uid,MeSH,Problems,image,indication,comparison,findings,impression,filename,projection,label
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 of a pleural effusion there is no evidence of pneumothorax,Normal chest x-XXXX.,1_IM-0001-4001.dcm.png,Frontal,normal
2,Cardiomegaly/borderline;Pulmonary Artery/enlarged,Cardiomegaly;Pulmonary Artery,"Chest, 2 views, frontal and lateral",Preop bariatric surgery.,None.,borderline cardiomegaly midline sternotomy enlarged pulmonary arteries clear lungs inferior,No acute pulmonary findings.,2_IM-0652-1001.dcm.png,Frontal,cardiomegaly
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 apexthere are streaky opacities in the right upper lobe 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.",4_IM-2050-1001.dcm.png,Frontal,opacity
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 tspine osteophytes there is biapical pleural thickening unchanged from prior mildly hyperexpanded lungs,No acute cardiopulmonary abnormality.,5_IM-2117-1003002.dcm.png,Frontal,hyperdistention
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.,6_IM-2192-1001.dcm.png,Frontal,normal
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 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 cervical spinal fusion partly evaluated,No acute cardiopulmonary disease.,8_IM-2333-1001.dcm.png,Frontal,normal
11,normal,normal,Xray Chest PA and Lateral,"Fatigue, weakness, anterior chest pain",,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.,11_IM-0067-1001.dcm.png,Frontal,normal
12,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,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.,12_IM-0133-1001.dcm.png,Frontal,normal
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,14_IM-0256-1001.dcm.png,Frontal,hyperdistention
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.,15_IM-0324-1001.dcm.png,Frontal,granulomatous
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.,17_IM-0460-2001.dcm.png,Frontal,normal
18,Pleural Effusion/borderline,Pleural Effusion,Xray Chest PA and Lateral,"XXXX-year-old male, pain",,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,18_IM-0520-1001.dcm.png,Frontal,effusion
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.,19_IM-0583-1001.dcm.png,Frontal,tortuous
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.,20_IM-0653-1001.dcm.png,Frontal,normal
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.,22_IM-0810-1001.dcm.png,Frontal,normal
23,normal,normal,Xray Chest PA and Lateral,"Nausea, vomiting, preop for surgery",,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.,23_IM-0879-1001.dcm.png,Frontal,normal
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.,24_IM-0949-1001.dcm.png,Frontal,normal
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.",25_IM-1024-2001.dcm.png,Frontal,effusion
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.,27_IM-1168-2002.dcm.png,Frontal,hyperdistention
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 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. .",28_IM-1231-1001.dcm.png,Frontal,opacity
30,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old male with chest pain.,,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.,30_IM-1385-1001.dcm.png,Frontal,normal
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.,34_IM-1644-1001.dcm.png,Frontal,normal
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.",35_IM-1704-1001.dcm.png,Frontal,hyperdistention
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..,36_IM-1776-1001.dcm.png,Frontal,normal
37,Opacity/lung/middle lobe/right,Opacity,Xray Chest PA and Lateral,HYPOXIA;,,the heart is normal in size the mediastinum is unremarkable opacities in right mid lung the lungs are otherwise grossly clear,No acute disease.,37_IM-1847-0001-0002.dcm.png,Frontal,opacity
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.,38_IM-1911-1001.dcm.png,Frontal,normal
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.,40_IM-2050-1001.dcm.png,Frontal,hyperdistention
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 leftsided 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. .",41_IM-2055-1001.dcm.png,Frontal,opacity
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. .,42_IM-2063-1001.dcm.png,Frontal,normal
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 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.,44_IM-2078-1001.dcm.png,Frontal,normal
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 are intact,Stable cardiomegaly without overt pulmonary edema.,45_IM-2081-1001.dcm.png,Frontal,cardiomegaly
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 wellinflated and clear there is an 8mm nodule in the left lower lobe 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.",48_IM-2103-1001.dcm.png,Frontal,degenerative
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 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,No acute cardiopulmonary disease.,49_IM-2110-1001.dcm.png,Frontal,tortuous
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 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.,50_IM-2118-2001.dcm.png,Frontal,cardiomegaly
52,normal,normal,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX p.m. ",XXXX-year-old male with chest pain,,the heart is normal size the mediastinum is unremarkable there is no pleural effusion pneumothorax or focal airspace disease the are unremarkable,No acute cardiopulmonary abnormality.,52_IM-2131-1001.dcm.png,Frontal,normal
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.",53_IM-2138-1001.dcm.png,Frontal,opacity
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 granulomatoustuberculous process visualized osseous structures of the thorax are without acute abnormality,No acute cardiopulmonary abnormality.,54_IM-2145-1001.dcm.png,Frontal,tortuous
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 are normal,XXXX change. Hypoinflation with no visible active cardiopulmonary disease.,55_IM-2154-1001.dcm.png,Frontal,hypoinflation
56,normal,normal,Xray Chest PA and Lateral,"XXXX loss, XXXX",,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,56_IM-2160-2002.dcm.png,Frontal,normal
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.",57_IM-2170-1001-0002.dcm.png,Frontal,opacity
58,Thoracic Vertebrae/degenerative;Scoliosis/thoracic vertebrae/mild,Thoracic Vertebrae;Scoliosis,CHEST 2V FRONTAL/LATERAL ,Left arm numbness,,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.,58_IM-2177-1001.dcm.png,Frontal,degenerative
62,Stents/coronary vessels;Spine/degenerative;Calcinosis/mediastinum/lymph nodes,Stents;Spine;Calcinosis,Xray Chest PA and Lateral,Chest pain,,status post 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 normal pulmonary vascularity degenerative changes of the spine,No acute abnormality. .,62_IM-2202-12012.dcm.png,Frontal,degenerative
62,Stents/coronary vessels;Spine/degenerative;Calcinosis/mediastinum/lymph nodes,Stents;Spine;Calcinosis,Xray Chest PA and Lateral,Chest pain,,status post 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 normal pulmonary vascularity degenerative changes of the spine,No acute abnormality. .,62_IM-2202-4004.dcm.png,Frontal,degenerative
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 ectasiatortuosity 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",63_IM-2210-0001-0001.dcm.png,Frontal,tortuous
65,normal,normal,"Chest 2 views dated XXXX, XXXX.",Chest pain.,XXXX.,the 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 is again seen visualized upper abdomen grossly unremarkable,No evidence of acute cardiopulmonary process.,65_IM-2228-4004.dcm.png,Frontal,normal
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 disc spaces and alignment are normal sacrum and sacroiliac joints are normal,1. Chest. No active disease. 2. Lumbar spine negative.,66_IM-2236-1001.dcm.png,Frontal,normal
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.,67_IM-2243-8001.dcm.png,Frontal,hypoinflation
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.,69_IM-2258-1001.dcm.png,Frontal,normal
70,Granulomatous Disease,Granulomatous Disease,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",chest pain,,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.,70_IM-2264-3001.dcm.png,Frontal,granulomatous
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.,71_IM-2273-1001.dcm.png,Frontal,normal
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.,72_IM-2280-1001.dcm.png,Frontal,normal
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 sternotomy 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.",75_IM-2303-1001.dcm.png,Frontal,opacity
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.,79_IM-2329-1001.dcm.png,Frontal,normal
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.,80_IM-2333-1001.dcm.png,Frontal,normal
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.,80_IM-2333-3001.dcm.png,Frontal,normal
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.,84_IM-2363-1001.dcm.png,Frontal,hypoinflation
85,Calcified Granuloma/scattered;Spine/degenerative,Calcified Granuloma;Spine,Xray Chest PA and Lateral,Status post cardiac catheterization.,,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.,85_IM-2372-1001.dcm.png,Frontal,degenerative
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.,86_IM-2380-1001.dcm.png,Frontal,normal
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.,86_IM-2380-3001.dcm.png,Frontal,normal
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.,87_IM-2390-1001.dcm.png,Frontal,normal
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 are intact,No acute cardiopulmonary abnormalities.,89_IM-2402-1001.dcm.png,Frontal,normal
90,Spine/degenerative,Spine,Xray Chest PA and Lateral,"XXXX-year-old female, preoperative evaluation.",,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.,90_IM-2407-1001.dcm.png,Frontal,degenerative
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.,93_IM-2428-1001.dcm.png,Frontal,degenerative
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.,94_IM-2436-1001.dcm.png,Frontal,normal
96,normal,normal,Xray Chest PA and Lateral,",786.2",,the lungs are clear the heart and pulmonary are normal the pleural spaces are clear the mediastinal contours are normal,No acute cardiopulmonary disease,96_IM-2450-2002.dcm.png,Frontal,normal
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 focal airspace consolidation or pleural effusion,"No acute or active cardiac, pulmonary or pleural disease.",98_IM-2467-4004.dcm.png,Frontal,hypoinflation
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.,100_IM-0002-1001.dcm.png,Frontal,normal
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 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 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.",101_IM-0011-4004.dcm.png,Frontal,cardiomegaly
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 substernal density may be related to a pectus deformity,No acute cardiopulmonary abnormality.,102_IM-0016-1001.dcm.png,Frontal,hyperdistention
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 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.,103_IM-0023-1001.dcm.png,Frontal,degenerative
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 bilaterally,XXXX bilateral effusions.,105_IM-0037-1001.dcm.png,Frontal,effusion
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.",106_IM-0042-1001.dcm.png,Frontal,normal
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.,107_IM-0049-1001.dcm.png,Frontal,normal
108,Lung/hypoinflation;Markings/lung/hilum,Lung;Markings,CHEST 2V FRONTAL/LATERAL ,XXXX x3 weeks and history of bronchitis,,the heart is normal in size the mediastinum is within normal limits the lungs are hypoinflated there is mild increase in perihilar markings related to patients 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.,108_IM-0056-1001.dcm.png,Frontal,hypoinflation
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.,110_IM-0067-1001.dcm.png,Frontal,normal
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,,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.,112_IM-0080-1001.dcm.png,Frontal,hyperdistention
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 on end or alternatively calcified granulomas the lungs are clear without infiltrate there is no effusion or pneumothorax,1. No acute cardiopulmonary disease.,113_IM-0086-1001.dcm.png,Frontal,opacity
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 on end or alternatively calcified granulomas the lungs are clear without infiltrate there is no effusion or pneumothorax,1. No acute cardiopulmonary disease.,113_IM-0086-3001.dcm.png,Frontal,opacity
114,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX",XXXX-year-old female with asthma.,,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.,114_IM-0096-1001.dcm.png,Frontal,normal
115,"Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive","Lung;Pulmonary Disease, Chronic Obstructive",Xray Chest PA and Lateral,Right arm pain since this XXXX.,,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.,115_IM-0102-1001.dcm.png,Frontal,hyperdistention
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 and vasculature central airways and lung volumes no pleural effusion,"No acute or active cardiac, pulmonary or pleural disease.",119_IM-0128-1001.dcm.png,Frontal,normal
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. .,120_IM-0133-1001.dcm.png,Frontal,hypoinflation
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.,121_IM-0142-1001.dcm.png,Frontal,normal
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.,123_IM-0153-4004.dcm.png,Frontal,cardiomegaly
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.,126_IM-0176-2002.dcm.png,Frontal,opacity
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 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.,128_IM-0186-82592001.dcm.png,Frontal,hyperdistention
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.,129_IM-0189-1001.dcm.png,Frontal,normal
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.,132_IM-0206-1001.dcm.png,Frontal,tortuous
133,normal,normal,Xray Chest PA and Lateral,XXXX BMT W/U;,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,133_IM-0212-1001.dcm.png,Frontal,normal
135,normal,normal,"Chest 2 views XXXX, XXXX",Chest pain,,the lungs are grossly clear without focal pneumonic consolidation large effusion or pneumothorax heart size is within normal limits,Clear lungs,135_IM-0227-1001.dcm.png,Frontal,normal
136,normal,normal, PA and lateral chest. ,chest pain,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,136_IM-0233-1001.dcm.png,Frontal,normal
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.,138_IM-0244-1001.dcm.png,Frontal,normal
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 tortuousectatic 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.",139_IM-0248-1001.dcm.png,Frontal,cardiomegaly
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.,141_IM-0260-1001.dcm.png,Frontal,normal
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.",142_IM-0267-1001.dcm.png,Frontal,normal
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 are seen the skeletal structures are normal,Old granulomatous disease. No acute pulmonary disease.,143_IM-0276-1001.dcm.png,Frontal,granulomatous
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,,overall low lung volumes with mild patchy bibasilar airspace disease this most 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.,144_IM-0283-1001.dcm.png,Frontal,hypoinflation
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,,right costophrenic is blunted in the left lower lobe a patchy infiltrate is present the pulmonary are normal,Large right pleural effusion and patchy left lower lobe airspace disease.,145_IM-0290-1001.dcm.png,Frontal,effusion
147,normal,normal,"PA and lateral views of the chest, XXXX, XXXX XXXX PM",Preprocedure evaluation prior to bone marrow transplant,,the lungs are clear heart and pulmonary appear normal the pleural spaces are clear and mediastinal contours are normal nodular density overlying the anterior left 4th rib represents a healing rib fracture,1. No acute cardiopulmonary disease,147_IM-0303-1001.dcm.png,Frontal,normal
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.,152_IM-0335-2001.dcm.png,Frontal,cardiomegaly
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.,153_IM-0343-1001.dcm.png,Frontal,effusion
154,normal,normal," Chest radiograph, frontal and lateral views",,XXXX,cardiomediastinal silhouette is normal pulmonary vasculature and are normal no consolidation pneumothorax or large pleural effusion osseous structures and soft tissues are normal,No acute cardiopulmonary disease.,154_IM-0350-1001.dcm.png,Frontal,normal
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 infiltrates,Chest. Resolving pulmonary interstitial edema and pulmonary venous hypertension.,157_IM-0372-1001.dcm.png,Frontal,normal
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 are intact,No acute cardiopulmonary abnormalities.,158_IM-0377-1001.dcm.png,Frontal,normal
160,Opacity/retrocardiac/mild;Infiltrate/lung/lower lobe/right/patchy;Infiltrate/lung/base/left,Opacity;Infiltrate;Infiltrate,CHEST 2V FRONTAL/LATERAL ,Shortness of breath,,the heart is normal in size the mediastinum is unremarkable there is patchy infiltrate within normal right lower lobe mild opacities in the retrocardiac region no large effusions or pneumothorax,Patchy right lower lobe infiltrate as well as probable left basilar infiltrate versus atelectasis.,160_IM-0390-1001.dcm.png,Frontal,opacity
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 of left base atelectasis are noted left a is in with the tip projecting over the caval atrial junction,"1. XXXX of left base atelectasis. Otherwise, clear.",161_IM-0394-1001.dcm.png,Frontal,hypoinflation
162,normal,normal, PA and lateral chest. ,XXXX.,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,162_IM-0401-1001.dcm.png,Frontal,normal
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",,there are no airspace opacities to suggest pneumonia there is a vague nodular like opacity in the right midlung measuring 12 cm projecting through the posterior 7th and 8th ribs this may be artifact chest fluoroscopy would confirm this heart and pulmonary appear normal there are calcified subcarinal and right hilar lymph 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.,163_IM-0410-12012.dcm.png,Frontal,calcinosis
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",,there are no airspace opacities to suggest pneumonia there is a vague nodular like opacity in the right midlung measuring 12 cm projecting through the posterior 7th and 8th ribs this may be artifact chest fluoroscopy would confirm this heart and pulmonary appear normal there are calcified subcarinal and right hilar lymph 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.,163_IM-0410-2002.dcm.png,Frontal,calcinosis
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.,164_IM-0419-1001.dcm.png,Frontal,normal
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.,165_IM-0427-1001.dcm.png,Frontal,atherosclerosis
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 and granuloma are noted mild degenerative changes are present in the spine,1. No evidence of active disease.,166_IM-0435-2002.dcm.png,Frontal,degenerative
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 leftsided rib fractures without acute abnormality,No acute cardiopulmonary abnormality.,168_IM-0448-1001.dcm.png,Frontal,degenerative
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.,169_IM-0452-1001.dcm.png,Frontal,normal
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,,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 ageindeterminate wedge 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.,172_IM-0474-1001.dcm.png,Frontal,tortuous
173,Lung/hypoinflation;Calcinosis/lung/hilum/lymph nodes/bilateral,Lung;Calcinosis,"Chest, 2 views, XXXX XXXX ",Chest pain,,low lung volumes cardiomediastinal silhouette and pulmonary vasculature are within normal limits lungs are clear no pneumothorax or pleural effusion calcified bilateral hilar lymph greater on the left no acute osseous findings,Low lung volumes. No acute cardiopulmonary findings.,173_IM-0481-1001.dcm.png,Frontal,hypoinflation
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 left basal airspace opacity unchanged blunting of the right lateral costophrenic scarring versus effusion no pneumothorax no acute osseous findings,"Minimal XXXX left base atelectasis/infiltrate. Otherwise, stable exam.",175_IM-0492-1001.dcm.png,Frontal,cardiomegaly
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.,176_IM-0496-1001.dcm.png,Frontal,normal
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 interstitial opacities there are no nodules or masses stable appearing right perihilar calcified granulomas no visible pneumothorax bilateral costophrenic blunting left worse than right the 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.",177_IM-0503-1001.dcm.png,Frontal,cardiomegaly
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.,178_IM-0509-2001.dcm.png,Frontal,opacity
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.,182_IM-0531-1001.dcm.png,Frontal,opacity
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.,183_IM-0537-1001.dcm.png,Frontal,opacity
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.,184_IM-0544-1001.dcm.png,Frontal,nodule
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 opacities on lateral projection reflect bronchovascular crowding there is no acute infiltrate or pleural effusion,No acute disease.,185_IM-0551-1001.dcm.png,Frontal,opacity
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.,186_IM-0558-1001.dcm.png,Frontal,normal
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.,187_IM-0563-1001.dcm.png,Frontal,tortuous
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 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 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.",189_IM-0578-1001.dcm.png,Frontal,opacity
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.,190_IM-0583-1001.dcm.png,Frontal,normal
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.,191_IM-0591-1001.dcm.png,Frontal,normal
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.,192_IM-0598-1001.dcm.png,Frontal,hypoinflation
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,193_IM-0601-1001.dcm.png,Frontal,degenerative
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,195_IM-0618-1002.dcm.png,Frontal,normal
196,normal,normal,Xray Chest PA and Lateral,Chest pain and shortness of breath.,,the 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.,196_IM-0626-1001.dcm.png,Frontal,normal
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.,197_IM-0631-1001.dcm.png,Frontal,hyperdistention
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.,200_IM-0653-1001.dcm.png,Frontal,normal
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 airspace opacity in the right middle lobe 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 there are moderate degenerative endplate changes in the thoracic spine there are no acute bony findings,No acute cardiopulmonary findings. .,201_IM-0660-1001.dcm.png,Frontal,opacity
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.,202_IM-0667-4004.dcm.png,Frontal,cardiomegaly
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.,203_IM-0675-1001.dcm.png,Frontal,normal
204,normal,normal, XXXX PA and lateral chest. ,XXXX.,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,204_IM-0683-1001.dcm.png,Frontal,normal
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 26 cm diameter masslike density over the lingula partial obscuration left cardiac there may be some illdefined 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 obscures portions of the pelvis femur the femoral images do not 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.,206_IM-0697-6001.dcm.png,Frontal,cardiomegaly
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. .,207_IM-0703-1001.dcm.png,Frontal,normal
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,1. No acute radiographic cardiopulmonary process.,208_IM-0711-1001.dcm.png,Frontal,normal
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.,211_IM-0740-1001.dcm.png,Frontal,normal
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.,212_IM-0746-1001-0001.dcm.png,Frontal,fracture
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.,212_IM-0746-1001-0002.dcm.png,Frontal,fracture
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 sternotomy are intact no pneumothorax or pleural effusion calcific density in the left mid to upper lung 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. .,215_IM-0769-1001.dcm.png,Frontal,cardiomegaly
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,,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.,216_IM-0777-2001.dcm.png,Frontal,cardiomegaly
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 opacities throughout the lungs which represent scarring lungs are hyperexpanded,No acute cardiopulmonary abnormalities. Stable chronic lung disease. .,218_IM-0792-4004.dcm.png,Frontal,opacity
