lung/hyperdistention;Fractures, Bone/ribs/left/healed","Cardiomegaly;Aorta;Lung;Fractures, Bone",Xray Chest PA and Lateral,"XXXX-year-old female, pain and weakness",,Stable cardiomediastinal silhouette with borderline heart size and aortic ectasia/tortuosity. Stable hyperinflation without focal alveolar consolidation. No definite pleural effusion seen. No typical findings of pulmonary edema. Healed left rib fractures again noted.,No acute findings
2905,"Catheters, Indwelling;Pleural Effusion/left/large","Catheters, Indwelling;Pleural Effusion","PA and lateral chest XXXX, XXXX at XXXX ",History of lung cancer XXXX shortness of breath and decreased breath sounds,None,,Right lung clear. Catheter tip in upper SVC. Heart size appears normal. Patient is a large left effusion extending up to the level of the aortic XXXX. The ordering physician was notified of this finding at the time of the exam and she is trying to arrange admission to XXXX for dyspnea evaluation.
2906,Scoliosis/thoracic vertebrae/right,Scoliosis,"2 view CHEST: XXXX, XXXX at XXXX hours. ",Shortness of breath.,None available,,"Heart size is normal. Mediastinal silhouette and pulmonary vascularity are within normal limits. There is no focal airspace consolidation, pleural effusion or pneumothorax. There is a dextroscoliosis of the thoracic spine."
2908,Markings/lung/interstitial/chronic;Spine/degenerative,Markings;Spine,Frontal and Lateral view of the chest XXXX/XXXX at 434 hours.,Short of breath,XXXX,"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.",1. No acute radiographic cardiopulmonary process.
2909,"Airspace Disease/lung/lingula/patchy;Calcified Granuloma/mediastinum/multiple;Catheters, Indwelling/right","Airspace Disease;Calcified Granuloma;Catheters, Indwelling","Chest, 2 views, frontal and lateral",Productive XXXX,None.,Patchy airspace disease in the left lingula. No significant effusion. Clear right lung. Normal heart size. Granulomatous mediastinal calcifications. Right chest XXXX tip at SVC.,Patchy airspace disease in the lingula without evidence of effusion. Pneumonia is in the differential. A followup exam in 4 to 6 weeks should be considered to ensure resolution of this process.
2910,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX PM ",XXXX-year-old male with chest pain.,None.,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.
2911,Sulcus/bilateral/blunted/mild;Thickening/pleura/bilateral;Cicatrix/pleura/bilateral;Pulmonary Atelectasis/base/right/mild,Sulcus;Thickening;Cicatrix;Pulmonary Atelectasis,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.","XXXX, neck pain, soreness","XXXX, XXXX",,"The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. Minimal blunting of the lateral sulci bilaterally XXXX reflects pleural thickening or scarring, no dependent pleural fluid posteriorly. Minimal right base subsegmental atelectasis. No lobar consolidation. No pneumothorax."
2915,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX PM ",XXXX-year-old male with chest pain.,PA and lateral chest x-XXXX dated XXXX.,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.
2916,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, pre-syncope",None,"Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.",No acute cardiopulmonary findings
2917,"Lung/hyperdistention;Blister/lung/upper lobe/bilateral/multiple;Pulmonary Disease, Chronic Obstructive","Lung;Blister;Pulmonary Disease, Chronic Obstructive","CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",sob with chest pain,None,Lungs are hyperexpanded. Bullae are present in the upper lobes. No focal infiltrates or masses in the lungs. Heart size normal.,COPD. No acute disease.
2918,normal,normal," Chest radiograph, frontal and lateral views",,None,"Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.",No acute cardiopulmonary disease.
2919,Cardiomegaly/severe;Pulmonary Congestion,Cardiomegaly;Pulmonary Congestion,"PA and Lateral Chest. XXXX, XXXX ",Dyspnea,None available,"The heart is significantly enlarged. Prominent pulmonary vascularity. No focal airspace consolidation, suspicious pulmonary opacity, or definite pleural effusion. No pneumothorax. Visualized osseous structures appear intact.",Cardiomegaly with central pulmonary vascular congestion. No XXXX edema.
2920,normal,normal,"PA and lateral chest XXXX, XXXX at XXXX hours.",Fatigue and increasing shortness of breath.,"XXXX, XXXX.",The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal . The skeletal structures and soft tissues are normal.,No active disease.
2921,Airspace Disease/lung/costophrenic angle/left/mild;Pleural Effusion/costophrenic angle/left/mild;Aorta/tortuous;Spine/degenerative,Airspace Disease;Pleural Effusion;Aorta;Spine,"PA and lateral views of the chest XXXX, XXXX XXXX XXXX ",h/o dyspnea,,Minimal left costophrenic XXXX airspace disease and/or pleural effusion. Lungs are otherwise clear. No pneumothorax. Heart and mediastinum are stable with normal sized heart. There is tortuosity and ectasia of the aorta. Degenerative changes in the spine.,Minimal left costophrenic XXXX airspace disease and/or pleural effusion.
2922,Lung/hyperdistention;Diaphragm/bilateral/flattened;Calcinosis/lung/hilum/right,Lung;Diaphragm;Calcinosis,Xray Chest PA and Lateral,"XXXX-year-old male, pain",None,"Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. Right hilar calcification suggests a previous granulomatous process.","Hyperinflated lungs, air trapping versus inspiratory XXXX."
2923,normal,normal,Xray Chest PA and Lateral,Shortness of breath,None,Clear lungs. Heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.,No acute cardiopulmonary disease.
2924,Calcified Granuloma/lung/upper lobe/left/small,Calcified Granuloma,"PA and lateral chest, XXXX, XXXX XXXX XXXX ",XXXX-year-old male with chest pain.,None.,The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There is a small calcified granuloma within the left upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,No acute radiographic cardiopulmonary process.
2925,normal,normal,Chest x-XXXX XXXX and lateral performed on XXXX ,Hypertension.,None.,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,No acute cardiopulmonary abnormalities.
2926,normal,normal,"Chest, 2 views, frontal and lateral",XXXX.,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,Negative chest x-XXXX.
2927,Nipple Shadow/bilateral;Calcinosis/right/paratracheal,Nipple Shadow;Calcinosis,"PA and lateral chest XXXX, XXXX at XXXX with no XXXX comparison available ",dyspnea XXXX,,,heart size normal. Lungs are clear. Bilateral nipple shadows. Right paratracheal calcifications due to old histoplasmosis. XXXX overlies the common bile duct.
2928,"Lucency/retrocardiac;Hernia, Hiatal/large;Deformity/thoracic vertebrae","Lucency;Hernia, Hiatal;Deformity",Xray Chest PA and Lateral,The patient is a XXXX-year-old woman with syncope.,"Chest x-XXXX, single view portable from XXXX at XXXX a.m.","Mediastinum is stable. Retrocardiac lucency XXXX represents a large hiatal hernia, unchanged from prior. The lungs are clear, without focal infiltrate or pleural effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities. Stable thoracic XXXX deformity.",1. No acute cardiopulmonary abnormalities. 2. Multiple chronic changes as described above. .
2929,Lung/hypoinflation,Lung,CHEST 2V FRONTAL/LATERAL ,XXXX,"XXXX, XXXX",The heart is top normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but grossly clear. Significant degenerative changes of the XXXX are again noted bilaterally.,No acute disease.
2930,Osteophyte/thoracic vertebrae/multiple,Osteophyte,Xray Chest PA and Lateral,Preop.,None available.,There are T-spine osteophytes. 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.
2931,Opacity/lung/lower lobe/left;Opacity/costophrenic angle/left,Opacity;Opacity,Xray Chest PA and Lateral,"The patient is a XXXX-year-old XXXX with chest pain, weakness, blurry vision. The patient has a history of cardiac bypass and stent placement.",None available.,"The trachea is midline. The heart size is normal. XXXX opacities are seen in the left lower lobe and left costodiaphragmatic XXXX, which could represent scarring or atelectasis. There is no pneumothorax. No acute bony abnormalities.",1. No acute cardiopulmonary abnormalities. .
2932,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",pre op and findings of DVT,"chest x-XXXX, 2 views from XXXX.",The trachea is midline. The cardiomediastinal silhouette is normal in contour and unchanged in comparison to prior exams. The lungs are clear with no evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.,No acute cardiopulmonary abnormality.
2933,normal,normal,"PA lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. ",46 are old female with dyspnea.,None.,"Normal heart size. No focal air space consolidation, pneumothorax, pleural effusion, or pulmonary edema. No focal bony abnormality.",No acute cardiopulmonary disease.
2934,"Lung, Hyperlucent/bilateral/mild;Scoliosis/lumbar vertebrae","Lung, Hyperlucent;Scoliosis",CHEST 2V FRONTAL/LATERAL ,"XXXX, 10lb unintentional XXXX loss",,The heart is normal in size. The mediastinum is unremarkable. The lungs are mildly hyperlucent but clear. There is denser lumbar scoliosis.,No acute disease.
2935,Scoliosis;Diaphragmatic Eventration/left/posterior/focal;Technical Quality of Image Unsatisfactory ;Markings/bronchovascular/left;Kyphosis/severe,Scoliosis;Diaphragmatic Eventration;Technical Quality of Image Unsatisfactory ;Markings;Kyphosis,PA and Lateral Chest,"XXXX-year-old female, syncope",None,"Scoliosis and focal eventration of the posterior left hemidiaphragm. No focal alveolar consolidation. Rotated position, considering technical factors heart size XXXX within normal limits. No definite pleural effusion seen, left bronchovascular crowding without typical findings of pulmonary edema. Exaggerated kyphosis with increased AP dimension of the thorax.",No acute cardiopulmonary findings
2936,"Cardiomegaly/mild;Hernia, Hiatal/moderate;Spine/degenerative/mild","Cardiomegaly;Hernia, Hiatal;Spine",Xray Chest PA and Lateral,XXXX-year-old with chest pain intermittently over the XXXX 3 months with dizziness.,None.,The heart size is mildly enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a moderate sized hiatal hernia. There mild degenerative changes of the spine.,Cardiomegaly and hiatal hernia without an acute abnormality identified.
2937,normal,normal,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old male complaining of pain,XXXX,"The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.",No acute cardiopulmonary findings.
2938,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,Dyspnea,None available,"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.
2939,Surgical Instruments/abdomen/right,Surgical Instruments,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX with history of positive TB skin test.,None.,"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.
2940,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,Xray Chest PA and Lateral,Chest pain and XXXX symptoms,None,Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,Normal chest.
2941,normal,normal,"Chest, 2 XXXX and Lateral ","XXXX year-old female, preop XXXX with XXXX.",None available,"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.",1. Clear lungs.
2942,normal,normal,"PA and Lateral Chest. XXXX, XXXX ",Followup on reported pneumonia,"XXXX, XXXX","Postsurgical changes of XXXX sternotomy with screw fixation of anterior XXXX plates. Heart size and cardiomediastinal silhouette are normal. No focal consolidation, suspicious bony opacity, pneumothorax, or pleural effusion. No acute osseous abnormality.",Interval postsurgical changes of XXXX sternotomy without acute cardiopulmonary abnormality.
2943,Costophrenic Angle/left/blunted/mild;Pleural Effusion/base/left;Opacity/lung/hilum/left;Volume Loss/thorax/left;Shift/mediastinum/left;Shift/heart/left,Costophrenic Angle;Pleural Effusion;Opacity;Volume Loss;Shift;Shift,Xray Chest PA and Lateral,"XXXX-year-old male, syncopal episode. Additional information obtained from electronic medical record. History of lung cancer.",,,"Mild left costophrenic XXXX blunting XXXX XXXX basilar pleural effusion, increased left suprahilar opacity, differential diagnosis includes increased volume loss, apical pleural fluid, tumor progression. Left hemithorax volume loss with leftward shift of the heart and mediastinum. XXXX right costophrenic XXXX, right lung free of focal consolidation."
2944,Mass/lung/base/right/large;Opacity/lung/base/right/large;Lung/hilum/right/prominent;Calcified Granuloma/lung/right/multiple,Mass;Opacity;Lung;Calcified Granuloma,Xray Chest PA and Lateral,XXXX,No comparison chest x-XXXX.,,There is a large masslike opacity in the right lung base which may represent a lung cancer. Additional evaluation XXXX advised. Right hilum appears prominent and may contain some enlarged lymph XXXX. Some calcified granulomas are seen with within the right lung. Unremarkable mediastinal contour. No effusions.
2945,Markings/lung/bilateral/interstitial/diffuse;Shoulder/degenerative,Markings;Shoulder,Xray Chest PA and Lateral,"XXXX-year-old male, lightheaded.",Chest XXXX,"Diffuse bilateral coarse interstitial markings are unchanged. No focal consolidation, pleural effusion, pneumothoraces. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the shoulder. Soft tissues are unremarkable..",No acute cardiopulmonary abnormality. .
2946,Costophrenic Angle/right/blunted/mild,Costophrenic Angle,"PA and lateral views of the chest dated XXXX, XXXX.","XXXX chest pain, XXXX, history of acid reflux.",None.,"The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. Lungs are clear of focal airspace disease. There is no pneumothorax. There is mild blunting of the right costophrenic XXXX, without definite pleural effusion.",1. Clear lungs. 2. Mildly blunted right costophrenic XXXX without definite pleural effusion.
2947,normal,normal,"2 view CHEST: XXXX, XXXX at XXXX hours. ",XXXX onset XXXX,"XXXX, XXXX",,"Heart size normal. Mediastinal silhouette and pulmonary vascularity are stable and within normal limits. There is no focal airspace consolidation, pleural effusion or pneumothorax."
2948,normal,normal,PA and Lateral Chest X-XXXX dated XXXX.,Pre-op evaluation for cyst removal.,XXXX.,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.,1. No evidence of active disease.
2949,Calcified Granuloma/lung/scattered/multiple;Nodule/lung/scattered/multiple;Calcinosis/lung/scattered/multiple;Calcinosis/lung/hilum/lymph nodes;Calcinosis/mediastinum/lymph nodes,Calcified Granuloma;Nodule;Calcinosis;Calcinosis;Calcinosis,"Chest 2 views PA and lateral XXXX, XXXX XXXX a.m. ","Malignant neoplasm, evaluate for metastases/recurrence","Chest 2 views PA and lateral XXXX, XXXX p.m., CT chest with contrast XXXX, XXXX p.m.","Scattered calcified pulmonary nodules, XXXX represents calcified granulomas. Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Stable calcified hilar and mediastinal lymph XXXX, XXXX decreased in size from prior exam. Heart size is normal. XXXX are unremarkable.",No acute cardiopulmonary abnormality.
2950,normal,normal,Xray Chest PA and Lateral,ALLOGENEIC BMT W/U LAB;,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
2951,Lucency/ribs/left/posterior,Lucency," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",palpitation,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. No pleural air collections. Heart and mediastinum normal. A vague lucency is present in left rib 7 anteriorly.,No active disease. No evidence for cardiopulmonary injuries. Possibility of left rib 7 anterior nondisplaced fracture as described.
2952,Lung/hypoinflation/mild,Lung,Xray Chest PA and Lateral,"Difficulty breathing, chest pain.","XXXX, XXXX.","The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",No acute cardiopulmonary findings. .
2953,normal,normal,XR Chest PA and Lateral,Congestion for one XXXX worsening last 2 days. Nonproductive XXXX.,None,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.
2954,Lung/base/bilateral/obscured;Lung/hypoinflation;Pulmonary Atelectasis;Pulmonary Fibrosis;Calcified Granuloma/lung/left;Infiltrate/lung/base/bilateral;Pleural Effusion/base/bilateral,Lung;Lung;Pulmonary Atelectasis;Pulmonary Fibrosis;Calcified Granuloma;Infiltrate;Pleural Effusion,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old female with XXXX, pulmonary hypertension, dementia.","Two view chest radiograph dated XXXX, XXXX.","There is obscuration of the bilateral lung bases with lower lung volumes compared to prior examination. Stable atelectatic/fibrotic changes of the visualized lung, and stable left-sided calcified granuloma. No acute osseous abnormalities identified. Cardiomediastinal silhouette unremarkable.","Obscuration of the bilateral lung bases, XXXX combination of atelectasis, infiltrate, effusions."
2955,Cardiomegaly/moderate;Technical Quality of Image Unsatisfactory ;Aorta/tortuous;Diaphragmatic Eventration/right;Pulmonary Congestion,Cardiomegaly;Technical Quality of Image Unsatisfactory ;Aorta;Diaphragmatic Eventration;Pulmonary Congestion,Xray Chest PA and Lateral,"XXXX-year-old male, syncope, XXXX",None,,"Heart size moderately enlarged for technique, aortic ectasia/tortuosity. Right hemidiaphragm eventration. No focal alveolar consolidation, no definite pleural effusion seen. Vascular redistribution without typical findings of pulmonary edema. No pneumothorax."
2956,normal,normal,Xray Chest PA and Lateral,XXXX,None.,Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,Normal chest.
2957,Cardiomegaly/mild;Pulmonary Congestion;Diaphragm/right/elevated/mild;Airspace Disease/lung/base/right;Pulmonary Atelectasis/base/right;Opacity/lung/base/left/streaky;Costophrenic Angle/bilateral/blunted;Diaphragmatic Eventration/right,Cardiomegaly;Pulmonary Congestion;Diaphragm;Airspace Disease;Pulmonary Atelectasis;Opacity;Costophrenic Angle;Diaphragmatic Eventration,CHEST 2V FRONTAL/LATERAL ,pt with XXXX and difficulty,XXXX,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.
2958,Volume Loss/lung/upper lobe/right;Cavitation/lung/upper lobe/right;Pulmonary Fibrosis/upper lobe/right,Volume Loss;Cavitation;Pulmonary Fibrosis,"PA lateral chest XXXX, XXXX XXXX comparison XXXX. ",followup pneumonia,,,Left lung clear. Heart size normal. No change right upper lobe volume loss and fibrosis. No change right upper lobe cavitation.
2959,normal,normal," Two-view chest. XXXX, XXXX XXXX PM. ",Positive TB skin test.,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
2960,normal,normal,Chest radiograph PA and lateral on XXXX at XXXX. ,XXXX-year-old female with chest pain.,CT C-spine on XXXX.,Normal cardiac contours. Clear lung XXXX bilaterally. No pneumothorax or pleural effusion.,No acute cardiopulmonary abnormalities.
2961,Opacity/lung/base/left/patchy;Lucency/diaphragm/right;Pleural Effusion/left/small;Atherosclerosis/aorta;Arthritis;Pulmonary Atelectasis/base/left;Pneumonia/base/left,Opacity;Lucency;Pleural Effusion;Atherosclerosis;Arthritis;Pulmonary Atelectasis;Pneumonia,Xray Chest PA and Lateral,XXXX evaluate for pneumonia retroperitoneal mass,CT of the abdomen and pelvis XXXX,There is patchy opacity in the left base concerning for atelectasis versus pneumonitis. There is a curvilinear lucency that appears to be in the right hemidiaphragm and a small amount of free intraperitoneal air may be present. There is a small left pleural effusion. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,1. Question small amount of free intraperitoneal air on the right. This is XXXX to be postprocedural due to the recent abdominal surgery. 2. Left basilar airspace opacity atelectasis versus pneumonitis.
2962,Scoliosis/thoracic vertebrae/left/mild;Cardiomegaly;Calcinosis/thorax/scattered/round/multiple;Density/thorax/scattered/round/multiple;Granulomatous Disease;Thoracic Vertebrae/degenerative/moderate,Scoliosis;Cardiomegaly;Calcinosis;Density;Granulomatous Disease;Thoracic Vertebrae,"Chest x-XXXX XXXX and lateral performed on XXXX, XXXX at XXXX hours. ",XXXX-year-old female with asthma flare.,Chest x-XXXX XXXX and lateral from XXXX.,Stable mild thoracic levoscoliosis. Stable cardiomegaly. Multiple scattered round calcific densities XXXX represent old granulomatous disease. No pneumothorax or pleural effusion. No focal consolidation. Moderate degenerative changes of the thoracic spine.,Stable cardiomegaly with no focal airspace disease.
2963,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old male, pain.",PA and lateral chest radiographs XXXX.,"The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.",No acute cardiopulmonary process.
2964,normal,normal,Xray Chest PA and Lateral,XXXX-year-old female with chest pain,None,The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal.,No evidence of active disease.
2965,normal,normal,PA and lateral views of the chest. ,XXXX-year-old female with positive PPD.,None available.,Heart size within normal limits. No focal airspace disease. No pleural effusion. No pneumothorax.,"No acute cardiopulmonary findings. Specifically, no radiographic evidence of tuberculosis."
2966,Spine/degenerative;Scoliosis,Spine;Scoliosis,Xray Chest PA and Lateral,XXXX.,None.,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Scoliosis and degenerative changes are present in the spine.,1. No evidence of active disease.
2967,normal,normal,Xray Chest PA and Lateral,Kidney transplant evaluation.,None.,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.,1. No evidence of active disease.
2968,Mass/right/paratracheal,Mass," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM. ",Chest pain.,None.,Right paratracheal stripe is denser and XXXX than normal. The XXXX are normal. Heart size normal. Lungs clear and expanded with no infiltrates.,"Right paratracheal mass, possibly lymphadenopathy. If there are no previous chest x-XXXX from elsewhere are XXXX scan with contrast XXXX be of further XXXX. Dr. XXXX XXXX I discussed these findings in the XXXX Department approximately XXXX hours XXXX, XXXX."
2969,Atherosclerosis/aorta;Lung/hyperdistention/severe;Emphysema;Cicatrix/lung/apex/bilateral;Cicatrix/pleura/apex/bilateral;Granuloma/scattered/multiple,Atherosclerosis;Lung;Emphysema;Cicatrix;Cicatrix;Granuloma,"PA lateral chest radiograph XXXXth, XXXX XXXX hours ","XXXX-year-old male, dyspnea","Chest radiograph 2 views XXXX, XXXX","Heart size and mediastinal contours are stable. Atherosclerotic calcifications of the aorta. Moderate severe hyperexpansion of the lungs and decreased peripheral vascular markings, consistent with emphysema. Stable biapical pleural-parenchymal scarring. Scattered granulomas. No abnormal airspace consolidation. No pneumothorax or pleural effusion.",1. Stable emphysematous changes. 2. Stable biapical pleural-parenchymal scarring.
2970,"Calcinosis/aorta, thoracic",Calcinosis,Xray Chest PA and Lateral,"Dyspnea, XXXX and shortness of breath",,Heart size and mediastinal contours are stable. Stable calcification of the thoracic aorta. Pulmonary vasculature is 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 cardiopulmonary abnormality.
2971,normal,normal,XR Chest PA and Lateral,"Multiple abscesses, polysubstance abuse, tachycardia.",None.,"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. .
2972,Lung/hypoinflation;Costophrenic Angle/bilateral/blunted;Pleural Effusion/bilateral/small,Lung;Costophrenic Angle;Pleural Effusion,CHEST 2V FRONTAL/LATERAL ,"Pre-XXXX, XXXX depression",None,"The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. Costophrenic XXXX are blunted, XXXX corresponding to small bilateral pleural effusions. There is no focal consolidation or pneumothorax.","Low lung volumes with blunted costophrenic XXXX, XXXX XXXX bilateral pleural effusions."
2974,Aorta/tortuous;Costophrenic Angle/sulcus/left/posterior/blunted;Osteophyte/thoracic vertebrae/anterior/multiple;Cicatrix/lung/base/left/small;Pleural Effusion/base/left/small,Aorta;Costophrenic Angle;Osteophyte;Cicatrix;Pleural Effusion,"PA and Lateral views of the chest on XXXX, XXXX.",XXXX year-old male with esophageal dyskinesia. Esophageal surgery performed 3 weeks ago.,"AP chest on XXXX, XXXX.",Postsurgical changes are noted in the mediastinum. There is tortuosity and/or ectasia of the thoracic and upper abdominal aorta. No consolidative airspace opacities. Blunting of the lateral and posterior left costophrenic sulcus may represent residual postsurgical effusion or pleural-parenchymal scarring. No demonstrable pneumothorax. Cardiomediastinal silhouette within normal limits. Multilevel anterior osteophytes of the thoracic spine.,1. Small left basilar parenchymal scarring and/or effusion. 2. Postsurgical changes of the mediastinum. 3. Otherwise unremarkable chest radiograph.
2975,Cardiac Shadow/enlarged/moderate;Infiltrate/lung/base/right/patchy/mild;Pulmonary Atelectasis/base/right/mild;Cicatrix/lung/lingula;Pulmonary Atelectasis/lingula,Cardiac Shadow;Infiltrate;Pulmonary Atelectasis;Cicatrix;Pulmonary Atelectasis,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.","Dyspnea, leg XXXX, cellulitis.","XXXX, XXXX",,Moderate enlargement of the heart XXXX. This shows significant interval increase in size from the remote XXXX comparison. XXXX cardiomegaly or pericardial fluid could have this appearance. Minimal patchy infiltrate/atelectasis in medial right base and lingular scarring or subsegmental atelectasis. No pleural effusion or pneumothorax.
2976,Lung/hyperdistention,Lung,"PA and LAT view CHEST XXXX, XXXX XXXX PM","XXXX, XXXX XXXX",None.,Heart size and vascularity normal. Lungs are hyperexpanded but clear. Mediastinal contour normal. No pleural effusions or pneumothoraces.,"Hyperexpanded lungs, suggesting chronic obstructive pulmonary disease. No acute pulmonary process."
2977,Aorta/tortuous/mild,Aorta,"PA and lateral chest XXXX, XXXX XXXX comparison XXXX XXXX ",History of XXXX,,,"Heart size normal. Slightly tortuous aorta, unchanged. Lungs are clear. No nodules or masses. No pneumonia."
2978,Calcinosis/lung/lower lobe/right/multiple/small;Nodule/lung/lower lobe/right/multiple/small;Granulomatous Disease,Calcinosis;Nodule;Granulomatous Disease,Xray Chest PA and Lateral,"XXXX, acute mental status changes.",None.,"The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size and contour. There is a XXXX-A-XXXX terminating at the caval atrial junction, without evidence of pneumothorax. There is no focal airspace disease. There are small calcified nodules in the superior segment of the right lower lobe, XXXX old granulomatous infection. There are no acute bony findings.",No acute findings. .
2979,Calcinosis/mediastinum/lymph nodes;Atherosclerosis/aorta;Arthritis,Calcinosis;Atherosclerosis;Arthritis,Xray Chest PA and Lateral,Possible syncopal episode,"XXXX, XXXX",The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified mediastinal lymph XXXX. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,No acute pulmonary disease.
2980,Calcified Granuloma/scattered/multiple,Calcified Granuloma,Xray Chest PA and Lateral,This is a XXXX-year-old XXXX with diarrhea and abdominal pain with history of smoking.,,Negative for cardiac enlargement. Negative for vascular congestion. Negative for focal confluent airspace disease. Negative for pneumothorax. A few scattered calcified granulomas are identified.,No acute cardiothoracic abnormality.
2981,Scoliosis/thoracic vertebrae/right/mild,Scoliosis,"PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old female, preop","Chest CT XXXX, XXXX","Normal heart size and mediastinal contours. No focal airspace consolidation. No pneumothorax or pleural effusion. Mild dextro curvature of the lower thoracic spine, this may be positional. Visualized bony structures are otherwise unremarkable.",No acute cardiopulmonary abnormality.
2982,Cicatrix/lung/lingula,Cicatrix,Xray Chest PA and Lateral,XXXX x 2 XXXX; skin cancer,None,The heart is normal in size. The mediastinum is unremarkable. XXXX scarring is noted in the lingula. The lungs are clear.,No acute disease.
2983,Cicatrix/lung/lower lobe/right;Granuloma/multiple,Cicatrix;Granuloma,Xray Chest PA and Lateral,"XXXX, left rib pain, history of SDH, XXXX, hypokalemia.",,Cardiomediastinal silhouette is within normal limits. No focal consolidation. There is right lower lobe scarring. No pneumothorax or large pleural effusion. Granulomas present. No acute bony abnormalities.,1. No acute cardiopulmonary abnormalities. 2. No acute bony abnormalities. .
2984,Calcinosis/lymph nodes;Aorta/tortuous;Cardiac Shadow/enlarged/moderate;Lung/hypoinflation;Kyphosis/severe;Spondylosis;Cardiomegaly,Calcinosis;Aorta;Cardiac Shadow;Lung;Kyphosis;Spondylosis;Cardiomegaly,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours. ",XXXX,"XXXX, XXXX.",Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is a AP XXXX duct is calcified lymph node. The aorta is unfolded. Cardiac silhouette remains moderately enlarged. Low lung volumes due to exaggerated kyphosis. No focal airspace consolidation or pleural effusion. XXXX spine spondylosis.,Cardiomegaly. No acute pulmonary disease process.
2985,Thoracic Vertebrae/degenerative/multiple/mild;Lumbar Vertebrae/degenerative/multiple/mild,Thoracic Vertebrae;Lumbar Vertebrae,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old XXXX with XXXX and dyspnea. Recent XXXX to XXXX..,"Two-view chest radiograph dated XXXX, XXXX.","The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrate stable, mild multilevel thoracolumbar degenerative disc disease without acute abnormality. Upper abdominal midline surgical sutures are likewise stable.",No acute cardiopulmonary abnormality..
2986,Scoliosis/thoracic vertebrae/right/mild,Scoliosis,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Shortness of breath.,None.,"The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. Mild dextro curvature of the thoracic spine, possibly positional.",No acute cardiopulmonary abnormalities.
2988,normal,normal,Xray Chest PA and Lateral,XXXX and XXXX symptoms,None,"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. .
2989,Spinal Fusion/cervical vertebrae;Spine/degenerative;Shoulder/bilateral/degenerative,Spinal Fusion;Spine;Shoulder,PA and lateral views of the chest ,XXXX.,None.,"Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. Cervical fusion XXXX. Degenerative changes of the spine and the acromioclavicular joints.",No acute cardiopulmonary abnormality.
2991,normal,normal," PA and lateral chest XXXX, XXXX and XXXX with comparison XXXX ",XXXX with XXXX and dyspnea,,,Heart size is normal and the lungs are clear. No nodules or masses. No effusions. No pneumonia
2992,Calcified Granuloma/lung/base/right,Calcified Granuloma,Xray Chest PA and Lateral,"786.2,V70.0 XXXX.",None.,The lungs are clear. Heart size is normal. No pneumothorax. Calcified granuloma within the right lung base.,Clear lungs. No acute cardiopulmonary abnormality. .
2993,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX. ",XXXX-year-old female with chest pain,None,"The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable.",Negative for acute cardiopulmonary abnormality.
2994,normal,normal,Xray Chest PA and Lateral,Passed out last XXXX. Dizziness.,,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.
2995,normal,normal,Xray Chest PA and Lateral,PREOP; Pancreatic surgery sched. No complaints.,,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
2996,normal,normal," the PA and lateral chest XXXX, XXXX at time XXXX with comparison XXXX XXXX ",persistent XXXX.,,,Heart size is normal and the lungs are clear. No effusions.
2997,normal,normal,"Chest x-XXXX AP and lateral, XXXX. ",XXXX-year-old female with dyspnea.,"Chest x-XXXX, XXXX","Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues unremarkable.",Negative for acute cardiopulmonary abnormality.
2998,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old woman, XXXX with chest XXXX..",None.,"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.",No acute cardiopulmonary abnormality.
2999,Opacity/lung/base/left/patchy;Thoracic Vertebrae/degenerative/mild;Pulmonary Atelectasis/base/left/patchy;Infiltrate/lung/base/left/patchy;Pleural Effusion/left/small,Opacity;Thoracic Vertebrae;Pulmonary Atelectasis;Infiltrate;Pleural Effusion,Xray Chest PA and Lateral,XXXX-year-old male with congestion presents for evaluation.,None available.,The cardiac silhouette is at the upper limits of normal for size. Patchy opacities are demonstrated in the left lung base. No focal pulmonary consolidation. No pneumothorax. Minimal degenerative changes of the thoracic spine.,"1. Patchy left basilar subsegmental atelectasis, infiltrates and/or small left pleural effusion. ."
3000,Nodule/lung/bilateral/multiple;Nodule/lung/lower lobe/left;Lung/hilum/left/prominent;Spine/degenerative/diffuse;Pulmonary Artery/left/enlarged,Nodule;Nodule;Lung;Spine;Pulmonary Artery,"PA and LATERAL views of the chest, dated XXXX, XXXX XXXX XXXX","XXXX-year-old male with history renal XXXX, 593.9. Evaluate for metastatic disease.",CT chest XXXX,"There are multiple bilateral pulmonary nodules. For example, there is a 12 mm left lower lobe nodule, XXXX seen on the frontal view. There is no pleural effusion or pneumothorax. Heart size is within normal limits. The left hilar contour is prominent. There are diffuse degenerative changes of the spine.","1. Multiple bilateral pulmonary nodules, concerning for metastatic disease. 2. Prominent left hilum. After correlation with the XXXX scan performed today, findings XXXX reflect enlargement of the left pulmonary artery."
3001,Sulcus/posterior/obscured,Sulcus,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours. ",XXXX.,"XXXX, XXXX.","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.
3002,normal,normal,PA and lateral chest x-XXXX ,XXXX-year-old female with XXXX onset of chest pain.,,"Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",No acute cardiopulmonary abnormalities.
3003,"Calcified Granuloma/multiple;Aorta, Thoracic/tortuous/mild;Atherosclerosis/aorta","Calcified Granuloma;Aorta, Thoracic;Atherosclerosis","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old male, concern for emphysema..","Two-view chest radiograph dated XXXX, XXXX..","No focal consolidation, pneumothorax, or pleural effusions. Stable calcified granulomas. Cardiomediastinal silhouette demonstrates mild tortuosity of the thoracic aorta and atherosclerotic calcifications of the aortic XXXX. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality..
3004,Calcified Granuloma/scattered/multiple;Opacity/lung/base/bilateral;Pulmonary Atelectasis/base/bilateral;Cicatrix/lung/base/bilateral,Calcified Granuloma;Opacity;Pulmonary Atelectasis;Cicatrix,Xray Chest PA and Lateral,Chest pain XXXX this XXXX. Weakness and shortness of breath.,None.,"Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. And scattered calcified granulomas. Left greater than right basilar opacity, probable atelectasis and/or scarring. No pleural effusion.","Basilar atelectasis. Otherwise, no acute cardiac or pulmonary disease process."
3005,"Aorta/tortuous;Calcinosis/lymph nodes;Mediastinum/right/paratracheal/prominent/mild;Bone Diseases, Metabolic;Deformity/thoracic vertebrae;Emphysema","Aorta;Calcinosis;Mediastinum;Bone Diseases, Metabolic;Deformity;Emphysema",CHEST 2V FRONTAL/LATERAL ,XXXX with XXXX and XXXX loss,XXXX,"The heart is normal in size. The mediastinum is stable. Aorta is tortuous. Calcified lymph XXXX are again identified. There is mild prominence of the right paratracheal soft tissues, stable in appearance from prior studies. There is no acute infiltrate or pleural effusion. Osteopenia and degenerative changes are identified. XXXX deformity of T9 appears worse than prior study.","1. Emphysema without acute infiltrate. 2. Progressive XXXX deformity of midthoracic vertebral body, XXXX T9."
3006,"Cardiomegaly;Aorta, Thoracic/tortuous;Surgical Instruments/left;Diaphragmatic Eventration/right;Spine/degenerative","Cardiomegaly;Aorta, Thoracic;Surgical Instruments;Diaphragmatic Eventration;Spine",Xray Chest PA and Lateral,Melanoma.,,Cardiomegaly is present. The pulmonary vascularity appears within normal limits. Thoracic aorta is tortuous. Patient is status post XXXX sternotomy. Surgical clips are present in the left axilla. Lungs are free of focal airspace disease. No pneumothorax or pleural effusion is seen. There is eventration of the right hemidiaphragm. Degenerative changes are present in the spine.,No evidence of active disease.
3008,normal,normal," PA and lateral chest XXXX, XXXX at XXXX with comparison report from XXXX which is normal in the comparison film from XXXX ",chest pain,,,"Heart size is normal and lungs are clear. No effusions, pneumonia, or pneumothorax."
3009,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,Xray Chest PA and Lateral,"XXXX-year-old female, parotid gland disease, recurrent pneumonias.",Portable chest dated XXXX.,No focal areas of consolidation. No pleural effusions. No pneumothorax. Degenerative changes thoracic spine. Heart size normal limits. Cholecystectomy clips.,No acute cardiopulmonary abnormality. .
3010,normal,normal,Chest radiograph PA and lateral. XXXX/XXXX XXXX hours. ,XXXX-year-old woman with syncopal episode.,None.,"Heart and mediastinum are at the upper limits of normal size. There is no focal consolidation, pneumothorax, or large pleural effusion. There is no acute, displaced rib fracture. Bony structures are unremarkable.",No acute cardiopulmonary findings.
3011,"Atherosclerosis/aorta;Hernia, Hiatal/large","Atherosclerosis;Hernia, Hiatal",Xray Chest PA and Lateral,XXXX and wheezing x1 XXXX,,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. .
3012,normal,normal,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old female with right-sided neck mass.,PA and lateral chest radiograph XXXX.,"The cardiomediastinal silhouette is normal in size and contour. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",No acute cardiopulmonary process.
3013,Cardiac Shadow/enlarged/mild;Cardiomegaly/mild,Cardiac Shadow;Cardiomegaly,Xray Chest PA and Lateral,"Pain, history of end-stage renal disease, type 1 diabetes.","XXXX, XXXX.","The cardiac silhouette is mildly enlarged and appears mildly increased in size from the XXXX study. There is normal caliber pulmonary vasculature. The lungs are grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There is no evidence of pulmonary edema.","Probable mild cardiomegaly, without evidence of acute failure. No focal airspace disease. ."
3014,Deformity/lung/hilum/right;Volume Loss/thorax/right,Deformity;Volume Loss,"PA lateral chest radiographs XXXX, XXXX.",History of lung cancer with metastasis to brain. Preoperative evaluation for cyst drainage.,None.,There is distortion of the right hilum which may be postsurgical versus neoplastic. Volume loss of the right hand side. There is no evidence of focal infiltrate. No pneumothorax. No pleural effusion. Normal heart size.,"Question prior right upper lobe resection, no acute abnormality."
3015,normal,normal,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old female with pain in right side of chest that increases with XXXX and deep breathing,None available,"The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.",No acute cardiopulmonary findings.
3016,Granulomatous Disease;Spondylosis/thoracic vertebrae,Granulomatous Disease;Spondylosis,"Chest, 2 views, frontal and lateral",XXXX XXXX,None.,Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.,No acute findings.
3017,Opacity/lung/base/bilateral/mild;Pulmonary Atelectasis/base/bilateral;Cicatrix/lung/base/bilateral;Calcified Granuloma/lung/upper lobe/left;Nodule/right/retrocardiac;Calcinosis/right/retrocardiac,Opacity;Pulmonary Atelectasis;Cicatrix;Calcified Granuloma;Nodule;Calcinosis,Xray Chest PA and Lateral,EVALUATE FOR METASTATIC DISEASE;,None,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.
3018,Calcified Granuloma/lung/lingula,Calcified Granuloma,PA and lateral views of the chest. ,XXXX-year-old female with XXXX and shortness of breath.,PA and lateral views of the chest from XXXX.,Heart size within normal limits. No focal airspace disease. Stable 4 mm lateral left midlung calcified granuloma. No pneumothorax or pleural effusion.,No acute cardiopulmonary findings.
3019,Aorta/tortuous;Thoracic Vertebrae/degenerative/multiple,Aorta;Thoracic Vertebrae,Xray Chest PA and Lateral,"Injury, XXXX XXXX XXXX on patient, bone pain, anemia",XXXX,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.
3020,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX hours ","XXXX-year-old male, shortness of breath",None available,Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.,No acute cardiopulmonary abnormality.
3021,normal,normal,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.","Chest pain, passed out at XXXX",None available,,The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.
3022,Cavitation/lung/bilateral/multiple;Mass/lung/bilateral/multiple;Nodule/lung/bilateral/multiple,Cavitation;Mass;Nodule,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.",XXXX and XXXX. History of chemotherapy. XXXX with XXXX.,"XXXX, XXXX",,"Multiple cavitary bilateral pulmonary masses and nodules. These are XXXX and increased from prior radiograph of XXXX , but were seen XXXX chest XXXX, with largest in the left base measuring approximately 3.3 x 6.1 cm. No pleural effusion, no pneumothorax. Heart size is normal."
3023,Calcified Granuloma/lung/upper lobe/left/small,Calcified Granuloma,Xray Chest PA and Lateral,"Wheezing, leg XXXX",None,The heart is normal in size. The mediastinum is unremarkable. Small calcified left upper lung granuloma is noted. The lungs are clear.,No acute disease.
3024,normal,normal,Two views of the chest ,DVT,XXXX,"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.",1. No acute cardiopulmonary process.
3025,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old XXXX, rib tenderness..","Two-view chest radiograph dated XXXX, XXXX..","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 acute displaced rib fractures.",No acute cardiopulmonary abnormality..
3026,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM No comparison. Both lungs are clear and expanded. Heart and mediastinum normal. ",sob,,,No active disease.
3027,Scoliosis/right/mild,Scoliosis,"PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old female, chronic XXXX","Chest x-XXXX XXXX, XXXX","Normal heart size mediastinal contours. No focal airspace consolidation. No pneumothorax or pleural effusion. Stable, mild dextro curvature of the spine.",No acute cardiopulmonary abnormality.
3028,Atherosclerosis/aorta,Atherosclerosis,"Chest 2 views dated XXXX, XXXX.",Chest pain.,XXXX.,"The XXXX examination consists of frontal and lateral radiographs of the chest. Atherosclerotic calcifications of the aortic XXXX are again seen. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",No evidence of acute cardiopulmonary process.
3029,Cervical Vertebrae/degenerative,Cervical Vertebrae,Chest radiograph PA and lateral on XXXX at XXXX. ,XXXX yr old female with dyspnea.,Chest radiograph on XXXX.,Normal cardiac contour. Clear lung XXXX bilaterally. No pleural effusion or pneumothorax. Degenerative seen throughout cervical spine.,No acute cardiopulmonary abnormalities.
3030,normal,normal,2 views of the Chest on XXXX. ,"Chest pain, dyspnea",None.,Normal cardiomediastinal silhouette. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen.,There is no radiographic evidence of acute cardiopulmonary disease.
3031,normal,normal,Chest X-XXXX 2 XXXX ,chest pain,None,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,Negative chest.
3032,Surgical Instruments,Surgical Instruments," Two-view chest. XXXX hours XXXX, XXXX. ",Chest pain.,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Sternotomy sutures and coronary bypass clips remain intact.,No active disease.
3033,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old XXXX with chest pain.,None.,"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 acute cardiopulmonary abnormality..
3034,Arthritis/cervical vertebrae/multiple,Arthritis,Xray Chest PA and Lateral,XXXX.,"XXXX, XXXX",Cardiac and mediastinal contours are within normal limits. The lungs are clear. Multilevel cervical XXXX arthritis.,No acute findings.
3036,"Technical Quality of Image Unsatisfactory ;Tube, Inserted/abdomen;Lung/hypoinflation;Implanted Medical Device;Pleural Effusion/bilateral","Technical Quality of Image Unsatisfactory ;Tube, Inserted;Lung;Implanted Medical Device;Pleural Effusion",Xray Chest PA and Lateral,"XXXX-year-old male, hypoxia.","Portable chest x-XXXX XXXX, XXXX",Evaluation is limited by body habitus and AP technique. Enteric suction catheter courses below diaphragm and XXXX film. Stable heart size and mediastinal contours. Low lung volumes. No pneumothorax. Cardiac XXXX generator leads XXXX over the right atrium and right ventricle. Two XXXX bilateral pleural effusions.,1. Technically limited exam. 2. Low lung volumes with XXXX bilateral pleural effusions. .
3037,normal,normal," PA and lateral chest XXXX, XXXX XXXX chest for XXXX XXXX/XXXX ",chest pain.,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
3038,Calcified Granuloma/lung/upper lobe/left;Deformity/lumbar vertebrae/anterior/multiple/acute/mild,Calcified Granuloma;Deformity,PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old status post MVA.,None.,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.
3039,normal,normal,Xray Chest PA and Lateral ,XXXX vehicle accident. Mid chest pain from airbag.,None.,Normal heart size. Clear lungs. No pneumothorax or large pleural effusion.,No acute cardiopulmonary findings.
3040,Thoracic Vertebrae/degenerative/mild;Spinal Fusion/cervical vertebrae/anterior;Spinal Fusion/thoracic vertebrae/anterior,Thoracic Vertebrae;Spinal Fusion;Spinal Fusion,"CHEST RADIOGRAPH PA LATERAL on XXXX, XXXX",XXXX-year-old complaining of left arm numbness for 2 weeks.,None.,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.,No acute cardiopulmonary process.
3041,normal,normal," PA and lateral chest XXXX, XXXX at XXXX comparison XXXX ",abnormal lung sounds rales,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
3042,Implanted Medical Device/thorax/left,Implanted Medical Device,PA and lateral chest Radiograph,"Evaluate pacemaker, syncope.",Chest radiograph XXXX,Stable appearance bipolar dual-XXXX cardiac pacemaker overlying the left hemithorax. No interval change in XXXX position. Cardiomediastinal silhouette appears within normal limits. Lungs are well-aerated. No areas of parenchymal consolidation or pleural effusion.,No acute cardiopulmonary disease. Stable appearance of pacemaker.
3043,Costophrenic Angle/right/blunted/mild,Costophrenic Angle,Xray Chest PA and Lateral,Status post transplant for end-stage renal disease,,"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.
3044,Medical Device/thorax,Medical Device,Xray Chest PA and Lateral,Difficulty breathing.,None.,"The XXXX examination consists of frontal and lateral radiographs of the chest. External monitor leads XXXX the thorax. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",No evidence of acute cardiopulmonary process.
3045,normal,normal,"PA and LAT view CHEST XXXX, XXXX XXXX PM",Vomiting diarrhea chills,None.,Heart size and vascularity normal. Mediastinal contour normal. Lungs are clear. No pleural effusions or pneumothoraces.,Normal chest.
3046,Opacity/lung/hilum/left/round;Density/lung/hilum/left/round;Technical Quality of Image Unsatisfactory ;Lung/azygos lobe,Opacity;Density;Technical Quality of Image Unsatisfactory ;Lung,Chest X XXXX 2 XXXX PA and lateral ,"The patient is a XXXX-year-old female with right upper quadrant pain, frequent XXXX, possible rib fracture..",XXXX,"Redemonstration of azygos lobe. Redemonstrated left perihilar nodular opacity, similar in size from previous examination. Dense appearing, may be granulomatous. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. XXXX. Limited exam, for evaluation of fractures. However, no evidence for displaced rib fracture.","1. Left perihilar nodular opacity redemonstrated, appears dense, may be granulomatous, if desired one may consider CT for further characterization. 2. No acute cardiopulmonary abnormality. Redemonstrated azygos lobe. 3. No fracture visible. If clinical concern persists, consider dedicated rib series."