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.,219_IM-0799-1001.dcm.png,Frontal,normal
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 leftsided chest is again visualized with tip at cavoatrial junction there is no pneumothorax numerous bilateral pulmonary nodules have increased in size and number compared to prior study the dominant nodulemass 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.,220_IM-0811-1001.dcm.png,Frontal,nodule
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.",221_IM-0817-1001.dcm.png,Frontal,atherosclerosis
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.,222_IM-0823-1001.dcm.png,Frontal,normal
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.,224_IM-0837-1001.dcm.png,Frontal,normal
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. .,225_IM-0844-1001.dcm.png,Frontal,normal
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.,226_IM-0851-1001.dcm.png,Frontal,normal
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 and soft tissues are unremarkable,Cardiomegaly with pulmonary interstitial edema and XXXX bilateral pleural effusions. .,227_IM-0859-12012.dcm.png,Frontal,cardiomegaly
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 and soft tissues are unremarkable,Cardiomegaly with pulmonary interstitial edema and XXXX bilateral pleural effusions. .,227_IM-0859-4004.dcm.png,Frontal,cardiomegaly
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 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. .",228_IM-0866-3001.dcm.png,Frontal,emphysema
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",,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,229_IM-0873-1001.dcm.png,Frontal,calcinosis
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",,atrial septal occluder artifact rotated frontal position overall heart size within normal limits no typical findings of pulmonary edema densities in the left base small focal opacity in the right base with focal posterior right hemidiaphragm elevation and obscured right costophrenic 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",233_IM-0899-1001.dcm.png,Frontal,opacity
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. .",234_IM-0906-0001-0001.dcm.png,Frontal,normal
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.,236_IM-0924-1001.dcm.png,Frontal,normal
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.,237_IM-0930-2001.dcm.png,Frontal,degenerative
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.,238_IM-0939-1001.dcm.png,Frontal,normal
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 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 l2l3 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.,240_IM-0950-1001.dcm.png,Frontal,calcinosis
241,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",chest pain,,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.,241_IM-0955-1001.dcm.png,Frontal,normal
242,normal,normal,Xray Chest PA and Lateral,XXXX-year-old female with syncope,,lungs are clear bilaterally with no focal infiltrate pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits and soft tissues are unremarkable,No acute cardiopulmonary findings. .,242_IM-0963-1001.dcm.png,Frontal,normal
244,normal,normal,"Chest x-XXXX AP and lateral, 2 views. ",Chest pain.,None.,heart mediastinum bony structures and lung are unremarkable,No radiographic evidence of acute cardiopulmonary disease,244_IM-0978-1001.dcm.png,Frontal,normal
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,and lateral chest examination was obtained the heart silhouette is normal in size and contour aortic appear unremarkable lungs demonstrate left upper lobe airspace disease most pneumonia there is no effusion or pneumothorax,1. Left upper lobe pneumonia.,245_IM-0985-1001.dcm.png,Frontal,pneumonia
246,normal,normal,XR Chest PA and Lateral,Chest pain,,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.,246_IM-0992-1002001.dcm.png,Frontal,normal
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.,247_IM-1000-1001.dcm.png,Frontal,normal
250,Spine/degenerative/mild,Spine,Xray Chest PA and Lateral,XXXX-year-old female with persistent XXXX for 6 months.,,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.,250_IM-1025-1001.dcm.png,Frontal,degenerative
251,Lung/hyperdistention/mild;Granulomatous Disease,Lung;Granulomatous Disease,CHEST 2V FRONTAL/LATERAL ,Chest pain,,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 are excluded,No acute disease.,251_IM-1032-1001.dcm.png,Frontal,hyperdistention
251,Lung/hyperdistention/mild;Granulomatous Disease,Lung;Granulomatous Disease,CHEST 2V FRONTAL/LATERAL ,Chest pain,,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 are excluded,No acute disease.,251_IM-1032-3001.dcm.png,Frontal,hyperdistention
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.,252_IM-1038-1001.dcm.png,Frontal,normal
255,normal,normal,PA AND LATERAL CHEST X-XXXX at XXXX XXXX/XXXX ,Chest pain,,lungs are clear no focal consolidation effusion or pneumothorax heart and mediastinal contours are normal osseous structures intact,No acute cardiopulmonary disease.,255_IM-1058-1001.dcm.png,Frontal,normal
257,Opacity/posterior,Opacity,PA and lateral chest radiographs. XXXX/XXXX at XXXX hours. ,XXXX-year-old male with XXXX.,None.,midline sternotomy 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.,257_IM-1072-1001.dcm.png,Frontal,opacity
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,,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.,258_IM-1078-1001.dcm.png,Frontal,hyperdistention
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.,259_IM-1083-1001.dcm.png,Frontal,normal
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. .,261_IM-1100-1001.dcm.png,Frontal,normal
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. .,261_IM-1100-12012.dcm.png,Frontal,normal
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.,262_IM-1109-1001.dcm.png,Frontal,normal
264,normal,normal,"Chest x-XXXX AP and lateral, 2 views. ",Productive XXXX,XXXX,heart mediastinum bony structures and lung are unremarkable no significant interval change compared to prior study no infiltrates noted,No radiographic evidence of acute cardiopulmonary disease,264_IM-1125-1001.dcm.png,Frontal,normal
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,"1. No acute pulmonary abnormality. 2. Mild cardiomegaly, atherosclerotic disease.",266_IM-1141-4004.dcm.png,Frontal,cardiomegaly
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.,267_IM-1147-1001.dcm.png,Frontal,effusion
268,Opacity/lung/upper lobe/right;Pneumonia/upper lobe/right,Opacity;Pneumonia," Chest radiograph, frontal and lateral views",,,there is a right upper lobe opacity cardiomediastinal silhouette is normal pulmonary vasculature and are normal osseous structures and soft tissues are normal,Right upper lobe pneumonia.,268_IM-1153-1001.dcm.png,Frontal,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 wellaerated there is no pneumothorax pleural effusion or focal consolidation,No acute cardiopulmonary disease. .,269_IM-1161-1001.dcm.png,Frontal,normal
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. .,270_IM-1168-1001.dcm.png,Frontal,normal
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.,271_IM-1176-1001.dcm.png,Frontal,normal
272,normal,normal,"Chest x-XXXX and Lateral views, dated XXXX, XXXX XXXX PM ",XXXX-year-old male with XXXX,,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.,272_IM-1182-1001.dcm.png,Frontal,normal
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",,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 demonstrated,"1. Cardiomegaly 2. Indistinct vascular margination which may be secondary to bronchovascular crowding however differential diagnosis includes mild pulmonary edema, atypical infection, inflammation",273_IM-1188-1001.dcm.png,Frontal,cardiomegaly
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 ageindeterminate mild wedge deformity of a midthoracic vertebral body,"1. No acute cardiopulmonary process. 2., Mild, age-indeterminate wedge XXXX deformity of a midthoracic vertebral body.",274_IM-1194-1001.dcm.png,Frontal,tortuous
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 are unremarkable,No acute cardiopulmonary abnormality.,275_IM-1200-1001.dcm.png,Frontal,normal
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.,276_IM-1207-1001.dcm.png,Frontal,normal
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.,278_IM-1218-1001.dcm.png,Frontal,opacity
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.,279_IM-1224-1001-0002.dcm.png,Frontal,normal
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.,282_IM-1243-1001.dcm.png,Frontal,normal
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.,283_IM-1248-1001.dcm.png,Frontal,normal
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 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.,284_IM-1252-5005.dcm.png,Frontal,normal
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 the heart and mediastinum are within normal limits bony structures are intact,No acute cardiopulmonary process.,286_IM-1267-3001.dcm.png,Frontal,calcinosis
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.,287_IM-1276-4004.dcm.png,Frontal,normal
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.,291_IM-1313-1001.dcm.png,Frontal,normal
294,Emphysema,Emphysema,CHEST 2V FRONTAL/LATERAL ,Shortness of breath,,the heart is normal in size the mediastinum is unremarkable the lungs are grossly clear underlying emphysematous changes are noted,Emphysema without acute disease.,294_IM-1340-3001.dcm.png,Frontal,emphysema
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.,295_IM-1348-1001.dcm.png,Frontal,fracture
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 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. .",297_IM-1361-4004.dcm.png,Frontal,opacity
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.,298_IM-1369-1001.dcm.png,Frontal,normal
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.,300_IM-1385-1001.dcm.png,Frontal,hyperdistention
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.,301_IM-1389-1001.dcm.png,Frontal,normal
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 chronic atelectasis,"Mild bilateral streaky opacities, XXXX atelectasis. No acute infiltrate.",303_IM-1404-1001.dcm.png,Frontal,opacity
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 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 atelectasis no consolidation pleural effusion or pneumothorax calcified right infrahilar lymph again seen partially visualized lower cervical spine fusion,Lung lines without evidence of acute cardiopulmonary process.,304_IM-1413-12012.dcm.png,Frontal,hypoinflation
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 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 atelectasis no consolidation pleural effusion or pneumothorax calcified right infrahilar lymph again seen partially visualized lower cervical spine fusion,Lung lines without evidence of acute cardiopulmonary process.,304_IM-1413-4004.dcm.png,Frontal,hypoinflation
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. .,306_IM-1426-1001.dcm.png,Frontal,normal
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.,307_IM-1432-1001.dcm.png,Frontal,normal
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 rightsided 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.,308_IM-1439-1001.dcm.png,Frontal,opacity
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.,309_IM-1444-1001.dcm.png,Frontal,normal
310,normal,normal,Xray Chest PA and Lateral,"XXXX, pain.",None.,chest the 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 examination consists of frontal lateral and swimmers lateral radiographs of the thoracic spine there is no evidence of fracture or malalignment the vertebral body and disc spaces are maintained sternum the examination consists of 2 oblique and one lateral radiograph of the sternum no displaced fracture demonstrated,1. No radiographic evidence of acute thoracic XXXX.,310_IM-1451-0001-0001.dcm.png,Frontal,normal
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 examination consists of frontal and lateral radiographs of the chest the cardiac silhouette is moderately enlarged with a cardiothoracic ratio of 162247 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.,313_IM-1472-1001.dcm.png,Frontal,effusion
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.,314_IM-1477-1001.dcm.png,Frontal,hypoinflation
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.,317_IM-1493-1001.dcm.png,Frontal,normal
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.,318_IM-1500-1001.dcm.png,Frontal,normal
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.,319_IM-1505-1001.dcm.png,Frontal,normal
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 opacities in the left lung subsegmental atelectasis opacities overlying the left lung base on the frontal reflect epicardial fat 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.,321_IM-1516-0001-0002.dcm.png,Frontal,opacity
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.,322_IM-1521-1001.dcm.png,Frontal,degenerative
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.,323_IM-1526-1001.dcm.png,Frontal,degenerative
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.,324_IM-1534-1001.dcm.png,Frontal,normal
325,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,Clear lungs.,325_IM-1539-1001.dcm.png,Frontal,normal
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,,326_IM-1546-2002.dcm.png,Frontal,normal
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 sternotomy 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. .,327_IM-1552-1001.dcm.png,Frontal,cardiomegaly
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.,328_IM-1560-1001.dcm.png,Frontal,normal
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 prominent right paratracheal stripe emphysema no active pulmonary disease mild spondylosis,"Stable appearance of the chest, see above.",329_IM-1571-1004003.dcm.png,Frontal,calcinosis
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.,330_IM-1577-0001-0002.dcm.png,Frontal,normal
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 are intact,No acute cardiopulmonary abnormalities.,331_IM-1584-1001.dcm.png,Frontal,normal
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.",332_IM-1588-1001.dcm.png,Frontal,opacity
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.,333_IM-1594-1001.dcm.png,Frontal,hyperdistention
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.,336_IM-1613-1001.dcm.png,Frontal,normal
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 opacities at the posterior sulci a few septal lines of the left lateral sulcus otherwise the lungs are clear with granulomas and sulci heart size upper normal thin lv contourunfolded calcified aorta tspine small osteophytes,No pneumothorax. Similar appearance.,337_IM-1622-1001.dcm.png,Frontal,opacity
338,normal,normal,PA and lateral chest radiographs dated XXXX at XXXX hours.,XXXX-year-old with hemoptysis.,None.,the heart pulmonary 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.,338_IM-1628-1001.dcm.png,Frontal,normal
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",340_IM-1644-4004.dcm.png,Frontal,cardiomegaly
341,normal,normal,CHEST 2V FRONTAL/LATERAL ; Three-view right foot.,"hx of smoking, not feeling well ; right foot XXXX.",,twoview chest both lungs are clear and expanded heart and mediastinum normal right foot hindfoot midfoot forefoot are intact with no fractures or bone destruction,1. Chest. No active disease. 2. Right foot. Negative.,341_IM-1648-1001.dcm.png,Frontal,normal
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.,342_IM-1655-0001-0001.dcm.png,Frontal,cardiomegaly
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..,344_IM-1664-1001.dcm.png,Frontal,normal
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 degenerative changes of the thoracic spine,No acute cardiopulmonary findings.,345_IM-1672-1001.dcm.png,Frontal,normal
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 focal airspace consolidation or pleural effusion,"No acute or active cardiac, pulmonary or pleural disease.",346_IM-1680-12012.dcm.png,Frontal,normal
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 focal airspace consolidation or pleural effusion,"No acute or active cardiac, pulmonary or pleural disease.",346_IM-1680-4004.dcm.png,Frontal,normal
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 are grossly unremarkable there are some minimal degenerative changes of the thoracic spine evidence of chronic granulomatous disease,1. Clear lungs.,347_IM-1686-1001.dcm.png,Frontal,degenerative
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.,348_IM-1690-1001.dcm.png,Frontal,normal
349,Cardiomegaly;Aorta/tortuous,Cardiomegaly;Aorta,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",chest pain,,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,349_IM-1697-1001.dcm.png,Frontal,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. .",350_IM-1705-0001-0001.dcm.png,Frontal,opacity
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 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.,351_IM-1712-1001.dcm.png,Frontal,hyperdistention
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. .,352_IM-1718-1001.dcm.png,Frontal,degenerative
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,,and lateral chest examination was obtained there is improvement in bilateral pulmonary edema with mild residual there is minimal rightsided pleural effusion heart silhouette is not enlarged there is calcified mediastinal lymph there is no pneumothorax,1. Improving bilateral interstitial edema pattern. 2. Small right-sided pleural effusion.,353_IM-1726-1001.dcm.png,Frontal,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.,354_IM-1731-1001.dcm.png,Frontal,normal
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.,355_IM-1739-1001.dcm.png,Frontal,hypoinflation
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.,356_IM-1744-1001.dcm.png,Frontal,normal
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 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.",357_IM-1753-1001.dcm.png,Frontal,opacity
358,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,XXXX,,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.,358_IM-1759-1001.dcm.png,Frontal,normal
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,1. No acute radiographic cardiopulmonary process.,359_IM-1768-1001.dcm.png,Frontal,normal
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.,361_IM-1783-1001.dcm.png,Frontal,normal
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.,363_IM-1798-4004.dcm.png,Frontal,normal
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.,364_IM-1804-1001.dcm.png,Frontal,normal
365,normal,normal,CHEST- PA AND LATERAL ,Chest pain after XXXX,,the lungs are clear the cardiomediastinal silhouette is within normal limits no pleural effusion is identified,No evidence of thoracic injury.,365_IM-1812-1001.dcm.png,Frontal,normal
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.,366_IM-1820-1001.dcm.png,Frontal,normal
367,normal,normal,"Chest x-XXXX and Lateral views, dated XXXX, XXXX XXXX PM ",XXXX-year-old XXXX with dyspnea,,the lungs are clear no focal airspace consolidation no pleural effusion or pneumothorax heart size is within normal limits,Clear lungs.,367_IM-1826-1001.dcm.png,Frontal,normal
368,normal,normal,"Chest, 2 views, XXXX XXXX","XXXX, sore throat, headache",,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.,368_IM-1832-1001.dcm.png,Frontal,normal
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.,370_IM-1848-1001.dcm.png,Frontal,normal
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 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.,371_IM-1852-1001.dcm.png,Frontal,hyperdistention
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 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.,372_IM-1858-4004.dcm.png,Frontal,effusion
373,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",wheezing and XXXX,,both lungs are clear and expanded heart and mediastinum normal,No active disease.,373_IM-1864-1001.dcm.png,Frontal,normal
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.,375_IM-1874-1001.dcm.png,Frontal,normal
377,Spine/degenerative,Spine,Xray Chest PA and Lateral,Chest pain,,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.,377_IM-1889-1001.dcm.png,Frontal,degenerative
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 duallumen dialysis catheter with the distal tip projected over the right atrium moderate cardiomegaly is identified there is mild calcification of the transverse 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.,379_IM-1903-4004.dcm.png,Frontal,cardiomegaly
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 43 x 28 a large left upper lobe reflecting a superimposed aspergillomaas more readily demonstrated on the previous ct chest study from no 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.",382_IM-1927-1001.dcm.png,Frontal,opacity
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.,,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.,387_IM-1962-1001.dcm.png,Frontal,opacity
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.,388_IM-1968-1001.dcm.png,Frontal,cardiomegaly
390,Aorta/tortuous/mild;Spine/degenerative,Aorta;Spine,"PA and LAT view CHEST XXXX, XXXX XXXX PM",Dyspnea and right-sided arm numbness,,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.,390_IM-1979-1001.dcm.png,Frontal,tortuous
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.,391_IM-1986-1001.dcm.png,Frontal,hypoinflation
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. .,393_IM-2002-1001.dcm.png,Frontal,normal
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.,394_IM-2010-1001.dcm.png,Frontal,opacity
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 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.,395_IM-2019-1001.dcm.png,Frontal,calcinosis
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.,396_IM-2024-2002.dcm.png,Frontal,degenerative
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 7 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.,397_IM-2030-1001.dcm.png,Frontal,degenerative
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 demonstrated,No acute findings. Please note that fractures may not be demonstrated and consider additional imaging as clinically warranted.,398_IM-2039-1001.dcm.png,Frontal,calcinosis
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.,399_IM-2043-1001.dcm.png,Frontal,degenerative
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 increased interstitial opacities there is no pneumothorax or large pleural effusion,Diffuse interstitial lung disease with pleural effusion.,401_IM-2051-1001.dcm.png,Frontal,effusion
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 rightsided rib fractures again noted,No acute cardiopulmonary findings.,403_IM-2052-2001.dcm.png,Frontal,fracture
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 appreciated on lateral view there is no focal consolidation there are no 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.",405_IM-2053-1001.dcm.png,Frontal,hypoinflation
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.,406_IM-2054-1001.dcm.png,Frontal,granulomatous
407,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",STAB,,lungs are clear no pleural effusions or pneumothoraces heart and mediastinum of normal size and contour,Clear lungs.,407_IM-2054-1001.dcm.png,Frontal,normal
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.,408_IM-2054-1001.dcm.png,Frontal,effusion
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 patients 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 intact,"Interstitial markings bilaterally, pulmonary fibrosis, unchanged. .",409_IM-2055-2001.dcm.png,Frontal,opacity
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 repair on the right,Minimal left basilar opacity most XXXX representing atelectasis or chronic scarring.,411_IM-2056-1001.dcm.png,Frontal,opacity
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 nipple 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.,412_IM-2056-2001.dcm.png,Frontal,opacity
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.,414_IM-2057-1001.dcm.png,Frontal,degenerative
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,416_IM-2059-1001.dcm.png,Frontal,normal
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 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,418_IM-2061-2001.dcm.png,Frontal,calcinosis
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.,419_IM-2062-1001.dcm.png,Frontal,normal
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.,421_IM-2064-1001.dcm.png,Frontal,normal
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 atelectasisairspace 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 ofview,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.,423_IM-2066-0001-0003.dcm.png,Frontal,effusion
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.,425_IM-2068-1001.dcm.png,Frontal,normal
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. .,426_IM-2069-4004.dcm.png,Frontal,tortuous
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.,427_IM-2070-1001.dcm.png,Frontal,normal
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.,428_IM-2070-1001.dcm.png,Frontal,normal
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. .,429_IM-2070-1001.dcm.png,Frontal,normal
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.,430_IM-2071-1001.dcm.png,Frontal,normal
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 are unchanged from previous exam and appear normal thoracic spine shows osteophyte formations at several levels,no radiographic evidence of tuberculosis or sarcoidosis.,431_IM-2072-1001.dcm.png,Frontal,cardiomegaly
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.,432_IM-2072-1001.dcm.png,Frontal,normal
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 appear intact borderline heart size aortic calcification noted calcified mediastinal lymph 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. .,434_IM-2074-1001.dcm.png,Frontal,hyperdistention
435,normal,normal,Chest x-XXXX XXXX ,Chest pain.,,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.,435_IM-2075-1001.dcm.png,Frontal,normal
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.",437_IM-2077-1001.dcm.png,Frontal,cardiomegaly
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 scarring atherosclerotic calcifications of the aortic there is no focal infiltrate no pneumothorax or pleural effusion,Emphysema without acute cardiopulmonary findings.,440_IM-2078-5005.dcm.png,Frontal,atherosclerosis
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 sequela of prior granulomatous disease otherwise lungs are clear there is no pneumothorax or large pleural effusion no bony abnormality,No acute cardiopulmonary abnormality.,441_IM-2078-1001.dcm.png,Frontal,granulomatous
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 infiltrates or masses heart and mediastinum are normal,XXXX change COPD with no acute findings.,442_IM-2078-1001.dcm.png,Frontal,hyperdistention
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.",443_IM-2078-1001.dcm.png,Frontal,degenerative
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,No acute radiographic cardiopulmonary process.,444_IM-2079-1001.dcm.png,Frontal,normal
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.,448_IM-2080-1001.dcm.png,Frontal,normal
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.,449_IM-2080-1001.dcm.png,Frontal,normal
450,normal,normal,PA and lateral of the chest ,XXXX-year-old chest pain.,,no focal consolidation no pneumothorax no pleural effusions heart size normal cardio mediastinal silhouette is unremarkable,1. No acute cardiopulmonary findings.,450_IM-2082-1001.dcm.png,Frontal,normal
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 destructive process or other significant abnormality for of the left hip shows nearcomplete 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 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 the skeletal structures appear normal,1.Severe arthritic changes in both hips left worse than right. 2. Possible COPD but no acute pulmonary disease.,451_IM-2082-1001.dcm.png,Frontal,calcinosis
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 blunting to suggest large pleural effusion bony structures are within normal limits,Stable mild cardiomegaly. No acute cardiopulmonary findings.,454_IM-2085-1001.dcm.png,Frontal,cardiomegaly
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.,455_IM-2086-4004.dcm.png,Frontal,hypoinflation
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.,456_IM-2087-1001.dcm.png,Frontal,granulomatous
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 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. .,457_IM-2088-1001-0001.dcm.png,Frontal,opacity
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 wellinflated 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.,459_IM-2090-2001.dcm.png,Frontal,normal
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.,460_IM-2090-1001.dcm.png,Frontal,tortuous
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 wellaerated there is no pneumothorax pleural effusion or focal consolidation,No acute cardiopulmonary disease. .,461_IM-2090-1001.dcm.png,Frontal,normal
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.",462_IM-2090-1001.dcm.png,Frontal,cardiomegaly
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 margin and the other illdefined 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 tspine osteophytes there is no pneumothorax or pleural effusion there are calcified hilar lymph 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.,463_IM-2091-1001.dcm.png,Frontal,opacity
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.,464_IM-2092-12012.dcm.png,Frontal,degenerative
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. .",465_IM-2093-0001-0002.dcm.png,Frontal,effusion
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.,466_IM-2094-2002.dcm.png,Frontal,tortuous
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 10 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 densities throughout the chest from prior gunshot wound chronic blunting of the costophrenic 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.,468_IM-2096-1001.dcm.png,Frontal,hyperdistention
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 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.,469_IM-2097-1001.dcm.png,Frontal,degenerative
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 wellinflated 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.,470_IM-2099-3001.dcm.png,Frontal,normal
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 stable degenerative disc disease of the thoracic spine,No acute cardiopulmonary abnormalities.,472_IM-2100-1001.dcm.png,Frontal,degenerative
474,normal,normal,Xray Chest PA and Lateral,Chest pain and bilateral hand numbness.,,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.,474_IM-2101-1001.dcm.png,Frontal,normal
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.",475_IM-2101-1001.dcm.png,Frontal,normal
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 the skeletal structures are normal,No active disease.,476_IM-2101-1001.dcm.png,Frontal,calcinosis
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.,477_IM-2101-1001.dcm.png,Frontal,normal
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,1. No acute radiographic cardiopulmonary process.,479_IM-2102-1001.dcm.png,Frontal,normal
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.,483_IM-2107-1001.dcm.png,Frontal,cardiomegaly
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.,484_IM-2108-1001.dcm.png,Frontal,hypoinflation
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 scar in the right lateral midlung adjacent focal pleural thickening is noted chronic blunting of both lateral costophrenic heart size and pulmonary vascularity within normal limits tortuous ectatic thoracic aorta unchanged sternotomy intact,1. No acute pulmonary abnormality.,486_IM-2110-1001.dcm.png,Frontal,tortuous
487,normal,normal,PA and lateral chest x-XXXX ,XXXX-year-old female with wheezing.,,cardiomediastinal silhouettes are within normal limits lungs are clear without focal consolidation pneumothorax or pleural effusion bony thorax is unremarkable,No acute cardiopulmonary abnormalities.,487_IM-2110-1001.dcm.png,Frontal,normal
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.,491_IM-2111-1001.dcm.png,Frontal,opacity
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 are intact,No acute cardiopulmonary abnormality. .,492_IM-2112-2002.dcm.png,Frontal,normal
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 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.,493_IM-2113-1001.dcm.png,Frontal,calcinosis
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 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.",494_IM-2114-1001.dcm.png,Frontal,opacity
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.,496_IM-2114-1001.dcm.png,Frontal,normal
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 are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest.,497_IM-2114-1001.dcm.png,Frontal,normal
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.",,large medial right upper lobe mass lesion measuring approximately 58 cm x 60 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. .,498_IM-2115-1001.dcm.png,Frontal,degenerative
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.,499_IM-2116-1001.dcm.png,Frontal,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 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 over the abdomen or pelvis 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.,502_IM-2120-1001.dcm.png,Frontal,normal
503,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female with XXXX, chest pain",,lungs are clear bilaterally with no focal infiltrate pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits and soft tissues are unremarkable,No acute cardiopulmonary findings. .,503_IM-2121-1001.dcm.png,Frontal,normal
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. >] ",XXXX-year-old with dyspnea.,XXXX.,stable cardiomediastinal silhouette stable opacity in the left base scarring or atelectasis rounded calcified density in the left lung base calcified granuloma no consolidation no pleural effusion or pneumothorax stable degenerative changes of the spine,No acute cardiopulmonary abnormality.,504_IM-2122-1001.dcm.png,Frontal,opacity
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.,505_IM-2123-1001.dcm.png,Frontal,normal
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.,506_IM-2124-1001.dcm.png,Frontal,normal
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.,508_IM-2125-1001.dcm.png,Frontal,normal
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 leftsided 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 45 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. .,509_IM-2125-1001.dcm.png,Frontal,effusion
510,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female with chest pain, rectal bleeding",,lungs are clear bilaterally with no focal infiltrate pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits and soft tissues are unremarkable,No acute cardiopulmonary abnormality. .,510_IM-2126-1001.dcm.png,Frontal,normal
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.,511_IM-2127-1001.dcm.png,Frontal,hyperdistention
512,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, XXXX.",,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.,512_IM-2127-1001.dcm.png,Frontal,degenerative
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 consistent with right atrial enlargement a 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 1933,1. Right and left atrial enlargement with cardiomegaly. No acute pulmonary abnormality demonstrated. .,513_IM-2128-1001.dcm.png,Frontal,cardiomegaly
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 blunting to suggest large pleural effusion bony structures are within normal limits,No acute cardiopulmonary findings.,514_IM-2129-2001.dcm.png,Frontal,normal
515,normal,normal,"Chest Two views PA and lateral XXXX, XXXX XXXX p.m. ",Dyspnea,,lungs are clear bilaterallythere is no focal consolidation pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits are unremarkable,No acute cardiopulmonary abnormality.,515_IM-2129-1001.dcm.png,Frontal,normal
518,normal,normal, PA and lateral chest. XXXX. ,Shortness of breath.,,stable normal cardiac size and contour unremarkable mediastinal silhouette normal pulmonary and interstitium lungs clear no airspace disease pleural effusion or pneumothorax no activeacute 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.",518_IM-2131-1001.dcm.png,Frontal,normal
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 intact,No acute cardiopulmonary abnormality. .,519_IM-2131-1001.dcm.png,Frontal,normal
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 intact,No acute cardiopulmonary abnormality. .,519_IM-2131-2001.dcm.png,Frontal,normal
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 due to hiatal hernia seen on examination,No acute cardiopulmonary abnormality. .,520_IM-2131-1001.dcm.png,Frontal,fracture
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",,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.,521_IM-2132-4004.dcm.png,Frontal,hypoinflation
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.,,there is hyperinflation of the lungs a small area scarring is seen in the left cardiophrenic 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.,522_IM-2133-1002001.dcm.png,Frontal,hyperdistention
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 skin fold artifact mild aortic ectasiatortuosity 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.",525_IM-2136-1001.dcm.png,Frontal,tortuous
527,normal,normal,Xray Chest PA and Lateral,XXXX-year-old male with shortness of breath and chest pain.,None.,cardiac and mediastinal 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. .,527_IM-2137-1001.dcm.png,Frontal,normal
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.,529_IM-2137-1001.dcm.png,Frontal,normal
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 lefttoright mediastinal shift relative hyperlucency of left lung compensatory hyperinflation diminutive right hilar silhouette compatible with absence of right 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.,531_IM-2140-1001.dcm.png,Frontal,hyperdistention
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.,532_IM-2140-1001.dcm.png,Frontal,normal
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 patients 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.",533_IM-2140-1001.dcm.png,Frontal,tortuous
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,,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 reflect mild subsegmental atelectasis there is no focal infiltrate or pleural effusion,Mild left-sided scarring/subsegmental atelectasis. No definite infiltrate.,534_IM-2141-1001.dcm.png,Frontal,opacity
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 sshaped thoracolumbar scoliosis there are tspine osteophytes opacity in the left lower lobe 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 opacity in left lung base XXXX represents atelectasis or scarring.,535_IM-2142-1001.dcm.png,Frontal,opacity
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.,536_IM-2143-1001.dcm.png,Frontal,normal
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 focal airspace consolidation or pleural effusion,"No acute or active cardiac, pulmonary or pleural disease.",538_IM-2144-4004.dcm.png,Frontal,normal
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.,539_IM-2145-1001.dcm.png,Frontal,normal
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. .",540_IM-2146-4004.dcm.png,Frontal,opacity
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,,cardiomediastinal contour and pulmonary vascularity within normal limits clear lungs no pleural effusion or pneumothorax mild ageindeterminate anterior wedging of a lower thoracic or upper lumbar vertebra on lateral view leftsided 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.",541_IM-2147-1001.dcm.png,Frontal,degenerative
543,normal,normal,CHEST- PA AND LATERAL ,Chest pain,,the lungs are clear the cardiomediastinal silhouette is within normal limits no pleural effusion is identified,Normal chest film.,543_IM-2148-1001.dcm.png,Frontal,normal
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.,544_IM-2148-1001.dcm.png,Frontal,normal
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.,,lung volumes are opacities are present in both lung bases a hiatal hernia is present heart and pulmonary are normal,Hypoinflation with bibasilar focal atelectasis.,545_IM-2149-1001.dcm.png,Frontal,opacity
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.,547_IM-2151-1001.dcm.png,Frontal,degenerative
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.",551_IM-2154-1001.dcm.png,Frontal,hyperdistention
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. .,553_IM-2155-2001.dcm.png,Frontal,hyperdistention
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.,554_IM-2155-1001.dcm.png,Frontal,normal
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.,555_IM-2156-1001.dcm.png,Frontal,degenerative
556,normal,normal,Xray Chest PA and Lateral,LEFT SIDE CHEST WALL PAIN,,the lungs are clear the heart and pulmonary are normal the pleural spaces are clear mediastinal contours are normal,No acute cardiopulmonary disease,556_IM-2156-1001-0002.dcm.png,Frontal,normal
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.,557_IM-2157-2001.dcm.png,Frontal,normal
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.,560_IM-2161-1001.dcm.png,Frontal,normal
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 and vasculature central airways and lung volumes no pleural effusion,"No acute or active cardiac, pulmonary or pleural disease.",562_IM-2163-1001.dcm.png,Frontal,normal
563,normal,normal,Xray Chest PA and Lateral,"Rib pain, XXXX.",None.,the 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 involving the left proximal humerus deformity of the left distal clavicle compatible with remote no displaced rib fractures on this chest examination,No evidence of acute cardiopulmonary process.,563_IM-2164-1001.dcm.png,Frontal,normal
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.,564_IM-2165-1001.dcm.png,Frontal,pneumonia
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..,565_IM-2166-1001.dcm.png,Frontal,normal
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.,567_IM-2167-1001.dcm.png,Frontal,degenerative
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 sequela of prior granulomatous disease hyperinflated lungs the otherwise lungs are clear the bilateral apices are partially excluded from the ofview there is the interval fixation of the right humeral fracture appears grossly intact osteopenia exaggerated kyphosis of the thoracic spine,No acute cardiopulmonary finding.,568_IM-2168-1001.dcm.png,Frontal,hyperdistention
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 airfluid 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.",569_IM-2169-0001-0002.dcm.png,Frontal,opacity
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.,570_IM-2170-1001.dcm.png,Frontal,normal
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.,571_IM-2170-1001.dcm.png,Frontal,normal
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.,572_IM-2170-1001.dcm.png,Frontal,normal
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 examination consists of frontal and lateral radiographs of the chest sternotomy 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.,573_IM-2171-12012.dcm.png,Frontal,opacity
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 examination consists of frontal and lateral radiographs of the chest sternotomy 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.,573_IM-2171-4004.dcm.png,Frontal,opacity
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.,576_IM-2174-1001.dcm.png,Frontal,cardiomegaly
577,normal,normal,Xray Chest PA and Lateral,"Intermittent back pain x2-3 days, now right-sided chest pain under ribs.",None.,the 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.,577_IM-2175-1001.dcm.png,Frontal,normal
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 are intact without acute osseous abnormality,Chest radiograph. 1. No acute radiographic cardiopulmonary process.,578_IM-2176-1001.dcm.png,Frontal,granulomatous
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..,579_IM-2176-1001.dcm.png,Frontal,normal
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 are noted the lungs are clear,No acute disease.,580_IM-2177-2002.dcm.png,Frontal,atherosclerosis
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 focal airspace consolidation or pleural effusion,"No acute or active cardiac, pulmonary or pleural disease.",581_IM-2178-1001.dcm.png,Frontal,normal
582,normal,normal,"Chest, 2 views, XXXX XXXX","Five weeks pregnant, shortness of breath x1 month",,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.,582_IM-2179-1001.dcm.png,Frontal,normal
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.,584_IM-2181-1001.dcm.png,Frontal,normal
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 unchanged streaky opacities in the bilateral costophrenic sulci represent chronic scarring or atelectasis,No acute cardiopulmonary abnormality.,585_IM-2181-1001.dcm.png,Frontal,opacity
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 and mediastinum are within normal limits there is no pleural effusion or pneumothorax again noted is and left midlung airspace opacity atelectasis there is left basilar opacity atelectasis as well there is improved right midlung opacity there are mild degenerative changes of the spine sternotomy are intact extensive atherosclerotic disease,Probable left midlung and left basilar atelectasis. Cardiomegaly.,586_IM-2182-1001.dcm.png,Frontal,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 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.,587_IM-2182-2001.dcm.png,Frontal,opacity
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 are intact,No acute cardiopulmonary abnormalities.,588_IM-2183-1001.dcm.png,Frontal,normal
589,normal,normal, PA and lateral chest. ,polyarticular arthritis,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,589_IM-2183-1001.dcm.png,Frontal,normal
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.,593_IM-2186-1001.dcm.png,Frontal,cardiomegaly
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 tspine osteophytes there calcified costochondral cartilages there is loss of disc 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.",594_IM-2187-1001.dcm.png,Frontal,cardiomegaly
595,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with hypoxia and shortness of breath. XXXX.,None.,the heart pulmonary 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.,595_IM-2187-1001.dcm.png,Frontal,normal
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 granulomas no focal consolidation pneumothorax or large pleural effusion old fracture right mid clavicle,Negative for acute abnormality.,600_IM-2192-1001.dcm.png,Frontal,calcinosis
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 duallumen 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.",601_IM-2192-1001.dcm.png,Frontal,opacity
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.,605_IM-2194-1001.dcm.png,Frontal,opacity
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.,sternotomy are in and intact normal cardiomediastinal silhouette the bilateral costophrenic are excluded from the image on the pa view lungs are clear without focal areas of consolidation pleural effusion or pneumothorax are intact without acute osseous abnormality mild degenerative changes throughout the thoracic spine,Chest radiograph. 1. No acute radiographic cardiopulmonary process.,606_IM-2195-1001.dcm.png,Frontal,degenerative
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.,607_IM-2196-1001.dcm.png,Frontal,calcinosis
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.,608_IM-2196-1001.dcm.png,Frontal,fracture
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 are grossly intact,1. No acute cardiopulmonary abnormality.,609_IM-2197-1001.dcm.png,Frontal,normal
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.",611_IM-2198-1001.dcm.png,Frontal,hypoinflation
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 intact without complicating features there is stable cardiomegaly with persistent bibasilar opacities atelectasis andor infiltrate no 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.,612_IM-2199-1001.dcm.png,Frontal,cardiomegaly
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 are unremarkable,1. No acute cardiopulmonary abnormality. 2. No suspicious masses or nodules.,615_IM-2200-1001.dcm.png,Frontal,granulomatous
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 3rd5 normal cardiomediastinal silhouette pulmonary vasculatures are within normal limits leftsided aortic central airways are 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. .,616_IM-2200-1001.dcm.png,Frontal,fracture
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.,617_IM-2200-1001.dcm.png,Frontal,degenerative
618,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with osteogenic sarcoma. Followup study.,None.,the heart pulmonary 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.,618_IM-2201-1001.dcm.png,Frontal,normal
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 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.",619_IM-2202-1002.dcm.png,Frontal,cardiomegaly
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. .,620_IM-2202-1001.dcm.png,Frontal,degenerative
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 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.,621_IM-2203-1001.dcm.png,Frontal,degenerative