3047,normal,normal,PA lateral chest x-XXXX XXXX,XXXX,None,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,No evidence of active disease.
3048,normal,normal,Chest radiograph PA and lateral on XXXX XXXX. ,XXXX-year-old female with dyspnea.,None.,Normal cardiac contours. Clear lung XXXX bilaterally. No pneumothorax or pleural effusions.,1. No acute cardiopulmonary abnormalities.
3049,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",hemoptysis,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest.
3050,normal,normal," Two-view chest. XXXX, XXXX XXXX PM. ",Positive TB skin test.,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3051,normal,normal,Chest x-XXXX XXXX ,History of immunodeficiency syndrome with shortness of breath,None,Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,No acute cardiopulmonary process.
3052,Density/mediastinum;Spine/degenerative;Osteophyte/spine/multiple,Density;Spine;Osteophyte,"PA lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old male, dyspnea, inflammatory arthritis.",None available,"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.",No acute cardiopulmonary abnormality.
3053,normal,normal,Xray Chest PA and Lateral,PAIN;,,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
3054,Spine/degenerative;Stents/abdomen/right,Spine;Stents,PA and Lateral Chest X-XXXX dated XXXX.,Muscle weakness.,XXXX.,The patient is status post CABG. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. Ureteral stents are noted on the right.,1. No evidence of active disease.
3056,Pleural Effusion/right/moderate;Opacity/lung/lower lobe/right;Heart/right/obscured;Airspace Disease/lung/lower lobe/right;Hydropneumothorax/right,Pleural Effusion;Opacity;Heart;Airspace Disease;Hydropneumothorax,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old woman, vomiting",PA and lateral chest radiographs XXXX,There is a XXXX moderate layering right pleural effusion with air fluid level noted. XXXX airspace opacity at the superior segment of the right lower lobe. No visualized pneumothorax. The right lateral heart XXXX is obscured. The left lung is clear without focal consolidation. No visualized pneumothorax. No acute bone abnormality.,XXXX airspace disease within the superior segment of the right lower lobe with moderate layering right pleural effusion with air fluid level. Follow up to resolution or cross sectional imaging of the chest recommended to rule out malignancy.
3057,"Atherosclerosis/aorta, thoracic",Atherosclerosis,Xray Chest PA and Lateral,Allergic reaction,None,"The cardiomediastinal silhouette is normal size and configuration. Atherosclerotic calcification of the thoracic aorta. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.",No acute cardiopulmonary disease. .
3058,Opacity/lung/lingula;Pulmonary Atelectasis/lingula;Infiltrate/lung/lingula,Opacity;Pulmonary Atelectasis;Infiltrate,Xray Chest PA and Lateral,"XXXX-year-old male, XXXX, shortness of breath, question pneumonia.",PA lateral views of the chest dated XXXX.,"Left midlung opacity noted, not visualized on prior. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.","Left mid lung opacity noted, most compatible with atelectasis versus infiltrate. Recommend clinical correlation. ."
3059,normal,normal,"Chest 2 views PA and lateral XXXX, XXXX XXXX a.m. ",XXXX,None,"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.
3060,normal,normal,CHEST 2V FRONTAL/LATERAL ,Atelectasis,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear.,No acute disease.
3061,Opacity/lung/base/right;Pulmonary Atelectasis/base/right,Opacity;Pulmonary Atelectasis,Xray Chest PA and Lateral,Upper XXXX tract infection,None,The heart size and pulmonary vascularity appear within normal units. No pleural effusion or pneumothorax is seen. Bandlike opacities are present in the right base consistent with areas of atelectasis. Remainder of the lungs appear clear.,Bandlike opacities in the right base. Appearance suggests atelectasis.
3062,Costophrenic Angle/left/blunted/mild,Costophrenic Angle,"PA lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old female, history of TB, rule out active pulmonary infection",None available,Normal heart size and mediastinal contours. No focal airspace consolidation. Minimal blunting of the left costophrenic XXXX. No pneumothorax. Visualized bony structures are unremarkable in appearance.,No acute pulmonary abnormalities.
3063,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Chest pain,No comparisons are available,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.
3064,Airspace Disease/lung/lower lobe/right/patchy;Pneumonia/lower lobe/right,Airspace Disease;Pneumonia,"PA and lateral views of the chest dated XXXX, XXXX.","XXXX, shortness of breath, pain.",None.,The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is patchy airspace disease in the right lower lobe. The lungs are otherwise grossly clear. There is no pneumothorax or pleural effusion.,"Patchy, right lower lobe airspace disease. This XXXX represents pneumonia. Recommend followup radiographs to ensure resolution."
3065,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,Xray Chest PA and Lateral,XXXX and congestion,None.,Lungs are XXXX without focal airspace disease. No pleural effusions or pneumothoraces. heart size is normal status post XXXX sternotomy. Degenerative changes in the thoracic spine. incidental note is XXXX of previous left rotator XXXX repair.,XXXX lungs without focal consolidation.
3066,Emphysema/mild;Cicatrix/lung/lingula;Pulmonary Atelectasis/lingula,Emphysema;Cicatrix;Pulmonary Atelectasis,Xray Chest PA and Lateral,"PAIN; chest pain x1 XXXX, previous XXXX",,The heart is normal in size. The mediastinum is unremarkable. Mild emphysematous changes without focal consolidation. There is no pleural effusion. XXXX lingular scarring or atelectasis noted.,Emphysema without acute disease.
3067,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Shortness breath on exertion. Mitral insufficiency. Recent bronchitis.,None.,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.
3068,"Lung/hypoinflation;Markings/bronchovascular;Cardiomegaly/borderline;Tube, Inserted/trachea, carina","Lung;Markings;Cardiomegaly;Tube, Inserted",Xray Chest PA and Lateral,"XXXX-year-old female, dyspnea",,,"Low lung volumes with bronchovascular crowding. Otherwise, no focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Heart size borderline enlarged for technique, tracheostomy tube tip approximately 4.7 cm above the carina."
3069,Airspace Disease/lung/upper lobe/right;Pneumonia/upper lobe/right,Airspace Disease;Pneumonia,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",XXXX/XXXX,None,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.,Right upper lobe pneumonia.
3070,normal,normal,PA and lateral views of the chest. ,"XXXX-year-old male, reactive PPD.",None available.,Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,No acute cardiopulmonary findings.
3071,normal,normal, Frontal and lateral views of the chest dated XXXX,"Chest pain shortness of breath, hypertension",None,Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.,No acute abnormality.
3072,"Catheters, Indwelling/left;Bronchiectasis/bilateral/severe;Cicatrix/lung/bilateral/severe;Cysts/lung/bilateral/severe;Cystic Fibrosis","Catheters, Indwelling;Bronchiectasis;Cicatrix;Cysts;Cystic Fibrosis",Xray Chest PA and Lateral,"The patient is a XXXX-year-old woman, preop lung transplant.","Chest x-XXXX, single view portable from XXXX, XXXX.","Left-sided medication injection XXXX has its tip projecting at the cavoatrial junction. The trachea is midline. Extensive bilateral bronchiectasis, cystic changes, and scarring represents sequela from the patient's cystic fibrosis. No evidence of focal pulmonary infiltrate or pleural effusion. No large pneumothorax has developed in the interim. The overlying bony structures reveal no acute abnormalities. The heart size is normal.","1. Extensive pulmonary bronchiectasis and scarring from cystic fibrosis, not significantly XXXX from prior. 2. Left-sided medication injection XXXX has its tip projecting over the cavoatrial junction. ."
3073,normal,normal,PA and lateral chest radiographs. XXXX/XXXX at XXXX hours. ,XXXX-year-old male with XXXX and rib pain.,None.,"Heart size and cardiomediastinal contours are normal. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. No displaced rib fracture.",Negative for acute cardiopulmonary findings.
3074,Granulomatous Disease;Opacity/lung/middle lobe/right/patchy;Spine/degenerative,Granulomatous Disease;Opacity;Spine,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",XXXX,XXXX,Sequelae of old granulomatous disease. Vague patchy opacity in the right midlung which may represent early pneumonia. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,Vague patchy opacity in the right midlung which may represent an early pneumonia given patient's history.
3075,Cardiomegaly/mild;Lung/hypoinflation,Cardiomegaly;Lung,Chest radiograph PA and lateral. ,XXXX-year-old woman with abdominal pain,None.,"The heart is mildly enlarged. Lung volumes are low. There is no focal consolidation, pneumothorax, or large pleural effusion. Bony structures are within normal limits. There is no free air under the diaphragm. There is a mild amount of XXXX seen in the transverse colon.",No acute cardiopulmonary findings.
3076,Lung/hypoinflation;Technical Quality of Image Unsatisfactory ;Markings/bronchovascular;Cardiomegaly/borderline,Lung;Technical Quality of Image Unsatisfactory ;Markings;Cardiomegaly,Xray Chest PA and Lateral,"XXXX-year-old male, dyspnea",,"Frontal view kyphotic and rotated, low lung volumes with bronchovascular crowding. Otherwise, no definite airspace consolidation or pleural effusion. Accounting for technical factors heart size XXXX borderline enlarged.","Low lung volumes, otherwise, no definite acute findings."
3077,Lymph nodes/left/enlarged,Lymph nodes,XR Chest PA and Lateral,Testicular carcinoma.,Outside study dated XXXX.,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Low left paraspinal/retrocrural adenopathy is present. This appears unchanged.,1. Left paraspinal/retrocrural adenopathy.
3078,Pneumonia/lower lobe/right,Pneumonia,Xray Chest PA and Lateral,Chills XXXX XXXX,,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. .
3079,Thoracic Vertebrae/degenerative/multiple;Arthritis/shoulder/bilateral/mild,Thoracic Vertebrae;Arthritis,"Chest 2 views dated XXXX, XXXX.",Passed out XXXX XXXX.,None.,"The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Multilevel degenerative changes are seen throughout the thoracic spine. XXXX anchors XXXX over the left humeral head. There is mild bilateral acromioclavicular joint osteoarthritis. Visualized upper abdomen is grossly unremarkable in appearance.",No evidence of acute cardiopulmonary process.
3080,Cavitation/lung/upper lobe/left;Blister/lung/apex/bilateral;Cicatrix/lung/apex/bilateral;Cavitation/lung/upper lobe/right,Cavitation;Blister;Cicatrix;Cavitation,"Two-view chest. XXXX hours XXXX, XXXX compared to XXXX, XXXX. ",Followup lung carcinoma.,,The cavity and the left upper lobe has decreased in size. Bilateral apical bullae and parenchymal scars are unchanged. No XXXX infiltrates in the lower lobes. Heart size remains normal.,Bullous disease and upper lobe scars. Decreasing right upper lobe cavity.
3081,Aorta/tortuous,Aorta,PA and lateral chest radiographs. ,XXXX-year-old male with XXXX and chest pain.,PA and lateral chest radiographs XXXX.,"The heart is normal in size. The aorta is tortuous and ectatic. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",No acute cardiopulmonary findings.
3082,Cardiomegaly;Opacity/lung/bilateral/interstitial;Pulmonary Edema/lower lobe/bilateral/interstitial,Cardiomegaly;Opacity;Pulmonary Edema,"Chest radiograph, 2 images. ",XXXX-year-old with dyspnea.,XXXX.,Cardiomegaly. Interstitial opacities consistent with edema in the lower lobes. No pneumothorax. No large pleural effusion.,Interstitial pulmonary edema.
3083,normal,normal,Xray Chest PA and Lateral,"Syncope, anorexia.",None.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .,1. No acute pulmonary abnormality.
3084,Osteophyte/thoracic vertebrae/degenerative/multiple/mild,Osteophyte,"Chest x-XXXX, 2 views dated XXXX COMPARISXXXX/XXXX ",XXXX-year-old female with XXXX,,Heart size is normal. No pleural effusions. No pneumothorax. No focal air space opacities. Mild degenerative osteophytes are noted in the thoracic spine.,No acute cardiopulmonary abnormalities.
3085,No Indexing,No Indexing,"Chest x-XXXX, 2 views, XXXX, XXXX XXXX PM","XXXX, XXXX vehicle XXXX 2 XXXX ago",none,"Normal cardiomediastinal contours. Marrow pneumothorax, focal lung consolidation or pleural effusions.",No acute cardiopulmonary abnormality.
3086,Calcified Granuloma/lung/bilateral/multiple;Diaphragm/right/elevated;Thoracic Vertebrae/degenerative;Implanted Medical Device/thoracic vertebrae,Calcified Granuloma;Diaphragm;Thoracic Vertebrae;Implanted Medical Device,Xray Chest PA and Lateral,Preop evaluation. Placement of neurostimulator.,"Chest radiograph, XXXX.","No airspace disease, effusion or noncalcified nodule. Calcified granuloma seen bilaterally. Normal heart size. Elevated right hemidiaphragm, with a nodular soft tissue contour, containing liver. Degenerative changes demonstrated within the visualized thoracic spine. There is neurostimulator, overlying the mid and lower thoracic spine.","1. No acute cardiopulmonary abnormality. 2. Elevation of the right XXXX diaphragm, containing liver."
3087,"Cardiomegaly;Hernia, Hiatal/large;Pulmonary Atelectasis","Cardiomegaly;Hernia, Hiatal;Pulmonary Atelectasis",Xray Chest PA and Lateral,HYPERTENSION; XXXX up for hernia repair.,XXXX chest XXXX,The heart is enlarged. The mediastinal contours are stable. Large hiatal hernia is identified containing stomach and colon. Questionable small bowel loops are also visualized inthe large hernia. There is adjacent compressive atelectasis. The lungs are clear.,No acute disease. Stable appearance of large hiatal hernia containing stomach and large bowel as well as possible small bowel loops.
3088,Scoliosis/thoracic vertebrae/left,Scoliosis,"PA and Lateral Chest. XXXX, XXXX XXXX XXXX . ",Shortness of breath.,None.,"Heart size and mediastinal contours appear within normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. There is levoscoliosis of the thoracic spine.",No acute cardiopulmonary abnormality. Levoscoliosis of the thoracic spine.
3089,normal,normal,"PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old female, followup XXXX","Chest x-XXXX XXXX, XXXX",Normal heart size and mediastinal contours. No abnormal airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.,No acute cardiopulmonary abnormalities.
3090,Pleural Effusion/right,Pleural Effusion,Chest radiograph XXXX/XXXX XXXX. ,XXXX-year-old male status post MVC.,"XXXX XXXX/XXXX, chest radiograph XXXX/XXXX.",Normal cardiac contour. Right sided pleural effusion. Clear left lung XXXX. No pneumothorax.,1. Right sided pleural effusion.
3091,Cardiomegaly/mild;Implanted Medical Device/aortic valve;Spine/degenerative,Cardiomegaly;Implanted Medical Device;Spine,Xray Chest PA and Lateral,XXXX-year-old with chest congestion evaluate for pneumonia.,AP chest dated XXXX.,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.
3092,Scoliosis/thoracic vertebrae/left;Scoliosis/lumbar vertebrae/left,Scoliosis;Scoliosis,Xray Chest PA and Lateral,Bone marrow transplant XXXX evaluation.,None.,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Levoscoliosis of the thoracolumbar spine is present.,No evidence of active disease.
3093,"Lung/hyperdistention;Blister/lung/upper lobe/bilateral/multiple;Pulmonary Disease, Chronic Obstructive","Lung;Blister;Pulmonary Disease, Chronic Obstructive"," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX","chest pain, dyspnea",None,Lungs are hyperexpanded. Bullae are present in the upper lobes. No focal infiltrates. Heart size normal.,Findings of COPD. No acute findings.
3094,Lung/hypoinflation,Lung,Xray Chest PA and Lateral ,Back pain. No injury.,None.,Heart size is normal. Lungs are clear. Low lung volumes. There is no pneumothorax or large pleural effusion.,No acute cardiopulmonary findings.
3095,Cardiomegaly/mild;Opacity/lung/bilateral/interstitial/diffuse,Cardiomegaly;Opacity,"PA lateral chest x-XXXX dated XXXX, XXXX XXXX a.m. ",XXXX-year-old male with dyspnea.,XXXX.,"Heart size is mildly enlarged. There are diffusely increased interstitial opacities bilaterally. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormality.",Findings concerning for interstitial edema or infection.
3096,Density/right/paratracheal/prominent/mild;Mass/lung/middle lobe/right/round;Airspace Disease/lung/middle lobe/right/mild;Pulmonary Atelectasis/middle lobe/right,Density;Mass;Airspace Disease;Pulmonary Atelectasis,Xray Chest PA and Lateral,right shoulder pain cxr sob,None,The heart is normal in size. Prominent right paratracheal soft tissue density. Rounded mass in the right middle lobe measures approximately 4.6 cm x 3.7 cm. There is mild surrounding airspace disease and/or atelectasis. No pleural effusions noted. The visualized bony thorax appears grossly intact.,Right mid lung mass with mild right paratracheal soft tissue may be secondary to associated lymphadenopathy. Further imaging with CT of the chest is recommended.
3097,Calcinosis/blood vessels;Calcified Granuloma/lung/lower lobe/right,Calcinosis;Calcified Granuloma,Xray Chest PA and Lateral,XXXX and congestion.,,The heart size and pulmonary vascularity appear within normal limits. Vascular calcification is identified. Calcified granuloma is present in the right lower lobe. No XXXX nodules are seen. No pneumothorax or pleural effusion is seen. No focal airspace disease is identified.,1. No evidence of active disease.
3098,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX PM . ",XXXX-year-old with hypertension.,None.,"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.
3099,Calcinosis/lung/hilum/left,Calcinosis,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old male with XXXX.,None,"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.
3100,Lung/hyperdistention;Spine/degenerative,Lung;Spine,"PA and lateral views of the chest XXXX, XXXX XXXX XXXX ","XXXX XXXX aam XXXX with h/o XXXX, shoulder pain, XXXX loss",None,Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,Hyperexpanded but clear lungs.
3101,"Spine/degenerative;Stents/abdomen;Aorta, Thoracic/tortuous;Calcified Granuloma","Spine;Stents;Aorta, Thoracic;Calcified Granuloma",PA and Lateral Chest X-XXXX dated XXXX.,Multiple myeloma. Bone marrow transplant.,None.,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. Stent is noted in the abdomen. The thoracic aorta is tortuous. Calcified granuloma are noted.,1. No evidence of active disease.
3102,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. ",XXXX-year-old XXXX with XXXX.,None.,"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.",No acute cardiopulmonary abnormality.
3103,Diaphragmatic Eventration/right;Pulmonary Atelectasis/base/left/mild,Diaphragmatic Eventration;Pulmonary Atelectasis,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old male with pneumonia..,"Two view chest radiograph dated XXXX, XXXX..","Cardiomediastinal silhouette stable and unremarkable. Stable eventration of the right hemidiaphragm. There is redemonstration without significant interval change of mild subsegmental atelectasis of the left base. Pneumonia seen on CT examination dated XXXX, XXXX (not seen on prior chest x-XXXX) is not seen either on XXXX chest x-XXXX.",No acute cardiopulmonary abnormality..
3104,normal,normal,Xray Chest PA and Lateral,,,,No pneumothorax or effusion. No pneumonia. Heart size normal. Lungs clear
3105,normal,normal,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old woman with chest pain.,"XXXX, XXXX.","Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.",No acute abnormality.
3106,normal,normal,Xray Chest PA and Lateral,Hemoptysis,"XXXX, XXXX",Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute findings.
3108,Airspace Disease/lung/lower lobe/right;Pneumonia/lower lobe/right,Airspace Disease;Pneumonia,Xray Chest PA and Lateral,",486",,There is XXXX airspace disease in the right lower lobe seen behind the right hemidiaphragm on PA view. This is also well seen on lateral view. Remainder of the lungs appear clear. The heart and pulmonary XXXX appear normal. Mediastinal contours are normal.,The right lower lobe pneumonia
3109,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, XXXX.",None,There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No pneumothorax.,No acute cardiopulmonary abnormality.
3110,Diaphragm/right/elevated;Spine/degenerative/mild,Diaphragm;Spine,CHEST 2V FRONTAL/LATERAL ,XXXX XXXX XXXX with chronic XXXX,CT chest on XXXX.,"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.
3111,Cardiomegaly;Opacity/lung/bilateral/interstitial/mild;Pulmonary Edema/mild,Cardiomegaly;Opacity;Pulmonary Edema,Xray Chest PA and Lateral,XXXX-year-old female with XXXX's syndrome previous history of XXXX XXXX.,Chest x-XXXX XXXX,Stable appearance of previous XXXX sternotomy. Stable cardiomegaly. Stable mild bilateral interstitial opacities in which may represent mild pulmonary edema. No evidence of large pleural effusion or pneumothorax.,Stable cardiomegaly and mild bilateral interstitial opacities which represent mild pulmonary edema.
3112,normal,normal,Xray Chest PA and Lateral,test ca; r/o XXXX XXXX,,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
3113,Atherosclerosis/aorta,Atherosclerosis,"PA and lateral chest XXXX, XXXX. Apical lordotic view XXXX, XXXX.",Possible XXXX tumor left arm pain and weakness for 3 weeks.,None.,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.
3114,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",wheezes.,None.,,Heart size is normal and lungs are clear.
3115,normal,normal,Xray Chest PA and Lateral,XXXX year old XXXX for 4 days.,PA and lateral chest XXXX.,"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.
3116,Cardiac Shadow/enlarged;Opacity/lung/base/bilateral;Pleural Effusion/bilateral/small;Airspace Disease/lung/base/bilateral,Cardiac Shadow;Opacity;Pleural Effusion;Airspace Disease,PA and lateral chest x-XXXX XXXX. ,XXXX-year-old woman with shortness of breath,PA lateral chest radiographs XXXX,The cardiac silhouette is enlarged. There are bibasilar airspace opacities left greater than right with small right pleural effusion. No visualized pneumothorax.,Bibasilar airspace disease left greater than right with small effusions.
3117,normal,normal,"Chest 2 views, XXXX, XXXX.",Kidney XXXX.,None.,Heart size is normal. The lungs and costophrenic XXXX are clear. The bony thorax is grossly intact.,Normal chest.
3118,Density/thorax/round/multiple;Granulomatous Disease/chronic,Density;Granulomatous Disease,Chest XXXX and lateral ,XXXX-year-old female with arthritis and dyspnea,Chest radiograph XXXX,"No pneumothorax, pleural effusion, or focal airspace disease. Heart size normal. Cardiomediastinal silhouette stable. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.",Negative for acute cardiopulmonary disease.
3119,normal,normal,Xray Chest PA and Lateral,XXXX-year-old male with XXXX.,Chest radiographs from XXXX.,Heart size is normal. No focal airspace consolidations. No pneumothorax or pleural effusion. No acute osseous findings.,No acute cardiopulmonary findings. .
3120,"Fractures, Bone/ribs/left/posterior/multiple","Fractures, Bone","Radiograph Chest PA and Lateral XXXX, XXXX. ",Chest pain. Concern for pneumothorax.,None.,"The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. Fractures of the posterior left 4th, 5th, and 6th ribs, age-indeterminate.","1. No acute cardiopulmonary abnormalities. Specifically, no pneumothorax. 2. Fractures of the posterior left 4th, 5th, and 6th ribs, age-indeterminate."
3121,Calcified Granuloma/lung/middle lobe/right;Thoracic Vertebrae/degenerative,Calcified Granuloma;Thoracic Vertebrae,PA and Lateral Chest Radiograph ,"Persistent XXXX, nonsmoker",XXXX,"Heart size and mediastinal contour within normal limits. Calcified granuloma right midlung. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes in the thoracic spine.",No acute cardiopulmonary abnormality.
3122,normal,normal,Xray Chest PA and Lateral,Throat pain,None,"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. .
3123,Cardiomegaly/mild;Thickening/pleura/right;Pleural Effusion/right;Granulomatous Disease/mild,Cardiomegaly;Thickening;Pleural Effusion;Granulomatous Disease,CHEST 2V FRONTAL/LATERAL ,Dyspnea,XXXX,The heart is enlarged. Changes of XXXX sternotomy and bypass graft are identified in the lungs are grossly clear. XXXX right pleural thickening versus XXXX pleural effusion is noted. There is no acute infiltrate. No pneumothorax is seen. Mild granulomatous sequela are noted.,Mild stable cardiomegaly without acute disease. Possible XXXX right pleural effusion.
3124,Pulmonary Artery/enlarged/severe,Pulmonary Artery,"PA and Lateral Chest. XXXXth, XXXX XXXX hours ",XXXX-year-old male with history of pulmonary embolism.,"CT chest XXXX, XXXX","There is persistent, marked enlargement of the pulmonary arteries. Normal heart size. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.",1. Enlarged pulmonary arteries. This may be due to previous/chronic pulmonary embolism or XXXX pulmonary arterial hypertension. 2. No evidence of pneumonia or other acute cardiopulmonary abnormality.
3125,normal,normal,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old XXXX with XXXX.,"XXXX, XXXX","The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.",No acute cardiopulmonary abnormality.
3126,normal,normal,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old male with chest pain.,None.,"The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.",1. No acute intrathoracic abnormality.
3127,Epicardial Fat/left/prominent,Epicardial Fat,"PA and lateral chest, XXXX, XXXX XXXX XXXX ",XXXX-year-old female with chest pain.,PA and lateral chest x-XXXX dated XXXX.,The heart size is normal. There is prominent left epicardial fat. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,1. No acute radiographic cardiopulmonary process.
3128,Calcinosis/lung/hilum/lymph nodes/left;Granulomatous Disease,Calcinosis;Granulomatous Disease,"2 view ( PA and lateral) chest radiograph dated XXXX, XXXX ","XXXX-year-old male, rule out pneumonia","PA and lateral chest radiograph from XXXX, XXXX","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.",No acute cardiopulmonary abnormality.
3129,Aorta/tortuous;Thoracic Vertebrae/degenerative/severe;Lumbar Vertebrae/degenerative/severe;Deformity/thoracic vertebrae/anterior/mild;Lung/azygos lobe,Aorta;Thoracic Vertebrae;Lumbar Vertebrae;Deformity;Lung,PA and Lateral Chest ,XXXX-year-old female with XXXX.,CT the abdomen and pelvis dated XXXX.,Heart size within normal limits. Tortuous aorta. There is an accessory azygos fissure in the right upper lung. No focal air space consolidations are noted. No pneumothorax or pleural effusion. There is severe degenerative change at the thoracolumbar junction with mild anterior wedging at approximately T12.,No acute cardiopulmonary findings.
3130,"Cardiomegaly;Atherosclerosis/aorta, thoracic;Consolidation/lung/lower lobe/left/retrocardiac;Density/lung/lower lobe/left/retrocardiac;Opacity/lung/hilum/right/patchy;Airspace Disease/lung/lower lobe/left;Airspace Disease/lung/hilum/right",Cardiomegaly;Atherosclerosis;Consolidation;Density;Opacity;Airspace Disease;Airspace Disease,Xray Chest PA and Lateral,Shortness of breath. XXXX for 2 weeks.,,"2 images. Heart size is enlarged, stable. Thoracic aortic atherosclerotic calcifications are present. There is XXXX dense consolidation within the retrocardiac left lower lobe. There is also patchy airspace opacity within the perihilar right lung. No pleural effusion or pneumothorax.","Left lower lobe and right perihilar airspace disease. In the appropriate clinical setting, this is compatible with infection/pneumonia and followup radiography is recommended following treatment to document resolution. If clinical findings are discordant, a XXXX is recommended."
3131,normal,normal,PA and Lateral of the Chest ,XXXX-year-old from XXXX XXXX with clubbing of the XXXX.,None,No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette are grossly unremarkable.,1. No acute cardiopulmonary findings.
3132,normal,normal,Xray Chest PA and Lateral,XXXX-year-old XXXX with preoperative examination. Rule out TB.,None,The XXXX and soft tissue appear normal. The cardiac silhouette and mediastinum size are normal. The aortic XXXX is on the left. The trachea is well seen and appears normal. The lungs are clear.,Unremarkable chest study. .
3133,normal,normal," AP chest XXXX, XXXX at XXXX comparison XXXX ",tuberculosis +PPD.,,,Heart size is normal and lungs are clear. No evidence of tuberculosis
3134,normal,normal,Xray Chest PA and Lateral,"Roomate sts pt has been in XXXX for 3 days. Pt hasn't been eating or drinking anything for 3 days. No energy. +vomiting and diarrhea. XXXX abdominal px. XXXX,high XXXX",None,Lungs appear clear. Heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal. No pneumothorax.,No acute cardiopulmonary disease
3135,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ","XXXX-year-old XXXX, XXXX..",None.,"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.",No acute cardiopulmonary abnormality.
3136,normal,normal,PA and lateral chest radiograph on XXXX at 02: 57 hours. ,XXXX-year-old XXXX with XXXX.,None available.,"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.
3137,Calcinosis/lung/lingula;Density/lung/lingula;Calcified Granuloma/lung/lingula,Calcinosis;Density;Calcified Granuloma,"CHEST 2V FRONTAL/LATERAL Sept 21, XXXX XXXX XXXX ",R/O TB FEMALE WITH PPD,None,"The trachea is midline. Cardiomediastinal silhouette is normal. There is a calcified density in the left mid lung, most XXXX a calcified granuloma. Lungs are otherwise clear, without evidence of acute infiltrate or effusion. Specifically, there is no evidence of tuberculous disease. There is no pneumothorax. The bony structures show no acute abnormalities.",No acute cardiopulmonary abnormalities. No active pulmonary disease.
3138,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",positive ppd,None,"The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",No acute cardiopulmonary abnormality.
3139,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, history of tobacco use.",None,No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.,No acute cardiopulmonary abnormality. .
3140,Opacity/lung/lower lobe/right/streaky;Pulmonary Atelectasis/lower lobe/right,Opacity;Pulmonary Atelectasis,Xray Chest PA and Lateral,"XXXX-year-old female, chest pain, XXXX symptoms",None,,"Streaky opacities in the right lower lobe most suggestive of atelectasis, differential diagnosis includes atypical infection. No definite pleural effusion seen. Heart size within normal limits, no typical findings of pulmonary edema."
3141,normal,normal,CHEST- PA AND LATERAL ,Back pain,Radiograph from XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.,Normal chest radiograph
3142,Cardiomegaly/mild;Aorta/tortuous,Cardiomegaly;Aorta," Frontal and lateral views of the chest was obtained on XXXX, XXXX at XXXX p.m. and compared to a prior study dated XXXX, XXXX ",possible seizure,,"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.",No acute process. Stable cardiomegaly.
3143,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",dizziness,none,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.,1. No acute pulmonary disease.
3144,normal,normal,TWO-VIEW CHEST (AP/PA and lateral): XXXX.,XXXX-year-old male with palpitations and tachycardia.,,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.
3145,normal,normal,Xray Chest PA and Lateral .,POSTERIORCHEST PX/BACK PX nonsmoker with posterior midline chest pain with radiating rt back tenderness around level of T8 x 1-2 wks no known XXXX or disease processes,XXXX.,,Normal heart size. Normal pulmonary vasculature. Normal mediastinal contours. Lung parenchyma is clear. No airspace disease. No pulmonary edema. No XXXX of pleural effusions. No XXXX of active cardiopulmonary disease. Unchanged.
3146,normal,normal,"CHEST PA and Lateral on XXXX, XXXX ",XXXX-year-old with chest pain,None.,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.
3147,normal,normal,Chest X-XXXX 2 XXXX ,Chest pain,XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,Negative chest .
3148,Cardiomegaly/mild;Pleural Effusion/left/small;Lung/hypoinflation/mild,Cardiomegaly;Pleural Effusion;Lung,"Chest x-XXXX 2 views, XXXX, XXXX XXXX XXXX ",XXXX,XXXX,Stable cardiomediastinal contour is mild cardiomegaly. No pneumothorax or significant pulmonary edema. Small left pleural effusion. No focal lung consolidation. Mildly low lung volumes.,1. Small left pleural effusion. 2. Stable mild cardiomegaly.
3149,Lung/hyperdistention,Lung,"PA and Lateral views of the Chest performed on XXXX, XXXX. ",XXXX-year-old male with XXXX and asthma.,"XXXX, XXXX.","The lungs are hyperexpanded. Cardiomediastinal silhouette is within normal limits. No pleural effusion, focal airspace opacities or pneumothorax. No free subdiaphragmatic air.",Lung hyperexpansion. No focal air space disease.
3150,Opacity/lung/lower lobe/left;Pulmonary Atelectasis/base/left/focal,Opacity;Pulmonary Atelectasis,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",patient XXXX to XXXX XXXX--XXXX to rle out pneumonia/communicable dz.,CT thorax from XXXX.,"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."
3151,Airspace Disease/lung/lingula,Airspace Disease,PA and lateral chest x-XXXX XXXX at XXXX hours. ,"Dyspnea, chest pain comment XXXX",79 XXXX,The cardiomediastinal silhouette is within normal limits for size and contour. There is lingular airspace disease.. Osseous structures are within normal limits for patient age..,1. Lingular airspace disease which in the setting of XXXX is concerning for pneumonia.
3152,"Lung/hyperdistention;Opacity/lung/bilateral/scattered;Opacity/lung/upper lobe/left/scattered;Cicatrix/lung/upper lobe/left;Aorta, Thoracic/tortuous/mild;Atherosclerosis/aorta, thoracic;Spine/degenerative;Emphysema","Lung;Opacity;Opacity;Cicatrix;Aorta, Thoracic;Atherosclerosis;Spine;Emphysema",Xray Chest PA and Lateral,XXXX-year-old male with history of COPD.,,"The lungs are hyperexpanded. There are stable scattered XXXX bilateral opacities, most notable in the left upper lobe, XXXX scarring. No focal airspace consolidation to suggest pneumonia. No large pleural effusion. No pneumothorax. Heart size is normal. Thoracic aorta is mildly tortuous and demonstrates atherosclerotic vascular calcification. There are degenerative changes of the spine.","1. No acute findings. 2. Emphysema. 3. Scattered XXXX of scarring, most notably in the left upper lobe."
3153,Lung/hyperdistention;Lung/interstitial/prominent/mild;Nipple Shadow/bilateral,Lung;Lung;Nipple Shadow,"PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX XXXX ",pain at xiphoid,,,Heart size normal. Hyperexpanded lungs with minimal interstitial prominence. Most XXXX represents XXXX's lung. No nodules or masses. Bilateral nipple shadows seen
3154,Scoliosis/thoracic vertebrae/right/severe;Deformity/ribs/bilateral/chronic;Lung/hypoinflation/chronic;Technical Quality of Image Unsatisfactory ;Airspace Disease/lung/base/bilateral/mild;Pulmonary Atelectasis/base/bilateral/mild,Scoliosis;Deformity;Lung;Technical Quality of Image Unsatisfactory ;Airspace Disease;Pulmonary Atelectasis,Xray Chest PA and Lateral,"Dyspnea. Midsternal chest pressure, tightness. History of pneumonia one month ago.","XXXX, XXXX.","There is severe dextroscoliosis of the thoracic spine with chronic deformity of the bilateral ribs. The lungs are chronically hypoinflated. There is XXXX visualization of the hemidiaphragms, which may be due to basilar airspace disease/atelectasis. Evaluation of the lungs is markedly limited. Overall, the appearance is similar to the prior study from XXXX. There is no evidence of pneumothorax or large pleural effusion.","Low lung volumes with probable mild bibasilar airspace disease/atelectasis. Markedly limited exam, without significant interval change from XXXX. ."
3155,Cardiomegaly/mild;Heart Atria/right/enlarged,Cardiomegaly;Heart Atria,Xray Chest PA and Lateral,"XXXX-year-old male, pain",None,"Heart size mildly enlarged with enlarged right atrium. No focal alveolar consolidation, no definite pleural effusion seen. No pneumothorax.","Cardiomegaly, no acute pulmonary findings"
3156,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old woman with positive PPD..,None.,"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 acute cardiopulmonary abnormality.. Specifically, no evidence of active tuberculous process."
3157,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",XXXX.,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
3158,Cardiomegaly;Opacity/lung/base/left/scattered;Cicatrix/lung/base/left;Pulmonary Atelectasis/base/left;Diaphragm/left/elevated;Scoliosis/lumbar vertebrae;Deformity/ribs/left,Cardiomegaly;Opacity;Cicatrix;Pulmonary Atelectasis;Diaphragm;Scoliosis;Deformity,Xray Chest PA and Lateral,"Hypertension, shortness of breath.",,Cardiomegaly is present. The pulmonary vascularity appears within normal limits. Some scattered XXXX opacities are present whose appearance XXXX scarring or atelectasis. No focal airspace disease is seen. No pleural effusion is noted. No pneumothorax is identified. The left hemidiaphragm is elevated. Scoliosis is present involving the lumbar spine. There has been previous surgical resection of the left 6th rib.,1. Cardiomegaly without overt heart failure. 2. Continued elevation of the left hemidiaphragm. 3. Scattered XXXX of left base scarring/atelectasis.
3159,Cardiomegaly/moderate;Mediastinum/blood vessels/prominent;Pulmonary Congestion/mild;Spondylosis/thoracic vertebrae,Cardiomegaly;Mediastinum;Pulmonary Congestion;Spondylosis,Xray Chest PA and Lateral,Productive XXXX.,None.,Moderate cardiomegaly. Prominent vascular pedicle/upper mediastinal contour. Mild central vascular congestion. No overt edema or confluent lobar pneumonia. No pleural effusion. Thoracic spondylosis.,"No acute findings, see above."
3160,Spine/degenerative;Density/thorax/multiple,Spine;Density,Frontal and Lateral view of the chest XXXX/XXXX at XXXX hours.,Left arm pain with hypotension,XXXX,Heart size is upper limits of normal and stable. They're multiple radiopaque densities overlying the patient.. The lungs are normally inflated and clear. Degenerative changes of the spinal.,1. No acute radiographic cardiopulmonary process.
3162,Cicatrix/lung/middle lobe/right,Cicatrix,Xray Chest PA and Lateral,Metastic melanoma,"Comparison XXXX, XXXX.",,No suspicious appearing lung nodules identified. Well-expanded and clear lungs. Mediastinal contour within normal limits. Right middle lobe scarring as before. No acute cardiopulmonary abnormality identified.
3163,normal,normal,CHEST 2V FRONTAL/LATERAL ,Dyspnea,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
3164,Stents/abdomen,Stents,Xray Chest PA and Lateral,LIVER TRANSPLANT EVALUATION,"Comparison XXXX, XXXX.",,Heart size upper limits of normal. Grossly clear lungs with no effusions. No acute cardiopulmonary abnormality identified. TIPS stent incidentally noted.
3165,"Diaphragm/bilateral/obscured;Opacity/thorax;Fractures, Bone/ribs/right","Diaphragm;Opacity;Fractures, Bone","Chest x-XXXX, 2 views, XXXX, XXXX XXXX PM",Dyspnea,XXXX,"Normal and stable cardiomediastinal contours. Interval removal of left-sided intravenous catheter. No pneumothorax. XXXX XXXX opacities obscuring the hemidiaphragms, slightly improved from prior exam.. Right-sided rib fractures again noted.","Mildly improved XXXX XXXX opacities, which may represent atelectasis, infiltrate and/or pleural effusions."
3166,Density/thorax/round/multiple;Granulomatous Disease/chronic,Density;Granulomatous Disease,Chest XXXX and lateral ,XXXX-year-old male with seizures,None available,"Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.",Negative for acute cardiopulmonary disease.
3167,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,History of positive TB.,"PA and lateral views of the chest on XXXX, XXXX.",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.
3168,"Deformity/ribs/left/chronic;Fractures, Bone/ribs/left/healed","Deformity;Fractures, Bone","PA and Lateral Chest. XXXX, XXXX XXXX hours ","XXXX-year-old female, postpartum, 1 XXXX per XXXX XXXX, sputum production",Chest x-XXXX suture 15 XXXX,Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing left lateral rib deformities.,1. No acute cardiopulmonary abnormality. 2. Interval development of healing left sided rib fractures.
3169,"Lung/hyperdistention;Lung, Hyperlucent;Diaphragm/bilateral/flattened;Thickening/pleura/apex/bilateral/mild;Granuloma/multiple;Heart/small","Lung;Lung, Hyperlucent;Diaphragm;Thickening;Granuloma;Heart",Xray Chest PA and Lateral,Pressure left-sided face.,None.,Hyperlucent hyperinflated lungs with flattened diaphragms. Granulomas. Small sized heart. Minimal apical capping slightly greater at the left. XXXX unremarkable.,"Appearance suggests emphysema. Apical capping, slightly greater at the left. Recommend comparison with prior films or followup chest x-XXXX films to confirm stability and approximately 4 months in XXXX. Critical result notification documented through Primordial."
3170,Aorta/tortuous;Sclerosis/thoracic vertebrae,Aorta;Sclerosis,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",pt w/ sacroiliitis,None,Heart size is normal. Aorta is tortuous and ectatic. Cardiomediastinal contours are normal. Lungs are clear without evidence of fibrosis. Pleural effusions or pneumothorax. Endplate sclerotic changes are present in the thoracic spine.,Ectatic aorta. No acute cardiopulmonary abnormality.
3171,No Indexing,No Indexing,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX and congestion with XXXX for 1 month,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3172,Scoliosis/thoracic vertebrae/right,Scoliosis,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",R/O TB 011.90,None,Trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. There is dextroscoliosis of the lower thoracic spine.,No acute cardiopulmonary abnormalities.
3173,normal,normal,Xray Chest PA and Lateral,XXXX-year-old female with pleuritic chest pain,Chest 2 views. XXXX.,Lungs are clear. Heart size normal. No pneumothorax.,Clear lungs. No acute cardiopulmonary abnormality. .
3174,Lung/hyperdistention;Cicatrix/lung/apex/bilateral;Cicatrix/pleura/apex/bilateral;Opacity/lung/upper lobe/bilateral/reticular/round/multiple/chronic;Deformity/lung/hilum,Lung;Cicatrix;Cicatrix;Opacity;Deformity,Xray Chest PA and Lateral,Lightheaded.,None.,"The lungs are hyperinflated with biapical pleural-parenchymal scarring and upward retraction of the XXXX, similar to the prior study. There are multiple reticular-nodular opacities in the upper lobes bilaterally which appear grossly stable from the prior study. There is no evidence of XXXX, focal airspace disease. There is no pneumothorax or pleural effusion. Heart size is normal.",Hyperinflation with chronic upper lobe reticular-nodular pleural-parenchymal opacities and hilar retraction. No gross interval change from XXXX. .
3175,Heart/left/obscured;Thickening/pleura/left;Opacity/lung/lingula/round,Heart;Thickening;Opacity,"Chest 2 views PA and lateral XXXX, XXXX. XXXX p.m. ","Evaluate for tuberculosis, starting immunosuppressive medication for rheumatoid arthritis","Chest 2 views PA and lateral XXXX, XXXX p.m..","Stable obscuration of the left cardiac XXXX, XXXX representing left pleural thickening. Stable nodular opacity within the left midlung. The lungs are clear bilaterally with no focal consolidation, pleural effusions, or pneumothoraces. Cardiomediastinal silhouette is stable. XXXX are unremarkable.",1. No acute cardiopulmonary abnormality. 2. No evidence of tuberculosis.
3176,normal,normal," px CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM. ",,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3177,"Lung/hyperdistention;Arthritis/spine/mild;Pulmonary Disease, Chronic Obstructive","Lung;Arthritis;Pulmonary Disease, Chronic Obstructive",Xray Chest PA and Lateral,Chest pain with shortness of breath,,The lungs are clear. There is hyperinflation of the lungs. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. mild arthritic changes of the spine are present.,Hyperinflation consistent with COPD. No acute pulmonary disease identified.
3178,Calcinosis/mitral valve;Density/mitral valve;Aorta/tortuous;Atherosclerosis/aorta;Lung/hyperdistention/mild;Cicatrix/lung/base/left,Calcinosis;Density;Aorta;Atherosclerosis;Lung;Cicatrix,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.","Short of breath, left shoulder pain","CT chest XXXX, XXXX",,"Heart size within normal limits. Dense mitral annular calcification. Tortuous and ectatic, atherosclerotic aorta. No edema. Lungs mildly hyperinflated. There is left basilar scarring. No XXXX consolidation, pleural effusion or pneumothorax."
3179,Diaphragmatic Eventration/right/anterior,Diaphragmatic Eventration,"PA and lateral views of the chest dated XXXX, XXXX.","Heart XXXX, left anterior substernal chest pain.","XXXX, XXXX.","The cardiac silhouette measures near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is stable eventration of the anterior right hemidiaphragm. The lungs are clear of focal airspace disease, pneumothorax, pleural effusion. There are no acute bony findings.",No acute cardiopulmonary findings.
3180,normal,normal,Xray Chest PA and Lateral,XXXX year old midchest pain for 2 days.,None.,"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.
3181,normal,normal,CHEST 2V FRONTAL/LATERAL ,XXXX,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
3182,Nodule/lung/hilum/right;Mass/lung/hilum/right;Contrast Media/esophagus,Nodule;Mass;Contrast Media,CHEST FRONTAL AND LATERAL VIEWS dated XXXX at XXXX.,XXXX-year-old female with achalasia post myotomy in XXXX. Upper XXXX with retained contrast. Known right lung mass.,Upper XXXX study XXXX/XXXX.,There is a moderate amount of retained contrast within the distal esophagus. There is no evidence of aspiration. A 3.0 cm nodule is present within the right hilum. No moderate to large pleural effusion or pneumothorax is identified. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is normal.,1. Retained contrast in the distal esophagus. 2. Unchanged right hilar mass.
3183,normal,normal,Xray Chest PA and Lateral,ovarian ca; XXXX for XXXX,,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
3184,Aorta/tortuous/mild;Osteophyte/thoracic vertebrae/multiple,Aorta;Osteophyte,Xray Chest PA and Lateral,"Morbid obesity, hypertension",None available.,The aortic XXXX is mildly tortuous. 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 T-spine osteophytes. Large body habitus.,No acute cardiopulmonary abnormality.
3185,normal,normal,Two views of the chest dated XXXX XXXX hours ,Chest pain,None available,The cardiomediastinal silhouette is normal in size and appearance. The lung XXXX are clear. There are no soft tissue or bony abnormalities. There is no pneumothorax or pleural effusion.,No acute cardiopulmonary process.
3186,Lung/hypoinflation,Lung,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old woman with chest pain.,None available,The lungs are hypoventilated. There is no focal consolidation. Cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.,"Hypoventilated lungs, but no focal consolidation."