622,normal,normal, Two-view chest. ,XXXX and back pain.,None.,both lungs are clear and expanded heart and mediastinum normal,No active disease.,622_IM-2204-1001.dcm.png,Frontal,normal
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 related to subpleural fat the appearance is stable from multiple previous studies the lungs are clear there is no pleural effusion,No acute disease.,623_IM-2205-2002.dcm.png,Frontal,atherosclerosis
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.,624_IM-2206-1001.dcm.png,Frontal,hyperdistention
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 are intact,No acute cardiopulmonary abnormalities.,626_IM-2206-1001.dcm.png,Frontal,normal
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 are intact,No acute cardiopulmonary abnormalities.,626_IM-2206-3001.dcm.png,Frontal,normal
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.,627_IM-2207-1001.dcm.png,Frontal,cardiomegaly
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 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 focal airspace consolidation or pleural effusion 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.,628_IM-2208-4001.dcm.png,Frontal,tortuous
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 wellinflated 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.,629_IM-2209-1001.dcm.png,Frontal,normal
630,normal,normal,Xray Chest PA and Lateral,KIDNEY TRANSPLANT XXXX,,the lungs appear clear the heart and pulmonary are normal pleural spaces are clear mediastinal contours are normal patient status post sternotomy and cabg,No acute cardiopulmonary disease,630_IM-2211-1001.dcm.png,Frontal,normal
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 duallumen right ij catheter is identified without pneumothorax the lungs are moderately hypoinflated with bibasilar opacities adjacent atelectasis there is illdefined density overlying the anterior left 5th rib possibly healing deformity versus superimposition of structures,Moderate hypoinflation with associated bibasilar atelectasis.,631_IM-2212-1001.dcm.png,Frontal,opacity
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 and soft tissue are unremarkable,No acute cardiopulmonary abnormality.,632_IM-2213-1001.dcm.png,Frontal,normal
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.,633_IM-2213-1001.dcm.png,Frontal,degenerative
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.,636_IM-2215-1001.dcm.png,Frontal,granulomatous
639,normal,normal,Xray Chest PA and Lateral,Bone marrow transplant XXXX 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.,639_IM-2218-1001.dcm.png,Frontal,normal
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.,640_IM-2219-1001.dcm.png,Frontal,calcinosis
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.,645_IM-2224-1001.dcm.png,Frontal,degenerative
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. .,648_IM-2226-4004.dcm.png,Frontal,hypoinflation
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 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.,649_IM-2227-1001.dcm.png,Frontal,effusion
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 rightsided 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. .,650_IM-2228-4001.dcm.png,Frontal,cardiomegaly
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 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 represents adenopathy which is better demonstrated on the prior,1. Small left pleural effusion. 2. Mediastinal adenopathy noted but better evaluated on the XXXX XXXX CT.,651_IM-2229-1001.dcm.png,Frontal,effusion
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.,652_IM-2229-1001.dcm.png,Frontal,normal
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.,653_IM-2230-1001.dcm.png,Frontal,degenerative
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 are unremarkable,No acute cardiopulmonary finding.,654_IM-2231-1001.dcm.png,Frontal,normal
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. .,655_IM-2231-1001.dcm.png,Frontal,hyperdistention
657,normal,normal,Xray Chest PA and Lateral,Preoperative for kidney pancreas transplant,,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. .,657_IM-2233-0001-0001.dcm.png,Frontal,normal
658,normal,normal,Xray Chest PA and Lateral,",491.21",,the lungs are clear the heart and pulmonary are normal the pleural spaces are clear mediastinal contours are normal,No acute cardiopulmonary disease,658_IM-2234-1001.dcm.png,Frontal,normal
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.,659_IM-2235-1001.dcm.png,Frontal,hypoinflation
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 visualized osseous structures unremarkable,No acute cardiopulmonary abnormality.,660_IM-2237-0001-0002.dcm.png,Frontal,calcinosis
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 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.,661_IM-2238-2002.dcm.png,Frontal,degenerative
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. .,663_IM-2239-1001.dcm.png,Frontal,normal
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 andor subsegmental atelectasis in the right lung base no focal consolidation or significant pleural effusion identified costophrenic are blunted,Borderline cardiomegaly and mild chronic changes. No acute infiltrate.,666_IM-2241-1001.dcm.png,Frontal,cardiomegaly
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 rightsided 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. .,667_IM-2241-1001.dcm.png,Frontal,hypoinflation
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.,668_IM-2242-1001.dcm.png,Frontal,normal
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.,669_IM-2242-2001.dcm.png,Frontal,cardiomegaly
670,Atherosclerosis/aorta;Cardiomegaly/mild,Atherosclerosis;Cardiomegaly,XR Chest PA and Lateral,Chronic XXXX,,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.,670_IM-2244-85049001.dcm.png,Frontal,cardiomegaly
671,Calcinosis/lung/hilum;Nodule/lung/hilum;Granulomatous Disease,Calcinosis;Nodule;Granulomatous Disease,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",Dyspnea,none,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 appear unremarkable there is no effusion or pneumothorax,1. No acute pulmonary disease.,671_IM-2245-1001.dcm.png,Frontal,granulomatous
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. .",674_IM-2247-1001.dcm.png,Frontal,hypoinflation
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. .,676_IM-2248-1001.dcm.png,Frontal,normal
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 in the right atrium heart is not enlarged trachea and bronchi appear normal lungs are mildly under expanded no pneumothorax there are small areas of patchy density in the left lower lung there is a larger area of patchy density in the right mid and lower lungs with rightsided pleural effusion,In view of the history findings are strongly suggestive of XXXX acute pneumonia with right-sided pleural effusion.,677_IM-2249-1001.dcm.png,Frontal,effusion
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 the tip has moved into the left innominate vein there has been interval development of several illdefined 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.,681_IM-2252-0001-0002.dcm.png,Frontal,opacity
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 are intact,No acute cardiopulmonary abnormalities.,683_IM-2254-1001.dcm.png,Frontal,normal
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 are coronary artery stents there are small round calcific densities in the bilateral lobes which are unchanged from prior exam and 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.,685_IM-2254-1001.dcm.png,Frontal,degenerative
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 of a large pleural effusion there is no evidence of pneumothorax,Cardiomegaly. Clear lungs. .,686_IM-2254-1001.dcm.png,Frontal,cardiomegaly
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.",687_IM-2255-1001.dcm.png,Frontal,hypoinflation
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 airfilled dilated loops of small bowel measuring the of which measure up to about 37 cm in diameter there is also an extremely dilated in the same region which measures 59 cm in diameter there is extensive soft tissue pannus prior abdominal surgery chest there is 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. .",688_IM-2256-1001.dcm.png,Frontal,opacity
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,,three noncalcified lung nodules are present in the left lower lobe the largest measures 35 mm in diameter another nodule is present near the right hilum it is approximately 2 cm in diameter the 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.",689_IM-2257-1001.dcm.png,Frontal,nodule
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.,690_IM-2258-1001.dcm.png,Frontal,normal
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.,691_IM-2258-1001.dcm.png,Frontal,normal
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. .,692_IM-2258-1001.dcm.png,Frontal,degenerative
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 and scattered calcified granulomas stable degenerative changes in the spine,No acute cardiopulmonary abnormalities.,693_IM-2259-1001.dcm.png,Frontal,degenerative
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 bilaterally this is to be similar to 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.,695_IM-2261-1001.dcm.png,Frontal,opacity
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.,696_IM-2261-1001-0002.dcm.png,Frontal,normal
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 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",699_IM-2263-1001.dcm.png,Frontal,cardiomegaly
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.,700_IM-2265-4004.dcm.png,Frontal,degenerative
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 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.,701_IM-2266-1001.dcm.png,Frontal,hyperdistention
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 opacities are seen within the aerated right lung 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.,702_IM-2267-1001.dcm.png,Frontal,effusion
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.,704_IM-2267-1001.dcm.png,Frontal,normal
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 ectasiatortuosity 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,706_IM-2269-4004.dcm.png,Frontal,tortuous
707,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX ",XXXX rule out pneumonia,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,707_IM-2270-1001.dcm.png,Frontal,normal
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.,708_IM-2271-1001.dcm.png,Frontal,normal
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 fracturedislocation of the right shoulder bone demineralization scoliosis which is possibly positional,Clear lungs. Fracture-dislocation of the proximal right shoulder .,709_IM-2272-3001.dcm.png,Frontal,calcinosis
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.,712_IM-2274-0001-0001.dcm.png,Frontal,hyperdistention
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.,712_IM-2274-0001-0003.dcm.png,Frontal,hyperdistention
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.,,central venous catheter tip in the right atrium heart size and shape are normal trachea and bronchi appear normal the lungs are reasonably well expanded there and patchy nodular densities in both lower lung more marked on the right than the left there is scattered areas of bronchial wall thickening wellseen in the left upper lobe there is loss of definition of part of the left heart no effusions no pneumothorax,Findings consistent with widespread changes from cystic fibrosis. It is difficult to differentiate acute from chronic change.,713_IM-2275-1001.dcm.png,Frontal,nodule
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.,714_IM-2276-1001.dcm.png,Frontal,degenerative
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.,714_IM-2276-3001.dcm.png,Frontal,degenerative
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.,717_IM-2279-1001.dcm.png,Frontal,normal
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.,720_IM-2281-1001.dcm.png,Frontal,normal
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.,721_IM-2282-1001.dcm.png,Frontal,normal
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,722_IM-2282-1001.dcm.png,Frontal,normal
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 and mediastinum are within normal limits there is no pleural effusion or pneumothorax there is bilateral basilar opacity compatible with atelectasis there are somewhat low lung volumes there is a calcified right hilar lymph node,Bibasilar atelectasis.,723_IM-2283-1001.dcm.png,Frontal,opacity
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.,725_IM-2285-1001.dcm.png,Frontal,normal
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.,725_IM-2285-3001.dcm.png,Frontal,normal
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 are normal are normal,XXXX left lower lobe nodule. The differential diagnosis includes round pneumonia and parenchymal mass. CT may be of further XXXX.,728_IM-2287-1001.dcm.png,Frontal,nodule
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 17 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.",729_IM-2288-1001.dcm.png,Frontal,opacity
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.,731_IM-2291-1001.dcm.png,Frontal,normal
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. .,732_IM-2292-1001-0002.dcm.png,Frontal,hyperdistention
734,normal,normal,PA and lateral chest x-XXXX dated XXXX,"XXXX-year-old male, preoperative",,no pneumothorax heart size is normal no large pleural effusions no focal airspace consolidation,No acute cardiopulmonary abnormalities.,734_IM-2293-0001-0002.dcm.png,Frontal,normal
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.,735_IM-2294-1001.dcm.png,Frontal,normal
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.,735_IM-2294-3001.dcm.png,Frontal,normal
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.,737_IM-2295-1001.dcm.png,Frontal,normal
739,normal,normal,TWO-VIEW CHEST (AP/PA and lateral): XXXX.,XXXX-year-old female with morbid obesity.,,and lateral views of the chest were obtained the lung volumes are low normal the lungs are clear and there are no pleural effusions the mediastinum and pulmonary are normal the bony elements are not remarkable,No acute cardiopulmonary abnormalities are seen. END OF REPORT.,739_IM-2296-1001.dcm.png,Frontal,normal
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.,740_IM-2297-2001.dcm.png,Frontal,normal
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.,741_IM-2297-1001.dcm.png,Frontal,normal
742,Opacity/lung/base/right/focal/abnormal,Opacity,Xray Chest PA and Lateral,"XXXX-year-old female, XXXX, difficulty breathing",,focal opacity in the medial right lung base 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.",742_IM-2298-1001.dcm.png,Frontal,normal
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 a is in 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 scan the right upper lobe was consolidated comparison to the 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.,744_IM-2299-1001.dcm.png,Frontal,opacity
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.,745_IM-2299-1001.dcm.png,Frontal,atherosclerosis
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.,748_IM-2302-1001.dcm.png,Frontal,normal
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.,,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 relates to subsegmental atelectasis,No acute cardiothoracic process.,749_IM-2302-1001.dcm.png,Frontal,opacity
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.,750_IM-2304-1001.dcm.png,Frontal,degenerative
751,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, pain",,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,751_IM-2305-1001.dcm.png,Frontal,normal
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 the heart and pulmonary are normal mediastinal contours are normal pleural spaces are clear,No acute cardiopulmonary disease,752_IM-2305-1001.dcm.png,Frontal,calcinosis
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 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.,753_IM-2306-1001.dcm.png,Frontal,degenerative
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.,756_IM-2307-1001.dcm.png,Frontal,normal
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.,756_IM-2307-3001.dcm.png,Frontal,normal
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.,757_IM-2308-1001.dcm.png,Frontal,normal
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.,758_IM-2309-1001.dcm.png,Frontal,normal
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.,759_IM-2309-1001.dcm.png,Frontal,tortuous
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 opacity in the left 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.,760_IM-2310-1001.dcm.png,Frontal,opacity
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.,761_IM-2310-1001.dcm.png,Frontal,hypoinflation
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 are present,1. No evidence of active disease.,762_IM-2310-1001.dcm.png,Frontal,calcinosis
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.,764_IM-2311-3001.dcm.png,Frontal,normal
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.,767_IM-2312-1001.dcm.png,Frontal,normal
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.,767_IM-2312-3001.dcm.png,Frontal,normal
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.,768_IM-2313-1001.dcm.png,Frontal,normal
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,No acute cardiopulmonary findings.,769_IM-2314-1001.dcm.png,Frontal,degenerative
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.,770_IM-2316-1001.dcm.png,Frontal,normal
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.,771_IM-2316-2001.dcm.png,Frontal,normal
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.,,sternotomy 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 appear intact,"1. No acute cardiopulmonary abnormality. 2. Stable cardiomegaly, tortuous thoracic aorta and atherosclerotic calcification. .",772_IM-2317-0001-0002.dcm.png,Frontal,cardiomegaly
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 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.,773_IM-2318-1001.dcm.png,Frontal,hyperdistention
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.,774_IM-2318-1001.dcm.png,Frontal,hyperdistention
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 atelectasis negative for focal airspace disease or consolidation negative for pneumothorax or pleural effusion limited evaluation reveals the are grossly intact,1. No acute cardiopulmonary abnormality.,776_IM-2319-1001.dcm.png,Frontal,opacity
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. .,777_IM-2320-4004.dcm.png,Frontal,tortuous
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.,779_IM-2321-1001.dcm.png,Frontal,normal
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.,781_IM-2323-1001.dcm.png,Frontal,normal
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.,783_IM-2325-1001.dcm.png,Frontal,hyperdistention
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 post your recess effusions kyphotic degenerated osteopenic thoracic spine,Probable XXXX posterior recess effusions with mild basilar atelectasis. No lobar pneumonia.,784_IM-2325-1001-0002.dcm.png,Frontal,effusion
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. .,785_IM-2325-1001.dcm.png,Frontal,normal
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 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.,788_IM-2328-1001.dcm.png,Frontal,fracture
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 are intact,No acute cardiopulmonary abnormalities.,791_IM-2330-1001.dcm.png,Frontal,tortuous
792,normal,normal,Xray Chest PA and Lateral,left sided chest pain,,the lungs appear clear the heart and pulmonary are normal the pleural spaces are clear mediastinal contours are normal,No acute acute cardiopulmonary disease.,792_IM-2330-1001.dcm.png,Frontal,normal
793,normal,normal,Xray Chest PA and Lateral,"Dyspnea, shortness of breath, lightheadedness.",,the 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 this is unchanged 31 17 the remaining osseous structures and visualized upper abdomen are unremarkable in appearance,No evidence of acute cardiopulmonary process.,793_IM-2330-1001.dcm.png,Frontal,normal
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. .,794_IM-2331-1001.dcm.png,Frontal,normal
795,normal,normal, PA and lateral chest. ,tuberculosis positive PPD,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest No evidence of tuberculosis.,795_IM-2331-1001.dcm.png,Frontal,normal
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,Negative for acute abnormality.,796_IM-2332-1001.dcm.png,Frontal,normal
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,1. Cardiomegaly without lung infiltrates.,797_IM-2332-1001.dcm.png,Frontal,cardiomegaly
798,normal,normal,CHEST 2V FRONTAL/LATERAL - RADXXXX ,,XXXX,the heart is not enlarged lungs are clear no pleural effusion,No acute abnormality.,798_IM-2332-1001.dcm.png,Frontal,normal
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.,799_IM-2333-1001.dcm.png,Frontal,normal
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 boneonbone 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 deformities ageindeterminate there is an airfluid level in the middle mediastinum most 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.",800_IM-2334-4004-0001.dcm.png,Frontal,cardiomegaly
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 boneonbone 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 deformities ageindeterminate there is an airfluid level in the middle mediastinum most 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.",800_IM-2334-4004-0002.dcm.png,Frontal,cardiomegaly
801,normal,normal,"Frontal lateral chest x-XXXX XXXX, XXXX XXXX","XXXX-year-old female, bone marrow transplant XXXX workup. No chest complaints.",,heart is normal in size no focal consolidation pleural effusion or pneumothorax no acute or destructive bone abnormality,Normal chest.,801_IM-2335-1001.dcm.png,Frontal,normal
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,,low lung volumes are noted allowing for technical factors the heart size is normal the mediastinum is unremarkable there is increased bilateral predominantly perihilar interstitial opacity consistent with pulmonary edema there is no pneumothorax or pleural effusion the are unremarkable,"1. Increased bilateral interstitial opacity, XXXX consistent with mild interstitial edema.",804_IM-2338-2001.dcm.png,Frontal,opacity
805,Spine/degenerative/mild,Spine,"Chest x-XXXX and Lateral views, dated XXXX, XXXX XXXX PM ",XXXX for one XXXX,,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.,805_IM-2339-1001.dcm.png,Frontal,degenerative
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. .,806_IM-2340-0001-0002.dcm.png,Frontal,cardiomegaly
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.,808_IM-2341-2001.dcm.png,Frontal,pneumonia
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.,809_IM-2342-1001.dcm.png,Frontal,tortuous
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.,810_IM-2343-1001.dcm.png,Frontal,degenerative
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 represents an old fracture,No acute cardiopulmonary abnormality.,811_IM-2343-1001.dcm.png,Frontal,fracture
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 are intact stable splenic artery embolism coils,No acute cardiopulmonary abnormalities.,812_IM-2343-1001.dcm.png,Frontal,emphysema
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 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 degenerative changes of the thoracic spine,Low lung volumes with minimal left basilar atelectasis versus scarring.,813_IM-2344-1001.dcm.png,Frontal,hypoinflation
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 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.,814_IM-2345-1001.dcm.png,Frontal,granulomatous
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.,,there are 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.,817_IM-2348-0001-0002.dcm.png,Frontal,opacity
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.,818_IM-2349-1001.dcm.png,Frontal,pneumonia
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 tspine osteophytes small nodule projecting near the left heart is unchanged from and appears calcified this 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.,820_IM-2351-1001.dcm.png,Frontal,nodule
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.",821_IM-2351-1001.dcm.png,Frontal,hypoinflation
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 bilateral lower lobe opacities subsegmental atelectasis and scarring no 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.,822_IM-2352-1001.dcm.png,Frontal,opacity
824,Calcified Granuloma;Thoracic Vertebrae/degenerative,Calcified Granuloma;Thoracic Vertebrae,Xray Chest PA and Lateral,"XXXX-year-old female, tobacco use, preop.",,there are no focal areas of consolidation no pleural effusions no pneumothorax heart size within normal limits calcified granulomas degenerative changes thoracic spine,,824_IM-2354-1001.dcm.png,Frontal,degenerative
826,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with XXXX.,Two views of the chest dated XXXX.,the heart pulmonary 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.,826_IM-2355-1001.dcm.png,Frontal,normal
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 scarring and emphysematous changes noted the lungs are grossly clear,No acute disease.,827_IM-2356-1001.dcm.png,Frontal,emphysema
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 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. .",828_IM-2357-1001.dcm.png,Frontal,opacity
829,normal,normal,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 bony thorax is unremarkable,No acute cardiopulmonary abnormalities.,829_IM-2358-1001.dcm.png,Frontal,normal
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,"Low lung volumes, otherwise clear.",831_IM-2358-4004.dcm.png,Frontal,hypoinflation
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.,833_IM-2359-1001.dcm.png,Frontal,normal
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 spine,No evidence of acute cardiopulmonary disease.,834_IM-2359-1001.dcm.png,Frontal,degenerative
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 sequela of prior granulomatous disease no pneumothorax or large pleural effusion no acute bone abnormality,No acute cardiopulmonary process.,837_IM-2361-1001.dcm.png,Frontal,granulomatous
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 are unremarkable,Normal chest.,839_IM-2363-1001.dcm.png,Frontal,normal
841,"Catheters, Indwelling/left;Lung/hyperdistention/mild;Deformity/ribs/left","Catheters, Indwelling;Lung;Deformity",Xray Chest PA and Lateral,PICC LINE POSITION;,,the heart is normal in size the mediastinum is unremarkable left upper extremity pic catheter tip overlies the distal aspect of the left clavicle within the subclavian vein there is no pneumothorax the lungs are mildly hyperinflated but clear deformity of the lateral left 6th rib old injury,No acute disease. Left upper extremity PIC catheter tip XXXX within left subclavian vein. Findings communicated XXXX primordial.,841_IM-2365-1001.dcm.png,Frontal,hyperdistention
842,normal,normal,Xray Chest PA and Lateral,"Abdominal pain, foreign body sensation in distal esophagus after attempting to XXXX pills",,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.,842_IM-2366-1001.dcm.png,Frontal,normal
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.",,right lower lobe calcified granuloma heart size within normal limits no pleural effusions no evidence of pneumothorax degenerative changes thoracic spine,No acute cardiopulmonary inability. .,843_IM-2366-1001.dcm.png,Frontal,degenerative
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.,844_IM-2367-1001.dcm.png,Frontal,normal
847,Cardiomegaly/mild;Lung/hypoinflation;Markings/bronchovascular,Cardiomegaly;Lung;Markings,"CHEST 2V FRONTAL/LATERAL Sept 9, XXXX XXXX PM ",SOB,,the trachea is midline the heart 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.,847_IM-2369-1001.dcm.png,Frontal,cardiomegaly
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. .,849_IM-2371-1001.dcm.png,Frontal,nodule
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.,850_IM-2373-0001-0001.dcm.png,Frontal,normal
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.,,the lungs appear clear the heart and pulmonary appear normal the pleural spaces are clear these t contours appear normal there is a 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.",854_IM-2376-1001.dcm.png,Frontal,fracture
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.,855_IM-2376-1001.dcm.png,Frontal,hyperdistention
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 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.,856_IM-2377-1001.dcm.png,Frontal,cardiomegaly
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.,857_IM-2378-1001.dcm.png,Frontal,normal
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 and vasculature central airways and lung volumes no pleural effusion,"No acute or active cardiac, pulmonary or pleural disease.",858_IM-2379-1001.dcm.png,Frontal,granulomatous
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 right lower lung opacity 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.,859_IM-2380-1001.dcm.png,Frontal,opacity
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 status post remote right humerus fracture deformity of a midthoracic vertebral body also chronic,Chronic lung disease without acute findings.,860_IM-2381-4001.dcm.png,Frontal,fracture
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.,863_IM-2383-1001.dcm.png,Frontal,normal
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.,863_IM-2383-3001.dcm.png,Frontal,normal
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.,864_IM-2384-1001.dcm.png,Frontal,tortuous
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.,865_IM-2385-1001.dcm.png,Frontal,normal
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",,heart size near top normal bilateral hilar fullness nonspecific in appearance mild aortic ectasiatortuosity diaphragm flattening and relative apical lucencies suggestive of emphysema and irregular interstitial markings right greater than left prominent left epicardial fat 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.",867_IM-2387-1001.dcm.png,Frontal,tortuous
869,normal,normal,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX p.m. ",XXXX-year-old female with chest tightness,,the heart is normal size the mediastinum is unremarkable there is no pleural effusion pneumothorax or focal airspace disease the are unremarkable,No acute cardiopulmonary abnormality.,869_IM-2389-2001.dcm.png,Frontal,normal
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 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.,871_IM-2391-2001.dcm.png,Frontal,normal
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.,872_IM-2391-1001.dcm.png,Frontal,granulomatous
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.,sternotomy 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.",877_IM-2392-1001.dcm.png,Frontal,hypoinflation
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.,879_IM-2393-12012.dcm.png,Frontal,normal
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.,881_IM-2396-1001.dcm.png,Frontal,normal
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.,886_IM-2400-1001.dcm.png,Frontal,normal
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. .,887_IM-2400-1001.dcm.png,Frontal,normal
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.,888_IM-2401-1001.dcm.png,Frontal,normal
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.,889_IM-2401-1001.dcm.png,Frontal,normal
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.,890_IM-2403-1001.dcm.png,Frontal,granulomatous
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.,891_IM-2403-1001.dcm.png,Frontal,normal
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.,892_IM-2403-1001.dcm.png,Frontal,hyperdistention
896,normal,normal,"Chest, 2 views, XXXX XXXX ",Syncopal episode,,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.,896_IM-2406-1001.dcm.png,Frontal,normal
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 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.,897_IM-2406-1001.dcm.png,Frontal,opacity
899,normal,normal,PA and Lateral Chest X-XXXX XXXX at XXXX ,Chest pain,,the lungs are clear there is no focal consolidation pleural effusion or pneumothorax the heart and mediastinum are normal size and shape and soft tissues are unremarkable,No Acute cardiopulmonary disease.,899_IM-2407-1001.dcm.png,Frontal,normal
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 sternotomy with fracture of the superiormost sternotomy 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.,901_IM-2409-2001.dcm.png,Frontal,cardiomegaly
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 sternotomy with fracture of the superiormost sternotomy 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.,901_IM-2409-3001.dcm.png,Frontal,cardiomegaly
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 infiltrates two bullae are seen in the right upper lung small calcified granuloma stable from prior exam,Stable changes of COPD.,903_IM-2409-1001.dcm.png,Frontal,hyperdistention
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",906_IM-2411-1001.dcm.png,Frontal,cardiomegaly
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.,907_IM-2412-82526002.dcm.png,Frontal,hypoinflation
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,,the lungs appear clear there are calcified nodules projecting in the right upper lung mediastinal contours appear normal the heart pulmonary appear normal pleural spaces are clear surgical clips are identified in the right neck and left mediastinum,No acute cardiopulmonary disease.,908_IM-2413-1001.dcm.png,Frontal,calcinosis
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..,909_IM-2414-1001.dcm.png,Frontal,normal
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 sternotomy are grossly intact the pulmonary 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.,910_IM-2416-2001.dcm.png,Frontal,cardiomegaly
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.,911_IM-2417-1001.dcm.png,Frontal,normal
912,normal,normal,PA and lateral of the chest ,XXXX-year-old with shortness of breath.,,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.,912_IM-2417-1001.dcm.png,Frontal,normal
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 alignment without fracture,Negative for acute cardiopulmonary disease.,913_IM-2417-1001.dcm.png,Frontal,normal
916,Calcinosis,Calcinosis,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",cp htn,,lungs are clear without focal airspace disease numerous 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.,916_IM-2419-1001.dcm.png,Frontal,calcinosis
918,normal,normal,Xray Chest PA and Lateral,Preoperative chest x-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. .,918_IM-2420-4004.dcm.png,Frontal,normal
920,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",post thoracic pain,,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.,920_IM-2423-1001.dcm.png,Frontal,normal
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 and vasculature central airways and aeration of the lungs no pleural effusion,"No acute or active cardiac, pulmonary or pleural disease.",921_IM-2423-1001.dcm.png,Frontal,normal
922,Cardiomegaly/mild,Cardiomegaly,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",XXXX,,the heart is slightly large pulmonary are normal no infiltrates,Slight cardiomegaly with no failure or pneumonia.,922_IM-2423-2001.dcm.png,Frontal,cardiomegaly
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.,925_IM-2425-2001.dcm.png,Frontal,cardiomegaly
926,normal,normal,Xray Chest PA and Lateral,,,cardiomediastinal silhouette is normal pulmonary vasculature and are normal no consolidation pneumothorax or large pleural effusion osseous structures and soft tissues are normal,No acute cardiopulmonary disease.,926_IM-2425-1001.dcm.png,Frontal,normal
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. .,927_IM-2425-1001.dcm.png,Frontal,tortuous
928,normal,normal,Xray Chest PA and Lateral,31yof with XXXX and chest pain,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,928_IM-2426-1001.dcm.png,Frontal,normal
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 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.,929_IM-2427-1001.dcm.png,Frontal,opacity
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 are normal,XXXX change. Hypoinflation with no visible active cardiopulmonary disease.,930_IM-2429-2001.dcm.png,Frontal,hypoinflation
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.,931_IM-2429-1001.dcm.png,Frontal,normal
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 is intact,1. Negative for acute cardiopulmonary findings.,932_IM-2430-4004.dcm.png,Frontal,normal
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 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 effusions negative for pneumothorax limited evaluation reveals the the grossly intact,1. Heart failure with pulmonary edema.,934_IM-2432-1001.dcm.png,Frontal,opacity
936,normal,normal,Xray Chest PA and Lateral,EVALUATE FOR METASTATIC DISEASE; Surgery sched for XXXX. No chest complaints.,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,936_IM-2432-1001.dcm.png,Frontal,normal
937,normal,normal,Xray Chest PA and Lateral,This is a XXXX-year-old XXXX status post XXXX with XXXX injuries.,,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.,937_IM-2433-1001.dcm.png,Frontal,normal
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.,938_IM-2434-1001.dcm.png,Frontal,granulomatous
939,normal,normal,Xray Chest PA and Lateral,XXXX for one month with chest tightness,,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.,939_IM-2435-1001.dcm.png,Frontal,normal
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.,940_IM-2437-2001.dcm.png,Frontal,normal
941,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX-year-old XXXX with chest pain,Chest radiograph XXXX.,surgical 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.,941_IM-2438-1001.dcm.png,Frontal,normal
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.,942_IM-2438-1001.dcm.png,Frontal,calcinosis
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.,943_IM-2439-5005.dcm.png,Frontal,normal
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.,944_IM-2440-1001.dcm.png,Frontal,hypoinflation
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 opacity is present right lung remains clear heart size is normal,"Developing left upper lobe consolidation and focal atelectasis, consistent with pneumonitis.",945_IM-2440-1001.dcm.png,Frontal,pneumonia
946,normal,normal,Xray Chest PA and Lateral,XXXX for 4 weeks,,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. .,946_IM-2441-1001.dcm.png,Frontal,normal
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.,947_IM-2442-2001.dcm.png,Frontal,normal
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.,948_IM-2443-1001.dcm.png,Frontal,cardiomegaly
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 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.",949_IM-2444-1001.dcm.png,Frontal,calcinosis
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.,950_IM-2446-1003002.dcm.png,Frontal,normal
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.,951_IM-2447-1001.dcm.png,Frontal,normal
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 opacities are present consistent with of scarring or atelectasis,1. A few basilar XXXX of opacity. This may represent scarring or atelectasis.,952_IM-2447-2002.dcm.png,Frontal,opacity
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.,953_IM-2447-1001.dcm.png,Frontal,cardiomegaly
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 pectus carinatum stable mild cardiomegaly and increased lung vascularity clear lungs,Stable mild cardiomegaly and increased lung vascularity. Clear lungs.,956_IM-2449-1001.dcm.png,Frontal,cardiomegaly
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 bilaterally and left acromioclavicular joint in the soft tissues of the right upper extremity,No acute cardiopulmonary findings.,957_IM-2449-1001.dcm.png,Frontal,degenerative
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..,958_IM-2449-1001.dcm.png,Frontal,normal
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.",,there is a 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. .",961_IM-2452-84646001.dcm.png,Frontal,opacity
962,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.,962_IM-2453-1002001.dcm.png,Frontal,normal
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 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.,963_IM-2454-1001.dcm.png,Frontal,degenerative
964,normal,normal," Two view chest. XXXX hours XXXX, XXXX compared to XXXX, XXXX. ",,,in the interval the heart size has become normal pulmonary are normal lungs are clear and expanded,Resolution of cardiomegaly. No active disease.,964_IM-2454-1001.dcm.png,Frontal,normal
965,normal,normal,Xray Chest PA and Lateral,"Patient with ampullary adenocarcinoma, preoperative evaluation",,the lungs appear clear heart and pulmonary appear normal mediastinal contours are normal pleural spaces are clear there appears to the contrast within small colonic diverticula in the splenic flexure region,1. No acute cardiopulmonary disease,965_IM-2455-1001.dcm.png,Frontal,normal
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.,967_IM-2457-2002.dcm.png,Frontal,normal
968,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, pain",,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,968_IM-2458-1001.dcm.png,Frontal,normal
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.,969_IM-2459-1001.dcm.png,Frontal,tortuous
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 and soft tissues are unremarkable,No acute cardiopulmonary abnormality. .,970_IM-2460-2001.dcm.png,Frontal,normal
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.,971_IM-2461-2001.dcm.png,Frontal,normal
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 cell changes,1. Stable chest with no acute cardiopulmonary abnormality.,974_IM-2463-1001.dcm.png,Frontal,degenerative
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.,975_IM-2464-1001.dcm.png,Frontal,hyperdistention
976,Lung/hypoinflation;Surgical Instruments,Lung;Surgical Instruments," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM",chest pain,,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.,976_IM-2464-1001.dcm.png,Frontal,hypoinflation
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.,977_IM-2465-1001.dcm.png,Frontal,normal
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.,979_IM-2466-1001.dcm.png,Frontal,hyperdistention
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.,980_IM-2468-1001.dcm.png,Frontal,normal
982,normal,normal,"PA and LATERAL views of the chest, dated XXXX, XXXX XXXX PM",XXXX-year-old female with chronic XXXX,,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.,982_IM-2470-1001.dcm.png,Frontal,normal
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 this was present previously and is most compatible with bronchiectasis there is no focal airspace disease no pneumothorax or pleural effusion unremarkable,"1. No acute cardiopulmonary process. 2. Stable right middle lobe bronchiectasis, XXXX postinfectious/postinflammatory. .",983_IM-2471-1001.dcm.png,Frontal,opacity
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 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.,984_IM-2471-1001.dcm.png,Frontal,opacity
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.,986_IM-2473-2002.dcm.png,Frontal,normal
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.,988_IM-2474-1001.dcm.png,Frontal,normal
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.,990_IM-2476-1001.dcm.png,Frontal,normal
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 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.,991_IM-2476-1001.dcm.png,Frontal,opacity
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,,there are bilateral pulmonary nodules whose appearances suggest metastatic disease to lungs in the right lung there is a 19 x 21 cm nodule overlying the posterior right 6th rib there is a 10 x 12 cm nodule above this in the interspace between the posterior 5th and 6th ribs on the right there is a 10 x 11 cm nodule projecting through the left 9th and 10th interspaces on the pa view if not already performed contrastenhanced would be 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 appear normal there are leftsided 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.",992_IM-2477-0001-0002.dcm.png,Frontal,nodule
993,normal,normal, PA and lateral chest. ,possible tuberculosis,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest No evidence of tuberculosis,993_IM-2478-1001.dcm.png,Frontal,normal
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 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. .,997_IM-2479-1001.dcm.png,Frontal,degenerative
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.,998_IM-2479-1001.dcm.png,Frontal,tortuous
999,normal,normal,"Chest Two views PA and lateral XXXX, XXXX XXXX p.m. ",Chest pain,,lungs are clear bilaterally there is no focal consolidation pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits are unremarkable,No acute cardiopulmonary abnormality.,999_IM-2480-1001.dcm.png,Frontal,normal
999,normal,normal,"Chest Two views PA and lateral XXXX, XXXX XXXX p.m. ",Chest pain,,lungs are clear bilaterally there is no focal consolidation pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits are unremarkable,No acute cardiopulmonary abnormality.,999_IM-2480-3001.dcm.png,Frontal,normal
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 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 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.,1000_IM-0003-1001.dcm.png,Frontal,opacity
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 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 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.,1000_IM-0003-3001.dcm.png,Frontal,opacity
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.,1003_IM-0005-2002.dcm.png,Frontal,opacity
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 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 identified,No acute cardiopulmonary disease.,1004_IM-0005-1001.dcm.png,Frontal,tortuous
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.,1005_IM-0006-1001.dcm.png,Frontal,normal
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 are normal mediastinal contours are normal there is no pneumothorax,No acute cardiopulmonary disease.,1006_IM-0007-1001.dcm.png,Frontal,normal
1007,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"CHEST 2V FRONTAL/LATERAL Sept 19, XXXX XXXX XXXX ",chest pain,,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.,1007_IM-0008-1001.dcm.png,Frontal,degenerative
1007,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,"CHEST 2V FRONTAL/LATERAL Sept 19, XXXX XXXX XXXX ",chest pain,,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.,1007_IM-0008-3001.dcm.png,Frontal,degenerative
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.,1008_IM-0009-4004.dcm.png,Frontal,normal
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.,1009_IM-0010-1001.dcm.png,Frontal,normal
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.,1010_IM-0012-1001.dcm.png,Frontal,normal
1011,normal,normal,CHEST 2V FRONTAL/LATERAL ,Chronic XXXX,,the heart is top normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,1011_IM-0013-1001.dcm.png,Frontal,normal
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,,lung volumes are low bibasilar consolidation and bilateral costophrenic blunting are present heart size normal pulmonary normal shunt tubing traverses the entire image from top to,Bibasilar airspace disease and bilateral pleural fluid.,1012_IM-0013-1001.dcm.png,Frontal,effusion
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.,1013_IM-0013-1001.dcm.png,Frontal,cardiomegaly
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 stable cardiomediastinal silhouette with normal heart size,"Bibasilar opacities, right greater than left, features suggest a combination of consolidation and atelectasis",1015_IM-0001-1001.dcm.png,Frontal,opacity
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 stable cardiomediastinal silhouette with normal heart size,"Bibasilar opacities, right greater than left, features suggest a combination of consolidation and atelectasis",1015_IM-0013-1001.dcm.png,Frontal,opacity
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,,both lungs are clear and expanded with no infiltrates basilar focal atelectasis is present in the lingula heart size normal calcified right hilar are present,No active disease.,1017_IM-0013-1001.dcm.png,Frontal,calcinosis
1020,Lung/hypoinflation,Lung, CHEST 2V FRONTAL/LATERAL XXXX,chest pain,,lung volumes are low no focal infiltrates heart size normal,Hypoinflation with no visible active cardiopulmonary disease.,1020_IM-0017-1001.dcm.png,Frontal,hypoinflation
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 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.,1022_IM-0017-2001.dcm.png,Frontal,calcinosis
1024,normal,normal,"Frontal and lateral views of the chest dated XXXX, XXXX ",XXXX-year-old presents with chest pain,,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.,1024_IM-0019-1001.dcm.png,Frontal,normal
1026,normal,normal,Xray Chest PA and Lateral,",486,V76.12 PNEUMONIA CXR",,the lungs appear clear the heart and pulmonary appear normal the pleural spaces are clear mediastinal contours are normal,No acute cardiopulmonary disease,1026_IM-0021-2002.dcm.png,Frontal,normal
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 severe,No acute preoperative findings.,1028_IM-0022-1001.dcm.png,Frontal,normal
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 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.,1030_IM-0024-1001.dcm.png,Frontal,degenerative