3187,Cardiomegaly/mild;Pulmonary Congestion/mild;Pleural Effusion/bilateral/small;Heart Failure,Cardiomegaly;Pulmonary Congestion;Pleural Effusion;Heart Failure,"Chest xray, 2 views XXXX, XXXX ",XXXX.,"XXXX, XXXX","PA and lateral views. stable postoperative changes with midline sternotomy XXXX and myocardial revascularization. Cardiac size remains mildly enlarged but stable. There is mild vascular congestion. Small bilateral pleural effusions are present, which are XXXX.","Mild pulmonary vascular congestion, with XXXX XXXX bilateral effusions. Constellation findings is most compatible with congestive heart failure."
3188,"Cardiac Shadow/enlarged/borderline;Mediastinum/prominent/mild;Catheters, Indwelling","Cardiac Shadow;Mediastinum;Catheters, Indwelling","CHEST PA and LATERAL: on XXXX, XXXX. ","This is a XXXX-year-old male patient with vomiting, history of varices, and previous complaints of chest pain.","Chest x-XXXX, XXXX, XXXX.",,The cardiac silhouette appears be at upper limits of normal to borderline enlarged. The mediastinum and parahilar structures are also slightly prominent but unchanged. Portacatheter is noted with its tip in superior XXXX XXXX. This appears unchanged. Slightly XXXX inspiratory effort is noted on the frontal film. This is unchanged. Osseous structures appear be grossly unremarkable. No pneumothorax or obvious pulmonary lesions seen.
3189,Lung/hypoinflation,Lung,CHEST 2V FRONTAL/LATERAL ,Chest pain,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated but grossly clear.,No acute disease.
3190,Density/lung/hilum/right;Pulmonary Atelectasis/upper lobe/right/mild,Density;Pulmonary Atelectasis,"Chest 2 views dated XXXX, XXXX. History and ",Peripheral edema.,None.,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. There is a vague right suprahilar density with elevation of the XXXX fissure most XXXX mild subsegmental atelectasis though superimposed infection cannot be entirely excluded. The remaining lungs are clear. The visualized osseous structures and upper abdomen are unremarkable.,Right upper lobe subsegmental atelectasis. No evidence of heart failure.
3191,"Cardiomegaly/borderline;Calcinosis/aorta, thoracic;Aorta, Thoracic/enlarged;Emphysema;Spondylosis/mild","Cardiomegaly;Calcinosis;Aorta, Thoracic;Emphysema;Spondylosis","Chest, 2 views, frontal and lateral",XXXX,"XXXX, XXXX",Borderline cardiac enlargement. Enlarged calcified thoracic aorta. Emphysema. No acute pulmonary abnormality. Mild spondylosis.,Emphysema. No acute pulmonary findings.
3192,"Lung/hilum/left/prominent/mild;Lucency/thorax/scattered/multiple;Emphysema;Calcified Granuloma/bilateral/scattered/multiple;Hernia, Hiatal/large","Lung;Lucency;Emphysema;Calcified Granuloma;Hernia, Hiatal","Chest PA and lateral dated XXXX, XXXX at XXXX hours. ",Dyspnea,Chest dated XXXX,"The heart is normal in size. Mild fullness of the left hilum, small interval change from prior exam. Lucencies throughout the chest XXXX representing emphysematous change. Scattered bilateral calcified granulomas. No pneumothorax. Large hiatal hernia, increased from prior exam.","1. Increased left hilar fullness. This may represent superimposed XXXX, adenopathy cannot be excluded on this exam. If there is clinical concern, suggest reference to prior exam or CT chest. 2. Large hiatal hernia, increased in size from prior exam."
3193,Lung/hyperdistention/mild,Lung,"PA and Lateral Chest. XXXX, XXXX ",Asthma,None available,"Mild hyperinflation. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.",Mildly hyperexpanded lungs without acute focal infiltrate.
3194,normal,normal,Chest x-XXXX XXXX and lateral on XXXX. ,XXXX-year-old female with dyspnea.,None.,The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.,No acute cardiopulmonary abnormalities.
3195,"Opacity/lung/base/left;Catheters, Indwelling/left;Airspace Disease/lung/base/left","Opacity;Catheters, Indwelling;Airspace Disease","CHEST (PA AND LATERAL). XXXX, XXXX XXXX PM","XXXX XXXX WALKING, RE-EVALUATION OF OXYGENATION;",Chest AP portable. XXXX.,There is a left base opacity. The right lung is grossly clear. Heart size is normal. Left venous catheter with tip in the right atrium. There is no pneumothorax.,1. Left base airspace disease. 2. Left venous catheter with tip in the right atrium.
3196,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM. ",DYSPNEA,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3197,Calcified Granuloma/bilateral/multiple;Cicatrix/lung/base/left,Calcified Granuloma;Cicatrix,"CHEST 2V FRONTAL/LATERAL RADXXXX XXXX, XXXX XXXX PM ",left side numbness,,,"Comparison XXXX, XXXX Bilateral calcified granulomas and some left basilar XXXX scarring as before. Clear lungs. No effusions. Unremarkable mediastinal contour. No acute cardiopulmonary abnormality identified.. Stable chest."
3198,Osteophyte/thoracic vertebrae/degenerative/mild,Osteophyte,Xray Chest PA and Lateral,XXXX and irregular heart XXXX,"XXXX, XXXX",,"The heart size is normal. The mediastinal silhouette and pulmonary vascularity are within normal limits. The lungs are clear without interval consolidation, pleural effusion or pneumothorax. Mild degenerative endplate spurring in the mid thoracic spine."
3199,normal,normal,Chest X-XXXX 2 XXXX ,Shortness of breath.,XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,Negative chest .
3200,normal,normal," PA and lateral chest XXXX, XXXX at XXXX comparison XXXX ",palpitations,,,Heart size is normal and the lungs are clear.
3201,Lung/hypoinflation,Lung," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM",difficulty swallowing,None,Lung volumes are low. No focal infiltrates. Heart size normal. Mediastinum normal.,Hypoinflation with no visible active cardiopulmonary disease.
3202,"Fractures, Bone/ribs/left/posterior/multiple/healed","Fractures, Bone","PA lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old male, dyspnea on exertion","CT chest XXXX, XXXX",Normal heart size and mediastinal contours. No focal airspace opacity. No pleural effusion or pneumothorax. Multiple healed posterior left rib fractures.,No acute cardiopulmonary abnormalities.
3203,normal,normal,Xray Chest PA and Lateral,XXXX and dyspnea,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute findings.
3204,Atherosclerosis/aorta,Atherosclerosis,"PA and lateral chest XXXX, XXXX at XXXX hours.","Preop for back surgery, XXXX.","XXXX, XXXX.",The lungs are clear. There is no pleural effusion. The heart is normal. There are atherosclerotic changes of the aorta. Senescent changes of the spine are seen.,No acute pulmonary disease.
3205,normal,normal,"Chest x-XXXX, 2 views dated XXXX ","XXXX-year-old female, evaluate for rib fractures post XXXX",None,No pneumothorax. Heart size is normal. No large pleural effusions. No focal airspace opacities. No definite visualized rib fractures.,No acute cardiopulmonary abnormalities. No visualized rib fractures.
3206,normal,normal,"Chest x-XXXX, 2 views dated XXXX ",XXXX-year-old female with history of leiomyosarcoma,None,Heart size is normal. No large effusions. No focal airspace opacities. No pneumothorax.,No acute cardiopulmonary abnormalities.
3207,Cardiac Shadow/enlarged;Cardiomegaly,Cardiac Shadow;Cardiomegaly,Xray Chest PA and Lateral,Heart flutter,,There's been interval enlargement in the cardiac silhouette. These XXXX't contours are within normal limits. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.,1. No acute radiographic cardiopulmonary process. 2. Interval development of cardiomegaly.
3208,normal,normal,Xray Chest PA and Lateral,XXXX-year-old female with chest pain,None,The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.,No evidence of active disease.
3209,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old male, nonsmoker, productive XXXX and wheezing since Thanksgiving.",Chest radiographs XXXX.,"The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality.",No acute cardiopulmonary process.
3210,normal,normal,Xray Chest PA and Lateral,Chest pain. Liver pain.,None.,"2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.",No acute cardiopulmonary abnormality identified.
3211,Atherosclerosis/aorta;Kyphosis;Arthritis;Pleural Effusion/bilateral/small,Atherosclerosis;Kyphosis;Arthritis;Pleural Effusion,Xray Chest PA and Lateral,XXXX XXXX intake increasing weakness.,None,The lungs are clear. There appear to be small bilateral pleural effusions. The heart is not grossly enlarged. There are atherosclerotic changes of the aorta. Increased kyphosis is seen in the may be a thoracic XXXX deformity that is not well-characterized. Arthritic changes are seen.,1. Probable small bilateral pleural effusions. 2. Possible lower thoracic XXXX deformity not well characterized on today's study.
3212,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX",XXXX-year-old male with mitomyopathy and tachycardia,"Chest x-XXXX, XXXX","Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax grossly unremarkable.",Negative for acute cardiopulmonary abnormality.
3213,Calcified Granuloma/lung/middle lobe/right,Calcified Granuloma,PA and lateral chest radiographs dated XXXX at XXXX hours.,XXXX-year-old with neck injury XXXX painting this weekend. Pain radiating into the chest.,Two views of the chest dated XXXX.,"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.",No acute cardiopulmonary disease.
3214,Cardiomegaly;Pericardial Effusion/large;Pleural Effusion/right/small,Cardiomegaly;Pericardial Effusion;Pleural Effusion,PA and lateral chest radiographs,History of pericardial effusion.,Chest radiographically 26 XXXX.,"There is an marked interval increase in heart size. The heart also demonstrates the XXXX XXXX configuration, compatible with pericardial effusion. A small right pleural effusion the present. The lungs are otherwise clear without focal infiltrates. Normal pulmonary vascularity. No pneumothorax.",Large pericardial effusion.
3215,normal,normal," PA and lateral chest XXXX, XXXX XXXX with comparison 5 XXXX ",Preop right knee replacement,,,Heart size is normal and the lungs are clear.
3216,normal,normal,Chest XXXX and lateral,XXXX-year-old female with dyspnea.,None available.,"Heart size is normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures are intact.",Normal chest radiograph.
3217,Cavitation/lung/apex/right;Deformity/lung/apex/right/irregular,Cavitation;Deformity,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old woman with history of TB..,"CT of the chest dated XXXX, XXXX.","Irregularity within the right apex is consistent with patient's known cavitary lesion as a sequela of prior tuberculosis. No evidence of active infection. No focal consolidations, pneumothorax, or effusions identified. Paramediastinal silhouette is stable and within normal limits and no acute bony abnormality is identified.",Right apical cavitary lesion consistent with history of tuberculosis without active infectious process identified.
3218,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",cp,XXXX,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,1. No acute pulmonary disease.
3219,Aorta/tortuous/mild;Lung/hyperdistention;Opacity/lung/hilum/left;Opacity/lung/base/bilateral;Density/lung/left/multiple;Nodule/lung/left/multiple;Implanted Medical Device/abdomen/right,Aorta;Lung;Opacity;Opacity;Density;Nodule;Implanted Medical Device,Xray Chest PA and Lateral,"XXXX-year-old male, out of of meds, chest pain",None,,"Heart size within normal limits, mild aortic ectasia/tortuosity. Hyperinflated lungs with XXXX left perihilar and bibasilar opacities which may be compatible with subsegmental atelectasis or scarring. Otherwise no focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense nodules in the left lung suggest a previous granulomatous process. Right upper abdominal coiled artifacts, question prior embolization procedure."
3220,normal,normal,Chest x-XXXX XXXX ,Chest pain.,XXXX,Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,No acute cardiopulmonary process.
3221,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old male with hypertension..,"Two-view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality..
3222,normal,normal,"PA and lateral views of the chest dated XXXX, XXXX.","Shortness of breath, headache, chills. Chest pain.","XXXX, XXXX.","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.
3223,normal,normal,"Chest, 2 views, frontal and lateral",Preop knee surgery,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute preoperative findings.
3224,normal,normal,"Radiographs of the chest, 2 views, dated XXXX, XXXX, at XXXX hours. ",XXXX-year-old female. XXXX.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",Negative for acute abnormality.
3225,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM No comparison. Both lungs are clear and expanded. Heart and mediastinum normal. ",chest pain,,,No active disease.
3226,Spondylosis/thoracic vertebrae,Spondylosis,Xray Chest PA and Lateral,Chest pain,"XXXX, XXXX",The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,No acute process.
3227,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, MVC.",CT chest with contrast XXXX.,"The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality.",No acute cardiopulmonary process.
3228,Cicatrix/lung/apex/bilateral;Calcified Granuloma/lung/lower lobe/left/small,Cicatrix;Calcified Granuloma,Xray Chest PA and Lateral,Testis cancer dx XXXX,XXXX,The heart is normal in size. The mediastinum is unremarkable. There is again biapical scarring. Small stable calcified left lower lobe granuloma. The lungs are otherwise clear.,No acute disease.
3229,Lung/hypoinflation/mild,Lung,Chest 20 to PA and lateral ,"XXXX with XXXX, neuropathy",None.,Heart size within normal limits. Trachea is midline. The lung volumes are is somewhat low. Both lungs are otherwise clear bilaterally. No pleural effusion. No pulmonary nodules visualized.,No pulmonary nodules. Negative chest.
3230,Lung/hypoinflation;Technical Quality of Image Unsatisfactory ;Opacity/lung/base/right;Pulmonary Atelectasis/base/right;Thoracic Vertebrae/degenerative/mild,Lung;Technical Quality of Image Unsatisfactory ;Opacity;Pulmonary Atelectasis;Thoracic Vertebrae,"PA and Lateral Chest. XXXX, XXXX at XXXX ",Altered mental status,"XXXX, XXXX","Low lung volumes and patient rotation. Given differences in technique, heart size XXXX within normal limits. Persistent right basilar opacity, XXXX atelectasis. No suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Mild degenerative change of the thoracic spine.",Persistent stable right basilar atelectasis.
3231,"Aorta, Thoracic/tortuous;Thickening/right/paratracheal;Lung/hilum/lymph nodes/bilateral/enlarged;Pulmonary Artery/enlarged","Aorta, Thoracic;Thickening;Lung;Pulmonary Artery",2 views Chest: XXXX,"Hypertension, leg weakness.",,"The lungs and pleural spaces show no acute abnormality. Heart size within normal limits. There is tortuosity of the descending thoracic aorta, unchanged. There is right paratracheal thickening and bilateral hilar enlargement corresponding to lymphadenopathy and XXXX pulmonary arterial enlargement visualized on XXXX chest in XXXX. Radiographically, the findings are grossly stable.",1. No acute pulmonary abnormality. 2. Abnormal appearance of the mediastinum as discussed below.
3232,Nodule/lung/lingula/small,Nodule,Xray Chest PA and Lateral,Pre-transplant evaluation.,,"Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. In the left midlung zone, there has been development of a small lung nodule. This measures approximately 8 mm in diameter.","1. 8 mm left midlung nodule. XXXX since XXXX. Comparison to interval outside film would be helpful to assess the chronicity of this nodule. If old films are not available, or if this is XXXX, chest CT scan could be XXXX to better define this."
3233,Lung/hyperdistention/mild;Diaphragm/bilateral/flattened;Emphysema;Cicatrix/lung/base/left/mild;Pulmonary Atelectasis/base/left/mild,Lung;Diaphragm;Emphysema;Cicatrix;Pulmonary Atelectasis,Xray Chest PA and Lateral,"XXXX, shortness of breath.","XXXX, XXXX.","The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated with flattening of the hemidiaphragms. Coarsened interstitial testes appear chronic and compatible with emphysema. There is minimal XXXX scarring or atelectasis in the left lung base. The lungs are otherwise clear of focal infiltrate, pneumothorax, or pleural effusion. There are no acute bony findings.",Chronic changes of emphysema. No acute findings. .
3234,normal,normal,Chest X-XXXX 2 XXXX ,Chest pain for 1 hour,XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,Negative chest .
3235,normal,normal,Xray Chest PA and Lateral ,Chest pain shortness of breath.,XXXX.,Heart size is normal. The lungs are clear. No pneumothorax or pleural effusion.,Normal chest exam.
3236,normal,normal,2 views Chest: XXXX,"Abdominal pain, nonproductive XXXX.",None.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,1. No acute pulmonary abnormality.
3237,Cardiomegaly;Opacity/lung/base/bilateral/streaky/mild;Implanted Medical Device,Cardiomegaly;Opacity;Implanted Medical Device,2 views Chest: XXXX,"XXXX, XXXX pain.",None.,"Heart size is enlarged, pulmonary vascularity within normal limits. Cardiac defibrillator generator projects over the left mid lateral lung. No visible pneumothorax or pleural effusion. Minimal streaky airspace opacities in the lower lobes.",1. Cardiomegaly without pulmonary edema. 2. Minimal bibasilar opacities which may reflect atelectasis or infiltrate.
3238,Aorta/tortuous/mild;Atherosclerosis/aorta;Lung/hypoinflation/mild;Markings/lung/upper lobe/right;Markings/lung/lower lobe/right;Diaphragmatic Eventration/left/mild;Opacity/thorax/scattered,Aorta;Atherosclerosis;Lung;Markings;Markings;Diaphragmatic Eventration;Opacity,Xray Chest PA and Lateral,"abd pain, rales at right base",None,The heart is normal in size. The mediastinal contours are within normal limits. Aorta is mildly tortuous and demonstrates atherosclerotic calcifications. The lungs are mildly hypoinflated with increased peripheral lung markings noted predominantly in the right upper and lower lung. There is no acute infiltrate or significant pleural effusion. Mild eventration of left hemidiaphragm is noted.,Scattered XXXX opacities may be secondary to scarring and underlying emphysematous changes versus mild interstitial lung disease. No acute infiltrate.
3239,normal,normal,Xray Chest PA and Lateral,Preop anesthesia XXXX,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute preoperative findings.
3240,Lung/hyperdistention;Diaphragm/bilateral/flattened;Lung/blood vessels/blunted;Spondylosis/thoracic vertebrae;Emphysema,Lung;Diaphragm;Lung;Spondylosis;Emphysema,"Chest, 2 views, frontal and lateral",Shortness of breath,None.,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.
3241,Pulmonary Atelectasis/base/left,Pulmonary Atelectasis,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old woman with XXXX.,None available.,The lungs focal airspace consolidation. There is atelectasis of the left lung base. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion. Cervical vertebral XXXX is partially visible at the top of the radiographs.,1. Left basilar atelectasis. 2. No focal airspace consolidation.
3242,Thoracic Vertebrae/degenerative/multiple,Thoracic Vertebrae,PA and lateral chest radiograph. ,XXXX-year-old male with recent right deltoid and proximal arm biopsy.,PA and lateral chest radiographs XXXX.,"The heart and cardiomediastinal silhouette are normal in size and contour. There is no focal air space opacity, pleural effusion, or pneumothorax. There are multilevel degenerative changes in the thoracic spine.",No acute cardiopulmonary finding.
3243,Opacity/lung/bilateral/interstitial/diffuse/reticular/round/severe,Opacity,Xray Chest PA and Lateral,"XXXX, history of renal transplant",,Normal heart size. Diffuse bilateral reticulonodular interstitial opacities. There are no XXXX of a large pleural effusion. There is no evidence of pneumothorax. Heart is not enlarged. XXXX are unremarkable.,"Compared to XXXX, there are XXXX extensive bilateral reticulonodular interstitial opacities, concerning for atypical infection. Result notification XXXX Primordial. ."
3244,Mediastinum/right/paratracheal/prominent;Opacity/lung/base/bilateral/streaky/mild;Lung/hypoinflation;Airspace Disease/lung/base/bilateral/streaky/mild;Pulmonary Atelectasis,Mediastinum;Opacity;Lung;Airspace Disease;Pulmonary Atelectasis,Xray Chest PA and Lateral,XXXX-year-old woman screening for assisted living facility.,None.,Heart size within normal limits. Right paratracheal prominence XXXX represents tortuous XXXX. XXXX lung volumes. Mild streaky bibasilar opacities. No pleural effusion or pneumothorax.,"1. No evidence of pulmonary tuberculosis. 2. Low lung volumes with minimal streaky basilar airspace disease, XXXX atelectasis. 3. Right paratracheal prominence XXXX represents tortuous XXXX. Comparison with prior imaging studies could confirm this if available. ."
3245,Pulmonary Edema/bilateral/interstitial/moderate;Cardiomegaly;Pleural Effusion/bilateral;Heart Failure/moderate;Calcinosis/mediastinum/lymph nodes/right/large/chronic,Pulmonary Edema;Cardiomegaly;Pleural Effusion;Heart Failure;Calcinosis,Xray Chest PA and Lateral,,None,"Moderate bilateral interstitial edema, with cardiomegaly and bilateral effusion consistent with moderate cardiac failure. A large calcified right mediastinal adenopathy, XXXX chronic fungal. No pneumothorax.",Moderate congestive cardiac failure.
3246,Pulmonary Artery/prominent;Spondylosis/thoracic vertebrae,Pulmonary Artery;Spondylosis,"Chest, 2 views, frontal and lateral",Prostate cancer,"XXXX, XXXX",The cardiac contours are normal. Prominent pulmonary arteries. The lungs are clear. Thoracic spondylosis.,No acute process.
3247,normal,normal," PA and lateral chest XXXX, XXXX at XXXX comparison XXXX XXXX ",persistent XXXX. Cigarette use,,,Heart size normal. Lungs are clear. No nodules or masses. No effusions or fibrosis
3248,"Cardiomegaly/borderline;Atherosclerosis/aorta;Pleural Effusion/bilateral/small;Airspace Disease/lung/base/bilateral;Catheters, Indwelling/right;Abdomen/enlarged/mild","Cardiomegaly;Atherosclerosis;Pleural Effusion;Airspace Disease;Catheters, Indwelling;Abdomen",Xray Chest PA and Lateral,Decreased breath sounds,"XXXX, XXXX",,Borderline heart size. Aortic atherosclerosis. Small volume effusions and basilar airspace disease. Right-sided central catheter tip low SVC. NG tube has been removed. There is mild XXXX-distention of this stomach.
3249,Pleural Effusion/bilateral;Pulmonary Atelectasis/base/bilateral;Markings/lung/base/bilateral;Pulmonary Edema/interstitial/mild,Pleural Effusion;Pulmonary Atelectasis;Markings;Pulmonary Edema,Xray Chest PA and Lateral,"CHF, shortness of breath.",,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."
3250,"Aorta/tortuous;Hernia, Hiatal/moderate;Osteophyte/thoracic vertebrae/multiple;Hyperostosis, Diffuse Idiopathic Skeletal","Aorta;Hernia, Hiatal;Osteophyte;Hyperostosis, Diffuse Idiopathic Skeletal","Chest, 2 views dated XXXX.",XXXX,,Lungs are relatively clear. Heart size normal. Unfolded aorta. Moderate hiatal hernia. T-spine osteophytes and DISH.,Moderate hiatal hernia. No definite pneumonia.
3251,Nodule/lung/middle lobe/right;Medical Device,Nodule;Medical Device,Xray Chest PA and Lateral,Chest pain ComparisXXXX/11,,"Right mid lung nodule stable XXXX; etiology not determined. This is noncalcified, and is stable since a CT examination from XXXX and is XXXX benign etiology. The lungs are well inflated and without focal consolidation. The cardiomediastinal silhouette appears unremarkable. Costophrenic XXXX clear. Visualized spine vertebrae appear normal in XXXX and alignment. Overlying leads.",Stable radiographic view of chest.
3252,normal,normal,Xray Chest PA and Lateral,ECF placement.,Chest x-XXXX of XXXX,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.,No acute cardiopulmonary abnormality. .
3253,normal,normal,2 views chest PA and Lateral XXXX ,Shortness of breath,"11 22,007","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.
3254,normal,normal,Chest x-XXXX XXXX and lateral on XXXX at XXXX hours. ,XXXX-year-old male with hyperosmolar state.,None.,The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.,No acute cardiopulmonary abnormalities.
3255,No Indexing,No Indexing,Frontal and Lateral view of the chest XXXX/XXXX at 401 hours.,Post pacemaker implantation unable to raise left arm fully,"XXXX, XXXX XXXX hours",Stable appearance of the left axillary XXXX. No pneumothorax. 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. Stable appearance of the left-sided XXXX without acute complicating features.
3256,Cardiomegaly/mild;Pleural Effusion/bilateral/small;Opacity/lung/base/left;Thoracic Vertebrae/degenerative/mild;Pulmonary Atelectasis/base/left,Cardiomegaly;Pleural Effusion;Opacity;Thoracic Vertebrae;Pulmonary Atelectasis,"Chest radiographs, 2 XXXX and lateral ","XXXX-year-old male with scrotal edema, dyspnea, lower leg edema",None available,"There is mild cardiomegaly. Mediastinal contours appear within normal limits. There are small bilateral pleural effusions, left greater than right with left basilar opacities. No pneumothorax. Mild degenerative changes of the thoracic spine.",Cardiomegaly with small bilateral pleural effusions and left basilar atelectasis.
3257,Spondylosis/thoracic vertebrae,Spondylosis,Xray Chest PA and Lateral,Chest pain,"XXXX, XXXX",The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,No acute process.
3258,normal,normal,Xray Chest PA and Lateral,Pain.,None.,Normal heart size and mediastinal contours. The lungs are clear. There is no pneumothorax or pleural effusion. The XXXX are unremarkable.,No acute cardiopulmonary process. .
3259,Calcified Granuloma/lung/apex/right/large;Opacity/lung/apex/bilateral/patchy/mild;Scoliosis;Arthritis/spine,Calcified Granuloma;Opacity;Scoliosis;Arthritis,Xray Chest PA and Lateral,Right lower extremity infection and hypoxia,,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.
3260,Cardiomegaly;Pericardial Effusion;Opacity/lung/base/right;Pleural Effusion/base/right;Pulmonary Atelectasis/base/right;Airspace Disease/lung/base/right;Technical Quality of Image Unsatisfactory ,Cardiomegaly;Pericardial Effusion;Opacity;Pleural Effusion;Pulmonary Atelectasis;Airspace Disease;Technical Quality of Image Unsatisfactory ,AP and lateral chest radiograph dated XXXX XXXX hours,Hypoxia.,None,1. Cardiomegaly and/or pericardial effusion. 2. Right base opacity XXXX combination of pleural effusion and atelectasis/airspace disease. Cannot exclude elevation right hemidiaphragm. 3. Left lung relatively clear. 4. Limited exam due to underpenetrated technique related to large patient habitus. 5. No evidence of pneumothorax.,
3261,normal,normal, and lateral chest. ,"iritis, rule out sarcoidosis",None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest No evidence of sarcoidosis.
3262,normal,normal,PA and lateral chest x-XXXX XXXX. ,XXXX-year-old woman with chest pain,None.,The cardiomediastinal silhouette is within normal limits. Lungs are clear without focal consolidation. No pneumothorax or large pleural effusion.,No acute cardiopulmonary process.
3263,normal,normal,"1. PA and lateral chest radiographs. 2. Left knee radiographs, 3 views AP, oblique, and lateral.",XXXX-year-old with edema and chronic knee pain.,None.,"Chest: The heart size and cardiomediastinal silhouette are normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. Left knee: There is no fracture-dislocation. There are degenerative changes with medial compartment osteophytes. There is no suprapatellar effusion. There is a XXXX.","Chest: No acute cardiopulmonary finding. Left knee: Minimal degenerative changes, however no acute bony abnormality."
3264,Calcified Granuloma/multiple;Cicatrix/lung/apex/bilateral;Diaphragm/bilateral/flattened;Deformity/thorax,Calcified Granuloma;Cicatrix;Diaphragm;Deformity,"2 view ( PA and lateral) chest radiograph dated XXXX, XXXX ",XXXX-year-old female with abnormal XXXX loss,None.,"Calcified granulomas noted. XXXX symmetric apical scarring. The diaphragms are flattened, and the chest is somewhat XXXX shaped. The cardiothymic silhouette is within normal limits for size. Pulmonary vascularity is unremarkable. No acute bony abnormality.",Radiographic findings suggestive of emphysema.
3265,normal,normal,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old female with XXXX,None available,"The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.",No acute cardiopulmonary findings.
3266,normal,normal,Xray Chest PA and Lateral,Neck pain,None,Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,No acute cardiopulmonary findings.
3267,normal,normal,"Chest 2 views dated XXXX, XXXX.","XXXX, transfer patient",None.,"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.",No evidence of acute thoracic XXXX.
3268,normal,normal,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Shortness of breath.,"Radiograph Chest PA and Lateral XXXX, XXXX.",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.
3269,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",pt with chronic asthma,"chest 2 views from XXXX, XXXX.",Heart size within normal limits. Cardiomediastinal silhouette is normal in contour. Lungs are clear bilaterally. No focal consolidations. No pleural effusions. Bony structures are intact.,No active disease.
3270,Spine/degenerative,Spine,Xray Chest PA and Lateral,,None.,The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes within the spine.,No acute cardiopulmonary abnormality. .
3271,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old woman with chest pain and XXXX.,None.,"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 acute cardiopulmonary abnormality..
3272,"Opacity/lung/lower lobe/bilateral;Fractures, Bone/ribs/right/multiple/healed;Thickening/pleura/right;Lung/hypoinflation;Pulmonary Atelectasis/base/bilateral/focal","Opacity;Fractures, Bone;Thickening;Lung;Pulmonary Atelectasis",Xray Chest PA and Lateral,HYPOXIA,"XXXX, XXXX.",Lung volumes remain XXXX. XXXX opacities are present in both lower lobes. Old rib fractures and pleural thickening are present on the right. Heart and pulmonary XXXX are normal.,Hypoinflation with bibasilar focal atelectasis.
3273,"Cardiomegaly;Aorta, Thoracic/tortuous/mild","Cardiomegaly;Aorta, Thoracic","Chest x-XXXX XXXX and lateral, XXXX ","XXXX-year-old male, chest pain and dyspnea",None,"Cardiomegaly. No focal consolidation, effusion, or pneumothorax. Mild unfolding of the thoracic aorta. Bony thorax and soft tissues grossly unremarkable.",Cardiomegaly without acute cardiopulmonary abnormality.
3274,Lung/hypoinflation/severe;Pulmonary Atelectasis/bilateral/patchy,Lung;Pulmonary Atelectasis,Xray Chest PA and Lateral,"CHF, XXXX;",No comparison chest x-XXXX,,Very low lung volumes with bibasilar hypoventilation and patchy atelectasis. No overt airspace consolidation or pleural effusions. Visualized mediastinal contour grossly within normal limits.
3275,Spine/degenerative/mild,Spine,Frontal and Lateral view of the chest XXXX/XXXX at 135 hours.,Left-sided chest pain for 1-1/2 weeks for,XXXX,The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Mild degenerative changes of the spine.,1. No acute radiographic cardiopulmonary process.
3277,Calcinosis/lung/hilum/lymph nodes/left;Calcified Granuloma/lung/lower lobe/left,Calcinosis;Calcified Granuloma,PA and lateral chest x-XXXX ,XXXX-year-old female with dyspnea.,None,"Cardiomediastinal silhouettes are within normal limits. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Calcified left hilar lymph XXXX. A calcified granuloma is seen in the left lower lobe. Bony thorax is unremarkable.",No acute cardiopulmonary abnormalities.
3278,Funnel Chest/mild,Funnel Chest,Xray Chest PA and Lateral,"MVA XXXX, XXXX. XXXX. Back pain. Right clavicle numbness, with tingling and pain with palpation.",Chest XXXX. Clinical,"Chest: 2 images. Heart size is normal. Mediastinal contours are maintained. There is a mild pectus excavatum deformity. The lungs are clear of focal infiltrate. There is no evidence for pleural effusion or pneumothorax. No convincing acute bony findings. Right shoulder: 3 images. There has been XXXX and screw fixation of the midshaft right clavicle. The lateral most screw is fractured. This is age-indeterminate as no prior studies are available for comparison. Otherwise, the surgical XXXX appears intact. The humeral head is seen within the glenoid, without evidence for dislocation. No bony fractures are seen. The visualized right ribs appear intact. Right clavicle: 2 images. No clavicle fracture is seen. Once again noted is the surgical fixation XXXX, with fracture of the lateral most fixation screw.",Chest: 1. No acute cardiopulmonary abnormality identified. 2. Pectus excavatum. Right shoulder and right clavicle: 1. No acute bony abnormality identified. 2. The lateral most screw of the clavicular fixation XXXX is fractured. This is age-indeterminate as no prior studies are available for comparison. Clinical correlation is XXXX.
3279,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,"XXXX, XXXX.",The heart size is normal and cardiomediastinal silhouette is normal in contour. Lungs are clear bilaterally. There is no pleural effusion or pneumothorax. No bony or soft tissue abnormalities.,No acute cardiopulmonary abnormality.
3280,Opacity/lung/middle lobe/right,Opacity,PA and lateral chest radiograph (2 views) (2 images) ,XXXX-year-old male with dyspnea and crackles on exam.,Single view of the chest on XXXX,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.
3281,Nodule/lung/upper lobe/right;Granuloma/lung/upper lobe/right,Nodule;Granuloma,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,None .,The heart size is within normal limits. Cardiomediastinal contour is normal. There is a right upper lobe nodule measuring 8 mm in diameter. Trachea is midline. The lungs otherwise clear. XXXX and soft tissues are unremarkable.,"1. Right upper lobe pulmonary nodule, XXXX granuloma."
3282,Lung/bilateral/hypoinflation,Lung,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old male with shortness of breath..,None.,"Low lung volumes bilaterally, with lungs otherwise grossly clear. No focal consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal silhouette is unremarkable. No acute osseous abnormalities identified.",Low lung volumes without acute cardiopulmonary abnormality.
3283,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",Chest pain.,,Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,"No focal lung opacity, pleural effusion of pneumothorax.."
3284,normal,normal,PA and Lateral Chest X-XXXX dated XXXX.,Multiple myeloma.,None.,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.,1. No evidence of active disease.
3285,normal,normal,Chest X-XXXX 2 XXXX ,"XXXX, XXXX, dyspnea",None,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,Negative chest .
3286,"Lung/hypoinflation;Cardiomegaly;Opacity/lung/lingula;Hypertension, Pulmonary;Pulmonary Atelectasis/lingula/focal;Pulmonary Congestion","Lung;Cardiomegaly;Opacity;Hypertension, Pulmonary;Pulmonary Atelectasis;Pulmonary Congestion","CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ","chest pain , bilateral leg XXXX","XXXX, XXXX.","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.
3287,Density/lung/middle lobe/right/round;Aorta/obscured;Density/lung/base/left/retrocardiac,Density;Aorta;Density,PA lateral chest x-XXXX XXXX at XXXX p.m.,Abnormal findings of previous studies XXXX in XXXX.,CT chest XXXX,"Heart size and mediastinal contour normal. There is a 2.5 cm vague nodular density in the right mid lung, probably within the middle lobe given the opacification on the lateral view. There is a subtle left retrocardiac density also noted, with obscuration of aortic contour. No pleural effusions or pneumothorax.",Right midlung and left basilar airspace densities. The most recent study is not available for comparison. Recommend further evaluation with XXXX.
3288,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old male with COPD..,"Two-view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality..
3289,normal,normal, PA and lateral chest. XXXX. ,Syncope.,,"Normal cardiac size and contour, unremarkable mediastinal silhouette. Normal pulmonary XXXX. Lungs clear, no airspace disease, pleural effusion, or pneumothorax.",No active or acute cardiopulmonary disease.
3290,normal,normal,Xray Chest PA and Lateral,",485 XXXX and chest pain.",,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
3291,normal,normal,Xray Chest PA and Lateral,INDICATION: EVALUATE FOR metastatic DISEASE;,None,The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.,No acute cardiopulmonary disease
3292,Opacity/lung/middle lobe/right;Opacity/lung/lower lobe/right,Opacity;Opacity,PA and lateral views of the chest ,Chest pain,None,Mediastinal contours are normal. Opacity within the right middle and lower lobes. No displacement of the XXXX or XXXX fissure. No pneumothorax..,Opacification of the right middle and lower lobes.
3294,"Aorta, Thoracic/tortuous;Calcified Granuloma/lung/middle lobe/right","Aorta, Thoracic;Calcified Granuloma","Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old female chest pain.,Comparison is XXXX to chest radiograph examination dated XXXX.,The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. A calcified granuloma is identified in the right middle lobe. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute displaced rib fractures.,1. No acute intrathoracic abnormality.
3296,Calcinosis/lung/hilum/lymph nodes/left,Calcinosis,Xray Chest PA and Lateral,786.2 XXXX,None.,The lungs are clear. Heart size is normal. No pneumothorax. Calcified left hilar node.,Clear lungs. No acute cardiopulmonary abnormality. .
3297,Emphysema/mild,Emphysema,CHEST 2V FRONTAL/LATERAL ,"XXXX, XXXX pain",XXXX,The heart is normal in size. The mediastinum is unremarkable. Mild emphysematous changes are noted. The lungs are otherwise clear.,No acute disease.
3298,normal,normal,PA and lateral views of the chest. ,XXXX-year-old female with persisting XXXX.,Two-view chest from XXXX.,Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.,No acute cardiopulmonary findings.
3299,Lung/hypoinflation;Markings/bronchovascular,Lung;Markings,"Chest radiograph (frontal and lateral) from XXXX, XXXX at XXXX hours. ",Dyspnea.,"Chest radiograph from XXXX, XXXX.",The cardiac silhouette and mediastinal contours are within normal limits. There are low lung volumes with bronchovascular crowding. Otherwise the lungs are clear. There is no pneumothorax. No large pleural effusion.,Low lung volumes with bronchovascular crowding otherwise lungs are clear.
3300,Aorta/tortuous;Scoliosis/thoracic vertebrae;Thoracic Vertebrae/degenerative;Stents/abdomen/right,Aorta;Scoliosis;Thoracic Vertebrae;Stents,"Chest Two views PA and lateral XXXX, XXXX XXXX a.m. ",Dyspnea,"Chest 2 views PA and lateral XXXX, XXXX p.m.","Lungs are clear bilaterally.There is no focal consolidation, pleural effusion, or pneumothoraces. Stable aortic tortuosity. Cardiomediastinal silhouette is otherwise unremarkable. Scoliosis and degenerative changes of the thoracic spine. Stent visualized in the right upper quadrant, XXXX biliary stent.",No acute cardiopulmonary abnormality.
3301,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,Chest pain,None,"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.
3302,Lung/hypoinflation/mild,Lung,CHEST 2V FRONTAL/LATERAL ,XXXX x days,,The heart is normal in size. The mediastinum is unremarkable. The lungs are slightly hypoinflated but clear. There is no pleural effusion.,No acute disease.
3303,Opacity/lung/upper lobe/right/round,Opacity,"PA and Lateral Chest. XXXX, XXXX XXXX PM . ",Shortness of breath and wheezing.,None.,"Heart size and mediastinal contours appear within normal limits. There is a vague 1.6 cm nodular opacity in the right upper lobe between the anterior second and third ribs, which could represent focal infiltrate or lung nodule. No pleural effusion. No pneumothorax. No acute bony abnormality.","Vague nodular opacity in the right lobe, which could represent focal infiltrate or nodule. Recommend followup to resolution."
3304,Scoliosis/thoracic vertebrae/left,Scoliosis,Xray Chest PA and Lateral,Chest pain,,"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. There is levoscoliosis of the thoracic spine.",No acute cardiopulmonary disease. .
3305,"Catheters, Indwelling/right;Cardiac Shadow/enlarged;Opacity/lung/base/bilateral/streaky;Diaphragm/right/elevated/mild;Spine/degenerative;Surgical Instruments/bilateral;Pulmonary Atelectasis/base/bilateral","Catheters, Indwelling;Cardiac Shadow;Opacity;Diaphragm;Spine;Surgical Instruments;Pulmonary Atelectasis",Xray Chest PA and Lateral,XXXX-year-old female with history of osteomyelitis. XXXX.,None,There is a right PICC with tip overlying the right brachiocephalic vein. The cardiac silhouette is enlarged. No overt pulmonary edema. There are streaky bibasilar opacities. No large pleural effusion. The right hemidiaphragm is elevated. No pneumothorax is identified. There are degenerative changes of the spine. Bilateral surgical clips are noted.,1. Streaky bibasilar opacities; the appearance XXXX subsegmental atelectasis. 2. Enlarged cardiac silhouette. 3. Mildly elevated right hemidiaphragm.
3306,Cardiomegaly/mild;Atherosclerosis/aorta,Cardiomegaly;Atherosclerosis,CHEST 2V FRONTAL/LATERAL ,Dyspnea,XXXX,The heart is borderline size. Aorta is atherosclerotic. The mediastinum is stable. The lungs are clear.,Mild stable cardiomegaly.
3307,normal,normal,Xray Chest PA and Lateral,Chest pain,None,"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. .
3309,normal,normal,Chest Radiograph Frontal and Lateral Views dated XXXX. ,XXXX-year-old male with chest pain.,Chest radiograph from XXXX.,Heart and mediastinum are within normal limits. No focal consolidation. No large pleural effusion or pneumothorax. No acute bony abnormality.,1. No acute cardiopulmonary findings.
3310,No Indexing,No Indexing,Xray Chest PA and Lateral,"The patient is a XXXX-year-old male, preop for bilateral TKA. Nonsmoker, cardiac stent XXXX. Otherwise no complaints.",None.,"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.",No acute cardiopulmonary abnormality. .
3311,normal,normal,"PA and lateral chest XXXX, XXXX at XXXX hours.",XXXX.,,The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal as are the skeletal structures and soft tissues.,No active disease.
3312,Infiltrate/lung/middle lobe/right/patchy;Pneumonia/middle lobe/right;Aorta/tortuous,Infiltrate;Pneumonia;Aorta,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX,"XXXX, XXXX.",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.
3313,Spine/degenerative,Spine,"PA and lateral views of the chest XXXX, XXXX XXXX XXXX ",XXXX,None,Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,Clear lungs.
3314,normal,normal," XXXX and lateral chest XXXX, XXXX XXXX comparison XXXX ",XXXX,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest.
3315,normal,normal,Xray Chest PA and Lateral,XXXX incontinence preop examination,,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.
3316,Emphysema;Cicatrix/pleura/base/bilateral,Emphysema;Cicatrix,PA and lateral views of the chest. ,XXXX-year-old female with COPD and worsening dyspnea.,Two-view chest from XXXX.,Heart size is normal. No focal airspace disease. Emphysema. Bibasilar pleural scarring. No pneumothorax or effusion.,No acute cardiopulmonary finding.
3317,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with tachycardia intermittently over the last 8 hours. Pain and left arm. Three months postpartum.,Two views of the chest dated XXXX.,"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.",No acute cardiopulmonary disease.
3318,Granulomatous Disease,Granulomatous Disease,Xray Chest PA and Lateral,Hemoptysis,None.,Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Bony structures are intact.,No acute findings.
3319,Thoracic Vertebrae/degenerative/multiple,Thoracic Vertebrae," Two views of the chest XXXX, XXXX XXXX hours. ",Chest pain.,None.,"Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. Multilevel degenerative changes are noted within the thoracic spine.",No acute cardiopulmonary abnormality identified.
3320,normal,normal," right knee 2 views, chest 2 views XXXX, XXXX at XXXX with comparison XXXX ",preop knee replacement surgery and XXXX,,,Chest. Heart size normal lungs are clear. Right knee. Severe osteoarthritis all 3 compartments
3321,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM",SYNCOPE,none,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.,1. No acute pulmonary disease.
3322,Calcified Granuloma/lung/apex/right/small,Calcified Granuloma," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ","PRE-OP XXXX VENTRAL HERNIA REPAIR,COPD,XXXX,EMPHYSEMA,DYSPNEA","XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. No change in a small calcified right apical granuloma. Heart and mediastinum normal.,No active disease.
3323,Aorta/tortuous;Implanted Medical Device/left,Aorta;Implanted Medical Device,Xray Chest PA and Lateral,"XXXX-year-old XXXX, status post ICD/pacemaker placement.",,"Heart size is within normal limits. Aorta appears tortuous and ectatic, unchanged from comparison exam. There is a stable dual XXXX ICD/pacemaker. No focal consolidation, large pleural effusion, or pneumothorax is seen. Visualized osseous structures are grossly intact.",1. Stable left chest dual XXXX ICD/pacemaker. 2. Improved lung volumes without acute cardiopulmonary abnormality. .
3324,Atherosclerosis/aorta;Density/thorax/right;Mass/breast/large;Technical Quality of Image Unsatisfactory ;Mass/thorax/right,Atherosclerosis;Density;Mass;Technical Quality of Image Unsatisfactory ;Mass,Xray Chest PA and Lateral,XXXX,,"The heart is normal in size. Atherosclerotic calcifications of the aorta. The mediastinum is stable. There is again soft tissue density projected over the right mid chest, XXXX patient's known large breast mass. The appearance is grossly stable to decreased from prior study. The lateral projection is suboptimal as patient could not raise XXXX. There is no pleural effusion.",Redemonstration of right chest wall mass compatible with patient's known breast carcinoma.
3325,normal,normal,CHEST 2V FRONTAL/LATERAL ,XXXX,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
3326,Technical Quality of Image Unsatisfactory ;Lung/hypoinflation;Cardiomegaly/mild;Markings/bronchovascular,Technical Quality of Image Unsatisfactory ;Lung;Cardiomegaly;Markings,AP and lateral chest: XXXX,"XXXX-year-old female, dyspnea",None,,"Exam quality limited by hypoventilation and apical lordotic frontal projection. Considering technical factors heart size XXXX at XXXX mildly enlarged. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema."
3327,"Cardiac Shadow/enlarged;Opacity/lung/upper lobe/right/focal;Calcinosis/aorta, thoracic/severe",Cardiac Shadow;Opacity;Calcinosis,"CHEST (PA AND LATERAL) on XXXX, XXXX",Head bleed.,None.,There is enlargement of the cardiac silhouette. There is a focal opacity within the right upper lung. There is dense calcification of the thoracic aorta. There is no pneumothorax. There is no large pleural effusion.,"1. Right upper lobe opacity. Without comparisons, this may represent a focal area of infection/pneumonia. However, correlation should be XXXX for possible tuberculosis exposure as tuberculosis infection could have this appearance. If discordant from clinical suspicion, or does not resolve on follow up imaging, consider further evaluation with XXXX scan. 2. Enlargement of the cardiac silhouette."
3328,Cardiomegaly/mild;Pleural Effusion/bilateral/small,Cardiomegaly;Pleural Effusion,"PA lateral chest XXXX, XXXX XXXX comparison XXXX XXXX ",XXXX and sweats,,,Minimal cardiomegaly. Prominent pulmonary XXXX. Probable very small pleural effusions and minimal questionable interstitial edema. No pneumonia
3329,normal,normal,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Chest pain.,None.,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.