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 sequela of prior granulomatous disease there are small tspine osteophytes,No acute cardiopulmonary abnormality.,1032_IM-0026-1001-0002.dcm.png,Frontal,granulomatous
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.,1033_IM-0027-4004.dcm.png,Frontal,hypoinflation
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 a is in 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.,1035_IM-0028-1001.dcm.png,Frontal,opacity
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.,1036_IM-0029-1001.dcm.png,Frontal,degenerative
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 are unremarkable,No acute cardiopulmonary abnormality.,1037_IM-0029-1001.dcm.png,Frontal,hyperdistention
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.,1039_IM-0030-1002.dcm.png,Frontal,normal
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.,1042_IM-0034-1001.dcm.png,Frontal,normal
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 of the chest are within normal limits,Interval improvement in aeration of lung bases and pleural effusions. Residual small left effusion and questionable small right pleural effusion.,1043_IM-0035-0001-0002.dcm.png,Frontal,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.,1044_IM-0036-1001.dcm.png,Frontal,hyperdistention
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.,1046_IM-0036-1001.dcm.png,Frontal,normal
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..,1047_IM-0036-2001.dcm.png,Frontal,normal
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.,1048_IM-0036-1001.dcm.png,Frontal,degenerative
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,,technically limited study secondary to patient 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.",1050_IM-0038-4004.dcm.png,Frontal,hypoinflation
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.,1051_IM-0039-5001.dcm.png,Frontal,normal
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 the lungs are clear without acute infiltrate effusion or pneumothorax the visualized bony structures reveal no fractures or dislocations,No acute abnormalities.,1052_IM-0040-1001.dcm.png,Frontal,normal
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 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.,1053_IM-0040-1001.dcm.png,Frontal,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.,1054_IM-0040-1001.dcm.png,Frontal,degenerative
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.,1055_IM-0040-1001.dcm.png,Frontal,normal
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.,1056_IM-0040-1001.dcm.png,Frontal,hyperdistention
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.,1056_IM-0040-1002.dcm.png,Frontal,hyperdistention
1057,normal,normal,Xray Chest PA and Lateral,Testicular carcinoma,,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.,1057_IM-0041-1001.dcm.png,Frontal,normal
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.,1058_IM-0041-1001.dcm.png,Frontal,nodule
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.,1059_IM-0041-1001.dcm.png,Frontal,opacity
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 opacity in the left lung base representing atelectasis the lungs are otherwise clear heart size is normal no pneumothorax,Left base atelectasis. Lungs otherwise clear. .,1063_IM-0044-84654001.dcm.png,Frontal,opacity
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 unremarkable,Stable elevated right hemidiaphragm with questionable subtle increased right basilar airspace disease/atelectasis. Correlate clinically.,1064_IM-0045-1001.dcm.png,Frontal,opacity
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 cerclage 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.,1065_IM-0046-1001.dcm.png,Frontal,degenerative
1067,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old male with chest pain,,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.,1067_IM-0048-1001.dcm.png,Frontal,normal
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.,1069_IM-0049-1001.dcm.png,Frontal,hyperdistention
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 this is ageindeterminate corticated bony density over the lateral aspect of the clavicle may reflect sequela of old remote 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,"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.",1070_IM-0050-1001.dcm.png,Frontal,degenerative
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 theres 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.,1072_IM-0052-1001-0002.dcm.png,Frontal,tortuous
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.,1073_IM-0053-1001.dcm.png,Frontal,hyperdistention
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 blunting to suggest large pleural effusion bony structures are within normal limits,Low lung volumes. No acute cardiopulmonary findings.,1074_IM-0054-1001.dcm.png,Frontal,hypoinflation
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 illdefined 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 scarring andor 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.",1075_IM-0054-1001.dcm.png,Frontal,opacity
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.,1076_IM-0054-1001.dcm.png,Frontal,cardiomegaly
1078,normal,normal,Xray Chest PA and Lateral,Pain with XXXX in the chest for one 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.,1078_IM-0055-1001.dcm.png,Frontal,normal
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.,1079_IM-0056-1001.dcm.png,Frontal,hypoinflation
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. .,1081_IM-0057-2002.dcm.png,Frontal,hyperdistention
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.,1082_IM-0058-1001.dcm.png,Frontal,cardiomegaly
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 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.",1083_IM-0058-1001.dcm.png,Frontal,normal
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,,1084_IM-0058-1001.dcm.png,Frontal,normal
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 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.,1085_IM-0059-1001.dcm.png,Frontal,opacity
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 secondary to old rib fracture there are no gross acute bony findings,No acute cardiopulmonary findings.,1086_IM-0059-1001.dcm.png,Frontal,fracture
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 the skeletal structures show some senescent changes,Old granulomatous disease. No acute pulmonary disease.,1087_IM-0060-1002001.dcm.png,Frontal,granulomatous
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.",1088_IM-0061-1001.dcm.png,Frontal,opacity
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.,1089_IM-0061-1001.dcm.png,Frontal,tortuous
1091,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",XXXX,"XXXX, XXXX.",the heart and lungs have in the interval both lungs are clear and expanded heart and mediastinum normal,No active disease.,1091_IM-0062-1001.dcm.png,Frontal,normal
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.,1093_IM-0064-1001.dcm.png,Frontal,normal
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,,the lungs appear clear the heart and pulmonary appear normal there is severe kyphotic deformity of the chest involving prior fractures of thoracic vertebral bodies and the sternum there are multiple 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 rightsided chest 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,1095_IM-0066-1001.dcm.png,Frontal,fracture
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 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.,1097_IM-0067-1001.dcm.png,Frontal,granulomatous
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 pleuralparenchymal scarring within the lung bases no lobar consolidation is seen no pleural effusion or pneumothorax heart size is normal,Emphysema.,1098_IM-0067-1001.dcm.png,Frontal,hyperdistention
1099,normal,normal,"Chest radiographs, 2 XXXX and lateral ",XXXX-year-old male with right lower lobe crackles.,None available.,there are changes of 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.,1099_IM-0067-1001.dcm.png,Frontal,normal
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",,heart is large pulmonary are engorged bibasilar interstitial infiltrates and bilateral costophrenic blunting are present,Congestive heart failure with basilar pulmonary interstitial edema and bilateral pleural fluid.,1100_IM-0068-1001.dcm.png,Frontal,cardiomegaly
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 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.,1101_IM-0068-1001.dcm.png,Frontal,degenerative
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 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.,1101_IM-0068-3001.dcm.png,Frontal,degenerative
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 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.",1102_IM-0069-12012.dcm.png,Frontal,cardiomegaly
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 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.",1102_IM-0069-4004.dcm.png,Frontal,cardiomegaly
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.,1103_IM-0070-1001.dcm.png,Frontal,degenerative
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.,,mild cardiomegaly mediastinal normal width pulmonary vasculature within normal limits the lungs are wellaerated there is no pneumothorax pleural effusion or focal consolidation scarring or atelectasis right midlung,1. No acute cardiopulmonary disease. 2. XXXX scarring or atelectasis right midlung. 3. Mild cardiomegaly. .,1105_IM-0072-1001-0001.dcm.png,Frontal,cardiomegaly
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. .,1108_IM-0075-1001.dcm.png,Frontal,hyperdistention
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.,1109_IM-0076-1001.dcm.png,Frontal,normal
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 focal airspace consolidation no pleural effusion no pneumothorax bony structures unremarkable,No acute cardiopulmonary abnormality. Prior granulomatous infection.,1110_IM-0076-1001.dcm.png,Frontal,granulomatous
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.,1111_IM-0077-4004.dcm.png,Frontal,cardiomegaly
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 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.",1112_IM-0078-1001.dcm.png,Frontal,cardiomegaly
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 inflammatoryinfectious process lungs are hyperexpanded with flattened diaphragms and soft tissue are unremarkable,1. Emphysematous changes. 2. Resolution of prior right midlung infiltrate.,1113_IM-0078-1001.dcm.png,Frontal,hyperdistention
1114,normal,normal,CHEST 2V FRONTAL/LATERAL ,Low back pain and left chest pain,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,1114_IM-0079-1001.dcm.png,Frontal,normal
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.,1115_IM-0079-1001.dcm.png,Frontal,normal
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 illdefined airspace opacity in the posterior left lower lobe there is focal opacity in the right upper lobe which suggests scar andor 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. .",1117_IM-0079-1001.dcm.png,Frontal,opacity
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.,1118_IM-0079-1001.dcm.png,Frontal,normal
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 deformity,"Low lung volumes with bronchovascular crowding, no acute cardiopulmonary finding.",1119_IM-0080-1001.dcm.png,Frontal,hypoinflation
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.",1120_IM-0080-1001.dcm.png,Frontal,hypoinflation
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.,1121_IM-0080-1001.dcm.png,Frontal,fracture
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.,1122_IM-0080-1001-0001.dcm.png,Frontal,normal
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.,1122_IM-0080-1001-0002.dcm.png,Frontal,normal
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,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 are grossly intact right cervical rib,1. Stable chronic lung changes without acute cardiopulmonary abnormality.,1123_IM-0080-1001.dcm.png,Frontal,opacity
1124,Atherosclerosis/aorta;Lung/hyperdistention/mild;Spine/degenerative/diffuse,Atherosclerosis;Lung;Spine,Xray Chest PA and Lateral,Preoperative evaluation for esophageal surgery.,,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.",1124_IM-0081-2001.dcm.png,Frontal,hyperdistention
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 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.,1125_IM-0082-2001.dcm.png,Frontal,cardiomegaly
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.,sternotomy and mediastinal surgical clips remain in the cardiomediastinal silhouette is stable in appearance the thoracic aorta is tortuous and calcified with stable appearance since 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 of a mid thoracic vertebral body,"1. Minimal right basilar subsegmental atelectasis. Otherwise, no acute cardiopulmonary abnormality demonstrated. .",1126_IM-0082-1001.dcm.png,Frontal,tortuous
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 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 are grossly intact,"1. Mild cardiomegaly. 2. No acute cardiopulmonary findings. Specifically, no displaced rib fractures demonstrated. .",1129_IM-0085-1001.dcm.png,Frontal,cardiomegaly
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 illdefined 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.,1130_IM-0087-1001.dcm.png,Frontal,opacity
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 are normal,Findings of COPD with no acute changes.,1133_IM-0090-1001.dcm.png,Frontal,hyperdistention
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.,1136_IM-0092-1001.dcm.png,Frontal,normal
1138,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, testicular cancer.",,no pleural effusions no pneumothorax no focal areas of consolidation heart size within normal limits osseous structures intact,No acute cardiopulmonary abnormality. .,1138_IM-0094-1001.dcm.png,Frontal,normal
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.,1139_IM-0095-1001.dcm.png,Frontal,cardiomegaly
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.,1141_IM-0096-1001.dcm.png,Frontal,normal
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.,1144_IM-0097-1001.dcm.png,Frontal,normal
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.",1145_IM-0097-2002.dcm.png,Frontal,hyperdistention
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.,1148_IM-0100-1001.dcm.png,Frontal,normal
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.",1151_IM-0102-1001.dcm.png,Frontal,normal
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,,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.,1152_IM-0103-1001.dcm.png,Frontal,cardiomegaly
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 are intact,No acute cardiopulmonary abnormality. No evidence of active tuberculosis. .,1153_IM-0104-1001.dcm.png,Frontal,normal
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 body in the axillary recess of the left shoulder degenerative left glenohumeral osteoarthritis,No acute pulmonary findings.,1154_IM-0104-1001.dcm.png,Frontal,degenerative
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 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.,1157_IM-0106-1001.dcm.png,Frontal,pneumonia
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 remain normal no infiltrates or masses in the lungs,Continued slight cardiomegaly with no evidence for failure or pneumonia.,1158_IM-0107-1001.dcm.png,Frontal,cardiomegaly
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.,1159_IM-0107-1001.dcm.png,Frontal,normal
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.,1161_IM-0107-1001.dcm.png,Frontal,normal
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.,1163_IM-0108-1001.dcm.png,Frontal,normal
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 and vasculature central airways and lung volumes no pleural effusion,"No acute or active cardiac, pulmonary or pleural disease.",1165_IM-0110-1001.dcm.png,Frontal,normal
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.",1166_IM-0111-1001.dcm.png,Frontal,opacity
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 opacities in the lingula 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.",1167_IM-0112-1001.dcm.png,Frontal,opacity
1168,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM",XXXX,,both lungs are clear and expanded heart and mediastinum normal,No active disease.,1168_IM-0112-1001.dcm.png,Frontal,normal
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,,,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 leftsided picc line the distal tip in the lower superior vena the heart and pulmonary 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.,1169_IM-0113-0001-0002.dcm.png,Frontal,opacity
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.,1170_IM-0115-2001.dcm.png,Frontal,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.,1171_IM-0116-1001.dcm.png,Frontal,hypoinflation
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.,1172_IM-0117-1001.dcm.png,Frontal,normal
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 and mild aortic ectasia emphysematous changes with flattening of the hemidiaphragms blunting of the costophrenic and secondary to scarringemphysematous 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.,1173_IM-0118-5001.dcm.png,Frontal,tortuous
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 right middle lobe with increased opacities representative of infiltrate,1. No pneumothorax or pleural effusion. 2. Right middle lobe infiltrate.,1174_IM-0118-1001.dcm.png,Frontal,opacity
1175,normal,normal, CHEST 2V FRONTAL/LATERAL. ,chest pain,None.,both lungs are clear and expanded heart and mediastinum normal,No active disease.,1175_IM-0119-1001.dcm.png,Frontal,normal
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.,1176_IM-0119-1001.dcm.png,Frontal,normal
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.,1177_IM-0120-1001.dcm.png,Frontal,degenerative
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.,1178_IM-0121-1001.dcm.png,Frontal,normal
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.,1179_IM-0122-2002.dcm.png,Frontal,opacity
1180,"Aorta, Thoracic/tortuous/mild;Spine/degenerative","Aorta, Thoracic;Spine",Xray Chest PA and Lateral,Melanoma,,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.,1180_IM-0123-1001.dcm.png,Frontal,tortuous
1182,normal,normal,PA and Lateral Chest,"XXXX-year-old female, XXXX, XXXX",,heart size within normal limits no alveolar consolidation no findings of pleural effusion or pulmonary edema no pneumothorax,No acute findings,1182_IM-0124-1001.dcm.png,Frontal,normal
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.,1184_IM-0124-1001.dcm.png,Frontal,hypoinflation
1187,Opacity/lung/base/bilateral,Opacity,"CHEST PA and Lateral on XXXX, XXXX ",XXXX-year-old with shortness of breath,XXXX,minimally increased 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.",1187_IM-0126-1001.dcm.png,Frontal,opacity
1188,normal,normal, CHEST 2V FRONTAL/LATERAL. ,chest pain,None.,both lungs are clear and expanded heart and mediastinum normal,No active disease.,1188_IM-0127-1001.dcm.png,Frontal,normal
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.,1189_IM-0128-1001.dcm.png,Frontal,degenerative
1190,normal,normal, Two-view chest. ,XXXX and dyspnea.,None.,both lungs are clear and expanded heart and mediastinum normal,No active disease.,1190_IM-0128-1001.dcm.png,Frontal,normal
1190,normal,normal, Two-view chest. ,XXXX and dyspnea.,None.,both lungs are clear and expanded heart and mediastinum normal,No active disease.,1190_IM-0128-1002.dcm.png,Frontal,normal
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.,1191_IM-0128-1001.dcm.png,Frontal,normal
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.,1192_IM-0129-1001.dcm.png,Frontal,normal
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 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.,1196_IM-0131-1001.dcm.png,Frontal,atherosclerosis
1199,normal,normal,"CHEST ( FRONTAL AND LATERAL): XXXX, XXXX. ",Positive PPD.,,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.,1199_IM-0133-1001.dcm.png,Frontal,normal
1200,Opacity/lung/hilum/right/small,Opacity,XR PA and lateral chest. ,"XXXX, smoking.",,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.,1200_IM-0134-1001.dcm.png,Frontal,opacity
1202,"Cardiomegaly;Hypertension, Pulmonary;Pulmonary Congestion","Cardiomegaly;Hypertension, Pulmonary;Pulmonary Congestion","CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ","cp, sob",,the heart is large and the pulmonary are engorged no infiltrates,Cardiomegaly and pulmonary venous hypertension.,1202_IM-0136-1001.dcm.png,Frontal,cardiomegaly
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 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.,1203_IM-0137-1001.dcm.png,Frontal,opacity
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 are within normal limits no pneumothorax pleural effusion or focal air space consolidation,No acute cardiopulmonary disease.,1204_IM-0138-1001.dcm.png,Frontal,cardiomegaly
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.,1205_IM-0138-1001.dcm.png,Frontal,normal
1207,normal,normal,Xray Chest PA and Lateral,chronic XXXX,,the lungs are clear the heart and pulmonary are normal the pleural spaces are clear mediastinal contours are normal there is no pneumothorax,No acute cardiopulmonary disease,1207_IM-0140-0001-0002.dcm.png,Frontal,normal
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.,1208_IM-0141-1001.dcm.png,Frontal,degenerative
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.,1208_IM-0141-3001.dcm.png,Frontal,degenerative
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.,1209_IM-0142-1001.dcm.png,Frontal,normal
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 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 deformity of the lower thoracic body which is ageindeterminate,Age-indeterminate lower thoracic slight XXXX deformity otherwise negative exam.,1210_IM-0142-1001.dcm.png,Frontal,degenerative
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 are unremarkable in appearance,No acute cardiopulmonary abnormalities.,1211_IM-0142-1001.dcm.png,Frontal,normal
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.,1212_IM-0143-1001.dcm.png,Frontal,normal
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 no focal consolidation is seen,No acute infiltrate.,1217_IM-0145-0001-0002.dcm.png,Frontal,hypoinflation
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. .,1218_IM-0146-1001.dcm.png,Frontal,normal
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.,1219_IM-0146-1001.dcm.png,Frontal,normal
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 thickeningscar stable calcified mediastinal and hilar lymph and a left basilar calcified granuloma acute osseous abnormality the mediastinal silhouette stable,Changes of chronic emphysematous lung disease without acute cardiopulmonary abnormality identified.,1220_IM-0148-1001.dcm.png,Frontal,hyperdistention
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 thickeningscar stable calcified mediastinal and hilar lymph and a left basilar calcified granuloma acute osseous abnormality the mediastinal silhouette stable,Changes of chronic emphysematous lung disease without acute cardiopulmonary abnormality identified.,1220_IM-0148-3001.dcm.png,Frontal,hyperdistention
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.,1225_IM-0150-1001.dcm.png,Frontal,tortuous
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.,1226_IM-0150-1001.dcm.png,Frontal,pneumonia
1229,"Lung/hyperdistention;Atherosclerosis/aorta;Pulmonary Disease, Chronic Obstructive","Lung;Atherosclerosis;Pulmonary Disease, Chronic Obstructive",Xray Chest PA and Lateral,COPD with productive XXXX,,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.,1229_IM-0152-1001.dcm.png,Frontal,hyperdistention
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 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.,1233_IM-0157-1001.dcm.png,Frontal,cardiomegaly
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 atelectasis or scar is noted within the left midlung there is blunting of the left costophrenic 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.,1234_IM-0157-4004.dcm.png,Frontal,cardiomegaly
1235,Opacity;Lung/hypoinflation;Pulmonary Atelectasis/lingula/focal,Opacity;Lung;Pulmonary Atelectasis,CHEST 2V FRONTAL/LATERAL,cp,,lung volumes are opacities are present in the angulate no focal infiltrates heart size normal,Hypoinflation with lingular focal atelectasis.,1235_IM-0158-1001.dcm.png,Frontal,opacity
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. .,1236_IM-0158-1001.dcm.png,Frontal,normal
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 opacity in the left lung base suggestive of old empyema hematoma or prior tb no cavitary lesions are seen are grossly unremarkable,1. Clear lungs. No radiographic evidence of active TB.,1237_IM-0159-1001.dcm.png,Frontal,opacity
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.,1238_IM-0160-2002.dcm.png,Frontal,normal
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.",1240_IM-0162-4001.dcm.png,Frontal,degenerative
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 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.,1242_IM-0164-1001.dcm.png,Frontal,tortuous
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 leftsided central line with a 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.,1243_IM-0165-4004.dcm.png,Frontal,cardiomegaly
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.,1244_IM-0166-2001.dcm.png,Frontal,opacity
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 calcification,No acute findings.,1246_IM-0167-1001.dcm.png,Frontal,granulomatous
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.,1248_IM-0168-1001.dcm.png,Frontal,degenerative
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 granulomas cardio mediastinal silhouette is unremarkable visualized osseous structures of the thorax are without acute abnormality,No acute cardiopulmonary abnormality..,1250_IM-0169-1001.dcm.png,Frontal,calcinosis
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.,1253_IM-0171-0001-0002.dcm.png,Frontal,normal
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. .,1254_IM-0172-1001.dcm.png,Frontal,normal
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,rightsided 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. .,1255_IM-0172-1001-0001.dcm.png,Frontal,hypoinflation
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 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.,1256_IM-0173-1001.dcm.png,Frontal,degenerative
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 opacity may represent atelectasis lungs are otherwise clear without focal consolidation pleural effusion or pneumothorax sclerosis of the humeral bilateral 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.,1257_IM-0174-1001.dcm.png,Frontal,cardiomegaly
1259,normal,normal,CHEST 2V FRONTAL/LATERAL ,XXXX,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,1259_IM-0175-1001.dcm.png,Frontal,normal
1261,Cardiomegaly/mild;Aorta/tortuous,Cardiomegaly;Aorta,PA and lateral views of the Chest on XXXX ,Syncope,,mild cardiomegaly normal pulmonary vascularity tortuosity of the descending aorta no focal infiltrate pneumothorax or pleural effusion,Mild cardiomegaly.,1261_IM-0177-1001.dcm.png,Frontal,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.,1262_IM-0178-0001.dcm.png,Frontal,hypoinflation
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.,1263_IM-0179-1001.dcm.png,Frontal,normal
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. .,1264_IM-0179-1001.dcm.png,Frontal,normal
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 study performed in 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.",1265_IM-0179-1001.dcm.png,Frontal,hyperdistention
1267,normal,normal,PA lateral views of the chest dated XXXX. ,"XXXX-year-old female, dyspnea.",,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.,1267_IM-0179-1001.dcm.png,Frontal,normal
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.",1269_IM-0181-1001.dcm.png,Frontal,hyperdistention
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.,1270_IM-0181-1001.dcm.png,Frontal,normal
1271,Lung/hypoinflation,Lung,Xray Chest PA and Lateral,"XXXX year old syncope, XXXX today.",None.,the heart is 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.,1271_IM-0182-4004.dcm.png,Frontal,hypoinflation
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.,1273_IM-0183-1001.dcm.png,Frontal,cardiomegaly
1274,normal,normal,Xray Chest PA and Lateral,"Anterior chest pain, difficulty breathing",,the cardiomediastinal silhouette is normal size and configuration pulmonary vasculature within normal limits the lungs are wellaerated there is no pneumothorax pleural effusion or focal consolidation,No acute cardiopulmonary disease. .,1274_IM-0183-1001.dcm.png,Frontal,normal
1278,normal,normal,CHEST 2V FRONTAL/LATERAL ,Bilateral breast cancer,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,1278_IM-0185-1001.dcm.png,Frontal,normal
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 of pleural effusion there is no evidence of pneumothorax,No acute abnormality.,1280_IM-0187-1001.dcm.png,Frontal,normal
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.",1282_IM-0188-1001.dcm.png,Frontal,opacity
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 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,No acute cardiopulmonary disease.,1283_IM-0188-1001.dcm.png,Frontal,calcinosis
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.,1285_IM-0188-0001.dcm.png,Frontal,hypoinflation
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.,1287_IM-0188-1001.dcm.png,Frontal,degenerative
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 air space opacity within the lingula favored as atelectasis,"Minimal XXXX patchy airspace disease within the lingula, may reflect atelectasis or infiltrate.",1288_IM-0189-1001.dcm.png,Frontal,opacity
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,,one are low both costophrenic are blunted pulmonary are normal no visible infiltrates in the aerated lungs,"Bilateral large pleural effusion, possibly from pleuritis or sympathetic from the known pancreatitis.",1289_IM-0189-1001.dcm.png,Frontal,effusion
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",,,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 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.,1290_IM-0189-1001.dcm.png,Frontal,calcinosis
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 torturousectatic 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 small round lucency in the distal left clavicle appears benign degenerative changes of both 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.",1292_IM-0191-1001.dcm.png,Frontal,cardiomegaly
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.,1294_IM-0193-1001.dcm.png,Frontal,normal
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.,1295_IM-0194-3003.dcm.png,Frontal,hypoinflation
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,1301_IM-0198-1001.dcm.png,Frontal,calcinosis
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.,1302_IM-0198-1001.dcm.png,Frontal,tortuous
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 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 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.",1303_IM-0199-1001-0001.dcm.png,Frontal,opacity
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 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 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.",1303_IM-0199-1001-0002.dcm.png,Frontal,opacity
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 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 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.",1303_IM-0199-2001-0001.dcm.png,Frontal,opacity
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 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 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.",1303_IM-0199-2001-0003.dcm.png,Frontal,opacity
1304,normal,normal, XXXX and lateral chest. ,XXXX,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,1304_IM-0199-1001.dcm.png,Frontal,normal
1305,normal,normal, Two-view chest. ,,None.,both lungs are clear and expanded heart and mediastinum normal,No active disease.,1305_IM-0199-1001.dcm.png,Frontal,normal
1306,Lung/hypoinflation;Scoliosis,Lung;Scoliosis,Xray Chest PA and Lateral,Chest pain.,,the 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 scoliosis is unchanged visualized upper abdomen is grossly unremarkable,No evidence of acute cardiopulmonary process or significant interval change.,1306_IM-0200-2001.dcm.png,Frontal,hypoinflation
1308,normal,normal,Xray Chest PA and Lateral,XXXX.,None.,normal heart size and mediastinal contours clear lungs no pneumothorax or pleural effusion unremarkable,No acute cardiopulmonary process. .,1308_IM-0201-1001.dcm.png,Frontal,normal
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. .,1309_IM-0201-1001-0001.dcm.png,Frontal,normal
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.,1310_IM-0202-1001.dcm.png,Frontal,normal
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.",1311_IM-0203-1001.dcm.png,Frontal,hypoinflation
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.,1314_IM-0204-1001.dcm.png,Frontal,normal
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.,1315_IM-0204-1001.dcm.png,Frontal,normal
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.,1318_IM-0205-1001.dcm.png,Frontal,normal
1319,normal,normal,PA lateral chest x-XXXX XXXX,"Transplant, XXXX 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,No evidence of active disease.,1319_IM-0205-1001.dcm.png,Frontal,normal
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.,1320_IM-0207-1001.dcm.png,Frontal,hypoinflation
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 are normal pleural spaces are clear mediastinal contours are normal,No acute cardiopulmonary disease,1322_IM-0208-3003.dcm.png,Frontal,normal
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 are intact,No acute cardiopulmonary abnormalities.,1323_IM-0209-1001.dcm.png,Frontal,normal
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.,1327_IM-0211-1001.dcm.png,Frontal,degenerative
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 measuring 13 mm and one measuring 16 mm in diameter the smaller one appears to be within the right upper lobe and the large 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 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,1329_IM-0211-1001.dcm.png,Frontal,nodule
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.,1330_IM-0213-1001.dcm.png,Frontal,normal
1334,normal,normal,PA and lateral views of the chest ,XXXX heartbeat and dizziness,,mediastinal contours are normal lungs are clear there is no pneumothorax or large pleural effusion,No acute cardiopulmonary abnormality.,1334_IM-0214-1001.dcm.png,Frontal,normal
1335,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",upper back pain,"XXXX, XXXX",and lateral chest examination was obtained the heart silhouette is normal in size and contour aortic appear unremarkable lungs demonstrate no acute findings there is no effusion or pneumothorax,1. No acute pulmonary disease.,1335_IM-0215-1001.dcm.png,Frontal,normal
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. .,1340_IM-0220-1001.dcm.png,Frontal,normal
1342,Lung/hyperdistention/mild;Diaphragm/posterior/flattened,Lung;Diaphragm,PA and Lateral Chest,"XXXX-year-old female, XXXX distress",,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.",1342_IM-0221-1001.dcm.png,Frontal,hyperdistention
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 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.,1343_IM-0222-0001-0002.dcm.png,Frontal,cardiomegaly
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.,1344_IM-0223-1001.dcm.png,Frontal,normal
1345,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX 10 ",chest pain,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,1345_IM-0223-1001.dcm.png,Frontal,normal
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 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.,1346_IM-0224-4001.dcm.png,Frontal,degenerative
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 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.,1346_IM-0224-8001.dcm.png,Frontal,degenerative
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.,1347_IM-0225-4004.dcm.png,Frontal,normal
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 crowdingatelectasis there is a fracture of the left anterior 7th rib and the left anterior 6th rib of uncertain acuity correlate with tenderness there is mild atelectasis in the left lung base there is corticated deformity of the right anterior 7th rib 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. .",1348_IM-0226-4004-0001.dcm.png,Frontal,hypoinflation
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 crowdingatelectasis there is a fracture of the left anterior 7th rib and the left anterior 6th rib of uncertain acuity correlate with tenderness there is mild atelectasis in the left lung base there is corticated deformity of the right anterior 7th rib 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. .",1348_IM-0226-4004-0002.dcm.png,Frontal,hypoinflation
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 of the scaphoid there is a small cortical lucency through the base of the fourth metacarpal that may be a vascular,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. .,1350_IM-0227-1001.dcm.png,Frontal,normal
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 rightsided 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.,1353_IM-0230-1001.dcm.png,Frontal,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.,1354_IM-0230-1001.dcm.png,Frontal,hypoinflation
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",,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 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.",1355_IM-0230-1001.dcm.png,Frontal,opacity
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 no acute bony abnormality,No acute cardiothoracic abnormality.,1356_IM-0231-1001.dcm.png,Frontal,normal
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.,1358_IM-0232-1001.dcm.png,Frontal,degenerative
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.,1358_IM-0232-3001.dcm.png,Frontal,degenerative
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.,1359_IM-0233-1001.dcm.png,Frontal,normal
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 opacities within both lung bases representing atelectasis heart size is upper limits of normal no pneumothorax no pneumothorax,Bibasilar atelectasis. No pneumonia. .,1360_IM-0234-0001-0001.dcm.png,Frontal,opacity
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.",1363_IM-0236-0001-0002.dcm.png,Frontal,normal
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.,1364_IM-0237-1001.dcm.png,Frontal,normal
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,1365_IM-0237-1001.dcm.png,Frontal,fracture
1366,normal,normal,"PA and lateral views of the chest XXXX hours XXXX, XXXX. ",XXXX-year-old with XXXX,,lungs are clear heart size normal the are unremarkable,No acute cardiopulmonary finding.,1366_IM-0237-1001.dcm.png,Frontal,normal
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 blunting to suggest large pleural effusion bony structures are within normal limits,No acute cardiopulmonary findings.,1367_IM-0237-1001.dcm.png,Frontal,normal
1368,normal,normal,Xray Chest PA and Lateral,XXXX;,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,1368_IM-0237-1001.dcm.png,Frontal,normal
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 deformity of a midthoracic vertebra,"1. Possible infiltrates in the right lung and left base. Consider CT for further evaluation, if clinically indicated.",1370_IM-0239-1001.dcm.png,Frontal,opacity
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.",1372_IM-0239-1001.dcm.png,Frontal,opacity
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.,1373_IM-0240-1001.dcm.png,Frontal,atherosclerosis
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,No acute cardiopulmonary process. .,1374_IM-0240-1001.dcm.png,Frontal,normal
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.,1376_IM-0242-1001.dcm.png,Frontal,degenerative
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,No acute radiographic cardiopulmonary process.,1377_IM-0242-1001.dcm.png,Frontal,normal
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.,1378_IM-0242-1001.dcm.png,Frontal,normal
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.,1379_IM-0243-1001.dcm.png,Frontal,normal
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.,1380_IM-0245-1001.dcm.png,Frontal,normal
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.,1381_IM-0245-1001.dcm.png,Frontal,normal
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.,1382_IM-0245-1001.dcm.png,Frontal,normal
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 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.,1383_IM-0245-1001.dcm.png,Frontal,effusion
1384,normal,normal,PA and Lateral Chest X-XXXX XXXX at XXXX ,"MVA, pain",,the lungs are clear there is no focal consolidation pleural effusion or pneumothorax the heart and mediastinum are normal size and shape and soft tissues are unremarkable,No Acute cardiopulmonary disease.,1384_IM-0246-1001.dcm.png,Frontal,normal
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 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.,1385_IM-0246-1001.dcm.png,Frontal,fracture
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 cholecystectomy,"Low lung volumes, otherwise clear.",1388_IM-0246-1001.dcm.png,Frontal,hypoinflation
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.",1391_IM-0250-1001.dcm.png,Frontal,hypoinflation
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 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.,1393_IM-0251-1001.dcm.png,Frontal,opacity
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.,1396_IM-0252-2001.dcm.png,Frontal,normal
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.,1400_IM-0256-1001.dcm.png,Frontal,normal
1402,normal,normal,Xray Chest PA and Lateral,Chest tightness and dizziness with exertion x1 XXXX.,None.,the 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.,1402_IM-0257-1001.dcm.png,Frontal,normal
1402,normal,normal,Xray Chest PA and Lateral,Chest tightness and dizziness with exertion x1 XXXX.,None.,the 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.,1402_IM-0257-2001.dcm.png,Frontal,normal
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 deformities of 2 midthoracic vertebral bodies,1. No acute findings. 2. Stable midthoracic vertebral body XXXX fractures.,1404_IM-0258-1001.dcm.png,Frontal,fracture
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.,1405_IM-0259-1001.dcm.png,Frontal,atherosclerosis
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.,1406_IM-0259-1001.dcm.png,Frontal,hyperdistention
1409,normal,normal,PA and lateral of the chest ,XXXX-year-old with XXXX.,,no focal consolidation no visualized pneumothorax heart size and cardiomediastinal silhouette are grossly unremarkable no large pleural effusions,1. No acute cardiopulmonary findings.,1409_IM-0260-1001.dcm.png,Frontal,normal
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,1. No acute radiographic cardiopulmonary process.,1410_IM-0260-1001.dcm.png,Frontal,normal
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. .,1411_IM-0261-0001-0001.dcm.png,Frontal,degenerative
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.,1413_IM-0263-4004.dcm.png,Frontal,hypoinflation
1415,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX XXXX ",chest pain,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,1415_IM-0264-1001.dcm.png,Frontal,normal
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 opacity in the left 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.",1416_IM-0265-1001.dcm.png,Frontal,opacity
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.,1419_IM-0267-1001.dcm.png,Frontal,atherosclerosis
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 wedgeshaped opacity has developed in the right upper lobe there is also 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.",1422_IM-0269-1001.dcm.png,Frontal,pneumonia
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 normalcalcified breast implants obscure some detail lungs are clear vascular calcifications aorta no pleural effusions or pneumothoraces,"Borderline cardiomegaly, otherwise unremarkable exam.",1423_IM-0270-1001.dcm.png,Frontal,cardiomegaly
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.,1424_IM-0271-2002.dcm.png,Frontal,normal
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..,1425_IM-0272-1001.dcm.png,Frontal,normal
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 with leads terminating in the right atrium and right ventricle there are atherosclerotic calcifications,No acute cardiopulmonary abnormality.,1427_IM-0273-12012.dcm.png,Frontal,atherosclerosis
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.,1428_IM-0274-1001.dcm.png,Frontal,normal
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.,1429_IM-0275-1001.dcm.png,Frontal,normal
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 atelectasis or evolving pneumonia the heart pulmonary appear normal is minimal blunting of the pleural spaces effusions,"1. Minimal patchy bibasilar opacities, XXXX evolving pneumonia or atelectasis 2. XXXX bilateral pleural effusions",1430_IM-0277-2001.dcm.png,Frontal,effusion
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.,1431_IM-0278-1001.dcm.png,Frontal,normal
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.,1432_IM-0278-1001.dcm.png,Frontal,degenerative
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.,1433_IM-0278-1001.dcm.png,Frontal,atherosclerosis
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.,1434_IM-0279-1001.dcm.png,Frontal,normal
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.,1435_IM-0280-1001.dcm.png,Frontal,normal
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 the lungs are hyperinflated with increased retrosternal airspace and flattening of hemidiaphragms there is haziness in the right lung apex there is a 17 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.",1436_IM-0280-1001.dcm.png,Frontal,opacity
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 are intact,No acute cardiopulmonary abnormalities.,1437_IM-0281-3001.dcm.png,Frontal,hyperdistention
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.",1438_IM-0282-1002.dcm.png,Frontal,normal
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",,lungs are opacities are present in the left lung base heart size normal mediastinum normal,Findings of COPD and left base focal atelectasis.,1439_IM-0282-1001.dcm.png,Frontal,opacity
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.,1440_IM-0284-1001.dcm.png,Frontal,normal
1441,"Density/retrocardiac;Hernia, Hiatal;Lung/hypoinflation","Density;Hernia, Hiatal;Lung",Xray Chest PA and Lateral,HYPERTENSION; preop hiatal hernia,,the heart is normal in size the mediastinum is within normal limits there is retrocardiac density which corresponds to patients known hiatal hernia the lungs are hypoinflated no focal consolidation is seen,No acute disease. Retrocardiac density XXXX corresponding to known hiatal hernia.,1441_IM-0285-1001.dcm.png,Frontal,hypoinflation
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,and lateral chest examination was obtained the heart silhouette is normal in size and contour aortic appear unremarkable lungs demonstrate increased interstitial markings probably copd there is calcified hilar lymph there is no effusion or pneumothorax,1. No acute pulmonary disease.,1443_IM-0286-1001.dcm.png,Frontal,calcinosis
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",,there is a healing fracture involving the left posterolateral 7th rib there is deformity of the 8th vertebral body these bony lesions may be secondary to the patients known multiple myeloma the lungs appear clear the heart and pulmonary are normal the pleural spaces are clear mediastinal contours are normal,No acute cardiopulmonary disease.,1444_IM-0286-1001.dcm.png,Frontal,fracture
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 right basilar atelectasis left basilar consolidation and pleural effusions seen no focal consolidation or pneumothorax there is a stable left picc with tip overlying the mid svc and large 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. .",1445_IM-0287-4004.dcm.png,Frontal,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.,1447_IM-0289-1001.dcm.png,Frontal,normal
1448,normal,normal,TWO-VIEW CHEST (AP/PA and lateral): 02/010/XXXX.,XXXX-year-old male with pulmonary stenosis.,,and lateral views of the chest were obtained on 02010 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 are normal the bony elements are not remarkable,No acute cardiopulmonary abnormalities are seen. END OF REPORT.,1448_IM-0289-1001.dcm.png,Frontal,normal
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 accentuated by low lung volumes and eventration of the anterior right hemidiaphragm however cardiomegaly or less 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. .",1449_IM-0290-1001.dcm.png,Frontal,hypoinflation
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.,1450_IM-0291-1001.dcm.png,Frontal,normal
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.,1451_IM-0291-1001.dcm.png,Frontal,emphysema
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.,1452_IM-0291-1001.dcm.png,Frontal,normal
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.,1453_IM-0292-12012.dcm.png,Frontal,hypoinflation
1454,normal,normal,CHEST 2V FRONTAL/LATERAL ,Positive PPD,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,1454_IM-0293-1001.dcm.png,Frontal,normal