3330,normal,normal,Xray Chest PA and Lateral,,None Indication RENAL CA; CK STATUS; COMPARE TO PREVIOUS,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
3331,Calcified Granuloma/lung/lower lobe/right;Spine/degenerative,Calcified Granuloma;Spine,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX,None,"The cardiomediastinal silhouette is within normal limits for size and contour. Calcified right lower lobe granuloma The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Degenerative changes of the spine.",1. No acute radiographic cardiopulmonary process.
3332,Lung/hypoinflation,Lung,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Weakness.,"Radiograph Chest PA and Lateral XXXX, XXXX.",The heart is normal in size and contour. There is no mediastinal widening. Low lung volumes. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.,No acute cardiopulmonary abnormalities.
3333,normal,normal,Chest XXXX and lateral ,XXXX-year-old male with asthma,Chest radiograph XXXX,"Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact. The trachea and XXXX pulmonary bronchi are unremarkable.",Normal chest radiograph.
3334,"Infiltrate/lung/base/bilateral;Pulmonary Atelectasis/base/bilateral;Catheters, Indwelling/left","Infiltrate;Pulmonary Atelectasis;Catheters, Indwelling",Portable chest XXXX XXXX at time XXXX,Hypoxia. History: XXXX portable XXXX tubes and lines,One XXXX XXXX,,Persistent but decreasing basilar infiltrates atelectasis. Possible small effusions. Sternotomy. Heart size normal. Left IJ catheter tip mid SVC
3335,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,"PA and LAT view CHEST XXXX, XXXX XXXX PM",chest pain,None.,Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,No acute cardiopulmonary process.
3336,"Fractures, Bone/ribs/left/multiple;Calcinosis/lung/hilum/lymph nodes/right;Calcified Granuloma/lung/base/multiple;Spine/degenerative/mild","Fractures, Bone;Calcinosis;Calcified Granuloma;Spine",Xray Chest PA and Lateral,XXXX-year-old with chest pain.,None.,"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 several age-indeterminate left-sided rib fractures noted. There is a calcified right hilar lymph node. There basilar calcified granulomas. There minimal degenerative changes of the spine.",Multiple age-indeterminate left-sided rib fractures.
3337,Calcinosis/pleura/base/right,Calcinosis,"CHEST 2V FRONTAL/LATERAL; to the left and right knees. XXXX, XXXX XXXX PM",chronic XXXX and diminished breath sounds; bilateral knee pain.,abdomen CT XXXX.,"Chest. Lungs are clear and expanded. Heart size normal. A calcified pleural plaque in the right subpulmonic area has not XXXX since the abdomen CT. Left and right knees. XXXX, XXXX spaces, and soft tissues are normal.",1. Chest. No active disease. 2. Left and right knees negative.
3338,normal,normal,"CHEST 2V FRONTAL/LATERAL RADXXXX XXXX, XXXX XXXX PM ",XXXX,,,No comparison chest x-XXXX Clear lungs. No effusions. Unremarkable mediastinal contour. No acute cardiopulmonary abnormality identified.
3339,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, chest pain, syncope.",None,There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Osseous structures are intact.,No acute cardiopulmonary abnormality.
3340,Atherosclerosis/aorta;Density/lung/base/left/multiple/mild;Lung/hyperdistention,Atherosclerosis;Density;Lung, PA and lateral views. ,XXXX-year-old female. Altered mental status.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic XXXX. Minimal XXXX densities, left lung base. Hyperexpanded lungs. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",Chronic lung changes without acute abnormality.
3341,normal,normal, PA and lateral chest. ,COPD.,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
3342,"Infiltrate/lung/lower lobe/bilateral/interstitial/patchy;Cardiomegaly;Tube, Inserted/trachea;Catheters, Indwelling/right;Lung Diseases, Interstitial/base/bilateral/patchy","Infiltrate;Cardiomegaly;Tube, Inserted;Catheters, Indwelling;Lung Diseases, Interstitial"," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ","growing Pseudomonas, on XXXX XXXX","XXXX, XXXX.",The patchy right lower lobe and left lower lobe interstitial infiltrates are largely unchanged in the interval. No XXXX infiltrates. Heart size remains large. Tracheostomy tube remains in the trachea. A right central line has its tip at the superior XXXX XXXX.,Persistent cardiomegaly and patchy bibasilar interstitial disease.
3343,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, XXXX.",None.,"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.",No acute cardiopulmonary process.
3344,Opacity/thoracic vertebrae,Opacity,Xray Chest PA and Lateral,Lung Cancer,No comparison chest x-XXXX.,,Ill-defined opacity projecting over midthoracic spine on lateral view corresponding with residual mass/nodularity seen XXXX scan from XXXX. Well-expanded lungs with no acute airspace disease. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
3345,normal,normal,"PA and Lateral Chest. XXXX, XXXX. &gt;] ",XXXX-year-old with chest pain.,None.,"No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.",No acute cardiopulmonary abnormality.
3346,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old male with edema and hypertension..,None.,"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 acute cardiopulmonary abnormality..
3347,Implanted Medical Device;Lung/hypoinflation,Implanted Medical Device;Lung,2 views Chest: XXXX,"Chest pain, dizziness. Recent ablation.",None.,"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.",1. No acute pulmonary abnormality.
3348,Cardiomegaly;Calcinosis/lung/base/left,Cardiomegaly;Calcinosis,Chest x-XXXX XXXX and lateral on XXXX at XXXX hours. ,XXXX-year-old male with chest pain.,Chest x-XXXX on XXXX,Stable cardiomegaly. The lungs are clear. Stable left lung base calcifications. No focal consolidations. No pneumothorax or pleural effusions. The XXXX are intact.,No acute cardiopulmonary abnormalities. Stable cardiomegaly.
3349,Lung/hyperdistention;Pulmonary Emphysema;Pectus Carinatum;Calcified Granuloma;Calcinosis/blood vessels,Lung;Pulmonary Emphysema;Pectus Carinatum;Calcified Granuloma;Calcinosis,PA and Lateral Chest X-XXXX dated XXXX.,XXXX.,XXXX.,The lungs are hyperexpanded consistent with emphysema. Pectus carinatum is noted. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. Calcified granuloma are noted. Vascular calcification is noted.,1. Hyperexpanded lungs consistent with emphysema. 2. Pectus carinatum. 3. No evidence of acute disease.
3350,normal,normal,Xray Chest PA and Lateral,"Chest pain, shortness of breath",None.,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. .
3352,normal,normal,Xray Chest PA and Lateral,Chest pain,None available.,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.
3353,Cardiomegaly/severe;Implanted Medical Device/left;Pulmonary Congestion/mild;Pericardial Effusion,Cardiomegaly;Implanted Medical Device;Pulmonary Congestion;Pericardial Effusion,PA and lateral views of the chest. ,XXXX-year-old male with dyspnea.,Two-view chest from XXXX.,Stable marked cardiomegaly. Cardiac XXXX generator projects over the left mid hemithorax with a XXXX terminating in the right ventricle. No focal airspace disease. Mild central pulmonary vascular congestion. The heart has the same configuration as seen previously with a pericardial effusion on an abdominal CT in XXXX.,Cardiomegaly with central pulmonary vascular congestion and no acute cardiopulmonary findings.
3354,Lung/hyperdistention;Diaphragm/bilateral/flattened;Pulmonary Emphysema,Lung;Diaphragm;Pulmonary Emphysema,"PA and Lateral Chest. XXXX, XXXX. &gt;] ",Short of breath.,None.,"Heart size and mediastinal contours appear within normal limits. Hyperinflated lungs with flattening of diaphragms, compatible with emphysema. No focal consolidation, pleural effusion or pneumothorax. No acute bony abnormality.",1. Emphysema. 2. No acute cardiopulmonary abnormality.
3355,Lung/hyperdistention,Lung,PA and lateral chest x-XXXX ,XXXX-year-old female with workup for XXXX loss and history tobacco use.,None,"Cardiomediastinal silhouettes are within normal limits. Lungs are hyperexpanded. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",No acute cardiopulmonary abnormalities.
3356,Calcified Granuloma/lung/middle lobe/right,Calcified Granuloma,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. ",XXXX-year-old woman with hypertension.,None.,"The lungs are clear bilaterally without focal consolidation, pneumothorax, or effusion. Calcified granuloma noted in the right midlung. The heart size is within normal limits. No acute bony abnormality is identified.",No acute cardiopulmonary abnormality.
3357,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",pt c/o cp,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3358,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM No comparison. Both lungs are clear and expanded. Heart and mediastinum normal. ",ppd reactive,,,No active disease.
3359,normal,normal,PA and Lateral Chest ,XXXX-year-old male with chest pain.,None available.,Heart size normal. No focal airspace disease. No pneumothorax or effusions.,No acute cardiopulmonary findings.
3360,Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left,Pulmonary Atelectasis;Cicatrix,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ","XXXX-year-old woman, rule out TB..",None.,"The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Left basilar subsegmental atelectasis versus scar noted. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.","No acute cardiopulmonary abnormality. Specifically, no evidence of active tuberculous process."
3361,normal,normal,PA and lateral chest x-XXXX ,XXXX-year-old male with XXXX.,None,"Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",No acute cardiopulmonary abnormalities.
3362,normal,normal,Xray Chest PA and Lateral,Pain with syncope. Blurry vision.,Chest x-XXXX dated XXXX,"The lungs and pleural spaces show no acute abnormality. Heart size is upper limits of normal, pulmonary vascularity within normal limits. .",1. No acute pulmonary abnormality.
3363,Opacity/lung/base/bilateral/multiple;Foreign Bodies/thorax/left/posterior;Foreign Bodies/neck/right;Foreign Bodies/costophrenic angle/left,Opacity;Foreign Bodies;Foreign Bodies;Foreign Bodies,CHEST 2V FRONTAL/LATERAL ,"Shielded, PDP.",XXXX,"The heart is normal in size. The mediastinum is stable. The lungs are grossly clear. XXXX XXXX opacities in the lung bases. There are XXXX fragments overlying the posterior left chest, right neck base and XXXX fragments in the left costophrenic XXXX. There is no pleural effusion or pneumothorax.","XXXX bullet fragments, as described above. No evidence of acute parenchymal abnormality."
3364,Cardiomegaly/borderline;Aorta/tortuous;Calcinosis/aorta;Diaphragm/right/elevated;Lung/hilum/bilateral/prominent,Cardiomegaly;Aorta;Calcinosis;Diaphragm;Lung,"Chest, 2 views, frontal and lateral",Chest pain,None.,,Borderline heart size. Tortuous calcified aorta. Elevated right diaphragm. Prominent hilar contours bilaterally. No acute pulmonary consolidation or pleural effusion.
3365,normal,normal,"Chest x-XXXX, 2 views dated XXXX ",XXXX-year-old male with chest pain,None,No large pleural effusions. No pneumothorax. No focal airspace opacities. Heart size is normal.,No acute cardiopulmonary abnormalities.
3366,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ","XXXX, XXXX, htn with elevation","XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3367,normal,normal,Xray Chest PA and Lateral,,,,
3368,Lung/hypoinflation;Markings/bronchovascular/mild,Lung;Markings,Xray Chest PA and Lateral,The patient is a XXXX-year-old XXXX with a history of asthma and XXXX.,"Chest x-XXXX, 2 views PA and lateral from XXXX.",The trachea is midline. The cardiomediastinal silhouette is normal. Low lung volumes causing mild bronchovascular crowding. No focal airspace consolidation is seen. There is no pleural effusion. There is no large pneumothorax. Visualized bony structures reveal no acute abnormalities. Pression: Low lung volumes without acute cardiopulmonary findings. .,
3369,Pneumothorax/right/large;Shift/mediastinum/left;Opacity/lung/lower lobe/right/severe;Pulmonary Atelectasis/lower lobe/right/severe,Pneumothorax;Shift;Opacity;Pulmonary Atelectasis," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",dyspnea,"Comparison XXXX, XXXX.",A large pleural air collection is present on the right. Mediastinum is shifted to the left as compared to the previous examination. The right lower lobe is totally opaque.,Large right XXXX pneumothorax with associated complete collapse of the right lower lobe.
3370,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX. ",XXXX-year-old male with XXXX.,"Chest x-XXXX, XXXX.","Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues unremarkable.",Negative for acute cardiopulmonary abnormality.
3371,Calcinosis/lung/hilum/lymph nodes/right,Calcinosis,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old XXXX with chest pain.,"XXXX, XXXX.","Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Calcified right hilar lymph XXXX noted.",No acute abnormality.
3372,Cardiomegaly;Pulmonary Edema/interstitial/mild,Cardiomegaly;Pulmonary Edema,"PA and lateral chest XXXX, XXXX XXXX with comparison XXXX ",XXXX and dyspnea,,,Increasing cardiomegaly. No effusions. Minimal interstitial edema.
3373,normal,normal,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX p.m. ",XXXX-year-old male with shortness of breath,None,"The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.",No acute cardiopulmonary abnormality.
3374,Nodule/lung/lower lobe/left,Nodule," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX",recurrent pneumonia,None,"Lungs are free of infiltrates. However, in the left lower lobe there is a 1 cm diameter nodule that is not calcified. The right lung is clear. The heart, XXXX, and mediastinum are normal.",No acute disease. Left lower lobe nodule of uncertain identity. Chest CT may be of further XXXX. XXXX level Veriphy message sent.
3375,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,PA and lateral views of the chest. ,XXXX-year-old female with XXXX for 6 months.,None available.,Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion. There are degenerative changes of the midthoracic spine.,No acute cardiopulmonary findings.
3376,normal,normal,Xray Chest PA and Lateral,,,,
3377,normal,normal,Xray Chest PA and Lateral,"XXXX for 2 XXXX, XXXX",None,PA and lateral views were obtained. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,No acute cardiopulmonary process. If patient's symptoms persist recommend repeat study XXXX chest in one XXXX.
3378,"Pneumothorax/apex/right/moderate;Fractures, Bone/ribs/right/multiple","Pneumothorax;Fractures, Bone",PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX,None available,There is a moderate right-sided pneumothorax measuring approximately 3.3 cm in the right apex. There is a minimally displaced right lateral 8th rib fracture and probable nondisplaced right lateral 7th rib fracture. Cardiomediastinal silhouette is within normal limits. Left lung is clear.,1. Moderate right-sided pneumothorax measuring approximately 3.3 cm in the right apex. 2. Minimally displaced right lateral 8th rib fracture probable nondisplaced right lateral 7th rib fracture.
3379,Cardiomegaly/borderline;Airspace Disease/lung/retrocardiac/mild,Cardiomegaly;Airspace Disease,Chest XXXX and lateral ,"XXXX-year-old, MVC",None available,No pneumothorax or large pleural effusion. Borderline cardiomegaly. Minimal retrocardiac airspace disease. Bony structures appear intact.,Bony structures appear intact. Minimal retrocardiac airspace disease.
3380,Spine/degenerative/mild,Spine,PA and lateral chest radiographs dated XXXX at XXXX hours.,XXXX-year-old with chest pain. Vomiting and diarrhea. The patient was shielded.,None,"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 minimal degenerative changes of the spine.",No acute cardiopulmonary disease.
3381,normal,normal,"Radiographs of chest PA and lateral, two views. Examination date XXXX, XXXX ",Chest pain.,XXXX.,,Normal heart size and normal mediastinal contours. Normal pulmonary vasculature. No XXXX of pleural effusions. No infiltrates. Normal X-XXXX of chest.
3382,"Markings/lung/interstitial/prominent;Pleural Effusion/bilateral/small;Tube, Inserted/abdomen;Shoulder/bilateral/degenerative","Markings;Pleural Effusion;Tube, Inserted;Shoulder",Xray Chest PA and Lateral,The patient is a XXXX-year-old male with chronic shortness of breath.,None.,"Prominent interstitial markings. There are small bilateral pleural effusions. No pneumothorax or focal consolidation. Normal heart size. Catheter tubing present in the upper midabdomen. There is bilateral acromioclavicular degenerative joint disease, right greater than left.",Small bilateral pleural effusions. .
3383,Calcified Granuloma/lung/middle lobe/right;Calcified Granuloma/lung/hilum/right,Calcified Granuloma;Calcified Granuloma,PA and lateral chest XXXX,History of rheumatoid arthritis rule out tuberculosis before immunosuppression,None,,No evidence of tuberculosis. Heart size is normal. Lungs are clear. Calcified 5 mm right midlung granuloma and right hilar granulomas.
3384,normal,normal, CHEST 2V FRONTAL/LATERAL. ,toothache and chest XXXX,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3385,normal,normal,"Chest, 2 views, frontal and lateral","XXXX, Rule out pneumonia",None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No lobar pneumonia
3386,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",dyspnea,"Chest x-XXXX, 2 views from XXXX.","The trachea is midline. The cardiomediastinal silhouette appears normal. There are no acute infiltrates, effusions. There is no evidence of pneumothorax. Visualized bony structures are intact with no acute abnormalities.",Normal chest x-XXXX
3387,Opacity/lung/base/right;Airspace Disease/lung/base/right/mild;Airspace Disease/lung/middle lobe/right/mild,Opacity;Airspace Disease;Airspace Disease,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. ","XXXX-year-old woman, 8-1/2 months pregnant, with dyspnea and chest pain.",None.,"Cardiomediastinal silhouette is within normal limits. No acute bony abnormality is identified. There is slightly increased XXXX opacity of the right base compared to the left which may minimal right basilar airspace disease, XXXX in the right middle lobe. The left lung is clear. No pneumothorax or effusion identified.","Minimal right basilar airspace disease, XXXX right middle lobe."
3388,Calcinosis/lung/upper lobe/left;Granuloma/lung/upper lobe/left,Calcinosis;Granuloma,"PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old male, history of T4 supraglottic squamous cell carcinoma.","Chest x-XXXX XXXX, XXXX","Normal heart size and mediastinal contours. Stable calcification in the left upper lobe, XXXX representing a granuloma. No focal airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.",No acute cardiopulmonary abnormalities. No radiographic evidence of metastatic disease.
3389,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",sob,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3390,normal,normal,"Chest x-XXXX and Lateral views, dated XXXX, XXXX XXXX PM ",XXXX-year-old male with XXXX,None available,The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.,No evidence of active disease.
3391,Granuloma/lung/lingula,Granuloma,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old female, nausea, vomiting.",PA and lateral views of the chest dated XXXX.,There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Stable left mid lung granuloma.,No acute cardiopulmonary abnormality.
3392,normal,normal,PA and lateral views of the chest ,Unavailable,None,Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.,No acute cardiopulmonary abnormality.
3393,Nodule/lung/lingula;Aorta/tortuous/mild,Nodule;Aorta,Chest X XXXX 2 XXXX PA and lateral ,"The patient is a XXXX-year-old female with history of tobacco use, chronic nonproductive XXXX.",XXXX,"Lateral view, over the lingula, there is a 7mm diameter uncalcified nodule of uncertain origin. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Mild tortuosity aorta is redemonstrated.","1. 7mm non calcified nodule, XXXX in appearance, recommend CT chest without contrast."
3394,Cicatrix/lung/base/left;Spondylosis/thoracic vertebrae,Cicatrix;Spondylosis,Xray Chest PA and Lateral,Preop anesthesia XXXX for temporal cancer.,None.,The cardiac contours are normal. XXXX scarring left base. The lungs are clear. Thoracic spondylosis.,No acute preoperative process.
3395,normal,normal,Xray Chest PA and Lateral,Barrett's esophagus.,,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
3396,Pleural Effusion/left;Cicatrix/lung/base/right,Pleural Effusion;Cicatrix,"TWO-VIEW CHEST FILM, XXXX, XXXX HOURS",History of renal cell carcinoma in XXXX. Shortness of breath. Patient taking antibiotic for possible pneumonia.,,,"Compared to XXXX, there is a XXXX left subpulmonic pleural effusion which is better appreciated XXXX of XXXX. There is stable right basilar scarring without focal acute infiltrate. No pneumothorax. Cardiomediastinal silhouette is stable. There are postsurgical changes of the abdomen."
3398,Markings/lung/interstitial/chronic;Granuloma/lung/upper lobe/right;Spine/degenerative,Markings;Granuloma;Spine,Xray Chest PA and Lateral,Syncope and right elbow pain after falling,,"The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Chronic appearing interstitial marking. Right upper lobe granuloma, stable The lungs are normally inflated and clear. Degenerative changes of the spine.",1. Chronic changes without acute process
3399,Infiltrate/lung/lower lobe/left/patchy/streaky;Pulmonary Atelectasis/lower lobe/left/focal;Pneumonia/lower lobe/left,Infiltrate;Pulmonary Atelectasis;Pneumonia," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",dyspnea,"XXXX, XXXX.",A strandy infiltrate has developed in the left lower lobe. Right lung is clear. Heart size remains normal.,"Patchy left lower lobe infiltrate and focal atelectasis, consistent with pneumonitis."
3400,normal,normal,Xray Chest PA and Lateral,Infection/XXXX. Chest pain.,None.,"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.
3401,Calcified Granuloma/bilateral/multiple;Calcinosis/lymph nodes/bilateral/multiple;Foreign Bodies/thorax/left/posterior,Calcified Granuloma;Calcinosis;Foreign Bodies,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ","XXXX-year-old male, preop history of XXXX..","Two-view chest radiograph dated XXXX, XXXX.","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..
3402,Calcified Granuloma/bilateral/scattered/multiple,Calcified Granuloma,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old female with chest pain,XXXX,"The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. Scattered calcified granulomas bilaterally. No acute bony abnormalities.",No acute cardiopulmonary findings.
3403,normal,normal,"Radiographs of the chest, 2 views, PA and lateral views.",XXXX-year-old female. Left chest pain. Right rib pain.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute displaced rib fracture.",Negative for acute abnormality.
3404,Mastectomy/left,Mastectomy,Xray Chest PA and Lateral,chronic XXXX; left mastectomy,XXXX,The heart is normal in size. The mediastinum is stable. There are postsurgical changes of the left breast. The lungs are clear.,No acute disease.
3405,Spine/degenerative/mild,Spine,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX a.m. ",XXXX-year-old female with chest pain,"CT chest XXXX, XXXX","The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild degenerative changes are present within the spine.",No acute cardiopulmonary abnormality.
3406,Calcified Granuloma/lung/lingula,Calcified Granuloma,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old female with XXXX pain left upper back,XXXX,"The heart size and mediastinal contours appear within normal limits. Calcified granuloma in the left midlung. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.",No acute cardiopulmonary findings.
3407,Calcified Granuloma/multiple;Thoracic Vertebrae/degenerative,Calcified Granuloma;Thoracic Vertebrae,"PA and Lateral Chest. XXXX, XXXX ",Altered mental status,"XXXX, XXXX","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.
3408,"Fractures, Bone/ribs/bilateral/multiple/healed","Fractures, Bone","2 views chest, XXXX hours, XXXX, XXXX ","XXXX, decreased breath sounds at bases.",XXXX,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.,No acute cardiopulmonary abnormality.
3409,normal,normal,Xray Chest PA and Lateral,"The patient is a XXXX-year-old XXXX who is expansion shortness of breath, XXXX, chest pain and XXXX.",None available.,"The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",No acute cardiopulmonary abnormalities. .
3410,"Lung/hyperdistention;Calcinosis/lung/hilum/left;Granuloma/left/small;Pulmonary Disease, Chronic Obstructive","Lung;Calcinosis;Granuloma;Pulmonary Disease, Chronic Obstructive","XXXX. Two-view chest. XXXX hours XXXX, XXXX. ",,"XXXX, XXXX.",Lungs are hyperexpanded. No infiltrates or masses in the lungs. Heart size normal. No change calcified left hilar XXXX and left small granuloma.,XXXX change. COPD with no acute disease.
3411,Lung/hypoinflation;Markings/bronchovascular;Airspace Disease/lung/lower lobe/left/patchy;Opacity/lung/middle lobe/right;Pulmonary Atelectasis/middle lobe/right;Atherosclerosis/aorta,Lung;Markings;Airspace Disease;Opacity;Pulmonary Atelectasis;Atherosclerosis,Xray Chest PA and Lateral,Hypoxia,XXXX XXXX,"There are low lung volumes with bronchovascular crowding. There is patchy left lower lobe airspace disease. There are XXXX opacities in the right mid lung, XXXX subsegmental atelectasis. No significant pleural effusion. No pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification.","1. Patchy left lower lobe airspace disease, possibly atelectasis or pneumonia. 2. Right mid lung subsegmental atelectasis."
3412,No Indexing,No Indexing,Xray Chest PA and Lateral,XXXX,,The lungs are clear. There is no pneumonia. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours appear normal. Bony overlap in the lung apices could obscure a small pulmonary nodule.,No acute cardiopulmonary disease. No evidence of pneumonia.
3413,normal,normal,Xray Chest PA and Lateral,XXXX year old short of breath and cholecystitis.,PA and lateral chest XXXX.,The heart and mediastinal contours are stable. The lungs are clear without focal infiltrate. There is no pleural effusion or pneumothorax.,1. No acute cardiopulmonary disease.
3414,Cardiomegaly/mild;Lung/hypoinflation;Markings/bronchovascular;Pulmonary Atelectasis/base/bilateral/patchy,Cardiomegaly;Lung;Markings;Pulmonary Atelectasis,Xray Chest PA and Lateral,Hemoptysis,None available.,Heart size appears enlarged. Mediastinal contours are within normal limits. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Osseous structures are within normal limits for patient age.,1. Low volume study without definite acute process. 2. Mild cardiomegaly.
3415,Thoracic Vertebrae/degenerative/mild;Pulmonary Atelectasis/base/bilateral/mild;Mediastinum/prominent,Thoracic Vertebrae;Pulmonary Atelectasis;Mediastinum,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with XXXX. Preop examination.,Chest radiograph on XXXX.,"No acute osseous abnormality. Mild degenerative changes of the thoracic spine. Stable normal cardiomediastinal silhouette and hilar contours. Prominence of superior mediastinal, XXXX superimposed structures. No focal area of consolidation, pleural effusion, or pneumothorax. Mild bibasilar atelectasis.",1. No acute radiographic cardiopulmonary process.
3416,Pulmonary Atelectasis/base/left/patchy;Nodule/lung/upper lobe/left/focal;Calcinosis/lung/upper lobe/left,Pulmonary Atelectasis;Nodule;Calcinosis,Xray Chest PA and Lateral,Pt is pre-op R carotid artery repair; XXXX XXXX XXXX/XXXX/SOB; no Hx smoking; XXXX XXXX L carotid artery repair in XXXX; pt has XXXX both XXXX operated on for rotator XXXX.,XXXX,"Redemonstration of the left basilar patchy atelectasis, unchanged from last exam. Lungs are otherwise clear. No evidence of pneumothorax or pleural effusions present. There is a focal calcified nodules in the left upper lung, stable in appearance from XXXX of XXXX. The cardiomediastinal silhouette is unremarkable. No suspicion bony destruction identified.",No acute cardiopulmonary abnormality.
3417,"Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive;Cardiomegaly/mild;Thoracic Vertebrae/degenerative/mild;Atherosclerosis/aorta","Lung;Pulmonary Disease, Chronic Obstructive;Cardiomegaly;Thoracic Vertebrae;Atherosclerosis","CHEST RADIOGRAPH PA LATERAL on XXXX, XXXX",XXXX-year-old with dyspnea.,None.,"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.",No focal lung consolidation. COPD.
3418,Markings/lung/interstitial/prominent;Bronchiolitis,Markings;Bronchiolitis,Xray Chest PA and Lateral,"XXXX year old female, chest pain.",PA lateral views of the chest dated XXXX.,Prominent interstitial markings. There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.,"Prominent interstitial markings, XXXX represent XXXX bronchiolitis. No focal areas of consolidation. ."
3419,"Aorta, Thoracic/tortuous/mild;Scoliosis/thoracic vertebrae;Scoliosis/lumbar vertebrae;Kyphosis/thoracic vertebrae/mild;Kyphosis/lumbar vertebrae/mild","Aorta, Thoracic;Scoliosis;Scoliosis;Kyphosis;Kyphosis","PA and lateral chest radiograph. Three views of the left shoulder. All exams XXXX, XXXX","Syncope, XXXX from ladder",None,,"Chest: Three total images. The heart size is within normal limits. Mildly tortuous thoracic aorta. No abnormal mediastinal widening is appreciated. Normal pulmonary vascularity. No pleural effusion or pneumothorax. There is an S-shaped curvature of the thoracolumbar spine and a mild kyphosis at the thoraco lumbar junction without clear XXXX deformity identified. Left shoulder: There is a mildly comminuted fracture at the junction of the middle and lateral thirds of the left clavicle, the distal most fragment is displaced superiorly approximately 25% bone width. Glenohumeral alignment appears preserved without dislocation and no additional acute fractures are seen. There is mild superior subluxation of the humerus on the glenoid which suggests reflect chronic rotator XXXX pathology; dysmorphic ossification superolateral to the humeral head XXXX reflecting calcific tendinitis."
3420,normal,normal,"Chest radiograph, 2 views. ",Syncope.,XXXX.,Clear lungs. Heart size is normal. No pneumothorax or large pleural effusion.,No acute cardiopulmonary findings.
3421,"Aorta, Thoracic/tortuous/mild;Diaphragm/right/elevated/mild","Aorta, Thoracic;Diaphragm",2 views chest XXXX,174.6,None,"PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Mildly tortuous thoracic aorta. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Mild elevation right hemidiaphragm.",1. No acute cardiopulmonary disease.
3422,normal,normal, PA lateral chest. ,XXXX.,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
3423,Aorta/tortuous;Thoracic Vertebrae/degenerative,Aorta;Thoracic Vertebrae,Xray Chest PA and Lateral,Preop right breast surgery,None,the heart size is normal. There is tortuosity of aorta. Pulmonary vascularity is normal. No focal airspace disease or effusion. Degenerative changes in the thoracic spine.,"Tortuous aorta, otherwise unremarkable exam."
3424,Calcified Granuloma/lung/lower lobe/left/multiple,Calcified Granuloma,"PA and lateral chest, XXXX, XXXX XXXX PM ",XXXX-year-old female with COPD and left pleuritic chest pain.,None.,The heart size is normal. The mediastinal contour is within normal limits. There are multiple calcified granulomas within the left lower lobe. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,No acute radiographic cardiopulmonary process.
3426,Spine/degenerative/mild,Spine,PA and lateral chest radiographs dated XXXX at XXXX hours.,XXXX-year-old with weakness and shortness of breath. Possible dehydration.,Two views of the chest dated XXXX.,"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.",No acute cardiopulmonary disease.
3427,normal,normal,Xray Chest PA and Lateral,Positive PPD,None.,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 radiographic evidence for active tuberculosis a .
3428,Calcinosis/ribs/right/anterior/prominent;Aorta/tortuous;Osteophyte/thoracic vertebrae/multiple,Calcinosis;Aorta;Osteophyte,CHEST ( FRONTAL AND LATERAL),"401.1 HYPERTENSION, no XXXX chest symptoms, pt will be entering an assisted living facility XXXX",None available.,There is a prominent calcified head to the right anterior first rib. The aorta is tortuous. There are T-spine osteophytes. 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.
3429,Lung/hypoinflation;Implanted Medical Device/humerus/left,Lung;Implanted Medical Device,Chest XXXX and lateral ,XXXX-year-old female with XXXX onset of XXXX.,None available.,"Low lung volumes. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact. Left humeral head bone anchors.",No acute cardiopulmonary abnormality.
3430,"Cardiomegaly/moderate;Pulmonary Congestion;Catheters, Indwelling","Cardiomegaly;Pulmonary Congestion;Catheters, Indwelling",AP and Lateral Chest,"XXXX-year-old female, short of breath, SVT",XXXX,"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
3431,normal,normal,Chest XXXX and lateral,XXXX-year-old female with XXXX.,None available.,"Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures grossly intact.",No acute cardiopulmonary abnormality.
3432,Cardiomegaly;Lung/hilum/prominent;Opacity/lung/interstitial;Opacity/lung/hilum/prominent,Cardiomegaly;Lung;Opacity;Opacity,"Chest x-XXXX, 2 views dated XXXX ",XXXX-year-old female with XXXX and chest pain,None,Cardiomegaly is noted. No pleural effusions. No pneumothorax. There is perihilar prominence and interstitial opacification.,Stable cardiomegaly with prominent perihilar opacities which may represent scarring or edema.
3433,normal,normal,Chest XXXX and lateral,XXXX-year-old male with chest pain.,None available.,"Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures intact.",No acute cardiopulmonary abnormality.
3434,normal,normal,Xray Chest PA and Lateral,,,,
3435,Cardiomegaly;Scoliosis/thoracic vertebrae;Calcinosis/abdomen/left,Cardiomegaly;Scoliosis;Calcinosis,Xray Chest PA and Lateral,"XXXX-year-old female preoperative for spinal surgery XXXX 14, XXXX. No XXXX chest complains.","CT thoracic spine XXXX, XXXX; XXXX films of spine XXXX, XXXX .",,1. There is cardiomegaly. No pulmonary edema. Lungs symmetrically aerated and clear of infiltrate or consolidation. No pneumothorax or pleural effusion. S-shaped curvature thoracic spine noted. 2. Left upper quadrant peripherally calcified focus 3.8 XXXX XXXX splenic and origin and may represent benign cyst but is not XXXX to be further localized or characterized on XXXX film. Vascular aneurysm would be possible but thought less XXXX.
3436,Lung/hyperdistention;Calcified Granuloma,Lung;Calcified Granuloma,Xray Chest PA and Lateral,Dyspnea on exertion.,,The lungs appear hyperexpanded suggesting emphysema. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. Calcified granuloma is identified. No pneumothorax or pleural effusion is seen.,1. Hyperexpanded lungs. The pattern suggests emphysema. 2. No evidence of acute disease.
3437,Cicatrix/pleura/apex/bilateral/mild,Cicatrix,"Chest radiographs (PA and lateral views), dated XXXX. ",XXXX-year-old female with XXXX.,XXXX.,"Stable, normal cardiac size, mediastinum, and central pulmonary vasculature. The lungs remain grossly clear, aside from mild biapical pleural-peripheral scarring and minimal chronic interstitial changes. No focal airspace consolidation, pleural effusion, or pneumothorax.",1. No acute cardiopulmonary abnormality.
3438,normal,normal,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Chest pain.,"Radiograph Chest PA and Lateral XXXX, XXXX",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.
3439,normal,normal,Xray Chest PA and Lateral ,Back pain and hemoptysis.,None.,Normal heart size. Clear lungs. No pneumothorax or pleural effusion.,No acute findings.
3440,Scoliosis/thoracic vertebrae/right/mild,Scoliosis,PA AND LATERAL VIEWS OF THE CHEST dated XXXX at XXXX hours ,"XXXX, dyspnea",None.,Mild dextroscoliosis of the lower thoracic spine. Cardiomediastinal silhouette is within normal in size and appearance. Pulmonary vascular is unremarkable. Lungs are expanded and clear airspace disease. Negative for pneumothorax or pleural effusion. Limited evaluation of the XXXX XXXX to be grossly intact,1. No acute cardiopulmonary abnormality.
3441,normal,normal,PA and Lateral Chest Radiograph ,vocal cord paralysis.,CT chest XXXX,"Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",No acute cardiopulmonary abnormality.
3442,Lung/hypoinflation;Opacity/lung/base/left/mild;Pulmonary Atelectasis/base/left/mild;Infiltrate/lung/base/left/mild,Lung;Opacity;Pulmonary Atelectasis;Infiltrate,"Chest x-XXXX, 2 views, XXXX, XXXX XXXX PM",XXXX distress,none,Normal cardiomediastinal contours. Low lung volumes with minimal left basilar opacities. No pneumothorax or pleural effusions.,Minimal left basilar atelectasis versus infiltrate. Low lung volumes.
3443,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM No comparison. The right scapula is winged with respect to the appearance of the left side. However, no definite fractures are visible. The right ribs are intact. Both lungs are clear and expanded with no contusions or pleural air collections. Heart and mediastinum normal. ",shoulder dislocation,,,Winged right scapula consistent with supporting structure soft tissue injury. No visible fractures. No visible cardiopulmonary injury.
3444,Technical Quality of Image Unsatisfactory ,Technical Quality of Image Unsatisfactory ,Xray Chest PA and Lateral,C7 2.83,,,"Allowing for underpenetration, the lungs appear clear and the cardiac silhouette within normal limits."
3445,normal,normal, Adequate. ,"Chest pain status post MVA. Male, 53 years.","Two-view chest x-XXXX dated XXXX, XXXX","No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. XXXX XXXX is intact.",1. Negative for acute cardiopulmonary findings.
3446,normal,normal,Xray Chest PA and Lateral,Nightsweats for 3 months,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,Negative chest x-XXXX.
3448,Lung/hyperdistention;Calcinosis/lung/lingula;Density/lung/lingula;Granulomatous Disease,Lung;Calcinosis;Density;Granulomatous Disease,"Chest x-XXXX XXXX and lateral performed on XXXX, XXXX at XXXX hours. ",XXXX-year-old male with abdominal pain.,Chest x-XXXX XXXX and lateral from XXXX.,"The lungs are hyperexpanded. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal airspace opacities, pneumothorax or pleural effusion. A calcific density in the left midlung zone XXXX represents old granulomatous disease. No acute bony abnormalities.",Hyperexpanded lungs with no focal airspace disease.
3449,Medical Device,Medical Device,Xray Chest PA and Lateral,Chest pain.,None.,"The XXXX examination consists of frontal and lateral radiographs of the chest. External monitor leads XXXX the thorax. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",No evidence of acute cardiopulmonary process.
3450,normal,normal,Xray Chest PA and Lateral,"Chest pain, pneumothorax.","XXXX, XXXX",Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute disease.
3451,Calcinosis/lymph nodes;Pleural Effusion/right/small;Thickening/pleura/right;Deformity/ribs/right/multiple/healed;Costophrenic Angle/right/blunted,Calcinosis;Pleural Effusion;Thickening;Deformity;Costophrenic Angle,Xray Chest PA and Lateral,F/U AFTER SBRT FOR HCC;,XXXX,The heart is normal in size. The mediastinum is Stable. Calcified AP XXXX lymph XXXX are seen. A small right-sided pleural effusion versus thickening. Right inferior rib deformities.,Stable blunting of right costophrenic XXXX with small pleural effusion versus thickening and associated healed right rib deformities.
3452,normal,normal, PA and lateral views of the Chest on XXXX ,XXXX,None,"Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.",No acute cardiopulmonary disease.
3453,normal,normal,Xray Chest PA and Lateral,,,,Heart size normal. Lungs are clear.
3454,"Catheters, Indwelling","Catheters, Indwelling","AP chest XXXX, XXXX XXXX ",XXXX PICC catheter placement,,,PICC catheter tip mid SVC. Heart size normal. Lungs clear.
3455,Pulmonary Congestion;Opacity/lung/bilateral/interstitial/diffuse;Opacity/pulmonary alveoli/bilateral/diffuse;Opacity/lung/base/left;Cardiomegaly;Pulmonary Edema;Pulmonary Atelectasis/base/left;Airspace Disease/lung/base/left,Pulmonary Congestion;Opacity;Opacity;Opacity;Cardiomegaly;Pulmonary Edema;Pulmonary Atelectasis;Airspace Disease,"AP and lateral views of the chest XXXX hours XXXX, XXXX. ","XXXX-year-old female end-stage renal disease, peripheral edema and shortness of breath.","XXXX, XXXX.",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.
3456,Lung/hypoinflation,Lung,Xray Chest PA and Lateral,XXXX-year-old female. Chest pain and shortness of breath for one year. Left arm pain.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. Low lung volumes without focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.","Low lung volumes, otherwise clear."
3457,Osteophyte/thoracic vertebrae/degenerative/mild,Osteophyte,"History preop XXXX for bariatric surgery Examination PA and lateral chest XXXX, XXXX at XXXX with no comparisons.",,,,"Heart size is normal. Lungs are clear. Minimal degenerative spurring of midthoracic spine. No effusion, pneumonia, nodules or masses."
3458,normal,normal,"PA and lateral views of the chest, XXXX, XXXX XXXX PM",Chest pain,XXXX at XXXX,The lungs are clear. The heart pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.,No acute cardiopulmonary disease
3459,"Spinal Fusion/cervical vertebrae;Calcinosis/multiple;Nodule/multiple;Granulomatous Disease/chronic;Hyperostosis, Diffuse Idiopathic Skeletal/thoracic vertebrae","Spinal Fusion;Calcinosis;Nodule;Granulomatous Disease;Hyperostosis, Diffuse Idiopathic Skeletal",Chest XXXX and lateral ,XXXX-year-old male with XXXX and possible TB exposure.,XXXX,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.
3460,normal,normal,PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old with a XXXX.,Two views of the chest XXXX.,The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,1. No acute cardiopulmonary disease.
3461,normal,normal,Chest 2 views. ,Persistent XXXX.,None.,Clear lungs. No pneumothorax. No pleural effusion. Normal heart. Trachea is midline.,Normal chest exam.
3462,"Density/retrocardiac/small;Catheters, Indwelling/left","Density;Catheters, Indwelling",Xray Chest PA and Lateral,XXXX SWEATS X 3 WEEKS;,XXXX,The heart is top normal in size. The mediastinum is stable. There is a small retrocardiac density which may be secondary to small hiatal hernia. Left IJ catheter tip at cavoatrial junction. No pneumothorax is seen. The lungs are clear.,No acute disease.
3464,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3465,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",cp,None,Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.,Clear lungs.
3466,Opacity/lung/hilum/streaky;Thickening/bronchi;Airspace Disease/lung/mild,Opacity;Thickening;Airspace Disease, PA and lateral views. ,XXXX-year-old female. Chest pain.,None.,"The cardiomediastinal silhouette is normal in size and contour. Streaky perihilar opacities. Peribronchial cuffing also noted. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.",Findings most suggestive of infectious or reactive small airways disease. No focal pneumonia.
3467,"Calcinosis/aorta, thoracic",Calcinosis,Xray Chest PA and Lateral,,None,The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. The mediastinal contours are normal. There is calcification of the thoracic aorta.,No acute cardiopulmonary disease. No evidence of pneumonia.
3468,Atherosclerosis/aorta;Lung/hyperdistention;Opacity/lung/apex/bilateral;Spine/degenerative/mild;Emphysema,Atherosclerosis;Lung;Opacity;Spine;Emphysema,"PA and LATERAL views of the chest, dated XXXX, XXXX XXXX PM","XXXX-year-old male, preoperative evaluation for heart valve repair.",XXXX,"Heart size is at the upper limits of normal. There is aortic atherosclerotic vascular calcification. The lungs remain hyperexpanded. There are biapical opacities, stable from the prior study. No XXXX focal airspace consolidation. No significant pleural effusion. No pneumothorax. There are mild degenerative changes of the spine.","1. No focal airspace consolidation. 2. Emphysema. 3. Stable biapical opacities, possibly scarring."
3469,"Lung/hyperdistention;Opacity/lung/streaky;Cicatrix/lung;Catheters, Indwelling","Lung;Opacity;Cicatrix;Catheters, Indwelling",PA and lateral views of the Chest on XXXX ,XXXX,XXXX,"Normal heart size and pulmonary vascularity. There are changes of chronic lung disease noticed by hyperinflated lungs and streaky opacities compatible with scar. Interval placement of the chest XXXX with the tip in the superior XXXX XXXX. No focal infiltrate, pneumothorax or pleural effusion is identified.",Chronic changes with no acute cardiopulmonary disease.
3470,Technical Quality of Image Unsatisfactory ;Thoracic Vertebrae/degenerative/mild,Technical Quality of Image Unsatisfactory ;Thoracic Vertebrae,"Chest x-XXXX XXXX and lateral performed on XXXX, XXXX at XXXX hours. ",XXXX year old male with chest pain.,Chest x-XXXX XXXX and lateral from XXXX.,The patient is rotated. The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. No focal airspace opacities. Mild degenerative changes of the thoracic spine.,No acute cardiopulmonary abnormalities.
3471,"Lucency/round;Thoracic Vertebrae/degenerative;Hernia, Hiatal/small","Lucency;Thoracic Vertebrae;Hernia, Hiatal",PA and Lateral Chest: XXXX at 15: 09 hours.,"XXXX year-old woman, routine physical.",XXXX.,"Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. There is a rounded lucency seen above the diaphragm on lateral view, suggestive of small hiatal hernia. Visualized osseous structures appear intact. Degenerative changes of the thoracic spine seen.",No acute cardiopulmonary abnormality. Small hiatal hernia noted.
3472,normal,normal,Xray Chest PA and Lateral,XXXX and XXXX for 3 days,None available.,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.
3473,normal,normal,Xray Chest PA and Lateral,Breast cancer.,,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules or adenopathy are noted.,1. No evidence of active disease.
3474,Markings/lung/lower lobe/hilum/right/bronchovascular;Lung/hypoinflation;Diaphragm/right/elevated;Thoracic Vertebrae/degenerative,Markings;Lung;Diaphragm;Thoracic Vertebrae,Xray Chest PA and Lateral,"XXXX-year-old female, abnormal involuntary movements, XXXX. Shortness of breath, XXXX.",None,"Crowded bronchovascular markings in the hilar and perihilar region, right lower lung zones. Low lung volumes. No noncalcified pulmonary nodules seen. No pleural effusion or pneumothorax. No small heart size. There is a right diaphragmatic hump. The soft tissues seen in the left cardiophrenic XXXX, could represent an ectatic descending aorta or hiatal hernia. Visualized XXXX of the chest XXXX are within normal limits. Degenerative changes demonstrated within the visualized thoracic spine.",No acute cardiopulmonary abnormality.
3475,normal,normal,Chest X-XXXX 2 XXXX ,Presyncope,XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,Negative chest .
3477,normal,normal,CHEST 2V FRONTAL/LATERAL ,+PPD,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. No evidence of active tuberculosis.,No acute disease.
3478,Scoliosis,Scoliosis,"PA and LAT view CHEST XXXX, XXXX XXXX PM",AML/bone marrow transplant workup,XXXX XXXX,Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. scoliosis.,Clear lungs.
3479,Cardiomegaly;Consolidation/lung/hilum/diffuse;Consolidation/pulmonary alveoli;Costophrenic Angle/bilateral/blunted;Heart Failure;Pulmonary Edema/pulmonary alveoli;Pleural Effusion,Cardiomegaly;Consolidation;Consolidation;Costophrenic Angle;Heart Failure;Pulmonary Edema;Pleural Effusion," SOFT TISSUE OF THE NECK; two-view chest. XXXX, XXXX XXXX PM",Hypoxia.,None,Soft tissue neck. The airway is XXXX. No laryngeal edema. Laryngeal XXXX intact. Cervical spine intact. Chest. The heart is large. Diffuse parahilar and alveolar consolidations are present. Bilateral costophrenic XXXX blunting is present.,1. Soft tissue neck negative. 2. Chest. Heart failure with pulmonary alveolar edema and pleural effusion.
3480,Surgical Instruments/abdomen,Surgical Instruments,"CHEST ( FRONTAL AND LATERAL): XXXX, XXXX XXXX XXXX",XXXX,None available.,The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present.,No acute cardiopulmonary abnormality.
3481,Lung/hyperdistention;Spine/degenerative,Lung;Spine,Frontal and Lateral view of the chest XXXX/XXXX at 653 hours.,Chest pain,XXXX,"The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lungs are hyperexpanded without focal airspace consolidation, pleural effusion, or pneumothorax.. Degenerative endplate changes of the spine..",1. No acute radiographic cardiopulmonary process.
3482,Emphysema/severe;Cicatrix/lung/focal/multiple,Emphysema;Cicatrix,"Chest x-XXXX, 2 views dated XXXX COMPARISXXXX/XXXX ",XXXX-year-old male with dyspnea,,Severe emphysematous disease is again noted. Multifocal areas of scarring are unchanged in appearance. No pneumothorax. Heart size is normal.,Stable findings consistent with severe emphysema. No acute cardiopulmonary abnormalities.
3483,normal,normal,Xray Chest PA and Lateral,Kidney transplant evaluation.,,Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,No evidence of active disease.
3485,Lung/hyperdistention;Pulmonary Emphysema;Calcinosis/lymph nodes;Calcified Granuloma,Lung;Pulmonary Emphysema;Calcinosis;Calcified Granuloma,Xray Chest PA and Lateral,Chronic airway obstruction.,,The heart size and pulmonary vascular appear within normal limits. The lungs appear hyperexpanded consistent with emphysema. Calcified lymph XXXX and granuloma are noted. No acute appearing focal airspace disease is seen. No pleural effusion or pneumothorax is noted.,1. Hyperexpanded lungs consistent with emphysema. No evidence of active disease.
3486,Spine/degenerative/chronic/mild,Spine,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX p.m. ",XXXX-year-old male with dyspnea,"Chest radiograph XXXX, XXXX at XXXX p.m.","The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild chronic degenerative changes are present in the spine.",No acute cardiopulmonary abnormality.
3487,normal,normal,Xray Chest PA and Lateral,Stabbing right upper abdominal pain,None.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. .,1. No acute pulmonary abnormality.
3488,Spine/degenerative,Spine,Xray Chest PA and Lateral,"Right leg fracture, preop",None available.,The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Degenerative changes of the spine..,1. No acute radiographic cardiopulmonary process.
3489,normal,normal,"Radiographs of the chest, 2 views, PA and lateral views.",XXXX-year-old male. Chest pain. Anxiety.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.",Negative for acute abnormality.
3490,Calcinosis/abdomen/right/round;Diaphragm/right/elevated/mild;Lung/base/right/hypoinflation/mild,Calcinosis;Diaphragm;Lung,Xray Chest PA and Lateral,Kidney transplant evaluation,No comparison chest x-XXXX.,,"There is a near spherical XXXX shaped calcification projecting over the right upper quadrant, apparently within the anterior-superior aspect of liver, measuring approximately 6 cm in diameter. This may represent a calcified hepatic cyst. Could be further evaluated with CT if clinically indicated. Slight elevation of right hemidiaphragm with some mild right basilar hypoventilation. Overall clear lungs. Normal mediastinal contour. No effusions."
3491,"Aorta, Thoracic/prominent;Calcinosis/aorta;Lung/azygos lobe;Spine/degenerative","Aorta, Thoracic;Calcinosis;Lung;Spine",Xray Chest PA and Lateral,Hypertension.,None.,The heart size and pulmonary vascularity appear within normal limits. The thoracic aorta is prominent with calcification within the aorta. Azygos lobe is noted. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes noted in the spine.,Prominent transverse aorta. Otherwise clear.
3492,"Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive","Lung;Pulmonary Disease, Chronic Obstructive","Two-view chest. XXXX hours XXXX, XXXX compared to XXXX, XXXX. ",Chest pain.,,The lungs remain hyperexpanded. No masses or infiltrates in the lungs. No pleural or mediastinal air collections. Heart size normal.,Chronic obstructive pulmonary disease with no acute findings.
3493,Lung/hypoinflation/mild,Lung,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ","XXXX, edema in XXXX",None,Heart size is within normal limits. Trachea is midline. The lung volumes are slightly on the low side. Lungs are otherwise clear without pleural effusion or pneumothorax. No focal consolidations. No bony or soft tissue abnormalities.,No acute cardiopulmonary abnormality.
3494,Lung/hypoinflation;Markings/bronchovascular,Lung;Markings,PA and Lateral of the Chest,XXXX-year-old with shortness of breath. Evaluate for malignancy.,"CT chest XXXX, XXXX.",There are low lung volumes with bronchovascular crowding. There is no focal consolidation. No visualized pneumothorax. Heart size is within normal limits. The cardiomediastinal contours is grossly normal in size and contour.,No acute cardiopulmonary findings.
3495,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX and XXXX,None available,"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.
3496,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX XXXX ",XXXX-year-old female with chest pain.,PA and lateral chest x-XXXX dated XXXX.,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.
3497,Calcified Granuloma/bilateral/multiple,Calcified Granuloma,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old male XXXX with chronic XXXX, wheeze, tachycardia..","Single view chest radiograph dated XXXX, XXXX.","The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Multiple calcified granulomas identified bilaterally. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",No acute cardiopulmonary abnormality.
3498,"Fractures, Bone/ribs/right;Pleural Effusion/small;Scoliosis/thoracic vertebrae;Scoliosis/lumbar vertebrae","Fractures, Bone;Pleural Effusion;Scoliosis;Scoliosis","Two-view chest; three-view right shoulder; two-view right humerus. XXXX, XXXX XXXX PM ",XXXX,None,"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.
3499,normal,normal,Xray Chest PA and Lateral,",786.59 CHEST PAIN T SPINE CXR",,,"Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified. Stable chest."
3500,normal,normal,"Two-view chest x-XXXX, XXXX ",Chest pain.,XXXX.,"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.",1. Stable normal chest x-XXXX.
3501,normal,normal,Xray Chest PA and Lateral,XXXX-year-old woman with XXXX.,"Two-view chest radiograph dated XXXX, XXXX.","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. .
3502,Surgical Instruments/thorax;Cardiomegaly;Pulmonary Congestion;Diaphragm/left/elevated,Surgical Instruments;Cardiomegaly;Pulmonary Congestion;Diaphragm,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old XXXX with dyspnea on exertion, XXXX. XXXX..","AP chest radiograph dated XXXX, XXXX..","There has been interval performance of CABG with multiple XXXX sternotomy XXXX, surgical clips, and CABG markers. All of the XXXX sternotomy XXXX are broken, and a fragment at a sternotomy XXXX appears to XXXX within the left posterior pleural space. Stable cardiomegaly and central pulmonary vascular prominence. No focal consolidation, pneumothorax, or effusion. Relative elevation of the left hemidiaphragm noted. No acute bony abnormality.","Cardiomegaly with surgical changes of CABG, with numerous broken XXXX sternotomy XXXX and a sternotomy XXXX fragment noted XXXX in the posterior left pleural space."
3503,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX PM ",XXXX-year-old female with chest pain.,None.,The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,No acute radiographic cardiopulmonary process.
3504,normal,normal,Xray Chest PA and Lateral,Left-sided chest pain x2 days.,None.,"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. .
3505,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX ",posterior right rib pain,,Heart size is normal and the lungs are clear.,Heart size is normal and the lungs are clear.
3506,No Indexing,No Indexing,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",cp,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3507,Scoliosis/thoracic vertebrae/right/mild,Scoliosis,Xray Chest PA and Lateral,"XXXX-year-old male, MVC.",None.,"Cardiac and mediastinal XXXX appear normal. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. There is a mild dextro scoliotic curvature of the midthoracic spine.",No acute radiographic cardiopulmonary process. .
3508,Pleural Effusion/left;Pleural Effusion/right/focal/multiple;Cicatrix/lung/apex/bilateral;Thickening/pleura/bilateral;Deformity/lung/hilum/right;Shift/mediastinum/right;Thickening/pleura/apex/right;Pulmonary Atelectasis/apex/right;Volume Loss/lung/right,Pleural Effusion;Pleural Effusion;Cicatrix;Thickening;Deformity;Shift;Thickening;Pulmonary Atelectasis;Volume Loss,Xray Chest PA and Lateral,METASTATIC TESTICULAR CANCER,XXXX,The heart is normal in size. The cardiomediastinal contours are stable. There are stable bilateral pleural effusions with partial right-sided loculation. Biapical scarring and pleural thickening appears stable. There is again right-sided superior hilar retraction and mild rightward XXXX deviation. No acute infiltrate is appreciated.,"1. Stable bilateral pleural effusions and pleural thickening, right worse than left, with mild right-sided loculation. 2. Stable appearance of right apical thickening/atelectasis with volume loss, possibly related to prior radiation or surgery. Suggest clinical correlation."
3509,Pleural Effusion/right/small;Pulmonary Atelectasis/base/right/scattered;Surgical Instruments,Pleural Effusion;Pulmonary Atelectasis;Surgical Instruments,PA and Lateral Chest X-XXXX dated XXXX.,Esophageal carcinoma.,XXXX.,The heart size and pulmonary vascularity appear within normal limits. Right pleural effusion is present and appears increased. No pneumothorax is identified. Some scattered XXXX of right base atelectasis are seen. Surgical XXXX remain in XXXX. The left lung appears clear.,1. Small right pleural effusion. Increased. 2. No pneumothorax is seen. 3. Scattered XXXX of right base atelectasis.
3510,Cardiomegaly/mild;Markings/bronchovascular;Technical Quality of Image Unsatisfactory ,Cardiomegaly;Markings;Technical Quality of Image Unsatisfactory ,AP and Lateral Chest: XXXX,"XXXX-year-old female, pain",None,,"Heart size mildly enlarged for technique. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema."
3511,normal,normal,Xray Chest PA and Lateral,HYPERTENSION;,,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
3512,Spondylosis/thoracic vertebrae,Spondylosis,Xray Chest PA and Lateral,XXXX.,"XXXX, XXXX",Cardiac and mediastinal contours are within normal limits. The lungs are clear. Thoracic spondylosis.,Negative chest x-XXXX. No evidence of pneumonia.
3513,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX PM . ",XXXX-year-old with shortness of breath.,XXXX.,"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.
3514,Density/costophrenic angle/left,Density,"CHEST AP and Lateral on XXXX, XXXX ",Postop patient with XXXX,None.,No focal lung consolidation. A XXXX density overlying the left costophrenic XXXX is XXXX due to overlying soft tissues. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.,No acute cardiopulmonary process.
3515,Calcified Granuloma/lung/lower lobe/left/small,Calcified Granuloma, CHEST 2V FRONTAL/LATERAL XXXX,XXXX-XXXX,None,Lungs are clear. A calcified small granuloma is present in the left lower lobe. Heart size normal. Mediastinum normal.,No active disease.
3516,Costophrenic Angle/bilateral/blunted/mild,Costophrenic Angle,"PA lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old female, dyspnea.","Chest x-XXXX XXXX, XXXX",Normal heart size and mediastinal contours. Minimal blunting of the costophrenic XXXX. No focal airspace consolidation. No pneumothorax or pleural effusion.,No acute cardiopulmonary abnormality.
3517,"Atherosclerosis/aorta;Catheters, Indwelling/right;Implanted Medical Device","Atherosclerosis;Catheters, Indwelling;Implanted Medical Device",Xray Chest PA and Lateral,rectal cancer,None.,"Normal heart size. Aortic atherosclerotic calcifications. Right IJ central venous catheter tip in region of mid SVC. There are 2 AICD leads, one tip in expected region of right atrium and one tip in expected region of right ventricle. 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. .
3518,Osteophyte/thoracic vertebrae/degenerative/multiple,Osteophyte,PA and Lateral views of the chest on XXXX.,"XXXX year old with prostate cancer, no chest complaints.",None available.,"The heart and mediastinal silhouettes are within normal limits. The lungs are clear without focal airspace opacity, large effusion, or pneumothorax. The XXXX are grossly intact. Degenerative T-spine osteophytes.",No acute visualized cardiopulmonary abnormality.
3519,Opacity/lung/lower lobe/left/large;Pleural Effusion/left/large;Technical Quality of Image Unsatisfactory ;Cardiac Shadow/obscured/severe,Opacity;Pleural Effusion;Technical Quality of Image Unsatisfactory ;Cardiac Shadow,PA and lateral chest radiograph (2 views) (2 images) ,"History hypertension, high cholesterol, 58 with persistent XXXX.",None,Large left lower lobe opacity is present. There does not appear to be significant mediastinal shift. There is no pneumothorax. The cardiac silhouette is not definitively identified and not fully evaluated. The mediastinal contours are unremarkable.,Large left lower lobe opacity XXXX represents a large layering pleural effusion. Right lung is clear.
3520,Pulmonary Atelectasis/base/left/streaky/mild;Spondylosis/thoracic vertebrae,Pulmonary Atelectasis;Spondylosis,"PA and Lateral Chest: XXXX, XXXX at XXXX a.m. ",XXXX-year-old male with XXXX onset XXXX XXXX/XXXX,,"Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Minimal streaky atelectasis the left lung base. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Thoracic spondylosis.",No acute cardiopulmonary abnormality.
3521,Bullous Emphysema/lung/apex/bilateral;Thoracic Vertebrae/degenerative,Bullous Emphysema;Thoracic Vertebrae,Xray Chest PA and Lateral,Syncope.,None.,"The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. There is right greater than left biapical bullous emphysema. No focal consolidation, pleural effusion, or pneumothorax identified. There are XXXX degenerative changes of the thoracic spine.",No evidence of acute cardiopulmonary process.
3522,normal,normal,Chest x-XXXX XXXX ,Dyspnea.,XXXX,Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,No acute cardiopulmonary process.
3523,Surgical Instruments/right;Deformity/breast,Surgical Instruments;Deformity," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chronic XXXX with 30 lbs wt loss,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No change right anterior soft tissue surgical clips. Configuration of breast shadows on the PA view suggests prior right lumpectomy.,No active disease.
3524,normal,normal,Chest x-XXXX XXXX and lateral on XXXX at XXXX hours. ,XXXX-year-old male with chest pain involved in MVA.,None,The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.,No acute cardiopulmonary abnormalities.
3525,Foreign Bodies/shoulder/right;Calcified Granuloma/scattered/multiple,Foreign Bodies;Calcified Granuloma,Chest XXXX and lateral,XXXX-year-old female status post XXXX downstairs with left hip pain.,None available.,"Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. The visualized bony structures appear intact. There is a XXXX radiodensity overlying the right shoulder which is XXXX external to the patient however clinical correlation recommended. Scattered calcified granulomas.",No acute cardiopulmonary abnormality. No fracture visualized.
3526,"Lung/hypoinflation;Aorta, Thoracic/tortuous/mild;Surgical Instruments/abdomen","Lung;Aorta, Thoracic;Surgical Instruments","Chest 2 views dated XXXX, XXXX. History and ",Shortness of breath.,None.,"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.
3527,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM. ","XXXX XXXX with joint pain, weakness",None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3528,normal,normal,Xray Chest PA and Lateral,XXXX XXXX..XXXX,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
3529,Cardiomegaly/mild,Cardiomegaly,CHEST X-XXXX XXXX XXXX and LATERAL DATED XXXX .,Status post XXXX surgery XXXX,XXXX.,Status post midline sternotomy with intact XXXX XXXX. Stable mild cardiomegaly. Normal lung vascularity. The lungs are clear.,Stable postop changes with stable mild cardiomegaly and normal lung vascularity.
3530,Cardiomegaly/mild;Osteophyte/thoracic vertebrae/degenerative/mild,Cardiomegaly;Osteophyte,"PA and lateral chest XXXX, XXXX at XXXX comparison XXXX ",preop chest repair. XXXX.,,,Stable minimal cardiomegaly. Lungs are clear. No pneumonia. Minimal degenerative spurring thoracic spine
3531,"Aorta, Thoracic/tortuous/mild","Aorta, Thoracic","PA lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old female, XXXX onset dyspnea and wheezing",Portable chest over 17 XXXX,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.
3532,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",CHEST PAIN,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3533,Lung/bilateral/hyperdistention/mild,Lung,"PA and Lateral Chest x-XXXX on XXXX, XXXX at XXXX a.m..","XXXX-year-old XXXX with shortness of breath, XXXX..",None.,"Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is bilateral hyperinflation, without focal consolidation, pneumothorax, or pleural effusion. Visualized osseous structures appear intact.","Mildly hyperinflated, clear lungs."
3534,Mediastinum/right/paratracheal/prominent,Mediastinum,"Chest 2 views PA and lateral XXXX, XXXX, XXXX p.m. ",Chest pain,"Chest 2 views PA and lateral XXXX, XXXX p.m., CT chest without contrast XXXX","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.",No acute cardiopulmonary abnormality.
3535,normal,normal,Xray Chest PA and Lateral,INDICATION: PAIN; coming to xray XXXX scan.,None,The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal.,No acute cardiopulmonary disease
3536,Cardiomegaly;Airspace Disease/lung/base/pulmonary alveoli/right;Pulmonary Atelectasis/base/left;Pleural Effusion/right;Costophrenic Angle/right/posterior/blunted;Thoracic Vertebrae/degenerative/multiple;Lumbar Vertebrae/degenerative/multiple,Cardiomegaly;Airspace Disease;Pulmonary Atelectasis;Pleural Effusion;Costophrenic Angle;Thoracic Vertebrae;Lumbar Vertebrae,2 views Chest: XXXX,"MVC, leukocytosis, productive XXXX.",CT chest outside institution : HCH,"Heart size is enlarged, pulmonary vascularity within normal limits. No visible pneumothorax . XXXX right pleural effusion blunting posterior costophrenic XXXX. There is a XXXX XXXX of subsegmental atelectasis of the left lung base. There is XXXX alveolar airspace disease in the medial right lung base. Multilevel degenerative disease of the visualized portions of the thoracolumbar spine.",1. Cardiomegaly without pulmonary edema. 2. XXXX right medial basilar airspace disease. 3. Left lower lobe subsegmental atelectasis.
3537,No Indexing,No Indexing," Two-view chest. XXXX hours XXXX, XXXX. ",Preoperative for knee arthroscopy.,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3538,normal,normal,Xray Chest PA and Lateral,"XXXX for 3 XXXX, XXXX x2 years","XXXX, XXXX",,The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.
3539,normal,normal,Xray Chest PA and Lateral ,Pain with inspiration. XXXX.,None.,Normal heart size. The lungs are clear without pneumothorax or large pleural effusion. The trachea is midline and XXXX.,No acute cardiopulmonary findings.
3540,Lung/hyperdistention,Lung,PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old with a XXXX.,PA and lateral chest XXXX.,The heart and mediastinum are unremarkable. The lungs are hyperexpanded. The lungs are clear without infiltrate. There is no effusion or pneumothorax.,1. No acute cardiopulmonary disease.
3541,Lung/hypoinflation/mild;Opacity/lung/lower lobe/bilateral;Pulmonary Atelectasis/lower lobe/bilateral/focal/round,Lung;Opacity;Pulmonary Atelectasis,Xray Chest PA and Lateral,XXXX. History of XXXX's disease,,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.
3542,normal,normal,"PA and Lateral Chest. XXXX, XXXX. ",Pancreatic mass. Evaluate for XXXX.,None.,"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.
3543,Calcified Granuloma/lung/bilateral/multiple,Calcified Granuloma,PA and Lateral Chest Radiograph ,h/o HTN with headache and dyspnea additionally today,,"Heart size and mediastinal contour within normal limits. Multiple calcified granulomas in the bilateral XXXX and lung parenchyma. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",No acute cardiopulmonary abnormality.
3544,Opacity/lung/base/right;Pulmonary Atelectasis/base/right;Markings/lung/base/right/bronchovascular,Opacity;Pulmonary Atelectasis;Markings,PA and lateral chest radiograph (2 views) (2 images) ,Shortness of breath with productive XXXX,"Chest radiograph from XXXX, XXXX.",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.
3545,"Opacity/lung/base/bilateral/interstitial;Lung/hypoinflation;Calcinosis/aorta, thoracic",Opacity;Lung;Calcinosis,Xray Chest PA and Lateral,",786.2 XXXX cxr",,XXXX opacities in the lung bases are slightly worse XXXX compared to prior study. Lung volumes are low. Heart size and pulmonary XXXX are normal. There no focal airspace opacities to suggest pneumonia. The patient is status post XXXX sternotomy. There calcifications of the thoracic aorta.,1. Worsening bibasilar subpleural interstitial opacities suggestive of interstitial lung disease. High-resolution XXXX would be recommended to evaluate these findings 2. No evidence of acute pneumonia
3546,Cardiomegaly;Lung/bilateral/interstitial/prominent;Opacity/retrocardiac/patchy,Cardiomegaly;Lung;Opacity,Xray Chest PA and Lateral,This is a XXXX-year-old XXXX with a history of congestive heart failure and back pain.,,Unchanged cardiomegaly. There is continued interstitial prominence bilaterally. Unchanged vascular appearance. There is patchy retrocardiac opacity. Negative for pneumothorax.,"Unchanged appearance of the chest with interstitial prominence the differential of which is XXXX but could include interstitial edema, infectious process or interstitial disease."
3547,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,Xray Chest PA and Lateral,Chest pain right arm pain,XXXX,Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.,No acute cardiopulmonary process.
3548,normal,normal,Chest x-XXXX XXXX and lateral performed on XXXX ,Dyspnea.,None.,The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.,No acute cardiopulmonary abnormalities.
3549,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old female with epigastric pain..,None.,"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 acute cardiopulmonary abnormality..
3550,Aorta/tortuous/prominent;Thoracic Vertebrae/degenerative/mild,Aorta;Thoracic Vertebrae,"PA and Lateral Chest. XXXX, XXXX XXXX hours ","XXXX-year-old female, abdominal pain","Sternum radiograph XXXX, XXXX","Normal heart size. Prominent contour of the ascending aorta, consistent with ectasia. Normal mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Minimal degenerative changes of the thoracic spine.",No acute cardiopulmonary abnormality.
3551,Nodule/lung/lower lobe/left;Density/lung/lower lobe/left;Technical Quality of Image Unsatisfactory ,Nodule;Density;Technical Quality of Image Unsatisfactory ,Xray Chest PA and Lateral,"XXXX-year-old male, chest pain",,"Heart size near top normal limits for technique. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense left lower lobe nodule suggests a previous granulomatous process.",No acute findings
3552,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, XXXX",,"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 acute findings
3553,normal,normal,Xray Chest PA and Lateral,"Chest pain, shortness of breath and XXXX",,,No evidence of acute cardiopulmonary disease
3555,Thoracic Vertebrae/degenerative/multiple,Thoracic Vertebrae,PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old with a XXXX.,None.,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.,1. No acute cardiopulmonary disease.
3556,Atherosclerosis/aorta,Atherosclerosis,Xray Chest PA and Lateral,Dizziness for XXXX few months,"XXXX, XXXX",The lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. The heart is not enlarged. Some atherosclerotic changes of the aorta are seen. The skeletal structures are normal.,No acute pulmonary disease.
3557,"Catheters, Indwelling/left;Tube, Inserted;Pleural Effusion/bilateral/small","Catheters, Indwelling;Tube, Inserted;Pleural Effusion",PA and Lateral Chest X-XXXX dated XXXX.,Chest pain.,XXXX.,Left PICC line and NG tube remain in XXXX. Heart size and vascularity appear within normal limits. The lungs are free of focal airspace disease. Small bilateral pleural effusions are present. No pneumothorax is noted.,1. Small bilateral pleural effusions.
3559,Scoliosis/thoracic vertebrae/left/mild;Nodule/lung/right,Scoliosis;Nodule,"Chest radiographs, 2 XXXX and lateral ","XXXX-year-old XXXX, XXXX.",None.,"Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild levocurvature of thoracic spine. A 9 mm pulmonary nodule is noted partially overlying the posterior 6th right rib on the frontal view.",No acute abnormality.
3560,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM. ",XXXX/wheeze,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3561,normal,normal,Chest X-XXXX 2 XXXX ,Chest pain,XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,Negative chest .
3562,Granulomatous Disease;Lung/hypoinflation;Markings/bronchovascular;Pulmonary Atelectasis/base/bilateral/patchy;Spine/degenerative,Granulomatous Disease;Lung;Markings;Pulmonary Atelectasis;Spine,Frontal and Lateral view of the chest XXXX/XXXX at 310 hours.,"Altered mental status, falling",XXXX,The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Sequela of prior granulomatous disease Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.,1. Low volume study without acute process.
3563,normal,normal,Xray Chest PA and Lateral,716.81 OTHER ARTHROPATHY SHOULDER V74.1 SCREENING FOR PULMONARY TB,,,No comparison chest x-XXXX. No evidence of active tuberculosis. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
3564,"Surgical Instruments/mediastinum;Density/retrocardiac;Hernia, Hiatal;Lung/hypoinflation/mild","Surgical Instruments;Density;Hernia, Hiatal;Lung",Xray Chest PA and Lateral,Breast cancer,XXXX,The heart is top normal in size. The mediastinum is stable. Surgical clips again seen overlying the superior mediastinum.There is an retrocardiac density compatible hiatal hernia. The lungs are mildly hypoinflated. No acute infiltrate or pleural effusion are seen.,1. Mild hypoinflation without acute disease. 2. Retrocardiac density compatible with hiatal hernia.
3565,Opacity/lung/middle lobe/right/severe;Consolidation/lung/middle lobe/right;Pneumonia/middle lobe/right,Opacity;Consolidation;Pneumonia,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX.",XXXX-year-old female with a history of pneumonia presents for followup.,Comparison is no acute chest examination dated XXXX.,The cardiomediastinal silhouette is stable in appearance. There is redemonstration of complete opacification of the right middle lobe no significant associated volume loss. The left lung appears clear. No pneumothorax or pleural effusion demonstrated. The thoracic spine appears intact.,"1. Stable right middle lobe consolidation, most consistent with pneumonia."
3566,Lung/hypoinflation;Pulmonary Atelectasis/base/bilateral/mild;Technical Quality of Image Unsatisfactory ;Osteophyte/cervical vertebrae/multiple/large,Lung;Pulmonary Atelectasis;Technical Quality of Image Unsatisfactory ;Osteophyte,Xray Chest PA and Lateral,"XXXX-year-old male, XXXX, XXXX XXXX ladder 6 feet.",None available.,Normal heart size and mediastinal contours. Low lung volumes mild bibasilar atelectasis. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance. The lateral views are limited by patient positioning and motion. Large cervical spine osteophytes.,1. No acute cardiopulmonary abnormality. 2. Technically limited exam. 3. Incidental note XXXX of large cervical spine osteophytes. .
3567,Implanted Medical Device;Airspace Disease/lung/lower lobe/right;Pleural Effusion/right/small;Pneumonia/lower lobe/right,Implanted Medical Device;Airspace Disease;Pleural Effusion;Pneumonia,Chest PA and lateral views. ,Status post pacemaker implantation. XXXX.,XXXX,XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Pacemaker leads are within the right atrium and ventricle. Lungs demonstrate there is right lower lobe airspace disease and small effusion suspicious for pneumonia. Left lung is clear. There is no pneumothorax.,1. Right lower lobe airspace disease and small effusion probably representing pneumonia.
3568,Calcinosis/lymph nodes/right/paratracheal,Calcinosis,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old female with right-sided chest tenderness.,PA and lateral chest radiographs XXXX,"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.",No acute cardiopulmonary finding.
3569,Lung/hypoinflation,Lung,"PA lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old male, chest pain shortness of breath.",Unavailable,Normal heart size and mediastinal contours. Low lung volumes. No focal airspace consolidation. No pneumothorax or pleural effusion.,"Low lung volumes, otherwise no acute cardiopulmonary abnormality."
3570,Pulmonary Atelectasis/middle lobe/right;Pulmonary Atelectasis/lower lobe/left;Cicatrix/lung/middle lobe/right/patchy;Cicatrix/lung/lower lobe/left/patchy;Lung/hypoinflation,Pulmonary Atelectasis;Pulmonary Atelectasis;Cicatrix;Cicatrix;Lung,"PA lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old male, chest pain dyspnea after XXXX.",None available,Normal heart size mediastinal contours. Subsegmental atelectasis versus scarring in the right midlung and left lower lobe. No focal airspace disease. No pleural effusion or pneumothorax. Low lung volumes. Visualized bony structures are unremarkable in appearance.,"1. Low lung volumes with patchy bilateral scarring versus atelectasis. 2. Otherwise, no acute or XXXX pulmonary abnormality."
3571,Diaphragm/right/elevated;Thoracic Vertebrae/degenerative,Diaphragm;Thoracic Vertebrae,"PA and LAT view CHEST XXXX, XXXX XXXX PM",CHF,None.,Heart size and pulmonary vascularity normal. The stomach contour normal. There is right hemidiaphragm elevation. Lungs are clear. Degenerative changes in the thoracic spine.,Right hemidiaphragm elevation. No acute cardiopulmonary process.
3572,Markings/lung/hilum/bilateral/prominent/mild,Markings,Xray Chest PA and Lateral,",585.9 chronic renal insuffcieny",No comparison chest x-XXXX.,,"Heart size upper limits of normal. The infrahilar pulmonary markings appear slightly prominent bilaterally, which XXXX represents XXXX appearance for the patient but difficult to completely exclude some reactive airway/bronchitic changes in the absence of comparison radiographs.. No airspace consolidation or lobar atelectasis. No effusions or edema. Mediastinal contour unremarkable."
3573,"Aorta, Thoracic/tortuous/mild;Calcinosis/aorta, thoracic/mild;Thoracic Vertebrae/degenerative/mild;Scoliosis/lumbar vertebrae/left/mild;Scoliosis/thoracic vertebrae/left/mild","Aorta, Thoracic;Calcinosis;Thoracic Vertebrae;Scoliosis;Scoliosis","Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old female with chest pain.,None.,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.,1. No acute intrathoracic abnormality.
3574,normal,normal,"Radiographs of the chest, 2 views, PA and lateral views.",XXXX-year-old female. Chest pain.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Suspected XXXX artifact over the bilateral neck soft tissues and supraclavicular fossae. Normal XXXX.",Negative for acute abnormality.
3575,Granuloma/lung/lingula;Calcinosis/lung/hilum/lymph nodes/left,Granuloma;Calcinosis,Chest XXXX and lateral ,XXXX-year-old male with chest pain.,None available.,"Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Central left midlung granuloma with calcified left hilar adenopathy. Bony structures appear intact.",No acute cardiopulmonary abnormality.
3576,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old XXXX, XXXX, shortness of breath",None.,The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. No pneumothorax or large pleural effusion. No acute bone abnormality.,No acute cardiopulmonary process.
3577,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old female, XXXX, XXXX.",None,There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.,No acute cardiopulmonary abnormality.
3578,No Indexing,No Indexing,"XXXX. Two-view chest. XXXX hours XXXX, XXXX. ",,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3579,No Indexing,No Indexing,PA and lateral chest radiograph (2 views) (2 images) ,"Chronic XXXX, history pleural effusion, COPD.","XXXX, XXXX",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.,No acute cardiopulmonary abnormality.
3580,normal,normal,XR Chest PA and Lateral,XXXX-year-old male. Chest pain.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.",Negative.
3581,Pectus Carinatum;Calcinosis/lymph nodes;Calcified Granuloma/multiple;Deformity/thoracic vertebrae/mild;Granulomatous Disease,Pectus Carinatum;Calcinosis;Calcified Granuloma;Deformity;Granulomatous Disease,PA and Lateral Chest X-XXXX dated XXXX.,Renal cell carcinoma.,XXXX.,Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. Pectus carinatum is noted. Calcified lymph XXXX and granuloma are noted. No pleural effusion or pneumothorax is seen. Mild XXXX deformity is noted in the lower thoracic spine.,1. No evidence of active disease. 2. Evidence of previous granulomatous infection. 3. Pectus carinatum.
3582,normal,normal,Xray Chest PA and Lateral ,Hemoptysis.,None available.,Heart size is normal. The lungs are clear. There is no pneumothorax or large pleural effusion.,No acute cardiopulmonary findings.
3583,Spine/degenerative/mild,Spine,Xray Chest PA and Lateral,XXXX-year-old with chest pain intermittently over the last 2 weeks.,Two views of the chest dated XXXX.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are mild degenerative changes of the spine.",No acute cardiopulmonary disease.
3584,Lung/hypoinflation;Airspace Disease/lung/base/right/focal;Airspace Disease/lung/base/left/mild;Pulmonary Atelectasis/base/left,Lung;Airspace Disease;Airspace Disease;Pulmonary Atelectasis,XR Chest PA and Lateral,"Congestion, abdominal distention. History of XXXX and right-sided paralysis.",None.,,"The lungs are hypoinflated. There is focal airspace disease in the right lung base concerning for pneumonia or aspiration. There is minimal airspace disease in the left lung base, XXXX atelectasis. There is no pneumothorax or large pleural effusion. Heart size is normal."
3585,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",PAIN,"XXXX, XXXX. No change in the levoscoliosis of the thoracolumbar spine. Both lungs remain clear and expanded. Heart and mediastinum are normal.",,No active cardiopulmonary disease.
3586,Cardiomegaly/mild,Cardiomegaly,Xray Chest PA and Lateral,"Hypertension, cardiac murmur",XXXX,The heart is mildly enlarged. The mediastinal contours are stable. The lungs are clear.,"Mild stable cardiomegaly, no acute disease."
3587,normal,normal,Chest X-XXXX 2 XXXX ,XXXX for one XXXX.,XXXX,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,Negative chest .
3588,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",sob,XXXX,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.,1. No acute pulmonary disease.
3589,Lung/hypoinflation/mild;Opacity/lung/base/left/streaky,Lung;Opacity,"Chest, 2 views, XXXX XXXX ComparisXXXX/XXXX ",Abdominal pain,,Cardiomediastinal contour and pulmonary vascularity stable and within normal limits. Lung volumes are slightly low. There are streaky left basal opacities. No pleural effusion or pneumothorax. No acute osseous findings. No free air is demonstrated.,"Streaky left basilar airspace opacities, which could reflect atelectasis and/or infection."
3590,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, chest pain",,"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.",No acute findings
3591,"Hernia, Hiatal/moderate","Hernia, Hiatal",Xray Chest PA and Lateral,XXXX year old XXXX by ambulance for chest pain.,PA and lateral chest XXXX.,The heart and mediastinal contours are unchanged. There is a moderate hiatal hernia. The lungs are clear without focal infiltrate. No effusion or pneumothorax.,1. Stable appearance of the chest with moderate hiatal hernia. No acute pulmonary disease.
3592,Lung/hyperdistention/mild;Diaphragmatic Eventration/right,Lung;Diaphragmatic Eventration,Xray Chest PA XXXX Lateral,"XXXX-year-old male, XXXX",None,,"Mild hyperinflation, air trapping versus inspiratory XXXX. No focal alveolar consolidation, no definite pleural effusion seen. Right hemidiaphragm eventration. Heart size within normal limits, no typical findings of pulmonary edema."
3593,normal,normal," and lateral chest XXXX, XXXX at XXXX for comparison XXXX XXXX ",hemoptysis.,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
3594,normal,normal,"Chest PA and lateral data XXXX, XXXX at XXXX hours ",XXXX,None,The cardiomediastinal silhouette is normal. No focal airspace consolidation. No pneumothorax or pleural effusion.,Normal chest
3595,"Cardiomegaly;Markings/lung/interstitial/prominent;Pleural Effusion/base/left/small;Catheters, Indwelling","Cardiomegaly;Markings;Pleural Effusion;Catheters, Indwelling",Xray Chest PA and Lateral,XXXX-year-old female with history of leukocytosis.,,"Stable cardiomegaly and mediastinal contour. Increased interstitial lung markings are seen, possibly due to volume overload. There is improved aeration of the lung bases with small residual left basilar effusion. No XXXX focal consolidation or pneumothorax. Stable tunneled dialysis catheter. Visualized osseous structures appear intact.","Stable cardiomegaly. Improved aeration of lung bases with persistent left basilar effusion. Prominent interstitium, possibly due to mild volume overload. ."
3596,"Catheters, Indwelling/thorax/right;Calcified Granuloma/multiple","Catheters, Indwelling;Calcified Granuloma","CHEST PA and LATERAL: on XXXX, XXXX. ",This is a XXXX-year-old male patient with reported bleeding from the XXXX.,"Chest x-XXXX, XXXX, XXXX.",,The cardiac silhouette is normal in size and configuration. The mediastinum and perihilar appear unremarkable. A XXXX lumen catheter is seen overlying the right chest and XXXX entering from subclavian approach. The tip is noted in the superior XXXX XXXX inferiorly. No pneumothorax identified. The lungs appear clear. Few calcified granulomata are noted incidentally. Osseous structures appear to be within normal limits. Previously seen left-sided PICC line has been removed.
3597,"Catheters, Indwelling/left;Thoracic Vertebrae/degenerative","Catheters, Indwelling;Thoracic Vertebrae",Xray Chest PA and Lateral,"XXXX-year-old female, bone marrow transplant workup.",Portable chest dated XXXX.,"Left XXXX XXXX noted with tip approximating the high SVC, stable. No pleural effusions. No pneumothorax. Heart size is normal limits. Degenerative changes thoracic spine.",No acute cardiopulmonary abnormality. .
3598,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, pain",,"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.",No acute findings
3599,Aorta/tortuous;Thoracic Vertebrae/degenerative/mild,Aorta;Thoracic Vertebrae,PA and lateral chest radiographs. ,XXXX-year-old male with dyspnea.,None available.,"There are intact midline sternotomy XXXX and postsurgical changes of prior CABG. The aorta is unfolded. The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are mild degenerative changes in the thoracic spine.",No acute cardiopulmonary finding.
3600,Cicatrix/lung/base/right;Calcinosis/abdomen/multiple,Cicatrix;Calcinosis,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.","EtOH, diabetes, altered mental status",None,,"Heart size is within normal limits. No edema. Bandlike scarring in the right base. No pleural effusion, lobar consolidation or pneumothorax. Multiple coarse calcifications in the epigastrium are seen on the lateral radiograph, not well localized on the frontal image. Could represent pancreatic parenchymal calcifications of chronic pancreatitis or old granulomatous sequela."
3601,"Hernia, Hiatal/large;Bone Diseases, Metabolic/spine;Spine/degenerative;Calcinosis/blood vessels;Shoulder/right/degenerative","Hernia, Hiatal;Bone Diseases, Metabolic;Spine;Calcinosis;Shoulder",Xray Chest PA and Lateral,XXXX loss.,,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Large hiatal hernia is present. Osteopenia and degenerative changes are present in the spine. Vascular calcification is noted. Degenerative changes are present in the right shoulder.,1. Large hiatal hernia. 2. Clear lungs.
3602,Calcified Granuloma/lung/bilateral/multiple;Calcified Granuloma/lung/hilum/multiple,Calcified Granuloma;Calcified Granuloma,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with XXXX.,None.,"Normal cardiomediastinal silhouette and hilar contours. Calcified bilateral lung and perihilar granulomas. The lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax.. XXXX XXXX are intact without acute osseous abnormality.",Chest radiograph. 1. No acute radiographic cardiopulmonary process.
3603,normal,normal,Xray Chest PA and Lateral,Preop anesthesia XXXX,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute preoperative findings
3604,normal,normal,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.","Positive PPD, no complaints",None,,The lungs are clear. No focal consolidation to suggest pneumonia or active tuberculous infection. Normal heart size and mediastinal silhouette. No edema. No pleural effusions or pneumothorax.
3605,normal,normal,PA and lateral views of the chest. ,"XXXX-year-old female, followup pleural effusion and lymphadenopathy.",PA and lateral view the chest from XXXX.,Heart size within normal limits. No focal airspace disease. No pleural effusion.,"No acute cardiopulmonary findings. Specifically, no evidence of pleural effusion or hilar or mediastinal adenopathy."
3606,normal,normal,"Chest, 2 views, frontal and lateral",Prostate cancer,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute findings.
3607,Opacity/lung/base/left;Cicatrix/lung/base/left;Pulmonary Atelectasis/base/left;Spine/degenerative,Opacity;Cicatrix;Pulmonary Atelectasis;Spine,AP Portable Chest X-XXXX dated XXXX.,Bone marrow transplant workup.,None.,"Heart size and pulmonary vascularity appear within normal limits. The patient is status post CABG. A few XXXX opacities are present in the left base, the appearance which XXXX scarring or atelectasis. No pneumothorax or pleural effusion is seen. Degenerative changes are present in the spine.","1. XXXX opacities in the left base, the appearance which XXXX scarring or atelectasis. Otherwise, clear."
3608,Cardiomegaly,Cardiomegaly,Xray Chest PA and Lateral,Difficulty breathing for one XXXX. Right lower quadrant pain for 2 months.,None,Chest: The heart is enlarged. There may be a pericardial effusion. No definite pulmonary edema is seen. Lungs appear clear. There is no pleural effusion. The skeletal structures and soft tissues are unremarkable. KUB XXXX: XXXX single view of the abdomen was obtained. The bowel XXXX pattern is nonspecific. There is no evidence for obstruction or free intraperitoneal air. No large soft tissue masses or organomegaly are identified. The skeletal structures appear normal.,Chest. 1. Cardiomegaly with possible pericardial effusion. 2. No evidence for pulmonary edema or pneumonitis. KUB. 1. Nonspecific abdomen.
3609,Cardiomegaly/borderline,Cardiomegaly,Xray Chest PA and Lateral,XXXX-year-old male with history of mitral valve XXXX,None,There is borderline cardiomegaly. Mediastinum and pulmonary vasculature are unremarkable. Lungs are clear. No pleural fluid or pneumothorax is appreciated.,Borderline cardiomegaly. Otherwise unremarkable exam.
3610,normal,normal," PA and lateral chest XXXX, XXXX time XXXX. ",tuberculosis +PPD,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest No evidence of tuberculosis
3611,Calcinosis/aorta;Aorta/tortuous;Scoliosis/thoracic vertebrae/right;Scoliosis/lumbar vertebrae/right;Diaphragm/left/flattened;Airspace Disease/lung/base/right/mild;Consolidation/lung/base/right/mild;Deformity/thoracic vertebrae/multiple,Calcinosis;Aorta;Scoliosis;Scoliosis;Diaphragm;Airspace Disease;Consolidation;Deformity,CHEST (PA AND LATERAL),XXXX-year-old female status post XXXX.,"XXXX, XXXX.",Stable appearance of the cardiomediastinal silhouette. The aorta is calcified and tortuous. There is dextroscoliosis of the thoracolumbar spine. Multiple thoracic XXXX deformities appear unchanged. There is no displaced rib fracture identified. There is no pneumothorax or large pleural effusion. Stable changes of chronic lung disease with flattening of the left hemidiaphragm. There is mild right basilar airspace disease which may represent atelectasis versus infiltrate.,1. No acute posttraumatic finding. 2. Mild right basilar airspace consolidation may represent atelectasis versus infiltrate. 3. Changes of chronic lung disease.
3612,Calcinosis/lymph nodes/right/paratracheal;Atherosclerosis/aorta;Lung/hypoinflation/mild,Calcinosis;Atherosclerosis;Lung,CHEST 2V FRONTAL/LATERAL ,"Colorectal mass, evaluate for lung mass",,The heart is normal in size. The mediastinum is stable. Calcified right paratracheal lymph XXXX are seen. Aorta is atherosclerotic. The lungs are mildly hypoinflated without focal consolidation. There is no pleural effusion.,No acute disease.
3613,Calcified Granuloma/lung/bilateral/multiple,Calcified Granuloma,Xray Chest PA and Lateral,",786.2 XXXX and fatigue",No comparison chest x-XXXX.,,Bilateral calcified granulomas. No acute airspace disease. No effusions. Heart size upper limits of normal. Unremarkable mediastinal contour. No acute cardiopulmonary abnormality identified.
3614,Pulmonary Atelectasis/base/bilateral;Pleural Effusion/left/small;Cardiomegaly;Pulmonary Congestion/mild,Pulmonary Atelectasis;Pleural Effusion;Cardiomegaly;Pulmonary Congestion,Chest x-XXXX,Dyspnea seen impression,XXXX,AP and lateral views were obtained. Bibasilar atelectasis and small left-sided pleural effusion. Stable cardiomegaly. No pneumothorax. Mild pulmonary vascular congestion.,
3615,"Tube, Inserted/trachea, carina","Tube, Inserted",Xray Chest PA and Lateral,DIABETES; Pt to have throat surgery.,No comparison chest x-XXXX.,,"Device compatible tracheostomy is in XXXX, with tip approximately 5-6 centimeters above carina. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified."
3616,Atherosclerosis/aorta;Emphysema;Markings/lung/interstitial,Atherosclerosis;Emphysema;Markings,XR Chest PA and Lateral,Nonproductive XXXX,,"The heart is normal in size. The mediastinum is stable. The aorta is atherosclerotic. There are emphysematous changes with increased interstitial markings, particularly in the periphery and lung bases. The lungs are clear of focal infiltrates. There is no pleural effusion.","Emphysema with increased lung markings markings, possibly superimposed chronic lung disease/fibrosis."
3617,normal,normal,"2 views PA and lateral, of the chest on XXXX, XXXX at XXXX hours. ",XXXX.,"PA and lateral view of the chest from XXXX, XXXX.",The cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no pneumothorax. There is no large pleural effusion.,No acute cardiopulmonary disease.
3618,Pulmonary Emphysema,Pulmonary Emphysema,"Chest x-XXXX XXXX and lateral, XXXX.",XXXX-year-old female with chronic bronchitis.,None.,The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact.,No acute cardiopulmonary abnormalities. Emphysematous changes of the lungs.
3619,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female history of XXXX, chills and difficulty breathing for 10 days.",None.,"Cardiac and mediastinal XXXX appear normal. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact.",No acute radiographic cardiopulmonary process. .
3620,Pulmonary Atelectasis/base/left/mild;Cicatrix/lung/base/left/mild;Calcified Granuloma/lung/upper lobe/left/small,Pulmonary Atelectasis;Cicatrix;Calcified Granuloma,Xray Chest PA and Lateral,Left rib pain starting yesterday. Using crutches for broken foot.,None.,"The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is minimal XXXX atelectasis or scar in the left lung base. The lungs are otherwise grossly clear. There is a small calcified granuloma in the left upper lobe. There is no pneumothorax or pleural effusion. No acute, displaced rib fractures are demonstrated.","1. Minimal left basilar atelectasis or scar. 2. No acute, displaced rib fractures demonstrated. ."
3621,Lung/hypoinflation,Lung,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",Continued exacerbations,"XXXX, XXXX.",Lung volumes remain low. No infiltrates. Heart and pulmonary XXXX are normal.,XXXX change. Hypoinflation with no visible active cardiopulmonary disease.
3623,Calcinosis/lymph nodes,Calcinosis,Two view chest dated XXXX XXXX ,"XXXX XXXX female with XXXX, RUQ pain.",PA and lateral dated XXXX,Soft tissue and bony structures unremarkable. Heart size is upper limit of normal. Lung XXXX are clear. No effusion or pneumothorax. Calcified lymph XXXX stable from prior exam.,No active disease.
3624,normal,normal,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old male with shortness of breath,None available,"The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.",No acute cardiopulmonary findings.
3625,normal,normal,"PA and lateral views of the chest, XXXX, XXXX XXXX PM",INDICATION: EVALUATE FOR METASTATIC DISEASE; Pre op for nephrectomy,None,The lungs appear clear. There are no suspicious pulmonary nodules or masses. The heart and pulmonary XXXX appear normal. Mediastinal contours appear normal. There's no pneumothorax.,No acute cardiopulmonary disease.
3626,Pleural Effusion/bilateral;Thickening/pleura/bilateral/mild,Pleural Effusion;Thickening,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.","Eight weeks pregnant, chest pain",None,,"Heart size upper limits normal. Mediastinal silhouette and pulmonary vascularity within normal limits. No edema, focal airspace consolidation, or pneumothorax. XXXX pleural effusion versus minimal pleural thickening bilaterally."
3627,Thoracic Vertebrae/scattered/degenerative;Diaphragm/right/elevated;Pulmonary Atelectasis/base/bilateral;Lung/hilum/lymph nodes/bilateral,Thoracic Vertebrae;Diaphragm;Pulmonary Atelectasis;Lung,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with chest pain,Chest radiograph on XXXX.,"No acute osseous abnormality. Scattered degenerative changes of the thoracic spine. Soft tissues are within normal limits. Normal heart size. Stable elevation right hemidiaphragm compared to exam on XXXX. Bilateral hilar lymph XXXX. No focal area of consolidation, pleural effusion, pneumothorax. Bibasilar atelectasis.",1. No acute radiographic cardiopulmonary process.
3628,Thoracic Vertebrae/degenerative/multiple,Thoracic Vertebrae,Xray Chest PA and Lateral,"Chest pain, shortness of breath.",None.,"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. There are XXXX multilevel degenerative changes of the thoracic spine.",No evidence of acute cardiopulmonary process.
3629,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM No comparison.. Both lungs are clear and expanded. Heart and mediastinum normal. ",TB INACTIVE V12.01,,,No active disease.
3630,Calcinosis/aorta;Calcified Granuloma/lung/left,Calcinosis;Calcified Granuloma,Xray Chest PA and Lateral,Withdrawal from Xanax.,None.,"Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. There is aortic XXXX vascular calcification. And there is a hyper left lung calcified granuloma. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion. There are vascular and skeletal senescent changes.","No acute or active cardiac, pulmonary or pleural disease."
3631,"Technical Quality of Image Unsatisfactory ;Catheters, Indwelling;Tube, Inserted;Mediastinum/prominent","Technical Quality of Image Unsatisfactory ;Catheters, Indwelling;Tube, Inserted;Mediastinum",Xray Chest PA and Lateral,HYPOXIA;,XXXX,,"1. All lines and tubes in stable , XXXX position. 2. Limited portable study with stable appearance of lung XXXX with stable widened mediastinum 3. No XXXX acute findings/pneumothorax noted."
3632,Calcinosis/aorta;Opacity/lung/base/left;Pulmonary Atelectasis/base/left;Pleural Effusion/left/small;Thickening/pleura/apex/bilateral,Calcinosis;Opacity;Pulmonary Atelectasis;Pleural Effusion;Thickening,"PA and Lateral Chest. XXXXth, XXXX XXXX hours ","XXXX-year-old male, XXXX",Chest x-XXXX XXXX,"Normal heart size and mediastinal contours. Calcified aortic XXXX. XXXX opacities in the left lung base, XXXX atelectasis. The lateral view shows a XXXX left pleural effusion. No focal airspace consolidation. No pneumothorax. Stable bilateral apical pleural capping.",1. Small left pleural effusion.
3633,Thoracic Vertebrae/degenerative;Lung/hypoinflation,Thoracic Vertebrae;Lung,PA lateral dated XXXX ,XXXX x2 weeks. Chest pain.,None available,Degenerative changes of the thoracic spine. Heart size normal. Lungs are clear. No pneumothorax or pleural effusion. Low lung volumes.,Unremarkable examination of the chest.
3634,normal,normal,"PA and Lateral Chest. XXXX, XXXX XXXX XXXX . ",XXXX-year-old with XXXX.,XXXX.,"Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality.",No acute cardiopulmonary abnormality.
3635,Spine/degenerative,Spine,"PA and Lateral Chest. XXXX, XXXX XXXX XXXX . ",XXXX-year-old with chest pain.,XXXX.,"Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. There are stable degenerative changes of the spine.",No acute cardiopulmonary abnormality.
3636,Lung/hyperdistention/mild;Cicatrix/lung/base/bilateral;Opacity/lung/bilateral/interstitial/prominent/chronic;Emphysema,Lung;Cicatrix;Opacity;Emphysema,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with chest pain.,Chest radiograph of XXXX.,"Normal cardiomediastinal silhouettes. Mild hyperexpansion of the lungs. Stable appearance of scarring at lung bases. Prominent bilateral interstitial opacities are chronic in XXXX. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",Chest radiograph. Stable emphysematous changes without acute cardiopulmonary abnormality.
3637,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, XXXX",,"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 acute findings
3638,Cardiomegaly,Cardiomegaly,Chest radiograph PA and lateral on XXXX XXXX. ,XXXX-year-old female with chest pain.,None.,Cardiomegaly. No pneumothorax or pleural effusion. Clear lung XXXX bilaterally.,1. Cardiomegaly.
3639,normal,normal,PORTABLE AP CHEST,XXXX,XXXX,The cardiac and mediastinal silhouette is normal There is no evidence of pneumomediastinum or pneumothorax. Clear lungs There are no large pleural effusions No evidence of displaced fractures.,1. No evidence of pneumothorax or pneumomediastinum. 2. Clear lungs.
3640,Calcified Granuloma/lung/apex/right;Calcified Granuloma/lung/base/left;Calcinosis/lung/hilum/lymph nodes,Calcified Granuloma;Calcified Granuloma;Calcinosis,"PA and lateral chest XXXX, XXXX at XXXX ",History XXXX chest x-XXXX XXXX to receiving XXXX-TNF.,None,,Heart size normal. No fibrosis. Right apical and left base 5 mm calcified granulomas. Calcified hilar lymph XXXX. No effusions.
3641,Surgical Instruments/mediastinum;Cicatrix/lung/base/left;Deformity/lung/base/left;Deformity/ribs/left/chronic,Surgical Instruments;Cicatrix;Deformity;Deformity,Xray Chest PA and Lateral,"XXXX-year-old female, dyspnea",,"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.",No acute findings
3642,Thoracic Vertebrae/degenerative/mild;Aorta/tortuous,Thoracic Vertebrae;Aorta,"CHEST PA and Lateral on XXXX, XXXX ",XXXX-year-old with history of edema.,XXXX,No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine. Degenerative changes of the XXXX. Tortuous aorta.,No acute cardiopulmonary process.
3643,No Indexing,No Indexing,"PA and lateral chest XXXX, XXXX at XXXX ",XXXX XXXX,None,,"Heart size normal. Sternotomy and bypass grafting. Lungs are clear. No effusions, edema, or pneumonia."
3644,"Aorta, Thoracic/tortuous;Calcinosis/trachea, carina/lymph nodes;Heart Ventricles/left/enlarged","Aorta, Thoracic;Calcinosis;Heart Ventricles", PA and lateral views. ,XXXX-year-old male. Chest pain.,"XXXX, XXXX.","Stable XXXX XXXX, including elongation of the left ventricle and tortuous thoracic aorta. Subcarinal calcified lymph XXXX. XXXX lung volumes. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.",Negative for acute abnormality. Left ventricular enlargement. Tortuous thoracic aorta.
3645,Markings/lung/base/prominent/mild,Markings,Xray Chest PA and Lateral,EVALUATE FOR DISEASE;,No comparison chest x-XXXX.,,Slight basilar prominence of lung markings most XXXX representing some mild chronic inflammatory change. No acute airspace disease or effusions. Mediastinal contour within normal limits.
3646,normal,normal,Xray Chest PA and Lateral,,Chest 2 views. XXXX.,The lungs are clear. Heart size is normal. No pneumothorax.,Clear lungs. No acute cardiopulmonary abnormality. .
3647,normal,normal,Xray Chest PA and Lateral ,History of tubal pregnancy. Spinal pain. No known XXXX.,None.,Lungs are clear. Heart is normal size. Trachea is midline. No pneumothorax. No large pleural effusion.,No acute cardiopulmonary findings.
3648,normal,normal,PA and lateral chest radiographs. ,XXXX-year-old male with dyspnea chest pain.,None.,"The heart and cardiomediastinal silhouette are normal in size and contour. There is no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact.",No acute cardiopulmonary finding.
3649,normal,normal,Chest radiograph PA and lateral XXXX/XXXX at XXXX. ,XXXX-year-old female with chest pain.,None.,Clear lungs bilaterally. No pneumothorax or large pleural effusion. Normal cardiac contour.,1. No acute cardiopulmonary abnormality.
3650,Pulmonary Artery/bilateral/enlarged;Lung/hyperdistention;Diaphragm/bilateral/flattened;Pulmonary Emphysema,Pulmonary Artery;Lung;Diaphragm;Pulmonary Emphysema,XR Chest PA and Lateral,"COPD, previous XXXX",None available.,The heart is not enlarged. The bilateral pulmonary arteries appear enlarged. The lungs are hyperexpanded the hemidiaphragms are flattened. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.,1. Pulmonary emphysema. 2. Large bilateral pulmonary arteries suggestive of pulmonary arterial hypertension. 3. No suspicious nodules or are identified.
3651,Costophrenic Angle/bilateral/blunted;Cicatrix/costophrenic angle,Costophrenic Angle;Cicatrix,CHEST FRONTAL AND LATERAL VIEWS dated XXXX at XXXX.,XXXX-year-old male to evaluate for metastatic disease.,None.,Blunting of the costophrenic XXXX XXXX represents scarring. No pleural effusion is identified on the lateral view. There is no focal consolidation. No pneumothorax is present. The cardiomediastinal silhouette is within normal limits are in the pulmonary vasculature is normal.,Scarring at the lateral costophrenic XXXX. Otherwise no significant radiographic abnormality.
3652,Calcified Granuloma/lung/hilum/right/multiple;Scoliosis/thoracic vertebrae/right/mild,Calcified Granuloma;Scoliosis,Xray Chest PA and Lateral,The patient is a XXXX-year-old female with hypertension.,CT urogram XXXX,"No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact. There are calcified right hilar granulomas. There is mild thoracic dextroscoliosis.",No acute cardiopulmonary abnormality. .
3653,"Lung/hypoinflation;Pulmonary Atelectasis/base/bilateral/mild;Aorta, Thoracic/tortuous/moderate;Spondylosis/thoracic vertebrae","Lung;Pulmonary Atelectasis;Aorta, Thoracic;Spondylosis","Chest 2 views dated XXXX, XXXX","Dyspnea, XXXX and chills.",XXXX.,"The XXXX examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes with XXXX XXXX atelectasis. The cardiac silhouette is unchanged. There is mild to moderate tortuosity of the thoracic aorta. No focal consolidation, pleural effusion, or pneumothorax identified. Thoracic spondylosis is again seen.",Low lung volumes with minimal bibasilar atelectasis. Overall no significant interval change.
3654,Opacity/lung/upper lobe/right/round,Opacity,"Chest x-XXXX and Lateral views, dated XXXX, XXXX XXXX PM ",XXXX vehicle collision,Chest radiograph XXXX,There is a 6 mm nodular opacity in the right upper lobe. This appears XXXX from the prior study. The lungs otherwise appear clear. No pleural effusion or pneumothorax is seen. Heart size and mediastinal contour appear within normal limits.,"1. No acute traumatic findings. 2. Right upper lobe 6 mm nodular opacity. This may be artifactual secondary to overlapping vascular structures. However, true pulmonary nodule is a possibility. This appears XXXX from XXXX. Consider further evaluation with dedicated PA and lateral chest radiographs XXXX the patient is XXXX."
3655,Nodule/lung/upper lobe/right;Osteophyte/spine,Nodule;Osteophyte,Chest X XXXX 2 XXXX PA and lateral ,The patient is a XXXX year-old old male with chest pain.,XXXX,"Well circumscribed 11 mm right upper lobe nodule, unchanged appearance from previous examination 7 years ago. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal. Redemonstrated syndesmophyte.",1. No acute cardiopulmonary abnormality.
3656,Cardiomegaly/borderline;Lung/hypoinflation;Density/thorax/round;Granulomatous Disease/chronic;Thoracic Vertebrae/degenerative/mild,Cardiomegaly;Lung;Density;Granulomatous Disease;Thoracic Vertebrae,Chest XXXX and lateral ,"XXXX-year-old female with hyperviscosity syndrome, rule out infiltrate","XXXX, XXXX p.m.",Heart size borderline enlarged. Stable cardiomediastinal silhouette. No pneumothorax or large pleural effusion. No focal airspace disease. Low lung volumes. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Mild degenerative disease of the thoracic spine.,Negative for acute cardiopulmonary disease.
3657,Pulmonary Congestion/hilum/bilateral;Lung/hyperdistention;Diaphragm/bilateral/flattened,Pulmonary Congestion;Lung;Diaphragm,"Chest x-XXXX, 2 views. XXXX. XXXX a.m. ",XXXX.,None.,The heart size is normal. There is vascular congestion in bilateral hilar areas. The lungs are hyperexpanded with flattened diaphragms. No acute bony abnormalities. No effusion or infiltrate. No pneumothorax or pneumomediastinum.,1. Hyperexpanded lungs. 2. Otherwise normal chest x-XXXX.
3658,Thickening/pleura/apex/bilateral/round;Cicatrix/pleura/apex/bilateral/round;Nodule/pleura/apex/bilateral/round;Deformity/spine,Thickening;Cicatrix;Nodule;Deformity,Xray Chest PA and Lateral,XXXX-year-old female. Chest pain after XXXX.,None.,"The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Biapical fibronodular pleural thickening/scarring. There is a XXXX like deformity of the anterior cortex of the XXXX body (lateral view). Negative for retrosternal density. Prior cholecystectomy. Critical result notification documented through Primordial.","Buckling deformity of the anterior cortex of the XXXX body. Fracture is possible, if high energy XXXX was localized to this region. Correlate with focal tenderness. XXXX chest, if warranted."
3659,Calcified Granuloma,Calcified Granuloma,Xray Chest PA and Lateral,Bladder cancer,,Patient is status post CABG. The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma is noted.,No evidence of active disease.
3660,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old male with XXXX and COPD,None,"Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissue is unremarkable.",Negative for acute cardiopulmonary abnormality.
3661,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old female, dizziness.",None,There are no focal areas of consolidation. No pleural effusions. No pneumothorax. Heart size within normal limits. Osseous structures intact.,No acute cardiopulmonary abnormality.
3662,Calcinosis/lung/hilum/lymph nodes/bilateral;Calcified Granuloma/lung/left;Thoracic Vertebrae/degenerative,Calcinosis;Calcified Granuloma;Thoracic Vertebrae,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old with shortness of breath.,CT chest on XXXX. Chest radiograph XXXX.,"Stable normal cardiomediastinal silhouette. Bilateral calcified hilar/perihilar lymph XXXX. Left lateral lung calcified granuloma. Lungs are grossly clear without focal consolidation, pleural effusion, or pneumothorax. Stable degenerative changes of the thoracic spine. No acute osseous abnormality.",Chest radiograph. 1. No acute radiographic cardiopulmonary process.
3663,normal,normal,CHEST 2V FRONTAL/LATERAL ,Positive PPD,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No evidence of active disease
3664,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with chest pain.,None.,"There are no acute osseous abnormalities. Soft tissue structures are within normal limits. Normal heart size and hilar vascular markings. The lungs are clear without focal area of consolidation, pleural effusion, pneumothorax.",1. No acute radiographic cardiopulmonary process.
3665,normal,normal,"Chest radiographs, 2 XXXX and lateral ","XXXX-year-old woman, positive PPD.",None.,"Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. No upper lobe airspace disease or cavitary lesions identified.",1. No acute abnormality. 2. No evidence of pulmonary tuberculosis.
3666,Pulmonary Atelectasis/base/right;Airspace Disease/lung/right;Pleural Effusion/right;Cardiomegaly,Pulmonary Atelectasis;Airspace Disease;Pleural Effusion;Cardiomegaly,Xray Chest PA and Lateral,",786.39 coughing up sputum blood streaked",Chest x-XXXX of XXXX,"XXXX onset right basal atelectasis with airspace disease and effusion suggestive of the chest infection. Stable cardiomegaly and features of CABG. Interval XXXX removal of left PICC line, no pneumothorax.",XXXX onset right basal chest infection
3667,Density/lung/upper lobe/left/irregular;Calcinosis/ribs;Thoracic Vertebrae/degenerative;Implanted Medical Device/thorax/left,Density;Calcinosis;Thoracic Vertebrae;Implanted Medical Device,"PA and lateral views of the chest, XXXX, XXXX XXXX PM",INDICATION: HYPERTENSION;,None,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."
3668,Infiltrate/lung/lingula/round,Infiltrate,"PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX XXXX ",History of asthma. Further history from the ordering physician states that the patient has a productive XXXX and symptoms of pneumonia.,,,Heart size is normal. Right lung clear. There is a 3 cm nodular infiltrate in left midlung. This could represent pneumonia or a tumor. Recommend followup radiology until clear.
3669,Emphysema,Emphysema,"PA and lateral chest XXXX, XXXX at XXXX comparison XXXX XXXX ",bronchitis,,,Heart normal. Lungs clear. Upper lobe XXXX and emphysema.
3670,Thickening/pleura/apex/bilateral/mild;Spinal Fusion/cervical vertebrae/anterior;Spine/degenerative,Thickening;Spinal Fusion;Spine,Xray Chest PA and Lateral,XXXX-year-old chest pain for 1.5 weeks. Pain anteriorly over the lower right chest.,AP chest dated XXXX.,"The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is mild biapical pleural thickening which is smooth. There is evidence of previous anterior cervical spine fusion. There are degenerative changes of the spine.",No acute cardiopulmonary disease.
3671,Opacity/lung/upper lobe/right/patchy/mild;Infiltrate/lung/upper lobe/right/mild,Opacity;Infiltrate,Chest Radiograph Frontal and Lateral Views dated 8/14//XXXX. ,XXXX-year-old male with chest pain.,XXXX.,"Stable cardiomediastinal silhouette. Mild patchy right upper lobe opacities, similar to slightly improved from XXXX. Left lung clear. No pleural effusion or pneumothorax.","1. Persistent mild right upper lobe infiltrate, similar to slightly improved from XXXX. 2. Left lung grossly clear."
3672,Implanted Medical Device/aortic valve;Calcinosis/aorta;Pulmonary Edema/interstitial/mild;Cardiomegaly/mild,Implanted Medical Device;Calcinosis;Pulmonary Edema;Cardiomegaly,PA and lateral chest dated XXXX ,COPD,XXXX,Stable appearance of aortic valve prosthesis. Sternotomy XXXX. Aortic calcifications. Mild interstitial edema. No focal infiltrate. No effusion or pneumothorax. Mild cardiomegaly.,Mild interstitial edema.
3673,Calcinosis/aorta;Calcinosis/lymph nodes/small;Emphysema;Opacity/lung/upper lobe/hilum/left;Opacity/lung/lingula,Calcinosis;Calcinosis;Emphysema;Opacity;Opacity,CHEST 2V FRONTAL/LATERAL ,XXXX dyspnea,"XXXX, XXXX",The heart is normal in size. The mediastinal contours are stable. Aortic calcifications are noted. There are small calcified lymph XXXX. Emphysema and chronic changes are identified. There is XXXX opacity in the left perihilar upper lobe. There is questionable XXXX extension to the pleural surface. This may represent acute infiltrate or developing density. There is no pleural effusion or pneumothorax.,Left midlung opacity may be secondary to acute infectious process or developing mass lesion. Followup to resolution is recommended.
3674,normal,normal,Xray Chest PA and Lateral,PAIN;...FWC,,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
3675,normal,normal,Xray Chest PA and Lateral,Intermittent asthma. Productive XXXX.,none,XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.,1. No acute pulmonary disease.
3676,"Cardiac Shadow/irregular;Lung Diseases, Interstitial/bilateral/diffuse;Aorta, Thoracic/tortuous;Calcinosis/lung/hilum/lymph nodes/left;Markings/lung/bilateral/interstitial/diffuse;Pulmonary Fibrosis/bilateral/diffuse","Cardiac Shadow;Lung Diseases, Interstitial;Aorta, Thoracic;Calcinosis;Markings;Pulmonary Fibrosis",Xray Chest PA and Lateral,XXXX-year-old male with XXXX.,Comparison is XXXX to XXXX examination dated XXXX.,"The cardiomediastinal silhouette appears irregular secondary to the diffuse bilateral pulmonary interstitial disease. The thoracic aorta is tortuous. Calcified lymph XXXX are demonstrated in the left hilum. No focal pulmonary consolidation. Diffuse increased bilateral pulmonary interstitial markings, consistent with the patient's history of known pulmonary fibrosis, with relative sparing of the bilateral lung apices. No pneumothorax or pleural effusion demonstrated. The thoracic spine appears intact.",1. Redemonstration of diffuse bilateral pulmonary fibrosis with relative sparing of the bilateral lung apices. No focal pulmonary consolidation. .
3677,Aorta/tortuous,Aorta,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX SX,"XXXX, XXXX.",Heart size is within normal limits. Aorta is tortuous. Remainder of the cardiomediastinal silhouette is normal. Lungs are clear bilaterally without pleural effusion or pneumothorax. No bony abnormalities.,No active disease.
3678,Costophrenic Angle/bilateral/blunted/mild;Markings/lung/interstitial/prominent/mild,Costophrenic Angle;Markings,Xray Chest PA and Lateral,"Hx of prostate, kidney cancer. COPD.",None,The heart is normal in size. The mediastinum is unremarkable. The costophrenic XXXX are blunted. The interstitial markings are slightly accentuated suggesting underlying chronic disease/emphysema. No focal consolidation is seen.,Mild costophrenic XXXX blunting suggesting XXXX bilateral pleural effusions and/or thickening. No acute infiltrate.
3679,normal,normal,"Chest radiograph, 2 images. ",XXXX-year-old chest pain.,None.,Normal heart. Clear lungs. No pneumothorax. No pleural effusion.,Normal chest exam.
3680,Opacity/lung/base/bilateral/streaky;Pulmonary Atelectasis/base/bilateral;Opacity/lung/middle lobe/right;Calcified Granuloma/scattered/multiple,Opacity;Pulmonary Atelectasis;Opacity;Calcified Granuloma,"Radiograph Chest PA and Lateral XXXX, XXXX. ",XXXX and XXXX.,None.,"The heart is normal in size and contour. There is no mediastinal widening. Streaky bibasilar opacities, XXXX atelectasis. Vague opacity in the right midlung. Scattered calcified granulomas. No large pleural effusion or pneumothorax. The XXXX are intact.","Vague opacity in the right midlung, this could reflect a small focus of atelectasis or infiltrate. Bibasilar airspace opacities, XXXX atelectasis."
3681,Lung/hypoinflation;Markings/bronchovascular,Lung;Markings,Xray Chest PA and Lateral,Right-sided chest pain and shortness of breath.,,There are lower lung volumes. There is central bronchovascular crowding. Volume loss in the medial right upper lobe seen on XXXX is not as well-demonstrated on radiography. No lobar consolidation. No pleural effusion or pneumothorax.,No acute abnormality identified.
3682,Lung/hypoinflation,Lung,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old XXXX with chest pain.,None available,The lungs are hypoventilated. There is no focal airspace opacity. The cardiomediastinal silhouette is normal in size. There is no pneumothorax or large pleural effusion.,No acute cardiopulmonary abnormality.
3683,Medical Device/breast/bilateral,Medical Device,Xray Chest PA and Lateral,with nipple markers test ca; r/o XXXX,XXXX,Examination was performed with nipple markers. The previously noted small nodule in the right lower lung is not well-seen on today's study and may have been secondary to summation of structures. The heart is normal in size. The mediastinum is unremarkable. The lungs are otherwise clear.,"No acute disease. Previously visualized nodule in right lower lobe not well-seen on today's study, XXXX summation artifact."
3684,Scoliosis/thoracic vertebrae/right/mild;Cardiomegaly/mild;Lung/blood vessels/left/prominent/mild;Lung/azygos lobe,Scoliosis;Cardiomegaly;Lung;Lung,Chest PA and lateral,TOF,None,,"2 views of the chest demonstrate sternotomy XXXX and mild thoracic dextroscoliosis. Incidental note of an azygos pseudofissure. The heart is mildly enlarged and pulmonary vasculature appears somewhat more prominent on the left than on the right, but the lungs appear clear, with no evidence of pleural effusion."
3685,"Calcinosis/aorta, thoracic;Shift/trachea/right/mild;Thoracic Vertebrae/degenerative/severe",Calcinosis;Shift;Thoracic Vertebrae,PA and lateral views of the chest. ,"XXXX-year-old female, preoperative evaluation.",Portable chest from XXXX.,"Calcified thoracic aorta. Mild rightward deviation of the trachea, unchanged from comparison XXXX, XXXX secondary to a goiter. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Advanced degenerative change of the thoracic spine.",No acute cardiopulmonary findings.
3686,"Cardiomegaly;Airspace Disease/lung/base/right;Catheters, Indwelling/left","Cardiomegaly;Airspace Disease;Catheters, Indwelling","PA and lateral chest, XXXX, XXXX XXXX XXXX","Hypoxia, aortic stenosis","XXXX, XXXX",,Stable cardiomegaly. Improved aeration in the left lung base. Right basilar airspace disease is unchanged. No pneumothorax or pleural effusion. Right internal jugular central line has been removed. Left subclavian line is stable.
3687,"Pulmonary Atelectasis/base/left/patchy/mild;Infiltrate/lung/base/left/mild;Catheters, Indwelling;Spinal Fusion/cervical vertebrae","Pulmonary Atelectasis;Infiltrate;Catheters, Indwelling;Spinal Fusion","2 views chest performed at XXXX hours on XXXX, XXXX ",XXXX,None available,Heart size and mediastinal contours are within normal limits given AP projection. The right lung appears clear. There is minimal patchy atelectasis or early infiltrate in left lung base. No visible pleural effusion or pneumothorax. There is a partially visualized IVC XXXX on the lateral view. There are partially visualized surgical changes the cervical spine compatible with prior fusion procedure.,Minimal patchy left basilar atelectasis or infiltrate.
3688,"Catheters, Indwelling/left;Opacity/lung/base/bilateral;Pleural Effusion/base/bilateral;Pulmonary Atelectasis/base/bilateral;Lung/interstitial/prominent","Catheters, Indwelling;Opacity;Pleural Effusion;Pulmonary Atelectasis;Lung",Chest radiograph PA and lateral XXXX,XXXX-year-old male post PICC placement,Chest radiograph XXXX,,1. Left PICC in the mid SVC. Negative for pneumothorax. 2. Unchanged bibasilar airspace opacities compatible with pulmonary effusions and atelectasis. Increased interstitial prominence may reflect underlying pulmonary edema possibly secondary to infectious etiology. 3. Stable postsurgical changes of the distal right clavicle.
3689,Calcinosis/aorta;Calcified Granuloma/lung/lower lobe/right/anterior;Thoracic Vertebrae/degenerative;Stents/coronary vessels,Calcinosis;Calcified Granuloma;Thoracic Vertebrae;Stents,"PA and Lateral Chest. XXXX, XXXX XXXX hours ","XXXX-year-old female, chest pain",None available,Normal heart size and mediastinal contours. Calcified aortic XXXX. Calcified granuloma in the anterior segment of the right lower lobe. No pleural effusion or pneumothorax. Degenerative disc disease the thoracic spine. Coronary artery stent.,No acute cardiopulmonary abnormality.
3690,Cardiomegaly;Aorta/tortuous;Lung/hypoinflation,Cardiomegaly;Aorta;Lung,CHEST 2V FRONTAL/LATERAL ,Chest pain,XXXX,The heart is again enlarged. Aorta is tortuous. The lungs are hypoinflated but clear. No pleural effusion or pneumothorax is seen.,1. Stable cardiomegaly without acute disease.
3691,Atherosclerosis/aorta;Thoracic Vertebrae/degenerative,Atherosclerosis;Thoracic Vertebrae,Xray Chest PA and Lateral,"Previous XXXX,shortness of breath x2 months",XXXX,"The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aorta identified. There is no focal consolidation, pleural effusion or pneumothorax. Degenerative changes of the thoracic spine are noted.",No acute disease.
3692,normal,normal,PA AND LATERAL VIEWS OF THE CHEST dated XXXX at XXXX hours ,Chest pain,XXXX,Stable cardiomediastinal silhouette. Pulmonary vascularity is within normal limits. Lungs are expanded and clear airspace disease. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX to be grossly intact.,1. No acute cardiopulmonary abnormality.
3693,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ","XXXX-year-old woman, XXXX..","CT of the chest dated XXXX, XXXX.","The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. The previously seen right upper lobe mass lesion is not seen in XXXX study. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.",No acute cardiopulmonary abnormality.
3694,Pneumothorax/apex/left/small,Pneumothorax,PA and Lateral Chest,"XXXX-year-old female, chest tube removal.","Portable chest XXXX, XXXX XXXX hours","Interval removal of left-sided chest tube. Small residual left apical pneumothorax has increased slightly in size the prior exam, now measuring approximately 0.9 cm from the thoracic apex. Stable cardiomediastinal silhouette. No focal airspace consolidation. No pleural effusion.",No acute cardiopulmonary abnormality.
3695,Pulmonary Congestion/mild,Pulmonary Congestion,Two views of the chest ,Shortness of breath,XXXX,"The cardiac silhouette size is at the upper limits of normal. Central vascular markings are mildly prominent. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. No acute bony abnormality.","1. Mild central vascular prominence, XXXX congestion. Heart size at the upper limits of normal."
3696,Granuloma/lung/middle lobe/right,Granuloma,"PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX ",preop for XXXX surgery XXXX surgery on jaw,,,Heart size is normal and lungs are clear. Stable 5 mm right midlung perform granuloma
3697,Pulmonary Fibrosis/right/severe;Shift/trachea/right;Cicatrix/pleura/apex/left;Cicatrix/lung/apex/left,Pulmonary Fibrosis;Shift;Cicatrix;Cicatrix,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old male with XXXX,XXXX,"The cardiomediastinal silhouette is stable in appearance. There are extensive fibrotic changes in the right lung with rightward shift of the trachea, similar to the previous exam. The left lung is well-aerated without focal airspace consolidation, pleural effusions or pneumothorax. There is left apical pleural-parenchymal scarring. No acute bony findings.","1. No acute cardiopulmonary findings. 2. Extensive fibrotic changes of the right lung, similar to the previous exam."
3698,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. ","XXXX-year-old woman with shortness of breath, XXXX, wheezing.","XXXX and two-view chest radiograph dated XXXX, XXXX.","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.",No acute cardiopulmonary abnormality.
3699,Thoracic Vertebrae/degenerative;Osteophyte/thoracic vertebrae/multiple,Thoracic Vertebrae;Osteophyte,"PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old female, XXXX, starting methotrexate",None available,Normal heart size mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Degenerative disc disease in the thoracic spine with osteophyte formation bridging.,No acute cardiopulmonary abnormalities.
3700,Cardiomegaly;Pulmonary Congestion/mild,Cardiomegaly;Pulmonary Congestion,PA and Lateral Chest X-XXXX dated XXXX.,Hypertension.,XXXX.,Cardiomegaly is present. This is unchanged. There is mild prominence of the pulmonary vascularity which is unchanged. No XXXX focal airspace disease is seen. No pleural effusion or pneumothorax is identified.,1. Cardiomegaly with mild vascular prominence. No change.
3701,normal,normal," XXXX CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM. ",,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3702,Lung/hyperdistention;Diaphragm/bilateral/flattened;Spine/degenerative;Deformity/clavicle/right,Lung;Diaphragm;Spine;Deformity,"PA and LAT view CHEST XXXX, XXXX XXXX XXXX",History of pulmonary embolus 6 weeks ago.,XXXX/CT XXXX,Lungs are overall hyperexpanded with flattening of the diaphragms. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. degenerative changes within the spine. There are expansile changes within the right clavicle which were seen on the previous XXXX/CT. Findings are consistent with changes of multiple myeloma.,Clear lungs.
3703,normal,normal,"Chest 2 views dated XXXX, XXXX","History of atrial fibrillation and cardioversion 3 weeks ago, heart XXXX.",None.,"The XXXX examination consists of frontal and lateral radiographs of the chest. The posterior costophrenic XXXX are excluded on the lateral view. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",No evidence of acute cardiopulmonary process.
3704,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX. ",XXXX-year-old female with XXXX,None,"Lungs are clear without focal consolidation, effusion or pneumothorax. Normal heart size. Bony thorax and soft tissues unremarkable",Negative for acute cardiopulmonary abnormality.
3705,Atherosclerosis/aorta;Arthritis,Atherosclerosis;Arthritis,Xray Chest PA and Lateral,Leukocytosis,"XXXX, XXXX",The lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,No acute pulmonary disease.
3706,Surgical Instruments/mediastinum,Surgical Instruments,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old woman with chest pain and dyspnea.,"XXXX, XXXX","The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is stable from prior exam. There is no pneumothorax or large pleural effusion. Mediastinal surgical clips are again noted.",No acute cardiopulmonary abnormality.
3707,No Indexing,No Indexing,Xray Chest PA and Lateral,Headache bodyaches chest XXXX,None,There may be a subtle airspace opacity in the right base near the midclavicular line. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,Possible area of pneumonitis right lower lobe.
3708,Lung/hypoinflation;Markings/bronchovascular;Thoracic Vertebrae/right/degenerative/mild,Lung;Markings;Thoracic Vertebrae,"PA and Lateral views of the Chest performed on XXXX, XXXX. ",XXXX-year-old male with chest pain.,"XXXX, XXXX.","Lung volumes are decreased from XXXX, and there is resultant bronchovascular crowding. No evidence of focal airspace disease. No definite pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits given the low lung volumes. No free subdiaphragmatic air. Grossly stable mild degenerative changes of the right lower thoracic spine.",No acute pulmonary disease.
3709,Mediastinum/prominent;Aortic Aneurysm,Mediastinum;Aortic Aneurysm,"Chest x-XXXX, 2 views. XXXX. XXXX p.m. ",History of aortic dissection.,None.,"The mediastinal silhouette is widened with overlying sternotomy XXXX. The heart size is normal. The lungs are clear without evidence of effusion, infiltrate or pneumothorax. Visualized bony structures are intact with no acute abnormalities.","1. Wide mediastinal XXXX, consistent with history of aortic dissection. 2. Otherwise normal chest x-XXXX."
3712,"Bone Diseases, Metabolic","Bone Diseases, Metabolic",Xray Chest PA and Lateral,Kidney transplant evaluation.,,Changes of renal osteodystrophy are noted. Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.,1. No evidence of active disease.
3713,No Indexing,No Indexing,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.","Lightheadedness, shaking, numbness in XXXX",None,,Heart size is at upper limits normal. Mediastinal silhouette otherwise and pulmonary vascularity is within normal limits. Left chest wall changes suggest prior thoracotomy. No pleural effusion or pneumothorax. No focal airspace consolidation.
3714,Lung/hypoinflation/mild,Lung,Xray Chest PA and Lateral,Pain.,,"Cardio mediastinal silhouette, pulmonary vascular pattern are within normal limits. Mildly low lung volumes. No focal infiltrate, pleural effusion or pulmonary edema. No pneumothorax.",No acute cardiopulmonary disease.
3715,Infiltrate/lung/lingula/focal/round/small;Calcinosis/lung/right;Calcinosis/mediastinum;Granulomatous Disease;Surgical Instruments/abdomen/right,Infiltrate;Calcinosis;Calcinosis;Granulomatous Disease;Surgical Instruments,Xray Chest PA and Lateral,XXXX-year-old with chest pain,"XXXX, XXXX",,Small focal nodular infiltrate in the lingula. Correlate clinically for XXXX of infection/pneumonia. There is no pleural effusion or pneumothorax. No edema. Normal heart size. Mediastinal and right lung calcifications are compatible with old granulomatous disease. Right upper abdominal clips from prior cholecystectomy.
3716,Foreign Bodies/breast/bilateral,Foreign Bodies, PA and lateral views. ,XXXX-year-old male. XXXX vehicle accident.,None.,"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.
3717,Lung/hypoinflation,Lung,"PA and lateral chest radiograph XXXX, XXXX. ",Chest pain.,Chest radiograph XXXX.,Low lung volumes. XXXX normal heart size. No pneumothorax. No large effusion. No focal infiltrate.,"Low lung volumes, no acute cardiopulmonary disease."
3718,Pulmonary Artery/prominent/mild;Surgical Instruments/abdomen/right,Pulmonary Artery;Surgical Instruments,Xray Chest PA and Lateral,"Chest pain, congestion XXXX-year-old female",None,,Heart size is within normal limits. Mild prominence pulmonary outflow tract otherwise pulmonary vascularity appears within normal limits. No edema. No lobar consolidation or pleural effusion. No pneumothorax. Cholecystectomy clips are seen in the right upper abdomen.
3719,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM No comparison. Both lungs are clear and expanded. Heart and mediastinum normal. ",DYSPNEA 786.09,,,No active disease.
3720,normal,normal,Xray Chest PA and Lateral,Chest pain.,None.,"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. .
3721,Opacity/lung/base/left/streaky;Pulmonary Atelectasis/lower lobe/left,Opacity;Pulmonary Atelectasis,"PA and lateral view of the chest on XXXX, XXXX at XXXX hours. ",Shortness of breath.,"Radiographs of the chest from XXXX, XXXX.",Streaky opacity is noted within the left lung base which may represent focal area of atelectasis. Right lung is grossly clear. Cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. No large pleural effusion.,Left lower lobe atelectasis otherwise no acute cardiopulmonary disease.
3722,normal,normal,Xray Chest PA and Lateral,,None.,The lungs are clear. Heart size is normal. No pneumothorax.,Clear lungs. No acute cardiopulmonary abnormality. .
3723,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Chest pain.,No comparison studies are currently available.,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.
3724,normal,normal," PA and lateral chest XXXX, XXXX XXXX with comparison XXXX ",chest pain,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest.
3725,Calcified Granuloma/lung/upper lobe/right,Calcified Granuloma,Xray Chest PA and Lateral,"No known XXXX, history of asthma, recent XXXX with tenderness and chest from XXXX.",,Lungs are clear without focal infiltrates. Calcified right upper lobe granuloma unchanged from prior. No pneumothorax or pleural effusion. Normal heart size. Normal pulmonary vascularity. Bony thorax intact.,No acute cardiopulmonary abnormality.
3726,normal,normal," PA lateral chest XXXX, XXXX XXXX with comparison radiograph from XXXX XXXX ",left chest pain pleurisy,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
3727,"Lung/hypoinflation;Catheters, Indwelling/left","Lung;Catheters, Indwelling",Two-view chest.,Chemotherapy for AML.,None,Lung volumes are low. No focal infiltrates. Heart and pulmonary XXXX normal. An indwelling catheter from the left has its tip at the superior XXXX XXXX.,Hypoinflation with no visible active cardiopulmonary disease.
3728,normal,normal,Xray Chest PA and Lateral,XXXX and XXXX.,,"The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.",No evidence of acute cardiopulmonary process.
3729,normal,normal,PA and lateral chest x-XXXX dated XXXX at XXXX. ,"XXXX-year-old male who complains of XXXX with inhalation and left-sided chest pain, left mid quadrant pain, concern for stones.",PA and lateral chest x-XXXX dated XXXX.,Chest. Normal heart size. Mediastinal silhouette is unremarkable. No focal infiltrates or masses. No pneumothorax or visible pleural fluid. No free intraperitoneal air in the diaphragm. Osseous structures unremarkable. Abdomen: There are no dilated loops of bowel to suggest obstruction. No air-fluid levels or free intraperitoneal air. No suspicious calcifications. There is XXXX XXXX curvature of the thoracolumbar spine. Otherwise the osseous structures are grossly unremarkable.,1. Chest. No radiographic evidence of acute cardiopulmonary abnormality. 2. Abdomen. Nonobstructive bowel XXXX pattern.
3730,Infiltrate/lung/left/interstitial,Infiltrate,"PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX 10 ",History of breast cancer.,,,Heart size is normal. No effusions. XXXX interstitial infiltrate in the left lung. Less XXXX on the right lung. This may represent lymphangitic spread of carcinoma. Other etiologies may include mycoplasma pneumonia or viral pneumonia. Ordering physician was notified of this finding at the time of the exam. Further evaluation may require CT with IV contrast and high-resolution scans.
3731,normal,normal,"PA and lateral chest, XXXX, XXXX",XXXX and XXXX,XXXX,Lungs are clear. Heart and mediastinum appear normal. No pleural effusion or pneumothorax.,Negative chest
3732,Calcinosis/lung/hilum/lymph nodes/left,Calcinosis,Xray Chest PA and Lateral,"XXXX-year-old female with XXXX, XXXX, dyspnea",None,"Calcified left hilar lymph node. Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.",No acute cardiopulmonary abnormality. .
3733,Cardiomegaly;Costophrenic Angle/right/blunted;Cicatrix/pleura/right;Granuloma/lung/upper lobe/left;Kyphosis/thoracic vertebrae;Osteophyte/thoracic vertebrae/anterior/multiple;Aorta/tortuous,Cardiomegaly;Costophrenic Angle;Cicatrix;Granuloma;Kyphosis;Osteophyte;Aorta,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",chest pain with dyspnea,"chest 2 views from XXXX, XXXX",Heart size is enlarged. Cardiomediastinal contours are unchanged since previous exam. There is blunting of the right costophrenic XXXX XXXX old pleural scar. Lungs are otherwise clear bilaterally. A left upper lobe granuloma appears unchanged. There is kyphosis of the thoracic spine with anterior osteophyte formations. Aortic ectasia is seen in the ascending aorta and the XXXX.,1. Cardiomegaly without failure 2. Ectatic aorta
3734,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,XXXX with exertional dyspnea.,"XXXX, XXXX",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.
3735,Atherosclerosis/aorta;Spondylosis/thoracic vertebrae,Atherosclerosis;Spondylosis,"Chest, 2 views, frontal and lateral",Followup lung nodule,"XXXX, XXXX",The cardiac contours are normal. Atherosclerotic aorta. The lungs are clear. Thoracic spondylosis.,No acute process.
3736,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"PA lateral chest x-XXXX XXXX, XXXX XXXX hours ","64 female, shortness of breath","Chest x-XXXX XXXX, XXXX",Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Mild degenerative disc disease of the thoracic spine.,No acute cardiopulmonary abnormalities.
3737,normal,normal,PA and lateral chest radiographs. ,XXXX-year-old female chest pain.,Portable chest from XXXX.,Heart size within normal limits. No focal airspace disease. No pneumothorax or pleural effusion.,No acute cardiopulmonary findings.
3738,normal,normal,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old female with shortness of breath,XXXX,"The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities.",No acute cardiopulmonary findings.
3739,Granuloma/lung/upper lobe/left;Costophrenic Angle/right/blunted/chronic,Granuloma;Costophrenic Angle,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Positive PPD.,"Radiograph Chest PA and Lateral XXXX, XXXX.",The heart is normal in size and contour. There is no mediastinal widening. No focal airspace disease. Left upper lobe granuloma. No evidence of active tuberculosis. Stable chronic blunting of the right costophrenic XXXX. No pneumothorax. The XXXX are intact.,"No acute cardiopulmonary abnormalities. Specifically, no evidence of active tuberculosis."
3740,Opacity/lung/lower lobe/right/diffuse;Pneumonia/lower lobe/right,Opacity;Pneumonia,Xray Chest PA and Lateral,XXXX for 3 weeks history colon cancer,None,XXXX diffuse right lower lobe airspace opacity is present. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.,Probable right lower lobe pneumonia.
3741,Surgical Instruments/right,Surgical Instruments,"PA and lateral chest XXXX, XXXX XXXX hours.",Preop bladder and kidney surgery.,,The lungs are clear. No pleural effusion is seen. The heart and mediastinum are normal. The skeletal structures are normal. There are surgical clips in the right axilla region.,No active disease.
3742,Granulomatous Disease,Granulomatous Disease,Xray Chest PA and Lateral,XXXX.,"XXXX, XXXX",Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are clear. Bony structures are intact.,No acute findings.
3743,No Indexing,No Indexing," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain/dyspnea,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3744,normal,normal,Xray Chest PA and Lateral .,"CHEST XXXX XXXX reads screening- bacterial dis, pt does not XXXX XXXX, unable to obtain history",None.,,Normal heart size. Normal pulmonary vasculature. Normal mediastinal contours. Lung parenchyma is clear. No airspace disease. No pulmonary edema. No XXXX of pleural effusions. No XXXX of active cardiopulmonary disease.
3745,normal,normal,"Chest, 2 views, XXXX XXXX ",XXXX vehicle collision,None,Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.,No acute cardiopulmonary findings.
3746,Atherosclerosis/aorta/mild;Lung/hypoinflation/mild,Atherosclerosis;Lung,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old woman with wheezing and dyspnea..,"Single AP chest radiograph dated XXXX, XXXX..","Compared to prior examination, XXXX stent has been removed. Cardiomediastinal silhouette is stable and within normal limits. Stable mild atherosclerotic calcifications of the aortic XXXX are noted. There are mildly low lung volumes without focal consolidation, pneumothorax, or effusion identified. No acute bony abnormality seen.",Interval removal of XXXX stent without acute cardiopulmonary abnormality.
3747,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",dyspnea and XXXX XXXX,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
3748,Pulmonary Atelectasis/base/left/mild;Cicatrix/lung/base/left/mild,Pulmonary Atelectasis;Cicatrix,Xray Chest PA and Lateral,Pain behind right shoulder XXXX starting today. MRI of right shoulder in XXXX. Nausea.,"XXXX, XXXX.","The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal XXXX atelectasis or scar in the left lung base. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.",No acute cardiopulmonary findings. .
3749,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Chest pain.,"Chest radiograph from XXXX, XXXX.",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.
3750,Cardiomegaly;Pleural Effusion/right/small;Lung/blood vessels/enlarged;Pulmonary Congestion;Lung/interstitial/prominent;Pulmonary Edema/interstitial,Cardiomegaly;Pleural Effusion;Lung;Pulmonary Congestion;Lung;Pulmonary Edema,PA AND LATERAL CHEST X-XXXX at XXXX on XXXX ,Shortness of breath,XXXX,There is stable cardiomegaly. Right pleural effusion is slightly increased in size. Pulmonary vasculature is persistently enlarged. Prominent interstitium is stable. No XXXX focal infiltrate. No pneumothorax. Visualized osseous structures intact.,Stable cardiomegaly and XXXX of interstitial edema with small but increasing right pleural effusion.
3751,No Indexing,No Indexing,Chest 2 views dated XXXX at XXXX hours. ,XXXX-year-old male with chest pain.,AP chest dated XXXX.,The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.,No radiographic evidence of acute cardiopulmonary disease.
3752,Mediastinum/prominent;Cardiomegaly/mild,Mediastinum;Cardiomegaly,"Chest 2 view XXXX, XXXX","XXXX, XXXX, EtOH","XXXX, XXXX",,"1. Widened upper mediastinal silhouette. May represent vascular shadows exaggerated by supine and very lordotic imaging technique. However, the setting of XXXX, upper mediastinal hematoma not excluded. Depending on clinical suspicion and mechanism further investigation may be warranted. 2. Mild cardiomegaly appears stable. No edema. No layering pleural effusions, focal consolidation or pneumothorax."
3753,Pulmonary Atelectasis/base/left/mild;Nodule/lung/middle lobe/right/multiple/small;Nodule/lung/upper lobe/left/multiple/small,Pulmonary Atelectasis;Nodule;Nodule," Frontal and lateral views of the chest were obtained on XXXX, XXXX at XXXX a.m. and compared to prior study performed XXXX, XXXX ",Chest pain,,"The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute pulmonary consolidation, large effusion or pneumothorax. There is minimal left basilar atelectasis. There are small bilateral pulmonary nodules measure approximately 5 mm in size in the right midlung and left upper lung XXXX. These are not well appreciated on the lateral projection.","1. No focal pulmonary consolidation or effusion. Minimal left basilar atelectasis. 2. Bilateral pulmonary nodules. These were not present on the prior study and may represent sequela of infection, but could represent neoplastic process. Correlation with history of primary malignancy is recommended. Further evaluation XXXX of the thorax could be performed, if clinically indicated."
3754,normal,normal,CHEST 2V FRONTAL/LATERAL ,XXXX,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear.,No acute infiltrate.
3755,Osteophyte/thoracic vertebrae/multiple;Osteophyte/lumbar vertebrae/multiple,Osteophyte;Osteophyte,Two views of the chest XXXX XXXX p.m.,XXXX and congestion for 3 weeks.,XXXX.,Heart size upper limits of normal. Pulmonary vascular engorgement appears within limits of normal. No consolidating airspace disease is seen within the lungs. No pleural effusion or pneumothorax. Bridging syndesmophytes are noted throughout visualized thoracolumbar spine. This could indicate diffuse idiopathic skeletal hyperostosis. This is similar to prior imaging.,No acute changes from prior imaging.
3756,Opacity/lung/base/left;Cicatrix/lung/base/left,Opacity;Cicatrix,PA and lateral views of the chest ,Chest pain,"XXXX, XXXX","Mediastinal contours are normal. Unchanged XXXX opacity in the left lung base, XXXX scarring. Lungs are clear. There is no pneumothorax or large pleural effusion.",No acute cardiopulmonary abnormality.
3757,"Aorta, Thoracic/tortuous/mild","Aorta, Thoracic",Xray Chest PA and Lateral,Productive XXXX for 2 weeks.,Chest x-XXXX XXXX,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. Mild tortuosity of the descending thoracic aorta. XXXX sternotomy XXXX noted. Inferior sternotomy XXXX is disrupted.,1. No acute pulmonary abnormality.
3758,Spinal Fusion/cervical vertebrae/anterior,Spinal Fusion,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.",XXXX breath. Neck surgery 2 months ago,"XXXX, XXXX",,"Heart size is top normal. Mediastinal silhouette otherwise and pulmonary vascularity are unremarkable. There are no focal infiltrates, pleural effusions or pneumothorax. Lower anterior cervical spine fusion XXXX."
3759,"Lung/hyperdistention;Diaphragm/bilateral/flattened;Pulmonary Disease, Chronic Obstructive;Kyphosis/thoracic vertebrae;Bone Diseases, Metabolic/thoracic vertebrae","Lung;Diaphragm;Pulmonary Disease, Chronic Obstructive;Kyphosis;Bone Diseases, Metabolic","CHEST PA and Lateral on XXXX, XXXX ","XXXX-year-old with XXXX, evaluate for rib fracture.",XXXX,There is hyperexpansion of lungs and flattening of the diaphragm consistent with COPD. No focal lung consolidation. No pneumothorax or pleural effusion. Heart size and pulmonary vascularity are within normal limits. There is a kyphosis and osteopenia of the thoracic spine. No displaced rib fractures.,No focal lung consolidation. COPD. No displaced fractures.
3760,"Aorta, Thoracic/tortuous;Thoracic Vertebrae/degenerative/moderate","Aorta, Thoracic;Thoracic Vertebrae","Chest radiographs examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old male chest pain.,Comparison is XXXX to chest radiograph examination dated XXXX.,"XXXX sternotomy XXXX remain in XXXX. The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Moderate degenerative changes of the thoracic spine. No acute, displaced rib fractures identified.",1. No acute intrathoracic abnormality.
3761,Cardiomegaly/mild;Aorta/tortuous;Thoracic Vertebrae/degenerative/mild,Cardiomegaly;Aorta;Thoracic Vertebrae,Frontal and lateral views of the chest XXXX at XXXX hours. ,Chest pain,None available,Heart size is mildly enlarged. Tortuous aorta. Lungs are normally inflated and clear. Mild degenerative changes of the spine.,Chronic changes without acute process
3762,Calcinosis/coronary vessels/left,Calcinosis,Xray Chest PA and Lateral,"XXXX-year-old XXXX, preoperative evaluation for CABG, history of coronary artery disease and dyspnea.",None available.,"Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Calcified left coronary arteries noted. Visualized osseous structures appear intact.",No acute cardiopulmonary abnormality. Calcified left coronary arteries noted. .
3763,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM. ",dyspnea,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3764,normal,normal," the PA and lateral chest XXXX, XXXX at XXXX. ",preop chest x-XXXX for abdominal surgery,None.,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
3765,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,TB,XXXX,"The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..","1. No active disease. Specifically, no radiographic evidence for tuberculosis."
3766,Atherosclerosis/aorta;Arthritis/thoracic vertebrae/mild;Arthritis/severe,Atherosclerosis;Arthritis;Arthritis,Xray Chest PA and Lateral,XXXX and congestion,,The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. There are severe arthritic changes of the XXXX with mild arthritic changes of the thoracic spine.,No acute pulmonary disease.
3767,normal,normal,"2 view CHEST: XXXX, XXXX at XXXX hours. ",Chest pain,None,,"Heart size, mediastinal silhouette, pulmonary vascularity are within normal limits. There is no lobar consolidation. No pleural effusion or pneumothorax."
3768,Cardiomegaly/mild;Kyphosis/thoracic vertebrae/severe,Cardiomegaly;Kyphosis,PA and lateral views of the chest. ,XXXX-year-old female shortness of breath and bilateral lower extremity edema.,Two-view chest from XXXX.,Mild cardiomegaly. Changes of chronic lung disease. No pneumothorax or pleural effusion. Accentuated thoracic kyphosis.,Chronic lung disease with no acute cardiopulmonary abnormality.
3769,"Lung/hypoinflation;Opacity/lung/hilum/bilateral;Scoliosis/thoracic vertebrae/right;Tube, Inserted/trachea","Lung;Opacity;Scoliosis;Tube, Inserted",Chest 2 views XXXX,"XXXX-year-old female with history of myelomeningocele, now presenting with XXXX and chest pain",XXXX,"The lung volumes are low. However as compared to the prior study, there are increased perihilar opacities bilaterally. Stable dextroscoliosis of the lower thoracic spine with limited evaluation of the spinal XXXX. The tracheostomy tube is in unchanged position.","Low lung volumes with slightly increased perihilar opacities bilaterally, XXXX infectious etiology."
3770,Spine/degenerative,Spine,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",back pain,None,Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.,"No focal lung opacity, pleural effusion of pneumothorax."
3771,normal,normal, PA and lateral chest and left knee 2 views.,preop total left knee,,,Left knee. Moderately severe medial joint space narrowing and spurring. Chest. Heart size normal. Lungs clear.
3772,Calcified Granuloma;Spine/degenerative,Calcified Granuloma;Spine,PA and Lateral Chest X-XXXX dated XXXX.,History of esophageal carcinoma. Pre-op evaluation.,XXXX.,The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma are present. Degenerative changes are present in the spine.,1. No evidence of active disease.
3773,normal,normal,Xray Chest PA and Lateral,"Numbness and tingling in the left arm, nausea vomiting",None.,"The lungs and pleural spaces show no acute abnormality. Heart size upper limits of normal, predominantly left ventricular contour (XXXX visualized on lateral projection), pulmonary vascularity within normal limits. .",1. No acute pulmonary abnormality.
3774,Aorta/tortuous;Atherosclerosis/aorta;Granuloma/lung/lower lobe/right,Aorta;Atherosclerosis;Granuloma,"Chest radiograph, 2 images. ",XXXX-year-old XXXX with chest pain.,None.,Heart size is within normal limits. Tortuous aorta. Clear lungs. No pneumothorax. No pleural effusion. Atherosclerotic calcification within the aorta. Right lower lung granuloma.,No acute cardiopulmonary abnormality.
3775,normal,normal,"CHEST PA and Lateral on XXXX, XXXX ",Chest pain,None.,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.
3776,Calcinosis/lung/hilum/lymph nodes/right,Calcinosis,"PA and lateral chest XXXX, XXXX at XXXX ",chest pain.,,,Heart size normal. Calcified right hilar lymph XXXX. Lungs are clear. No edema or effusion.
3777,Lung/hypoinflation;Thoracic Vertebrae/degenerative/mild;Surgical Instruments/abdomen/right,Lung;Thoracic Vertebrae;Surgical Instruments,Chest X XXXX 2 XXXX PA and lateral ,The patient is a XXXX-year-old male with chest pain.,XXXX,"Low lung volumes. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Mild degenerate change of the thoracic spine. Stable cholecystectomy clips in the right upper quadrant.",1. No acute cardiopulmonary abnormality.
3778,normal,normal,Xray Chest PA and Lateral,Chest pain,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute findings.
3779,normal,normal,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Chest pain.,"Radiograph Chest PA and Lateral XXXX, XXXX.",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.
3780,Density/costophrenic angle/left/round/small;Calcified Granuloma,Density;Calcified Granuloma,Xray Chest PA and Lateral,XXXX XXXX,"Comparison XXXX XXXX and XXXX, XXXX.",,"Stable appearing chest. No acute airspace disease or effusions. Stable mediastinal contour. Small conspicuous for size nodular density projecting in region of left costophrenic XXXX XXXX a calcified granuloma, was visible on chest x-XXXX from XXXX. No XXXX acute abnormalities since the previous chest radiograph."
3781,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. ",XXXX-year-old woman with chest pain,None.,"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. A right humeral intramedullary XXXX is noted incidentally, without evidence of XXXX complicating features.",No acute cardiopulmonary abnormality.
3782,normal,normal,Xray Chest PA and Lateral,,,,
3783,normal,normal,PA and lateral chest x-XXXX ,XXXX-year-old female with chest pain and shortness of breath since XXXX.,None,"Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",No acute cardiopulmonary abnormalities.
3784,Lung/hypoinflation;Technical Quality of Image Unsatisfactory ,Lung;Technical Quality of Image Unsatisfactory ,CHEST 2V FRONTAL/LATERAL - RADXXXX ,-- XXXX,None,AP view was obtained due to patient condition. Low volume lungs. No focal lung consolidation. The heart is not enlarged. No pleural effusion.,No acute abnormality.
3785,Opacity/lung/hilum/multiple/prominent/mild;Markings/bronchovascular,Opacity;Markings,Chest XXXX and lateral ,XXXX-year-old female with one-XXXX history of XXXX and XXXX,None available,"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.",No acute cardiopulmonary disease.
3786,Consolidation/lung/upper lobe/left;Consolidation/lung/lower lobe/bilateral;Cardiomegaly/mild;Pneumonia/focal/multiple,Consolidation;Consolidation;Cardiomegaly;Pneumonia," Two-view chest. XXXX hours XXXX, XXXX. ",XXXX. Decreasing saturation.,"XXXX, XXXX.","In the interval, consolidations have developed in the left upper lobe and both lower lobes. Heart size remains slightly large. Pulmonary XXXX normal.","Bilateral increasing consolidations, consistent with multifocal pneumonia."
3787,normal,normal,Chest XXXX and lateral,XXXX-year-old female with chest and left arm pain.,None available.,"Heart size is normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact.",Normal chest radiograph.
3789,Cardiomegaly/mild;Surgical Instruments/abdomen/right,Cardiomegaly;Surgical Instruments,"Chest, 2 views, XXXX XXXX ",XXXX,XXXX,"Mild cardiomegaly is unchanged. Stable superior mediastinal contour appear normal pulmonary vascularity. No XXXX airspace opacity, pleural effusion, or pneumothorax. No acute bony abnormalities. Right upper quadrant surgical clips.",Stable appearance of the chest. No acute cardiopulmonary findings.
3790,Lung/hypoinflation;Diaphragm/right/elevated;Opacity/lung/base/right/patchy;Calcinosis/aorta;Granuloma/thorax/multiple;Costophrenic Angle/bilateral/blunted;Thoracic Vertebrae/degenerative;Airspace Disease/lung/lower lobe/right,Lung;Diaphragm;Opacity;Calcinosis;Granuloma;Costophrenic Angle;Thoracic Vertebrae;Airspace Disease,Xray Chest PA and Lateral,"XXXX-year-old female, pain, seen on XXXX for right-sided pain and XXXX. No improvement.",PA and lateral views of the chest dated XXXX. CT abdomen and pelvis dated XXXX.,Low lung volumes. Elevation of the right hemidiaphragm. Patchy opacities right base again noted. Left lung clear. Heart size top normal. Aortic calcification. Granulomas. No evidence of pneumothorax. Blunting of the bilateral costophrenic XXXX. Degenerative changes of the thoracic spine.,Right lower lobe airspace disease. .
3791,Mass/thorax/multiple,Mass,Xray Chest PA and Lateral,XXXX.,"XXXX, XXXX",,"There are 2 XXXX masses within the right chest, largest over the right heart XXXX measuring up to 3.8 x 3.4 cm. The appearance is concerning for metastatic disease, given the history of right-sided breast cancer."
3792,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old female with XXXX x3 months..,None.,"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 acute cardiopulmonary abnormality..
3793,Thoracic Vertebrae/scattered/degenerative;Aorta/tortuous;Markings/lung/interstitial/chronic;Opacity/lung/base/left;Airspace Disease/lung/base/left,Thoracic Vertebrae;Aorta;Markings;Opacity;Airspace Disease,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with shortness of breath.,Chest radiograph on XXXX.,No acute osseous abnormality. Scattered degenerative changes throughout the thoracic spine. Normal heart size. Tortuous and dilated aorta. Chronic interstitial markings. Left base opacity. No pneumothorax or pleural effusion.,Left basilar airspace disease.
3794,Opacity/ribs/left/anterior/round,Opacity,CHEST 2V FRONTAL/LATERAL ,"Productive XXXX. Evaluate for bronchitis. Additionally, history of positive PPD in the XXXX.",None.,"Heart size, aortic and mediastinal contours are within normal limits. The lungs are clear. No visible pneumothorax or large pleural effusion. 6 mm nodular opacity overlies the left anterior 5th rib on the frontal view. No focal bony abnormality identified.",1. 6 mm left lung nodular opacity. Recommend comparison with prior images. If prior images are not available than further evaluation with CT chest is recommended. Old chest film from XXXX / XXXX from XXXX was reviewed and the questionable nodule was not XXXX seen.
3795,Scoliosis/thoracic vertebrae/right/moderate,Scoliosis,Xray Chest PA and Lateral,Choking sensation.,Thoracic spine XXXX.,"2 images. Moderate thoracic dextroscoliosis, similar to prior imaging. Heart size is normal. No focal airspace consolidation is seen within the lungs. No pleural effusion or pneumothorax.",No acute changes from prior imaging.
3796,normal,normal,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old female with chest pain.,None available.,"The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.",1. No acute intrathoracic abnormality.
3797,Opacity/lung/lower lobe/left;Pulmonary Atelectasis/lower lobe/left,Opacity;Pulmonary Atelectasis,"Chest PA and lateral views. XXXX, XXXX XXXX XXXX",Left rib fractures,"XXXX, XXXX",XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Lungs demonstrate left lower lobe air space opacity with XXXX atelectasis without significant change. There is no effusion or pneumothorax.,1. Left lower lobe air space opacities without significant change.
3798,Opacity/lung/lower lobe/right/patchy;Airspace Disease/lung/base/right,Opacity;Airspace Disease,"Chest x-XXXX XXXX and lateral performed on XXXX, XXXX at XXXX hours. ",XXXX-year-old male chest pain.,Chest x-XXXX single view from XXXX.,The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No pneumothorax or pleural effusion. Patchy right lower lung opacification is noted.,Right basilar airspace disease.
3799,Pulmonary Atelectasis/base/left/mild;Thoracic Vertebrae/degenerative;Granuloma/lung/lower lobe/left,Pulmonary Atelectasis;Thoracic Vertebrae;Granuloma,"AP and lateral chest XXXX, XXXX at XXXX ",History of XXXX implant,XXXX XXXX,,"Heart size is normal. Minimal subsegmental atelectasis in the left base, seen XXXX on the lateral film, otherwise lungs are clear. Degenerative disease of thoracic spine. Stable left lower lobe 5 mm granuloma adjacent to the heart XXXX."
3801,Surgical Instruments/mediastinum;Cardiomegaly;Aorta/tortuous;Markings/lung/interstitial/prominent;Pulmonary Edema/interstitial;Spine/degenerative/multiple,Surgical Instruments;Cardiomegaly;Aorta;Markings;Pulmonary Edema;Spine,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old male with chest pain.,PA and lateral chest radiographs XXXX.,"There are midline sternotomy XXXX and mediastinal clips consistent with prior CABG. The heart is enlarged with unfolding of the aorta. There is prominence of the interstitial markings with fluid in the fissures consistent with interstitial edema. There is no focal airspace opacity, large pleural effusion, or pneumothorax. There multilevel degenerative spine changes.",1. Interstitial pulmonary edema. 2. Cardiomegaly.
3802,Aorta/tortuous;Atherosclerosis/aorta;Medical Device/thorax/left;Density/lung/base/left/mild;Spine/degenerative;Technical Quality of Image Unsatisfactory ,Aorta;Atherosclerosis;Medical Device;Density;Spine;Technical Quality of Image Unsatisfactory ,Xray Chest PA and Lateral,XXXX x2 weeks,,"The cardiomediastinal silhouette is normal size and configuration. Tortuous aorta with atherosclerotic calcification. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. There are multiple overlying leads at the level of the left lower chest, with overlying XXXX XXXX or clothing there is this is thought to account for mild increased density the left lung base on AP view, with correlate on lateral view. Degenerative spine.",No acute cardiopulmonary disease. .
3803,Aorta/tortuous;Atherosclerosis/aorta;Lung/hyperdistention;Diaphragm/bilateral/flattened;Thoracic Vertebrae/degenerative;Emphysema,Aorta;Atherosclerosis;Lung;Diaphragm;Thoracic Vertebrae;Emphysema,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old female with COPD.,PA and lateral chest radiographs XXXX.,"The heart size and cardiomediastinal silhouette are normal. The aorta is tortuous and atherosclerotic. The lungs are hyperexpanded with flattening of hemidiaphragms and increased retrosternal airspace. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are degenerative changes in the thoracic spine.",1. No acute cardiopulmonary finding. 2. Emphysema and atherosclerosis.
3804,"Aorta, Thoracic/tortuous;Atherosclerosis/aorta, thoracic;Cysts/humerus/left;Deformity/humerus/left;Thoracic Vertebrae/degenerative/multiple;Calcified Granuloma/thorax","Aorta, Thoracic;Atherosclerosis;Cysts;Deformity;Thoracic Vertebrae;Calcified Granuloma","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m. ",XXXX-year-old woman with shortness of breath and XXXX.,"Two-view chest radiograph dated XXXX, XXXX.","Cardiomediastinal silhouette stable and within normal limits for size with unchanged atherosclerosis and tortuosity thoracic aorta. There is no focal consolidation, pneumothorax, or effusion. No acute bony abnormality. Stable left proximal humeral enchondroma versus remote bony infarct. Stable multilevel degenerative disc disease of the thoracic spine. Calcified granuloma seen anteriorly on lateral view is stable since XXXX.",No acute cardiopulmonary abnormality.
3805,No Indexing,No Indexing,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Shortness of breath.,"Radiograph Chest PA and Lateral XXXX, XXXX.",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.
3806,Scoliosis/thoracic vertebrae/moderate;Scoliosis/lumbar vertebrae/moderate;Technical Quality of Image Unsatisfactory ,Scoliosis;Scoliosis;Technical Quality of Image Unsatisfactory ,Xray Chest PA and Lateral,HISTORY OF TOBACCO USE;,None,The heart is normal in size. The mediastinum is grossly within normal limits. Moderate thoracolumbar scoliosis and patient rotation somewhat limits evaluation of the mediastinum. The lungs are clear.,No acute disease.
3807,Pneumonectomy/lung/upper lobe/left;Diaphragm/left/elevated,Pneumonectomy;Diaphragm,"PA and LATERAL views of the chest, dated XXXX, XXXX XXXX XXXX","XXXX-year-old XXXX with history of lung cancer, status post surgery. Carcinoid tumor.",Chest radiograph XXXX,There are stable postoperative changes of left thoracotomy and left upper lobectomy. The lungs are clear. No focal airspace consolidation. No suspicious pulmonary mass or nodule is seen. There is no pleural effusion or pneumothorax. Stable elevation of the left hemidiaphragm. Normal heart size and mediastinal contour.,Postoperative changes of left upper lobectomy. No acute findings.
3808,Atherosclerosis/aorta;Calcified Granuloma/scattered/multiple,Atherosclerosis;Calcified Granuloma,PA and Lateral Chest Radiograph ,XXXX,Frontal chest radiograph dated XXXX,"Heart size and mediastinal contour within normal limits. Atherosclerotic calcification of the aorta. Stable scattered calcified granulomas are noted. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.",No acute abnormality.
3809,normal,normal,"Chest, 2 views, frontal and lateral",Back pain and XXXX,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,Negative chest x-XXXX.
3810,Surgical Instruments/lung/apex/left;Surgical Instruments/abdomen/right,Surgical Instruments;Surgical Instruments,PA and lateral views of chest performed on XXXX. ,XXXX-year-old with chest pain.,None.,"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.
3811,Cardiomegaly/mild;Opacity/lung/base/bilateral/reticular/multiple/mild;Pulmonary Edema;Pulmonary Congestion/mild,Cardiomegaly;Opacity;Pulmonary Edema;Pulmonary Congestion,"2 VIEW CHEST: XXXX, XXXX at XXXX hours.","Chest pain, short of breath",None,,Mild cardiomegaly. There are a few thin peripheral reticular opacities in the bases compatible with mild edema given mild central venous congestion. There is no pleural effusion or pneumothorax.
3812,Atherosclerosis/aorta;Lucency/lung/apex/bilateral;Cicatrix/lung/apex/bilateral;Emphysema,Atherosclerosis;Lucency;Cicatrix;Emphysema,"PA and Lateral Chest. XXXX, XXXX XXXX hours ",Shortness of breath,"Chest x-XXXX XXXX, XXXX","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.",No acute cardiopulmonary abnormality.
3813,Opacity/lung/base/left,Opacity,Chest X-XXXX 2 XXXX ,Wheezing,XXXX,There is XXXX opacity left lung base may represent atelectasis or early infiltrate. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.,XXXX opacity left lung base..
3814,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, XXXX, pain",,"No focal consolidation, pneumothorax or definite pleural effusion. Heart size within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury XXXX demonstrated.",No acute XXXX related findings. Please note that fractures may not be demonstrated and consider additional imaging if clinically indicated.
3815,Lung/interstitial/diffuse/prominent/mild;Lung/base/right/interstitial/prominent;Airspace Disease/lung/base/right/focal,Lung;Lung;Airspace Disease,Xray Chest PA and Lateral,"XXXX and XXXX for about one XXXX, shortness of breath started 4 days ago, some chest pain.",,,"Heart size and mediastinal contour normal. There is mild diffuse interstitial prominence, worse in the right lung base. This has developed in the interval, and may represent atypical pneumonia. More focal right base airspace disease may represent scar given the stability over time. No lobar consolidation or effusion. No pneumothorax."
3816,Spine/degenerative,Spine,PA and Lateral Chest X-XXXX dated XXXX.,Kidney cancer.,XXXX.,Heart size is at the upper limits of normal. The pulmonary vascularity appears within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. No non-calcified nodules are identified.,1. No evidence of active disease.
3817,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female with chest pain, productive XXXX",Chest XXXX,"Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.",No acute cardiopulmonary findings. .
3818,normal,normal,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old XXXX with chest pain.,"XXXX, XXXX.","Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.",No acute abnormality.
3819,Medical Device;Cardiac Shadow/enlarged/severe;Calcinosis/aorta;Cardiomegaly/severe;Pericardial Effusion/severe,Medical Device;Cardiac Shadow;Calcinosis;Cardiomegaly;Pericardial Effusion,"CHEST, Two (2) Views XXXX, XXXX at XXXX hours.",Chest and back pain.,"XXXX, XXXX.",Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains markedly enlarged. There is aortic XXXX vascular calcification. No XXXX focal airspace consolidation or pleural effusion.,Continued severe cardiomegaly and/or pericardial effusion. No acute pulmonary disease process identified.
3820,Kyphosis/thoracic vertebrae;Scoliosis/lumbar vertebrae/left,Kyphosis;Scoliosis,2 views Chest: XXXX,"Vertigo, headache",Chest x-XXXX 6/8 XXXX,"The lungs and pleural spaces show no acute abnormality. Heart size upper limits of normal, pulmonary vascularity within normal limits. Straightening of the normal thoracic kyphosis. Levocurvature the lumbar spine, incompletely imaged.",1. No acute pulmonary abnormality.
3821,No Indexing,No Indexing,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old XXXX with chest pain.,"XXXX, XXXX","The lungs are clear, and without focal air space opacity. Cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.",No acute cardiopulmonary abnormality.
3822,Granuloma/lung/multiple,Granuloma,AP and lateral radiograph of the chest XXXX/201.,chest pain,XXXX,,Mediastinal cardiac size stable. No pneumothoraces or large pleural effusions. Pulmonary granulomas. No acute pulmonary process. No acute displaced rib fractures.
3823,normal,normal,"History bone marrow transplant workup in patient with Hodgkin's lymphoma Examination PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX XXXX",,,,"Heart size is normal and lungs are clear. No nodules, masses, effusions, or pneumonia"
3824,Opacity/lung/base/bilateral/patchy;Pneumonia/base/bilateral/patchy;Lung/hypoinflation,Opacity;Pneumonia;Lung,"Two-view chest, XXXX ",Shortness of breath,XXXX,,"1. Patchy bilateral opacities, primarily in the lung bases, whose features are most consistent with pneumonia. Aspiration or edema are also possible but less XXXX. 2. XXXX lung volumes 3. No pneumothorax"
3825,Spinal Fusion/cervical vertebrae;Spinal Fusion/thoracic vertebrae;Calcified Granuloma/lung/bilateral/multiple;Spine/degenerative,Spinal Fusion;Spinal Fusion;Calcified Granuloma;Spine,Chest PA and lateral,XXXX for XXXX in chest,None,,Lower cervical and upper thoracic XXXX spinal fixation XXXX. Multiple sternotomy XXXX. Bilateral calcified granulomas and degenerative change in the spine. The lungs appear clear.
3826,normal,normal,PA and lateral chest radiographs. XXXX/XXXX at XXXX hours. ,XXXX-year-old male with pain.,"PA and lateral chest radiographs XXXX, XXXX.","Heart size and cardiomediastinal contours are normal. Lungs are clear without focal air space opacity, pleural effusion, or pneumothorax. Osseous structures are intact.",Negative for acute cardiopulmonary findings.
3827,normal,normal,"CHEST PA and Lateral on XXXX, XXXX ",XXXX-year-old with chest pain,None.,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.
3828,No Indexing,No Indexing,"Radiograph Chest PA and Lateral XXXX, XXXX. ",Shortness of breath and XXXX.,"Radiograph Chest PA and Lateral XXXX, XXXX.",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.
3829,Cardiomegaly/moderate;Blood Vessels/lung/prominent;Markings/lung/interstitial;Airspace Disease/lung/base/left;Pulmonary Atelectasis/base/left;Infiltrate/lung/base/left;Pulmonary Congestion,Cardiomegaly;Blood Vessels;Markings;Airspace Disease;Pulmonary Atelectasis;Infiltrate;Pulmonary Congestion,"2 views chest, XXXX hours, XXXX, XXXX ",Chest pain,XXXX,Stable moderate cardiomegaly. Mediastinal contours are unchanged. Stable prominence of the central pulmonary vasculature with coarse central interstitial markings. Decreased left basilar airspace disease. No visible pleural effusion or pneumothorax.,1. Stable moderate cardiomegaly with prominent central pulmonary vasculature. 2. Improved left basilar atelectasis or infiltrate.
3830,normal,normal,Xray Chest PA and Lateral,Preop bariatric surgery.,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute preoperative findings.
3831,normal,normal,"PA and Lateral Chest. XXXX, XXXX ",Chest pain,"XXXX, XXXX",Clear lungs. No infiltrates or suspicious pulmonary opacity. No pleural effusion or pneumothorax. Cardiomediastinal silhouette within normal limits.,No acute cardiopulmonary abnormality.
3832,Calcinosis/mediastinum/lymph nodes,Calcinosis,Xray Chest PA and Lateral,Chest pain,None,The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not enlarged. There are calcified mediastinal lymph XXXX. The skeletal structures are normal.,No acute pulmonary disease.
3833,"Costophrenic Angle/right/blunted;Thickening/pleura/right;Sclerosis/pleura/right;Calcified Granuloma/lung/bilateral/multiple;Calcinosis/lung/lymph nodes/bilateral/multiple;Pulmonary Disease, Chronic Obstructive;Pulmonary Emphysema;Opacity/lung/apex/left","Costophrenic Angle;Thickening;Sclerosis;Calcified Granuloma;Calcinosis;Pulmonary Disease, Chronic Obstructive;Pulmonary Emphysema;Opacity","PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old male with possible aspiration..,"Two view chest radiograph dated XXXX, XXXX..","No focal consolidation, pneumothorax, or large pleural effusion identified. Stable blunting of the right costophrenic XXXX XXXX due to pleural thickening/sclerosis. Redemonstration and stable appearance of bilateral calcified granulomas/lymph XXXX. Changes in the lungs consistent with COPD/emphysema. Cardiomediastinal silhouette stable and unremarkable. No acute osseous abnormalities identified. Opacity in the left apex consistent with radiation change seen on prior CT.","1. No acute cardiopulmonary process identified. Specifically, no radiographic evidence of aspiration. 2. Stable emphysematous changes, right costophrenic XXXX pleural thickening, and bilateral calcified granulomas/lymph XXXX."
3834,Scoliosis/thoracic vertebrae,Scoliosis, PA and lateral views of the Chest on XXXX ,Chest pain,None,"There is an S-shaped scoliosis of the thoracic spine. Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.",No acute cardiopulmonary disease.
3835,Mediastinum/right/paratracheal/enlarged;Technical Quality of Image Unsatisfactory ,Mediastinum;Technical Quality of Image Unsatisfactory ,"Chest Two views PA and lateral XXXX, XXXX XXXX a.m. ",XXXX medicine screening,None,"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.",No acute cardiopulmonary abnormality.
3836,normal,normal,"PA and lateral chest, XXXX, XXXX XXXX XXXX ",XXXX-year-old female with chest pain.,None.,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.
3837,normal,normal,Chest x-XXXX XXXX ,XXXX,XXXX,Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.,No acute cardiopulmonary process.
3838,Implanted Medical Device;Surgical Instruments/thorax,Implanted Medical Device;Surgical Instruments,Xray Chest PA and Lateral,Ischemic cardiomyopathy.,"XXXX, XXXX.","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. A single XXXX cardiac defibrillator XXXX projects over the right ventricle, in stable position. There are XXXX sternotomy XXXX and surgical clips from prior CABG.",No acute cardiopulmonary findings. .
3839,Cardiomegaly/borderline;Calcinosis/lymph nodes/small;Implanted Medical Device/left;Diaphragm/right/elevated;Pulmonary Atelectasis/streaky,Cardiomegaly;Calcinosis;Implanted Medical Device;Diaphragm;Pulmonary Atelectasis,Xray Chest PA and Lateral,ICD/PPM IMPLANT;,,The heart is borderline in size. The mediastinum is stable. Small calcified lymph XXXX are seen. Dual-XXXX left subclavian pacemaker is identified in satisfactory position. The right hemidiaphragm is again elevated. There are XXXX streaky areas of atelectasis. No pleural effusion or pneumothorax are seen.,"1. Borderline heart size, stable. 2. Interval left subclavian pacemaker placed in satisfactory position. No pneumothorax."
3840,Thoracic Vertebrae/degenerative;Cardiomegaly;Mediastinum/prominent;Pulmonary Congestion;Lung/bilateral/hypoinflation/mild;Opacity/lung/base/bilateral;Opacity/lung/hilum/left;Pleural Effusion/bilateral;Airspace Disease/lung/bilateral,Thoracic Vertebrae;Cardiomegaly;Mediastinum;Pulmonary Congestion;Lung;Opacity;Opacity;Pleural Effusion;Airspace Disease,"PA and lateral chest x-XXXX XXXX, XXXX at XXXX hours. ",XXXX-year-old woman with tachycardia,Portable chest on XXXX.,No acute osseous abnormality. Degenerative changes throughout the thoracic spine. Soft tissue structures are within normal limits. There is stable enlargement of the heart. Stable prominent mediastinal contours. Central vascular congestion. Mildly low lung volumes bilaterally. Bibasilar and left perihilar airspace opacities. XXXX bilateral pleural effusions. No pneumothorax.,1. Bilateral airspace disease. 2. Stable enlarged heart and prominent mediastinal contours.
3841,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with positive PPD,None.,"No acute osseous abnormalities. Mild thoracic spine degenerative changes. Soft tissues are within normal limits. No focal area of consolidation, pleural effusion, or pneumothorax.",1. No finding suggestive of active disease.
3842,Lung/hypoinflation,Lung,Xray Chest PA and Lateral,",786.2 XXXX cxr",at XXXX,,1. Low lung volumes 2. Lungs appear clear 3. Heart and pulmonary XXXX are normal 4. Pleural spaces are clear
3843,"Catheters, Indwelling/right;Thoracic Vertebrae/degenerative/mild","Catheters, Indwelling;Thoracic Vertebrae",Xray Chest PA and Lateral,XXXX-year-old male with a prior history of throat cancer and radiation presents with XXXX reported hemoptysis.,Comparisons XXXX to chest radiograph examination dated XXXX.,A right-sided chest XXXX remains in XXXX with the distal tip at the level of the mid SVC. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pulmonary nodules or mass lesions identified. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine.,1. Right-sided chest XXXX in XXXX without demonstration of an acute cardiopulmonary abnormality. .
3844,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",chest pain,None,Lungs are clear. No pleural effusions or pneumothoraces. heart size is upper limits of normal.,Heart size upper limits of normal with clear lungs.
3845,normal,normal,Xray Chest PA and Lateral,Chest pain.,None.,"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. .
3846,Pleural Effusion/left/moderate;Density/lung/base/right/streaky/mild;Pulmonary Atelectasis/base/right;Scoliosis/thoracic vertebrae/right,Pleural Effusion;Density;Pulmonary Atelectasis;Scoliosis,Xray Chest PA and Lateral,Pleural effusion,"Ultrasound guided left thoracentesis XXXX, outside XXXX XXXX",Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. The right lung is clear. There is a recurrence moderate-sized left pleural effusion. No pneumothorax. Limited right base stringy density compatible with atelectasis. Dextroscoliosis of the thoracic spine.,Recurrent moderate sized left pleural effusion.
3847,"Lung/bilateral/hyperdistention;Pneumothorax/apex/right/small;Pulmonary Disease, Chronic Obstructive","Lung;Pneumothorax;Pulmonary Disease, Chronic Obstructive","Two-view chest. XXXX hours XXXX, XXXX compared to XXXX, XXXX. ",Followup pleural air collection.,,"Both lungs remain hyperexpanded. No XXXX focal infiltrates. A small pleural or collection is XXXX present in the right apex. However, it has decreased considerably since the previous examination. Heart size remains normal.",COPD with almost completely resolved right apical pleural air collection.
3848,"Cardiomegaly/severe;Pulmonary Congestion;Hypertension, Pulmonary;Opacity/lung/base/left;Costophrenic Angle/left/blunted;Spine/degenerative/mild","Cardiomegaly;Pulmonary Congestion;Hypertension, Pulmonary;Opacity;Costophrenic Angle;Spine",Xray Chest PA and Lateral,XXXX-year-old with XXXX and shortness of breath.,AP chest dated XXXX.,The heart size is moderate to severely enlarged. There is prominence of the central pulmonary XXXX suggesting pulmonary artery hypertension. There has been removal of the right-sided PICC line. There is persistent left basilar airspace opacity with left costophrenic XXXX blunting which is not evident on the lateral exam. There are mild degenerative changes of the spine. There is no pneumothorax.,Moderate-to-severe cardiomegaly with probable pulmonary artery hypertension. Persistent left basilar opacity without significant effusion.
3849,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,PA and lateral chest x-XXXX ,XXXX-year-old female shortness of breath.,None,"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.",No acute cardiopulmonary abnormalities.
3850,Nipple Shadow/bilateral;Pulmonary Fibrosis/apex/right/mild,Nipple Shadow;Pulmonary Fibrosis,"PA and lateral chest XXXX, XXXX at XXXX comparison 20 XXXX ",History of tonsillar cancer in XXXX,,,"No heart size is normal. The lungs are clear. No nodules or masses. Bilateral nipple shadows seen overlying the anterior 6th ribs. Minimal fibrosis in the right apex, may be due to XXXX radiation treatment."
3851,Density/lung/round/multiple;Granulomatous Disease/chronic,Density;Granulomatous Disease,Chest XXXX and lateral ,XXXX-year-old male with right substernal chest pain,None available,"No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Heart size normal.",Negative for acute cardiopulmonary disease.
3852,Diaphragmatic Eventration/right;Thoracic Vertebrae/degenerative/mild,Diaphragmatic Eventration;Thoracic Vertebrae,Chest XXXX and lateral,XXXX-year-old male status post XXXX on right side.,None available.,Heart size is normal. No pneumothorax or focal airspace disease. No pleural effusion. Eventration of the right hemidiaphragm. Mild degenerative changes of the thoracic spine without fracture.,No acute cardiopulmonary findings.
3853,Cardiomegaly/mild;Calcinosis/aorta/severe;Pulmonary Artery/enlarged;Pulmonary Congestion;Diaphragm/right/elevated;Pleural Effusion/right/small;Pleural Effusion/left,Cardiomegaly;Calcinosis;Pulmonary Artery;Pulmonary Congestion;Diaphragm;Pleural Effusion;Pleural Effusion,"PORTABLE CHEST: XXXX, XXXX at XXXX hours.",Possible XXXX. Syncope.,"XXXX, XXXX",,"Mild cardiomegaly. Densely calcified aorta. Prominence of the pulmonary outflow and XXXX most XXXX indicates enlarged pulmonary arteries and raise concern for pulmonary artery hypertension. There is no overt edema. The right diaphragm is elevated, there are small right and XXXX left pleural effusions. No pneumothorax."
3854,Medical Device,Medical Device,Xray Chest PA and Lateral,Chest pain.,None.,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."
3855,Nodule/lung/upper lobe/bilateral/multiple;Nodule/lung/lower lobe/bilateral/multiple;Diaphragm/left/elevated/mild,Nodule;Nodule;Diaphragm," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,"in XXXX, XXXX.","In the interval, the interval, there has been development of multiple nodules in both the upper and lower lobes bilaterally. The previously identified left lower lobe nodule has increased in size. Left hemidiaphragm is slightly elevated, possibly from splinting. The mediastinum remains normal. Heart size normal.","Multiple pulmonary nodules consistent with metastases. Chest, abdomen, and pelvis CT with contrast would be helpful for further evaluation."
3856,normal,normal,"Chest xray, 2 views XXXX, XXXX ",Chest pain,None.,"PA and lateral views. The cardiomediastinal silhouette is normal. The lungs are clear. No effusions, consolidation or pneumothorax.",Normal chest xray.
3857,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,Short of breath,None available,"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.
3858,"Aorta, Thoracic/tortuous/mild;Calcinosis/ribs/multiple;Fractures, Bone/clavicle/left/healed","Aorta, Thoracic;Calcinosis;Fractures, Bone",Xray Chest PA and Lateral,Dizziness.,None. Clinical,3 images. Heart size is normal. There is mild tortuosity of the thoracic aorta. There are costochondral calcifications. The lungs are clear of focal infiltrate. No pleural effusion or pneumothorax. Old left clavicle fracture noted.,No acute abnormality identified.
3860,normal,normal,Chest x-XXXX XXXX and lateral on XXXX at XXXX hours. ,XXXX-year-old female with dyspnea for one XXXX.,None.,The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.,No acute cardiopulmonary abnormalities.
3861,normal,normal,Chest XXXX and lateral ,XXXX-year-old male status post assault,None available,"No pneumothorax, pleural effusion , or focal airspace disease. Heart size within normal limits. Cardiomediastinal silhouette is clear. Bony structures appear intact.",Negative for acute cardiopulmonary disease. No fractures identified.
3862,Heart Ventricles/left/enlarged;Aorta/tortuous,Heart Ventricles;Aorta,PA lateral chest AP and lateral chest at XXXX 45 comparison 24 XXXX ,History of syncope,,,Clear lungs. Enlarged left ventricle. A tortuous dilated aorta. No pneumonia
3863,Cardiac Shadow/enlarged;Cardiomegaly,Cardiac Shadow;Cardiomegaly,"PA and lateral views of the chest XXXX, XXXX at XXXX hours ",XXXX-year-old XXXX with XXXX.,"XXXX, XXXX.","The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is enlarged. There is no pneumothorax or large pleural effusion.","Cardiomegaly, but no focal consolidation."
3865,Deformity/ribs/bilateral/multiple,Deformity,CHEST 2V FRONTAL/LATERAL ,Left midaxillary line pain,None,"The heart is top normal in size. The mediastinum is stable. The lungs are grossly clear. Bilateral rib deformities are noted, possibly old fractures. There is no pleural effusion or pneumothorax.",No acute disease.
3866,Airspace Disease/lung/middle lobe/right/patchy;Opacity/lung/lingula/small;Airspace Disease/lung/lingula/patchy;Pneumonia/multilobar,Airspace Disease;Opacity;Airspace Disease;Pneumonia,Xray Chest PA and Lateral,Shortness of breath for the XXXX XXXX and half.,None.,Patchy airspace disease is noted within the right middle lobe. Subtle opacities are present within the lingula as well. There is no pneumothorax or pleural effusion. The heart size is normal.,Patchy right middle lobe and lingular airspace disease compatible with multilobar pneumonia. .
3867,normal,normal,"PA and lateral views of the chest dated XXXX, XXXX.",Chest pain x2 days. Vomiting.,None.,"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.
3868,Aorta/tortuous/mild,Aorta,"PA and lateral chest XXXX, XXXX at XXXX comparison chest CT from XXXX ",History of hypertension.,,,Heart size normal. Slight tortuous aorta. The lungs are clear. No effusions or edema
3869,Surgical Instruments/thorax;Cardiomegaly/mild,Surgical Instruments;Cardiomegaly,"PA and Lateral Chest x-XXXX on XXXX, XXXX at XXXX a.m..",XXXX-year-old XXXX with dyspnea.,"AP portable chest radiograph dated XXXX, XXXX.","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.",No acute cardiopulmonary abnormality.
3870,"Opacity/lung/lower lobe/bilateral;Pleural Effusion/bilateral;Catheters, Indwelling/left","Opacity;Pleural Effusion;Catheters, Indwelling",Xray Chest PA and Lateral,Hypoxia;,"XXXX, XXXX.",,1. Worsening bilateral lower lobe opacities which are most XXXX due to enlarging bilateral pleural effusions. Superimposed lower lobe airspace abnormalities are possible. Negative for pneumothorax. 2. Normal heart size and pulmonary vascularity. 3. Left upper extremity PICC terminates in the lower SVC. .
3871,normal,normal,Xray Chest PA and Lateral,HISTORY OF HISTOPLASMOSIS XXXX ON TNF - XXXX XXXX - XXXX XXXX,,,No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
3872,Spondylosis/thoracic vertebrae,Spondylosis,Xray Chest PA and Lateral,XXXX,None.,The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,No acute process.
3873,Opacity/lung/middle lobe/right/round,Opacity,Xray Chest PA and Lateral,Left chest pain,None,,"1. Heart size, mediastinal silhouette and vascularity normal. No lobar consolidation, pleural effusion. No pneumothorax. 2. Approximately 1 cm right middle lobe nodular opacity. Not XXXX showing benign type calcification, consider followup XXXX of the chest for characterization."
3874,Calcinosis/aorta/mild;Atherosclerosis/aorta;Lung/hypoinflation;Markings/bronchovascular;Spine/degenerative/moderate,Calcinosis;Atherosclerosis;Lung;Markings;Spine,PA and lateral views of chest performed on XXXX at XXXX. ,XXXX-year-old with dyspnea.,AP and lateral chest XXXX.,"The heart and mediastinum are unremarkable. There is mild calcification of the aortic XXXX, consistent with atherosclerosis. The lung volumes are low, with bronchovascular crowding. The lungs are clear without infiltrate. There is no effusion or pneumothorax. Moderate degenerative changes of the spine.","1. Low lung volume study, no acute pulmonary process."
3875,Markings/lung/lower lobe/left/interstitial;Lung/hypoinflation;Infiltrate/lung/lower lobe/left/interstitial;Pulmonary Fibrosis/lower lobe/left/interstitial,Markings;Lung;Infiltrate;Pulmonary Fibrosis,PA and lateral views of the chest. ,XXXX-year-old female with dyspnea.,PA and lateral views of the chest from XXXX.,Stable left lower lung increased interstitial markings. No XXXX focal alveolar opacities. Low lung volumes. Heart size is normal. No pneumothorax or pleural effusions.,Stable left lower lung interstitial infiltrates or fibrosis. No acute cardiopulmonary findings.
3876,Deformity/thoracic vertebrae/mild,Deformity,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX p.m. ",XXXX-year-old male with productive XXXX.,"Chest radiograph XXXX, XXXX.","The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is stable mild XXXX deformity of the lower thoracic vertebral body.",No acute cardiopulmonary abnormality.
3877,"Atherosclerosis/aorta, thoracic;Opacity/lung/lingula/round;Pleural Effusion/bilateral/posterior;Pulmonary Congestion/mild",Atherosclerosis;Opacity;Pleural Effusion;Pulmonary Congestion,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m. ",XXXX-year-old XXXX with positive PPD.,"Two-view chest radiograph dated XXXX, XXXX.","Compared to prior chest radiograph from XXXX, there has been removal of right-sided tunneled dialysis catheter. The cardiomediastinal silhouette is stable and within normal limits for size and contour. Mildly increased atherosclerotic calcifications of the thoracic aorta. 1.0 cm nodular opacity in the left midlung is stable compared to prior examination from XXXX. No XXXX nodules, focal consolidation, or pneumothorax identified. There are XXXX bilateral pleural effusions posteriorly. There is mild central pulmonary vascular congestion without XXXX pulmonary edema. No acute bony abnormality.","Central pulmonary vascular congestion without XXXX edema, consolidation. XXXX bilateral pleural effusions."
3878,Cardiomegaly/mild;Infiltrate/lung/lower lobe/right;Spondylosis/thoracic vertebrae,Cardiomegaly;Infiltrate;Spondylosis,"Chest, 2 views, frontal and lateral","Esophageal carcinoma, shortness of breath in XXXX","XXXX, XXXX",Postop changes of CABG with mild cardiomegaly. There is an infiltrate in the right lower lobe. Thoracic spondylosis.,Right lower lobe infiltrate. In the appropriate clinical setting this appearance is compatible with pneumonia. Consider followup PA and lateral chest x-XXXX in 4-6 weeks to ensure resolution and exclude an underlying mass.
3879,normal,normal,2 views Chest: XXXX,"Peripheral vascular disease, preoperative evaluation.",Chest x-XXXX XXXX.,The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.,1. No acute pulmonary abnormality.
3880,Cardiomegaly;Opacity/lung/interstitial/prominent/mild;Pulmonary Edema/interstitial/mild,Cardiomegaly;Opacity;Pulmonary Edema,"Chest x-XXXX XXXX and lateral, XXXX . ","XXXX-year-old female, dyspnea.","Chest x-XXXX, XXXX",Unchanged cardiomegaly. Negative for pneumothorax or focal consolidation. No large effusion. Mildly prominent interstitial opacities.,Stable cardiomegaly with mild pulmonary interstitial edema.
3881,"Diaphragm/right/elevated;Spine/degenerative;Catheters, Indwelling/right","Diaphragm;Spine;Catheters, Indwelling",PA and Lateral Chest X-XXXX dated XXXX.,Cancer of the appendix.,XXXX.,The heart size and pulmonary vascularity appear within normal limits. Right hemidiaphragm remains elevated. No pleural effusion is seen. No pneumothorax is identified. No discrete nodules or adenopathy are noted. Degenerative changes are present in the spine. Right XXXX-a-XXXX has been inserted since the previous study. The tip projects over the lower superior XXXX XXXX.,1. No evidence of active disease.
3882,Diaphragmatic Eventration/left;Lung/hypoinflation,Diaphragmatic Eventration;Lung,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, chest pain.",None,Eventration of the left diaphragm is noted. Question left basilar atelectasis versus infiltrate. No evidence of pneumothorax. Generalized lung volumes. No definite pleural effusions. Heart size within normal limits. Osseous structures intact.,"Generalized low lung lungs with eventration of the left hemidiaphragm. Question concomitant left basilar opacity, may represent atelectasis or infiltrate."
3883,normal,normal,Chest X XXXX 2 XXXX PA and lateral,The patient is a XXXX-year-old female with left-sided chest pain.,None.,"No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact.",No acute cardiopulmonary abnormality.
3884,Opacity/lung/bilateral/interstitial/diffuse;Pulmonary Congestion;Pulmonary Edema/interstitial,Opacity;Pulmonary Congestion;Pulmonary Edema,"PA and lateral views of the chest XXXX hours XXXX, XXXX. ",XXXX-year-old female with shortness of breath.,None.,"Diffuse, right greater than left, interstitial opacities. Central vascular congestion. No pneumothorax or focal consolidation. No pleural effusion. Heart size normal.",Bilateral interstitial opacities and central vascular congestion XXXX interstitial edema.
3885,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with rectal bleeding for 2 XXXX. XXXX for 5 months. Nonsmoker.,Two views of the chest dated XXXX.,"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.",No acute cardiopulmonary disease.
3886,Calcinosis/abdomen/left/severe,Calcinosis,Xray Chest PA and Lateral,XXXX-year-old with syncope. Medical XXXX.,"XXXX, XXXX",,[&lt;The heart size and cardiomediastinal silhouette are stable and within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.&gt;] Extensive left upper quadrant splenic calcification may reflect old granulomatous disease
3887,Deformity/heart/right;Deformity/mediastinum/right,Deformity;Deformity,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ",XXXX-year-old XXXX with positive PPD..,None.,"The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal suggests possible right XXXX versus dextrocardia. Visualized osseous structures of the thorax are without acute abnormality.",1. No acute cardiopulmonary abnormality.. 2. Abnormal configuration of the heart and mediastinum suggestive of right aortic XXXX versus dextrocardia.
3888,No Indexing,No Indexing," Two-view chest. XXXX hours XXXX, XXXX. ",Shortness of breath.,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3889,normal,normal,Chest XXXX and lateral,XXXX-year-old female with dyspnea.,None available.,"Heart size is normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact.",No acute cardiopulmonary abnormality.
3890,normal,normal,Xray Chest PA and Lateral,XXXX-year-old female with XXXX x1 XXXX,None,"Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.",No acute cardiopulmonary abnormality. .
3891,Airspace Disease/lung/base/left;Pleural Effusion/base/left/small;Pneumothorax/right/small;Pulmonary Atelectasis/base/right;Medical Device/right,Airspace Disease;Pleural Effusion;Pneumothorax;Pulmonary Atelectasis;Medical Device,Xray Chest PA and Lateral,Left chest tube removal,XXXX at XXXX a.m.,,Heart size normal.No significant change in left base airspace disease and small effusion. Small residual right pneumothorax. Increased right base atelectasis.Catheter overlying the right mediastinum may be outside the patient is.
3892,"Opacity/lung/base/bilateral/patchy;Catheters, Indwelling/left;Lung/hypoinflation;Kyphosis/thoracic vertebrae;Deformity/thoracic vertebrae/multiple/mild;Thoracic Vertebrae/degenerative/moderate;Fractures, Bone/ribs/bilateral/multiple/healed;Consolidation/lung/base/left/moderate;Opacity/lung/base/right/mild;Deformity/lumbar vertebrae","Opacity;Catheters, Indwelling;Lung;Kyphosis;Deformity;Thoracic Vertebrae;Fractures, Bone;Consolidation;Opacity;Deformity",Xray Chest PA and Lateral,XXXX-year-old with XXXX,none,"Normal heart size. Bibasilar patchy opacities, left greater than right. No pneumothorax or large pleural effusions. Left-sided subclavian central venous catheter with tip in the right atrium. No significant pulmonary edema. Low lung volumes. Exaggeration of the thoracic kyphosis with evidence of lower thoracic vertebral body the deep opacities. Multiple mild vertebral body wedge deformities in the mid thoracic spine. Moderate degenerative changes of the thoracic spine. Multiple bilateral rib fractures, some of which appear old. Interval XXXX deformity of the vertebral body XXXX XXXX the level of the two vertebroplasty XXXX.","1. Moderate left basilar lung consolidation with mild right basilar opacities, which may represent infection and/or atelectasis. 2. Bilateral rib fractures, most of which appear old. 3. Interval vertebral body XXXX deformity in the lumbar spine since XXXX. ."
3893,Lung/hypoinflation/mild,Lung,"Frontal and lateral views of the chest obtained at XXXX hours on XXXX, XXXX. ",XXXX-year-old male with dyspnea.,None.,"There are mildly diminished lung volumes. Cardiac silhouette is normal in size. Normal mediastinal contour and pulmonary vasculature. The lungs are without focal airspace consolidation, large pleural effusion, or pneumothoraces.",No acute cardiopulmonary findings.
3894,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM No comparison. Both lungs are clear and expanded. Heart and mediastinum normal. ",r/o tb,,,No active disease..
3895,Opacity/lung/lower lobe/left/scattered/multiple;Lung/hilum/bilateral/prominent;Pulmonary Artery/bilateral/enlarged;Pneumonia/lower lobe/left,Opacity;Lung;Pulmonary Artery;Pneumonia,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old female, chest pain.",None.,There are scattered XXXX opacities in the left lower lobe. Cardiac silhouette is within normal limits. There is prominence of the right and left hilum XXXX representing enlargement of the central pulmonary arteries. No pneumothorax or pleural effusion. No acute bone abnormality.,1. Left lower lobe opacities XXXX representing pneumonia. 2. Enlargement of the central pulmonary arteries raising the question of pulmonary hypertension.
3896,Lung/hypoinflation,Lung,Xray Chest PA and Lateral,XXXX-year-old female with nausea. History of Hodgkin's lymphoma.,None,There are low lung volumes. The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour appear within normal limits.,No acute abnormality demonstrated.
3897,normal,normal,CHEST 2V FRONTAL/LATERAL ,Chest pain,XXXX,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
3898,No Indexing,No Indexing, PA and lateral views. ,XXXX-year-old female. Shortness of breath.,"XXXX, XXXX.","The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX.",Negative for acute abnormality.
3899,Lung/hyperdistention/mild;Lung/base/right/obscured,Lung;Lung,"PA and lateral chest Single view of the abdomen, 2 images ",XXXX-year-old with abdominal pain.,"CT chest XXXX, XXXX and chest radiograph XXXX, XXXX.",Chest. Mildly hyperexpanded lungs. The right lung base is excluded from view. No visualized consolidation. No pneumothorax. No large pleural effusions. Heart size is unremarkable. Abdomen. There are multiple air filled nondilated loops of small and large bowel. There is extensive stool XXXX seen throughout the descending colon. Supine examinations are limited for evaluation of pneumoperitoneum. There is bilateral hip degenerative change.,Chest 1. No acute cardiopulmonary findings. Abdomen 1. Nonspecific bowel XXXX pattern without evidence of obstruction.
3900,normal,normal,Xray Chest PA and Lateral,Asthma,"XXXX, XXXX",,The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.
3901,Opacity/lung/base/bilateral;Lung/hypoinflation;Costophrenic Angle/bilateral/blunted;Pulmonary Atelectasis/base/bilateral,Opacity;Lung;Costophrenic Angle;Pulmonary Atelectasis,Xray Chest PA and Lateral,Esophageal Cancer,XXXX,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.
3902,No Indexing,No Indexing, CHEST 2V FRONTAL/LATERAL XXXX ,epigastric pain,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3903,normal,normal,"Chest x-XXXX XXXX and lateral performed on XXXX, XXXX at XXXX hours. ",XXXX year old male with chest pain.,None.,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.,No acute cardiopulmonary abnormalities.
3904,normal,normal,PA and lateral chest x-XXXX ,XXXX-year-old male with XXXX.,None,"Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.",No acute cardiopulmonary abnormalities.
3905,Cardiomegaly,Cardiomegaly,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX a.m. ",XXXX-year-old male with chest pain,"Chest radiograph XXXX, XXXX","The heart is enlarged, stable compared to the previous exam. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.",1. Stable cardiomegaly without acute cardiopulmonary abnormality.
3906,normal,normal,Chest radiograph PA and lateral XXXX/ XXXX at XXXX. ,XXXX-year-old female with XXXX.,Chest radiograph XXXX/XXXX.,Normal cardiac contour. No pleural effusion or pneumothorax. Clear lungs bilaterally.,1. No acute cardiopulmonary abnormalities.
3907,Cardiac Shadow/enlarged/mild;Lung/hypoinflation;Markings/bronchovascular;Opacity/lung/base/right/scattered/multiple;Pulmonary Atelectasis/base/right/focal;Opacity/lung/lower lobe/left/scattered/multiple;Thoracic Vertebrae/degenerative;Cardiomegaly/mild;Opacity/lung/retrocardiac/scattered/multiple,Cardiac Shadow;Lung;Markings;Opacity;Pulmonary Atelectasis;Opacity;Thoracic Vertebrae;Cardiomegaly;Opacity,"Chest radiograph examination 2 views performed XXXX, XXXX at XXXX. ",XXXX-year-old female with presyncope.,Comparison is XXXX to chest radiograph examination dated XXXX.,"There is stable, mild enlargement of the cardiac silhouette. Stable mediastinal silhouette. There are low lung volumes with bronchovascular crowding. Scattered XXXX opacities in the right lung base XXXX representing foci of subsegmental atelectasis with scattered airspace opacities in the medial left lower lobe. No pneumothorax. No pleural effusion. Degenerative changes of the thoracic spine possibly consistent with DISH.",1. Low lung volumes with mild cardiomegaly and scattered right basilar subsegmental atelectasis and scattered retrocardiac airspace opacities.
3908,Spondylosis/thoracic vertebrae/multiple,Spondylosis,"Chest 2 views dated XXXX, XXXX. ",Chest pain.,CT chest XXXX.,"The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Multilevel thoracic spondylosis is again demonstrated..",No acute cardiopulmonary disease.
3909,"Catheters, Indwelling/right;Granulomatous Disease/right","Catheters, Indwelling;Granulomatous Disease","Chest, 2 views, frontal and lateral",Chest pain.,None.,Cardiac and mediastinal contours are within normal limits. Right chest XXXX tip in the low SVC. Right granulomatous disease. The lungs are clear. Bony structures are intact.,No acute findings.
3910,Lung/hypoinflation;Spine/degenerative/multiple,Lung;Spine,PA and lateral chest radiographs. XXXX/XXXX at XXXX hours. ,XXXX-year-old male with abdominal pain.,None.,"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.
3911,normal,normal," PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX ",altered mental status.,,,Heart size is normal and lungs are clear. No pneumonia or effusion. No nodules or masses.
3912,Technical Quality of Image Unsatisfactory ;Costophrenic Angle/obscured;Costophrenic Angle/sulcus/posterior/obscured;Cardiomegaly/mild,Technical Quality of Image Unsatisfactory ;Costophrenic Angle;Costophrenic Angle;Cardiomegaly,"PA and lateral chest, XXXX at XXXX. ","XXXX-year-old male, and dizziness.",XXXX.,"Examination is somewhat limited, the costophrenic XXXX and posterior costophrenic sulci are excluded. Patient is rotated to the right. Heart size upper limits normal, but stable. Mediastinal contour is grossly unremarkable. Lung parenchyma is clear, no focal airspace consolidation. No large effusion, no visible pneumothorax within the limits of the study.","1. Exam somewhat limited, costophrenic XXXX excluded. 2. Stable mild cardiomegaly. 3. Clear lungs."
3913,normal,normal,Xray Chest PA and Lateral,",786.2 XXXX",,,"Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified. Stable chest."
3914,normal,normal,Xray Chest PA and Lateral,Chest pain.,,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.
3915,"Catheters, Indwelling/thorax/left;Cardiac Shadow/enlarged/mild;Pulmonary Congestion/mild;Lung Diseases, Interstitial/mild;Cardiomegaly","Catheters, Indwelling;Cardiac Shadow;Pulmonary Congestion;Lung Diseases, Interstitial;Cardiomegaly"," Frontal and lateral radiographs of the chest were obtained on XXXX, XXXX at XXXX p.m. Comparison is XXXX to prior study performed XXXX, XXXX ",Seizure,,"There is a XXXX in the left chest with catheter tip terminating in the superior XXXX XXXX. The cardiac silhouette is mildly enlarged, similar to prior study. There is minimal pulmonary vascular congestion. There is no acute pulmonary consolidation, pleural effusion or pneumothorax. There are stable mild interstitial lung changes, which could be related to chronic edema or fibrosis.",Stable cardiomegaly. No acute infiltrate or effusion.
3916,normal,normal, PA and lateral chest. ,dyspnea.,None.,"Heart size normal. Lungs XXXX clear. XXXX XXXX normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
3917,Cardiomegaly/mild,Cardiomegaly,"AP and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ","XXXX-year-old woman, long-term care placement..",None.,"The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Mild cardiomegaly without acute cardiac abnormality. Visualized osseous structures of the thorax are without acute abnormality.",Mild cardiomegaly without acute cardiopulmonary abnormality. No active infectious/tuberculous process.
3918,Lung/hyperdistention;Diaphragm/bilateral/posterior/flattened/mild,Lung;Diaphragm,PA and Lateral Chest,"Chest pain, palpitations",None,"Hyperinflated lungs with mildly flattened posterior diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. No pneumothorax.","Hyperinflated lungs, air trapping versus inspiratory XXXX."
3919,Cardiomegaly/mild;Technical Quality of Image Unsatisfactory ,Cardiomegaly;Technical Quality of Image Unsatisfactory ,"PA and lateral chest XXXX, XXXX at XXXX ",left false rib XXXX.,,,Slight cardiomegaly. Lungs are clear. No rib abnormalities are seen. The lower ribs are not adequately imaged to rule out pathology on the chest film
3921,"Catheters, Indwelling/left","Catheters, Indwelling","AP and lateral chest x-XXXX dated XXXX, XXXX at XXXX a.m.. ",XXXX-year-old male with chest pain..,"Single view chest radiograph dated XXXX, XXXX..","The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Left-sided PICC line has been placed in the interval with tip XXXX in the innominate vein.",1. No acute cardiopulmonary abnormality.. 2. Interval placement of left-sided PICC line with tip XXXX in the innominate vein.
3922,normal,normal,Xray Chest PA and Lateral XXXX.,INDICATION: PAIN;,XXXX,"Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality.",No acute cardiopulmonary abnormality.
3923,normal,normal,Xray Chest PA and Lateral,chest pain and XXXX.,,,"Comparison XXXX, XXXX Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified."
3924,Atherosclerosis/aorta;Scoliosis/thoracic vertebrae/right,Atherosclerosis;Scoliosis,"PA and Lateral Chest: XXXX, XXXX at 908XXXX",Preop,XXXX,"Stable cardiomediastinal silhouette. Atherosclerotic calcifications about the aortic XXXX. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Dextroconvex scoliotic curvature of the thoracic spine.",No acute cardiopulmonary abnormality.
3925,Calcinosis/lung/hilum/lymph nodes/right;Calcinosis/mediastinum/lymph nodes;Atherosclerosis/aorta;Arthritis,Calcinosis;Calcinosis;Atherosclerosis;Arthritis,Xray Chest PA and Lateral,Chest pain due to indigestion.,,The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are calcified right hilar and mediastinal lymph XXXX. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.,No acute pulmonary disease.
3926,Cardiomegaly;Mediastinum/prominent/mild;Aorta/tortuous;Lung/hypoinflation;Pulmonary Atelectasis/base/bilateral;Markings/bilateral/bronchovascular,Cardiomegaly;Mediastinum;Aorta;Lung;Pulmonary Atelectasis;Markings,Xray Chest PA and Lateral,The patient is a XXXX-year-old woman with dyspnea.,"Chest x-XXXX, single view portable from XXXX, XXXX.","The trachea is midline. The heart XXXX is large, unchanged from prior exam. Slightly widened mediastinum, secondary to cardiomegaly and a tortuous aorta, is accentuated by AP portable technique. There are low lung volumes causing bibasilar atelectasis and bronchovascular crowding. The lungs do not demonstrate focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.",1. Low volume study without acute cardiopulmonary abnormalities. .
3927,Stents/aorta,Stents,Xray Chest PA and Lateral,Status post aortic stent,"XXXX, XXXX",,Stable position of the aortic stent with a normal cardiac silhouette and clear lungs.
3928,Calcinosis/aorta;Granulomatous Disease;Spondylosis/thoracic vertebrae,Calcinosis;Granulomatous Disease;Spondylosis,Xray Chest PA and Lateral,"Cardiac stents, preop",None.,The cardiac contours are normal. Aortic calcification. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis.,No acute process.
3929,Implanted Medical Device/thorax/left;Cardiac Shadow/enlarged/mild;Thoracic Vertebrae/degenerative/mild,Implanted Medical Device;Cardiac Shadow;Thoracic Vertebrae,XR Chest PA and Lateral,XXXX year old male status post cardiac defibrillator device placement presents for evaluation.,Comparison is XXXX to chest radiograph examination dated XXXX at XXXX.,,"A cardiac pacemaker/defibrillator device is redemonstration of the left chest wall with a single XXXX projecting over the right atrium and 2 leads projecting over the right ventricle. The cardiac silhouette is mildly enlarged, unchanged. No focal pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine. ."
3930,"Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive","Lung;Pulmonary Disease, Chronic Obstructive","PA and LAT view CHEST XXXX, XXXX XXXX XXXX",Prostate cancer,XXXX,Lungs are overall hyperexpanded consistent with obstructive lung disease. Lungs are clear without focal consolidation. No suspicious pulmonary nodules or masses are noted. No pleural effusions or pneumothoraces. heart size is upper limits of normal.,Hyperexpanded but clear lungs.
3931,normal,normal,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old female with XXXX symptoms.,PA and lateral chest radiographs XXXX.,"The heart size is normal. The cardiomediastinal silhouette is stable in appearance. The lungs are clear without focal airspace opacity, pneumothorax, or pleural effusion. The XXXX are normal in appearance.",No acute cardiopulmonary finding.
3932,No Indexing,No Indexing,PA and Lateral chest radiograph (2 views) ,XXXX and XXXX sweats.,None.,The cardiac silhouette mediastinal contours are within normal limits. There is no definite focal infiltrate. There is no large pleural effusion. There is no pneumothorax.,No acute cardiopulmonary disease.
3933,No Indexing,No Indexing,Xray Chest PA and Lateral,XXXX-year-old female with XXXX and syncope,None,The heart size is normal. No pneumothorax. No large pleural effusions. No focal airspace opacities.,No acute cardiopulmonary abnormalities. .
3934,"Lung Diseases, Interstitial/bilateral/mild","Lung Diseases, Interstitial",Xray Chest PA and Lateral .,"XXXX occasional XXXX, no other chest complaints. pre-op eye surgery.",XXXX.,,Normal heart size. No XXXX of pleural effusions. There appears to be generalized mild interstitial changes in both lungs. Similar changes appear to have been present XXXX scan focused on the abdomen XXXX. For more detailed evaluation of the lung parenchyma consider XXXX with high resolution technique. There are no XXXX of acute airspace disease. No lung masses visualized. Visualized bony structures have normal appearance.
3935,"Catheters, Indwelling/left;Costophrenic Angle/right/blunted;Opacity/scattered/multiple;Cicatrix/scattered/multiple;Shoulder/right/degenerative","Catheters, Indwelling;Costophrenic Angle;Opacity;Cicatrix;Shoulder",Xray Chest PA and Lateral,"Hemorrhage, post-op change.",,Left PICC line remains in XXXX. The tip projects over the upper SVC. It has moved outward since the previous study. The heart size and pulmonary vascularity appear within normal limits. Previously present left base airspace disease has cleared. There is blunting of the right costophrenic XXXX which may represent small amount of pleural effusion or pleural reaction. Some scattered bandlike opacities are present which appear to represent scars. Degenerative changes are present in the right shoulder.,1. Blunting of the right costophrenic XXXX. This may represent pleural effusion or pleural reaction. 2. Clearing of left base airspace disease. 3. Outward XXXX of PICC line. Tip now projects over upper SVC.
3936,normal,normal,PA and Lateral Chest,"XXXX-year-old male, XXXX, XXXX of breath",None,"Heart size within normal limits. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax.",No acute cardiopulmonary findings
3937,Spine/degenerative/mild,Spine,Xray Chest PA and Lateral,XXXX-year-old with preop evaluation for rhinoplasty on XXXX.,Two views of the chest dated XXXX.,The heart size is upper limits of normal. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are minimal degenerative changes of the spine.,No acute cardiopulmonary disease.
3938,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison 13 XXXX ",chest pain.,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
3939,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with history of smoking.,None.,"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.
3940,Implanted Medical Device/heart;Cicatrix/lung/lingula,Implanted Medical Device;Cicatrix,"Chest PA and lateral, XXXX, XXXX",XXXX,XXXX,"There is a stable closure device projected over the heart. The heart and mediastinum are otherwise normal. There is stable XXXX scarring of left mid lung. The lungs are otherwise clear. There is no infiltrate, effusion, mass or pneumothorax.",Stable appearance of the chest
3941,Cardiomegaly;Scoliosis/thoracic vertebrae/left,Cardiomegaly;Scoliosis,Xray Chest PA and Lateral,"XXXX-year-old female, right heart failure.",PA lateral views the chest dated XXXX.,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. .
3942,Scoliosis/lumbar vertebrae/right/moderate;Scoliosis/thoracic vertebrae/right/moderate;Kyphosis/thoracic vertebrae/mild,Scoliosis;Scoliosis;Kyphosis,Xray Chest PA and Lateral,XXXX-year-old female history of tetralogy of Fallot s/p repair.,Chest PA and lateral XXXX/XXXX.,Cardiac silhouette is at the upper limits of normal. Lungs are clear bilaterally. There is no pleural effusion or pneumothorax. Interval worsening of the moderate thoracolumbar dextroscoliosis with mild exaggeration of normal thoracic kyphosis.,1. No acute cardiopulmonary process. 2. Interval worsening of moderate thoracolumbar dextroscoliosis. .
3943,Calcinosis/lung/hilum/left,Calcinosis, XXXX. ,Chest pain.,,The bony thorax is intact and the heart size is normal. The lung XXXX are free of infiltrate and there is no pleural effusion. We again note the left hilar calcifications that are unchanged from the prior studies.,Negative chest.
3944,"Catheters, Indwelling/right","Catheters, Indwelling","PA and lateral chest XXXX, XXXX at XXXX hours.",Bladder cancer.,"XXXX, XXXX.",Mediport catheter seen on the right with the tip in the mid SVC. The lungs appear to be clear. No pleural effusion is seen. The heart and mediastinum are normal. The skeletal structures are normal.,No active disease.
3945,Pneumothorax/left;Pulmonary Atelectasis/lower lobe/left;Pulmonary Atelectasis/upper lobe/left;Pleural Effusion/left/small;Hemothorax/left/small,Pneumothorax;Pulmonary Atelectasis;Pulmonary Atelectasis;Pleural Effusion;Hemothorax,"PA and Lateral views of the Chest performed on XXXX, XXXX. ",Reevaluate pneumothorax. Stab wound.,"XXXX, XXXX at XXXX p.m..","There is increased size of left pneumothorax, with XXXX partial collapse of the left upper and lower lobes. This pneumothorax measures up to 3.5 cm in maximum width at the apex. There is no significant mediastinal shift. The right lung remains clear. Cardiomediastinal silhouette is within normal limits. There is a small left pleural effusion/hemothorax. No focal air space opacities. No free subdiaphragmatic air.","1. Increased size of left pneumothorax, with XXXX partial collapse of the left upper and lower lobes. 2. Small left pleural effusion/hemothorax."
3946,normal,normal,Chest x-XXXX dated XXXX. ,"XXXX-year-old male, epigastric pain, XXXX.",None,There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Osseous structures are intact.,No acute cardiopulmonary abnormality.
3947,"Catheters, Indwelling/left","Catheters, Indwelling",Xray Chest PA and Lateral,Preprocedure evaluation prior to bone marrow transplant,None,"The lungs appear clear. There are no suspicious pulmonary nodules or infiltrates. The heart and pulmonary XXXX appear normal. The pleural spaces are clear. Mediastinal contours are normal. There is a left-sided tunneled catheter, the distal tip at the mid superior XXXX XXXX level.",No acute cardiopulmonary disease.
3948,normal,normal,PA and lateral chest x-XXXX XXXX. ,"XXXX-year-old male, XXXX.",XXXX.,"The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute bone abnormality.",No acute cardiopulmonary process.
3949,Cardiomegaly/mild;Nodule/lung/lower lobe/left;Density/lung/lower lobe/left,Cardiomegaly;Nodule;Density,Xray Chest PA and Lateral,"XXXX-year-old male, dizziness, XXXX",,"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.",No acute findings
3950,"Catheters, Indwelling;Ribs/right/posterior/enlarged/mild","Catheters, Indwelling;Ribs","PA and lateral chest XXXX, XXXX at XXXX comparison 18 XXXX ",rib pain,,,Catheter tip mid SVC. Heart size is normal. No acute alveolar or interstitial infiltrates. The 9th posterior lateral right rib is slightly expanded and this may be the site of an old healed fracture. Otherwise no acute rib fractures seen. Bone scan may be informative
3951,Opacity/lung/apex/right;Mass/lung/apex/right,Opacity;Mass, PA and lateral views. ,XXXX-year-old male. XXXX.,"CT chest, dated XXXX, XXXX.",The cardiomediastinal silhouette is normal in size and contour. Masslike opacification of right apex. No pneumothorax or large pleural effusion. XXXX are grossly normal.,"Worsening masslike opacification of right apex, suggesting worsening malignancy or malignancy with postobstructive pneumonia."
3952,Diaphragm/right/elevated;Cardiomegaly/mild;Thoracic Vertebrae/degenerative/mild;Osteophyte/thoracic vertebrae/multiple;Pulmonary Artery/prominent,Diaphragm;Cardiomegaly;Thoracic Vertebrae;Osteophyte;Pulmonary Artery,Chest X XXXX 2 XXXX PA and lateral ,The patient is a XXXX-year-old female with chest.,XXXX,"Unchanged elevation of the right hemidiaphragm. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is mildly enlarged. Mild degenerative changes throughout the thoracic spine anterior osteophytes noted inferiorly. Pulmonary artery prominence.",1. Mild cardiomegaly. No acute cardiopulmonary abnormality.
3953,normal,normal,"PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m.. ","XXXX-year-old XXXX with history of testicular cancer, now with nightsweats and fatigue..","Two-view chest radiograph dated XXXX, XXXX..","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 acute cardiopulmonary abnormality.
3954,normal,normal,CHEST 2V FRONTAL/LATERAL ,"XXXX, headaches and difficulty breathing",None,The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.,No acute disease.
3955,normal,normal," Left HIP UNILAT COMPLETE XXXX 2V ; 2 view chest. XXXX, XXXX XXXX PM ",XXXX/ total hip,"chest XXXX, XXXX. Left hip XXXX, XXXX. Chest. Both lungs remain clear and expanded. Heart and mediastinum are normal. The femoral XXXX XXXX has been removed. Two acetabular adaptation plates remain in XXXX. The left hip joint is almost completely obliterated. Large osteophytes are present on the femoral neck and acetabular XXXX.",,1. Chest. No visible active cardiopulmonary disease. 2. Left hip. Advanced posttraumatic osteoarthritis.
3956,Lung/hypoinflation,Lung,CHEST 2V FRONTAL/LATERAL - RADXXXX ,MVC,None,AP and lateral views of the chest were obtained. The heart is normal size. Mediastinum is unremarkable. Lungs are hypoinflated but clear. No focal consolidation is seen.,No acute disease
3957,normal,normal,Xray Chest PA and Lateral,Two weeks of coughing,None.,Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.,No acute findings.
3958,normal,normal," Two-view chest. XXXX, XXXX XXXX PM. ",Chest pain.,None.,Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3959,No Indexing,No Indexing,Xray Chest PA and Lateral,XXXX S/P XXXX XXXX. Aortic stenosis,Chest 2 views. XXXX.,The lungs are clear. Heart size is normal. No pneumothorax. Sternotomy XXXX overlie the heart.,Clear lungs. No acute cardiopulmonary abnormality. .
3960,Spondylosis/thoracic vertebrae;Osteophyte/thoracic vertebrae/anterior/multiple/large,Spondylosis;Osteophyte,"PA and Lateral Chest: XXXX, XXXX at XXXX p.m.","XXXX-year-old female, preop evaluation",XXXX,"Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Spondylosis of the midthoracic spine with large anterior osteophyte formations.",No acute cardiopulmonary abnormality.
3961,Opacity/lung/upper lobe/right/streaky;Infiltrate/lung/upper lobe/right;Pneumonia/upper lobe/right,Opacity;Infiltrate;Pneumonia,"PA and lateral chest, XXXX, XXXX XXXX XXXX ","XXXX-year-old male, XXXX.",None.,The heart size is normal. The mediastinal contour is within normal limits. There is a streaky opacity within the right upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.,Right upper lobe infiltrate consistent with pneumonia.
3962,normal,normal," PA and lateral chest XXXX, XXXX at XXXX with comparison 17 XXXX ",XXXX,,"Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.",Normal chest
3963,Surgical Instruments/breast/left;Surgical Instruments/left,Surgical Instruments;Surgical Instruments,"PA and lateral views of the chest dated XXXX, XXXX.","Pain, back spasms. History of breast cancer. Chemotherapy one XXXX ago.","XXXX, XXXX.","The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are well-inflated and grossly clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. There is a XXXX-A-XXXX terminating in the superior XXXX XXXX. There are surgical clips in the left breast and axilla.",No acute cardiopulmonary findings.
3964,Lung/hyperdistention;Pulmonary Emphysema;Cicatrix/lung/apex/bilateral,Lung;Pulmonary Emphysema;Cicatrix,Xray Chest PA and Lateral,60XXXX XXXX with XXXX and XXXX loss,None,The heart is normal in size. The mediastinum is unremarkable. The lungs are hyperinflated compatible with emphysema. There is biapical scarring. No acute infiltrate is seen.,Emphysema without acute disease.
3965,No Indexing,No Indexing,CHEST 2V FRONTAL/LATERAL XXXX,XXXX,"XXXX, XXXX.",The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.,No active disease.
3966,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"1. PA and lateral chest radiographs. 2. Right knee radiographs, 2 views, AP and lateral. 3. Left knee radiograph, single AP view. ","XXXX-year-old female, preoperative assessment for total knee arthroplasty.",,"Chest: The heart is normal size with normal appearance of the cardia mediastinal silhouette. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are mild degenerative changes and thoracic spine. Right knee: There are severe tricompartmental degenerative changes with obliteration of the joint spaces. There is no fracture or dislocation. Left knee: There is joint space loss most prominent in the medial compartment. The XXXX of lateral view and limits evaluation for an effusion or the patellofemoral joint space. There is no fracture or dislocation.",Chest: No acute cardiopulmonary finding. Right knee: Severe tricompartmental degenerative changes without fracture or dislocation. Left knee: Severe medial compartment degenerative changes.
3967,Spine/degenerative/mild,Spine,PA and lateral chest x-XXXX XXXX at XXXX hours. ,Chest pain,None,"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. Mild degenerative endplate changes of the spine.",1. No acute radiographic cardiopulmonary process.
3968,Pneumonia/lower lobe/left,Pneumonia,"the PA lateral chest 3 images XXXX, XXXX XXXX ",XXXX XXXX,None,,Left lower lobe XXXX segment pneumonia. Heart size normal. Lungs otherwise clear. No effusion
3969,"Lung/hyperdistention;Spine/degenerative;Bone Diseases, Metabolic/spine","Lung;Spine;Bone Diseases, Metabolic",Xray Chest PA and Lateral,Pain,None,The lungs hyperexpanded suggesting emphysema. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Osteopenia and degenerative changes are present in the spine.,No evidence of active disease.
3970,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female with altered mental status, unresponsive.",None.,"Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.",No acute cardiopulmonary abnormality. .
3971,normal,normal,PA and lateral chest radiographs XXXX at XXXX hours. ,XXXX-year-old male with chest pain.,AP portable chest radiograph XXXX; PA and lateral chest radiographs XXXX.,"The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion or pneumothorax. The bony structures are normal.",No acute cardiopulmonary finding.
3972,Lung/hilum/lymph nodes/bilateral/enlarged;Opacity/lung/bilateral/interstitial;Sarcoidosis,Lung;Opacity;Sarcoidosis,PA and Lateral Chest X-XXXX dated XXXX.,Sarcoidosis.,XXXX.,Heart size and pulmonary vascularity appear within normal limits. Bilateral hilar fullness is present consistent with adenopathy. The appearance is unchanged. There is prominence of the interstitial markings bilaterally. These are also unchanged. No focal superimposed airspace disease is seen. No pneumothorax or pleural effusion is noted.,1. Continued hilar fullness consistent with adenopathy and bilateral interstitial opacities. Stable as compared to earlier study. The changes are compatible with known diagnosis of sarcoidosis.
3973,normal,normal,Xray Chest PA and Lateral,,,,
3974,Lung/hyperdistention;Pulmonary Emphysema;Airspace Disease/lung/middle lobe/right/patchy;Spine/degenerative,Lung;Pulmonary Emphysema;Airspace Disease;Spine,PA and lateral chest x-XXXX XXXX,XXXX,None available for review,The lungs are hyperexpanded consistent with emphysema. The heart size and pulmonary vascularity appear within normal limits. No pneumothorax or pleural effusion is seen. Patchy airspace disease is present in the right middle lobe. Degenerative changes are present spine.,1. Hyperexpanded lungs suggesting emphysema. 2. Patchy right middle lobe airspace disease. May represent pneumonia. Followup examination is suggested following treatment to confirm clearing of the opacities. A 4 to 6 XXXX post treatment interval film would be reasonable to allow clearing of inflammatory opacities.
3975,No Indexing,No Indexing,PA and lateral of the chest ,XXXX-year-old with XXXX and XXXX for one XXXX.,"Chest radiograph XXXX, XXXX.",No focal consolidation. No visualized pneumothorax. No large pleural effusions. Heart size normal. Cardiomediastinal silhouette is unremarkable.,1. No acute cardiopulmonary findings.
3976,normal,normal,Xray Chest PA and Lateral,"Upper back pain, hoarseness, history of chronic pancreatitis and asthma",None.,Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces.,No acute cardiopulmonary process.
3977,"Aorta, Thoracic/tortuous;Calcified Granuloma/lung/lower lobe/left","Aorta, Thoracic;Calcified Granuloma","PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old male, hypertension, chest pain","Chest x-XXXX XXXX, XXXX",Normal heart size. Stable unfolding the thoracic aorta. No focal air space consolidation. No pleural effusion or pneumothorax. Stable calcified granuloma in the left lower lobe. Visualized osseous structures are unremarkable appearance.,No acute cardiopulmonary abnormality.
3978,normal,normal,"Radiograph chest PA and Lateral XXXX, XXXX.",786.50 hypertension.,"Radiograph chest PA and Lateral XXXX, XXXX.",The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No pleural effusion or pneumothorax. XXXX are intact.,No acute cardiopulmonary abnormalities.
3979,Aorta/tortuous/mild;Atherosclerosis/aorta/mild,Aorta;Atherosclerosis,"PA and lateral chest x-XXXX XXXX, XXXX XXXX hours ","XXXX-year-old female, dizziness, headache.","Chest 2 views XXXX, XXXX",Normal heart size. Mild unfolding and atherosclerotic calcification of the aorta. No focal air space consolidation. No pneumothorax or pleural effusion. Visualized bony structures are unremarkable in appearance.,No acute cardiopulmonary abnormalities.
3980,Cardiomegaly/moderate;Pleural Effusion/left/small;Thickening/pleura/left;Opacity/lung/base/bilateral/patchy/streaky;Costophrenic Angle/left/blunted/mild;Diaphragmatic Eventration/right,Cardiomegaly;Pleural Effusion;Thickening;Opacity;Costophrenic Angle;Diaphragmatic Eventration,Xray Chest PA and Lateral,"XXXX-year-old female, chest pain",None,"Heart size moderately enlarged. Mild left costophrenic XXXX blunting. Streaky and patchy bibasilar opacities, left greater than right. Right hemidiaphragm eventration noted. No typical findings of pulmonary edema.","1. Cardiomegaly and small left pleural effusion versus pleural thickening 2. Streaky and patchy bibasilar opacities may be compatible with atelectasis versus consolidation, aspiration, clinical correlation recommended"
3981,normal,normal,Xray Chest PA and Lateral,XXXX vehicle accident with left shoulder pain.,None,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.
3982,normal,normal,"PA lateral chest x-XXXX dated XXXX, XXXX a XXXX. ",XXXX-year-old male with epigastric pain.,8 XXXX 08.,"Normal heart size. No focal airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No focal bony abnormality.",No acute cardiothoracic abnormality.
3983,Opacity/lung/base/left;Pulmonary Atelectasis/base/right,Opacity;Pulmonary Atelectasis,Chest x-XXXX XXXX and lateral on XXXX at XXXX hours. ,XXXX-year-old male with XXXX and XXXX.,None.,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."
3984,"Aorta, Thoracic/tortuous;Calcinosis/lung/hilum/lymph nodes;Calcinosis/mediastinum/lymph nodes","Aorta, Thoracic;Calcinosis;Calcinosis","PA and lateral views of the chest, XXXX, XXXX XXXX XXXX",",786.2",XXXX at XXXX,The lungs appear clear. The thoracic aorta remains tortuous. The presence of an aortic aneurysm cannot be excluded on this study XXXX. A there are calcified mediastinal and hilar lymph XXXX suggesting prior histoplasmosis infection. The pleural spaces are clear.,1. Stable tortuosity of the thoracic aorta. The presence of an underlying aneurysm cannot be excluded. 2. Clear lungs
3985,Calcified Granuloma/lung/lower lobe/left/anterior,Calcified Granuloma,Xray Chest PA and Lateral,The patient is a XXXX-year-old male with kidney transplant evaluation.,None.,"No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. Calcified granuloma in the anterior left lower lobe. XXXX XXXX are intact.",No acute cardiopulmonary abnormality. .
3986,normal,normal,"Frontal and Lateral view of the chest on XXXX, XXXX at 146 hours.",Anxiety and difficulty breathing,None available.,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.
3987,Thoracic Vertebrae/scattered/degenerative;Osteophyte/thoracic vertebrae/multiple,Thoracic Vertebrae;Osteophyte,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old woman with back pain,Chest radiograph on XXXX,"No acute osseous abnormality. Stable scattered endplate degenerative changes and osteophyte formation in the thoracic spine. Normal cardiomediastinal silhouette and hilar contours. No focal area of consolidation, pleural effusion, or pneumothorax.",1. No acute radiographic cardiopulmonary or osseous process.
3988,Opacity/lung/lingula/streaky;Opacity/lung/base/left/streaky;Diaphragm/left/elevated;Calcified Granuloma/thorax/right/small,Opacity;Opacity;Diaphragm;Calcified Granuloma,PA and lateral chest radiograph (2 views) (2 images) ,"XXXX, rib pain.",None.,"No acute osseous abnormalities. Left midlung, and basilar streaky opacity. There is elevation of the left hemidiaphragm. No pneumothorax. Small calcified 8 cm granuloma adjacent to the right diaphragm within the right chest. Cardiomediastinal silhouette is within normal limits.","No acute osseous abnormalities. If continued clinical concern for rib fracture dedicated rib films will be helpful. Left midlung, and left basilar streaky opacity may represent atelectasis."
3989,Diaphragmatic Eventration/right,Diaphragmatic Eventration,Xray Chest PA and Lateral,"XXXX-year-old male, pain",None,"Heart size within normal limits. Right hemidiaphragm eventration noted. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.",No acute cardiopulmonary findings
3991,Spondylosis/thoracic vertebrae,Spondylosis,Xray Chest PA and Lateral,Preop bariatric surgery,None.,The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.,No acute preoperative findings.
3992,Pulmonary Congestion,Pulmonary Congestion,Xray Chest PA and Lateral,XXXX.,"XXXX, XXXX",,Prior sternotomy. Midline sternotomy XXXX. Normal heart size. Vascular congestion. No overt edema or lobar pneumonia. No pleural effusion.
3993,Cardiomegaly/mild;Diaphragm/left/elevated,Cardiomegaly;Diaphragm,CHEST 2V FRONTAL/LATERAL ,Edema,None,The heart is mildly enlarged. Left hemidiaphragm is elevated. There is no acute infiltrate or pleural effusion. The mediastinum is unremarkable.,Borderline cardiomegaly without acute disease.
3994,Cardiomegaly/mild;Pulmonary Congestion;Heart Failure/mild,Cardiomegaly;Pulmonary Congestion;Heart Failure,"2 view ( PA and lateral) chest radiograph dated XXXX, XXXX ","XXXX-year-old male with chest pain, positive troponin","Portable chest x-XXXX XXXX, XXXX",Similar mild cardiomegaly. Of the pulmonary vascularity is prominent. No focal consolidations or effusions. No pneumothorax. No acute bony abnormality.,Mild cardiomegaly with XXXX of early failure.
3995,Lung/hyperdistention/mild;Diaphragm/bilateral/flattened;Cicatrix/lung/middle lobe/right/mild;Pulmonary Atelectasis/middle lobe/right/mild;Pulmonary Emphysema,Lung;Diaphragm;Cicatrix;Pulmonary Atelectasis;Pulmonary Emphysema,Xray Chest PA and Lateral,"Nausea, vomiting x2 weeks. Dialysis patient.","XXXX, XXXX.","The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated with flattening of the diaphragms and expansion of the retrosternal clear space. Compared with prior exam, there has been interval resolution of previously demonstrated bibasilar infiltrates. There is minimal XXXX scarring or atelectasis in the right midlung. There is no XXXX focal airspace disease. There is no pneumothorax or pleural effusion. There are no acute bony findings.",1. Interval resolution of bibasilar airspace disease. 2. Hyperinflation with chronic changes of emphysema. .
3996,Spine/degenerative,Spine,Xray Chest PA and Lateral,,None.,The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes in the spine.,Clear lungs. No acute cardiopulmonary abnormality. .
3997,Opacity/lung/upper lobe/right/round/small;Granuloma/lung/upper lobe/right/round/small,Opacity;Granuloma,PA and lateral views of the chest. ,XXXX-year-old male with positive PPD.,None available.,"Heart size within normal limits. Small, nodular opacity in the right upper lobe. This does not look like an acute infiltrate, and more XXXX represents a granuloma. No pneumothorax or effusions.","No acute findings, no evidence for active TB."
3998,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison from XXXX XXXX ",tuberculosis positive PPD,,,Heart size is normal and the lungs are clear.
3999,normal,normal,"CHEST PA and LATERAL: on XXXX, XXXX. ",This is a XXXX-year-old female patient with shortness of breath.,"Chest x-XXXX, XXXX, XXXX.",,The cardiac silhouette is normal in size and configuration. The mediastinum and perihilar structures appear unremarkable. The lungs appear clear. The osseous structures are within normal limits.