1456,normal,normal,PA and lateral chest ,XXXX.,,no focal consolidation no visualized pneumothorax no large pleural effusions the heart size and cardiomediastinal silhouette are grossly unremarkable,1. No acute cardiopulmonary findings.,1456_IM-0294-1001.dcm.png,Frontal,normal
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 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. .,1458_IM-0296-1001.dcm.png,Frontal,cardiomegaly
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.,1459_IM-0297-1001.dcm.png,Frontal,cardiomegaly
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.,1459_IM-0297-3001.dcm.png,Frontal,cardiomegaly
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.,1460_IM-0298-1001.dcm.png,Frontal,normal
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.,1461_IM-0299-1001.dcm.png,Frontal,normal
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 is intact,1. Negative for acute cardiopulmonary findings.,1462_IM-0299-1001.dcm.png,Frontal,normal
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.,1463_IM-0300-1001.dcm.png,Frontal,normal
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 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.,1464_IM-0301-1001.dcm.png,Frontal,granulomatous
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 sternotomy changes are present no focal consolidation pneumothorax or pleural effusion mild degenerative changes of the thoracic spine,No acute cardiopulmonary abnormalities.,1465_IM-0302-1001.dcm.png,Frontal,degenerative
1466,normal,normal,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX p.m. ",XXXX-year-old male with clavicle pain,,the heart is normal size the mediastinum is unremarkable there is no pleural effusion pneumothorax or focal airspace disease the are unremarkable,No acute cardiopulmonary abnormality.,1466_IM-0302-1001.dcm.png,Frontal,normal
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.,1467_IM-0302-1001.dcm.png,Frontal,normal
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 are unremarkable,No radiographic evidence of acute cardiopulmonary disease.,1468_IM-0303-1001.dcm.png,Frontal,normal
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. .,1469_IM-0303-1001.dcm.png,Frontal,normal
1470,normal,normal,PA and lateral views of the chest ,Chest pain,,mediastinal contours are normal lungs are clear there is no pneumothorax or large pleural effusion,No acute cardiopulmonary abnormality.,1470_IM-0303-1001.dcm.png,Frontal,normal
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 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. .,1471_IM-0304-2001.dcm.png,Frontal,hyperdistention
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.,1472_IM-0305-1001.dcm.png,Frontal,hyperdistention
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.,1473_IM-0306-1001.dcm.png,Frontal,normal
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.,1476_IM-0308-1001.dcm.png,Frontal,normal
1477,normal,normal,XR Chest PA and Lateral,"XXXX-year-old female, pain",,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,1477_IM-0309-1001.dcm.png,Frontal,normal
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,1478_IM-0310-0001-0002.dcm.png,Frontal,calcinosis
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,1478_IM-0310-0001-0003.dcm.png,Frontal,calcinosis
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 are intact,No acute cardiopulmonary abnormalities.,1480_IM-0311-1001.dcm.png,Frontal,normal
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.,1481_IM-0312-3001.dcm.png,Frontal,normal
1482,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, chest pain",,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,1482_IM-0313-1001.dcm.png,Frontal,normal
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 limitsthe 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.,1483_IM-0313-1001.dcm.png,Frontal,tortuous
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.,1484_IM-0313-1001.dcm.png,Frontal,degenerative
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 tspine 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 there is a curvilinear density within and along the right costophrenic sulcus which most 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.,1485_IM-0313-1001.dcm.png,Frontal,opacity
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.,1488_IM-0315-1001.dcm.png,Frontal,normal
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 are intact,No acute cardiopulmonary abnormalities.,1489_IM-0315-1001.dcm.png,Frontal,normal
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.,1491_IM-0317-1001.dcm.png,Frontal,hypoinflation
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 illdefined 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 deformity is noted in the midthoracic 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.,1497_IM-0321-1001.dcm.png,Frontal,opacity
1498,Aorta/tortuous;Deformity/clavicle/left/chronic,Aorta;Deformity,AP and Lateral Chest,"XXXX-year-old male, pain, syncope",,apical lordotic frontal view heart size within normal limits mild aortic ectasiatortuosity 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 widening may be posttraumatic or postsurgical verterbroplasty noted at the thoracolumbar junction,No acute cardiopulmonary findings,1498_IM-0322-2001.dcm.png,Frontal,tortuous
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.,1499_IM-0323-1001.dcm.png,Frontal,hypoinflation
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.,1500_IM-0326-9001.dcm.png,Frontal,calcinosis
1502,normal,normal,Xray Chest PA and Lateral,Chest pressure on left,,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.,1502_IM-0328-1001.dcm.png,Frontal,normal
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 a hiatal hernia,No acute cardiopulmonary abnormality.,1505_IM-0330-1001.dcm.png,Frontal,opacity
1509,normal,normal,"Chest Two views PA and lateral XXXX, XXXX XXXX p.m. ",Chest pain,,lungs are clear bilaterallythere is no focal consolidation pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits are unremarkable,No acute cardiopulmonary abnormality.,1509_IM-0331-1001.dcm.png,Frontal,normal
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.,1510_IM-0331-1001.dcm.png,Frontal,normal
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.,1511_IM-0331-1001.dcm.png,Frontal,normal
1512,normal,normal,"PA and lateral views of the chest, XXXX, XXXX XXXX PM",PAIN RT SCAPULAR AREA AND BELOW BREASTS,,the lungs appear clear the heart and pulmonary are normal pleural spaces are clear the mediastinal contours are normal,No acute cardiopulmonary disease,1512_IM-0332-2002.dcm.png,Frontal,normal
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,,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.",1513_IM-0333-1001.dcm.png,Frontal,opacity
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 opacities in the left 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.,1514_IM-0333-1001.dcm.png,Frontal,opacity
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.,1515_IM-0333-1001.dcm.png,Frontal,normal
1516,normal,normal,CHEST 2V FRONTAL/LATERAL ,throat pain,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,1516_IM-0334-1001.dcm.png,Frontal,normal
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..,1517_IM-0335-1001.dcm.png,Frontal,normal
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..,1518_IM-0335-1003.dcm.png,Frontal,normal
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 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. .",1519_IM-0335-4004.dcm.png,Frontal,hypoinflation
1520,normal,normal,Xray Chest PA and Lateral,,,cardiomediastinal silhouette is normal pulmonary vasculature and are normal no consolidation pneumothorax or large pleural effusion postsurgical changes of the cervical spine are present,No acute cardiopulmonary disease.,1520_IM-0336-1002001.dcm.png,Frontal,normal
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,1. No acute radiographic cardiopulmonary process.,1521_IM-0337-1001.dcm.png,Frontal,normal
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,1. No acute radiographic cardiopulmonary process.,1521_IM-0337-3001.dcm.png,Frontal,normal
1522,normal,normal," Chest radiograph, frontal and lateral views",,XXXX,cardiomediastinal silhouette is normal pulmonary vasculature and are normal no consolidation pneumothorax or large pleural effusion osseous structures and soft tissues are unchanged,No acute cardiopulmonary disease.,1522_IM-0338-0001-0002.dcm.png,Frontal,normal
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.,1523_IM-0339-1001.dcm.png,Frontal,normal
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.",1524_IM-0339-1001.dcm.png,Frontal,tortuous
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 13 cm this could indicate cavitation leftsided 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.",1525_IM-0340-3001.dcm.png,Frontal,opacity
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 13 cm this could indicate cavitation leftsided 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.",1525_IM-0340-4001.dcm.png,Frontal,opacity
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.,1527_IM-0341-1001-0002.dcm.png,Frontal,hyperdistention
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.,1529_IM-0342-0001-0001.dcm.png,Frontal,degenerative
1530,normal,normal,PA and lateral views of the chest ,Seizure and XXXX,,mediastinal contours are normal lungs are clear there is no pneumothorax or large pleural effusion,No acute cardiopulmonary abnormality.,1530_IM-0344-1001.dcm.png,Frontal,normal
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 ectasiatortuosity left hilar and left lower lobe calcifications indicate a previous granulomatous process no alveolar consolidation no findings of pleural effusion or pulmonary edema no pneumothorax,No acute findings,1531_IM-0344-1001.dcm.png,Frontal,tortuous
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.,1532_IM-0344-1001.dcm.png,Frontal,normal
1533,normal,normal,CHEST- PA AND LATERAL ,XXXX,,the lungs are clear the cardiomediastinal silhouette is within normal limits no pleural effusion is identified,Normal chest film.,1533_IM-0344-1001.dcm.png,Frontal,normal
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 right perihilarmidlung 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 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.",1534_IM-0345-4004.dcm.png,Frontal,opacity
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.,1535_IM-0346-1001.dcm.png,Frontal,normal
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.,1537_IM-0348-1001.dcm.png,Frontal,normal
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.,1538_IM-0348-1001.dcm.png,Frontal,tortuous
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.,1539_IM-0349-1001.dcm.png,Frontal,normal
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.,1540_IM-0351-1001.dcm.png,Frontal,normal
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 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.,1542_IM-0352-1001.dcm.png,Frontal,opacity
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.,1544_IM-0354-1001.dcm.png,Frontal,normal
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. .,1545_IM-0355-2002.dcm.png,Frontal,normal
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.,1549_IM-0357-1001.dcm.png,Frontal,normal
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.,1550_IM-0359-1001.dcm.png,Frontal,normal
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.,1551_IM-0359-1001.dcm.png,Frontal,normal
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 are grossly unremarkable,1. No acute cardiopulmonary disease. Clear lungs.,1552_IM-0360-1001.dcm.png,Frontal,hypoinflation
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.,1554_IM-0361-1001.dcm.png,Frontal,degenerative
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 opacities seen within the left base there are no visible nodules or masses no visible pneumothorax the 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.,1556_IM-0363-1001.dcm.png,Frontal,opacity
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 pulmonary opacities with blunting of the bilateral costophrenic 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. .",1557_IM-0364-4004.dcm.png,Frontal,effusion
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 are grossly intact,1. No acute cardiopulmonary abnormality.,1558_IM-0365-1001.dcm.png,Frontal,hypoinflation
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.,1560_IM-0366-1001.dcm.png,Frontal,normal
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.,1561_IM-0367-1001.dcm.png,Frontal,normal
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 normal heart size negative for consolidation effusion or pneumothorax bony thorax and soft tissues grossly unremarkable,Negative for acute cardiopulmonary abnormality.,1562_IM-0367-1001.dcm.png,Frontal,hypoinflation
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 deformities emphysematous changes,"Chronic lung disease, with no acute cardiopulmonary findings.",1563_IM-0368-1001.dcm.png,Frontal,degenerative
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 and clips suggest cabg mediastinal and hilar calcifications indicate a previous granulomatous process stable hyperinflation bilateral upper lobe pleuroparenchymal near and nodular irregularities right greater than left opacities in the peripheral right lung most compatible with scarring no abnormal pulmonary opacities no definite pleural effusion seen no typical findings of pulmonary edema osseous demineralization stable appearance of t9 and t12 fractures,"Chronic changes as described, no acute findings",1564_IM-0368-1001.dcm.png,Frontal,opacity
1567,Opacity/lung/lingula,Opacity,CHEST 2V FRONTAL/LATERAL ,Chest pain,,the heart is normal in size the mediastinum is unremarkable opacity in left midlung the lungs are clear,No acute disease.,1567_IM-0370-1001.dcm.png,Frontal,opacity
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.,1568_IM-0371-1001.dcm.png,Frontal,hypoinflation
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 superiormost pulmonary apices no visible pleural 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.,1570_IM-0372-1001.dcm.png,Frontal,degenerative
1573,normal,normal," AP and lateral chest XXXX, XXXX XXXX comparison XXXX ",XXXX XXXX placement,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest No evidence of tuberculosis,1573_IM-0374-1001.dcm.png,Frontal,normal
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.,1574_IM-0374-1001.dcm.png,Frontal,normal
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,,lumbar and are low no infiltrates heart size normal a large hiatal hernia is present an ageindeterminate fracture is present in the lower thoracic vertebra scoliosis is present in the thoracic and thoracolumbar spine,No visible active cardiopulmonary disease.,1576_IM-0375-1001.dcm.png,Frontal,fracture
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.,1577_IM-0375-1001.dcm.png,Frontal,hypoinflation
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 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. .,1578_IM-0376-5001.dcm.png,Frontal,hypoinflation
1579,normal,normal,Xray Chest PA and Lateral,Preop surgical XXXX for knee surgery,,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.,1579_IM-0376-1001.dcm.png,Frontal,normal
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",,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.",1580_IM-0378-1001.dcm.png,Frontal,hyperdistention
1581,Nodule/lung/upper lobe/right/multiple,Nodule,PA and lateral chest x-XXXX ,XXXX-year-old female XXXX.,,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.,1581_IM-0378-1001.dcm.png,Frontal,nodule
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.,1582_IM-0378-1001.dcm.png,Frontal,normal
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.,1584_IM-0379-1001.dcm.png,Frontal,degenerative
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.",1587_IM-0381-1002001.dcm.png,Frontal,normal
1588,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",XXXX XXXX,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,1588_IM-0382-1001.dcm.png,Frontal,normal
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 the bony structures of the thorax demonstrate degenerative changes of the right shoulder and a right humerus consistent with distal humeral amputation no acute bony abnormality identified,Changes of chronic lung disease without acute cardiopulmonary abnormality identified.,1589_IM-0382-1001.dcm.png,Frontal,hyperdistention
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..,1590_IM-0383-4001.dcm.png,Frontal,normal
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 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 .,1591_IM-0384-13013.dcm.png,Frontal,hypoinflation
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.,1592_IM-0385-1001.dcm.png,Frontal,cardiomegaly
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,1. Moderate right pleural effusion.,1593_IM-0385-1001.dcm.png,Frontal,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.,1594_IM-0385-1001.dcm.png,Frontal,normal
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 opacity persists in the right midlung no focal infiltrates,Persistent cardiomegaly. Right midlung scar. No visible acute failure or pneumonia.,1595_IM-0386-2001.dcm.png,Frontal,cardiomegaly
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.,1597_IM-0388-1001.dcm.png,Frontal,normal
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. .,1598_IM-0389-1001.dcm.png,Frontal,normal
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 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.,1599_IM-0389-1001.dcm.png,Frontal,atherosclerosis
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.,1600_IM-0390-1001.dcm.png,Frontal,tortuous
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.,1601_IM-0390-1001.dcm.png,Frontal,normal
1603,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX ",Tuberculosis positive PPD,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest No evidence of tuberculosis,1603_IM-0391-1001.dcm.png,Frontal,normal
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.",1608_IM-0394-1001.dcm.png,Frontal,normal
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 in both 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.",1609_IM-0394-1001.dcm.png,Frontal,calcinosis
1612,"Cardiomegaly/mild;Aorta, Thoracic/tortuous;Atherosclerosis/aorta, thoracic;Thoracic Vertebrae/degenerative","Cardiomegaly;Aorta, Thoracic;Atherosclerosis;Thoracic Vertebrae",XR frontal and lateral chest ,Seizure,,mild cardiomegaly tortuous thoracic aorta with atherosclerosis no pneumothorax or pleural effusion degenerative changes in the thoracic spine without evidence of deformity the visualized osseous structures are intact no displaced rib fractures no edema or airspace consolidation,No evidence of acute cardiopulmonary process.,1612_IM-0397-1001.dcm.png,Frontal,cardiomegaly
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.",1616_IM-0399-1001.dcm.png,Frontal,normal
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.,1617_IM-0399-1001.dcm.png,Frontal,tortuous
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 sternotomy and surgical clips compatible with prior cabg the most caudal sternotomy 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. .",1619_IM-0400-1001.dcm.png,Frontal,hypoinflation
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 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.,1620_IM-0402-1001.dcm.png,Frontal,normal
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.,1622_IM-0404-1001.dcm.png,Frontal,normal
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.,1623_IM-0405-4004.dcm.png,Frontal,normal
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",1624_IM-0406-1001.dcm.png,Frontal,cardiomegaly
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 are present the lungs are clear,No acute disease.,1625_IM-0406-1002.dcm.png,Frontal,atherosclerosis
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 70 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.,1626_IM-0407-1001.dcm.png,Frontal,nodule
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.,1627_IM-0408-1001.dcm.png,Frontal,normal
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.,1630_IM-0411-1001.dcm.png,Frontal,nodule
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",,there are a few small nodular opacities in the left lung 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 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.",1631_IM-0412-0001-0001.dcm.png,Frontal,opacity
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..,1632_IM-0413-2001.dcm.png,Frontal,normal
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.,1633_IM-0414-1001.dcm.png,Frontal,normal
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.,1633_IM-0414-3001.dcm.png,Frontal,normal
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 no focal areas of consolidation heart size within normal limits no pleural effusions no evidence of pneumothorax question large pulmonary arteries lung are hyperexpanded prominent substernal air space aortic calcifications degenerative changes thoracic spine,Hyperexpanded lung XXXX compatible with COPD. No evidence of acute cardiopulmonary abnormality. .,1634_IM-0414-2002.dcm.png,Frontal,hyperdistention
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 scarring or atelectasis,1. Evidence of previous granulomatous infection. 2. Bibasilar bandlike opacities. The appearance XXXX atelectasis/scar.,1635_IM-0415-1001.dcm.png,Frontal,opacity
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.,1636_IM-0415-1001.dcm.png,Frontal,normal
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.,1637_IM-0416-1001.dcm.png,Frontal,cardiomegaly
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.",1638_IM-0417-1001.dcm.png,Frontal,cardiomegaly
1639,Aorta/tortuous/mild,Aorta,Xray Chest PA and Lateral,,None.,the lungs are relatively clear with sulci heart size normal in lv contour slightly unfolded ascending and descending aorta tspine unremarkable,No significant finding.,1639_IM-0418-1001.dcm.png,Frontal,tortuous
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.",1640_IM-0420-1001.dcm.png,Frontal,nodule
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,1642_IM-0421-2001.dcm.png,Frontal,degenerative
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.,1643_IM-0421-1001.dcm.png,Frontal,normal
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.,1645_IM-0422-1001.dcm.png,Frontal,opacity
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..,1646_IM-0423-1001.dcm.png,Frontal,normal
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..,1647_IM-0424-2001.dcm.png,Frontal,normal
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.",1648_IM-0425-0001-0001.dcm.png,Frontal,hyperdistention
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 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.",1649_IM-0426-1001.dcm.png,Frontal,effusion
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 opacities within the lung bases 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.,1654_IM-0430-1001.dcm.png,Frontal,opacity
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.,1655_IM-0431-1001.dcm.png,Frontal,normal
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. .,1656_IM-0431-1001.dcm.png,Frontal,normal
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.,1657_IM-0432-2002.dcm.png,Frontal,normal
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.,1659_IM-0434-1001.dcm.png,Frontal,normal
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. .,1660_IM-0436-1001.dcm.png,Frontal,hypoinflation
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.,1663_IM-0439-1001.dcm.png,Frontal,normal
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",,the cardiac silhouette is mildly enlarged there are scattered bilateral opacities most notably in the right middle lobe 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.",1666_IM-0440-0001-0001.dcm.png,Frontal,cardiomegaly
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 14 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.",1668_IM-0441-1001.dcm.png,Frontal,opacity
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 there is a calcified granuloma at the left lower lung there is no pneumothorax or large pleural effusion,No acute cardiopulmonary abnormality.,1669_IM-0441-1001.dcm.png,Frontal,calcinosis
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.,1671_IM-0442-1001.dcm.png,Frontal,normal
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 consolidations no pleural effusion no pneumothorax and soft tissues are unremarkable lungs are hyperinflated,No acute cardiopulmonary abnormality,1673_IM-0444-1001.dcm.png,Frontal,hyperdistention
1674,normal,normal,Chest radiograph PA and lateral. ,XXXX-year-old XXXX with XXXX XXXX.,XXXX.,the previously seen rightsided 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.,1674_IM-0445-1001.dcm.png,Frontal,normal
1675,Lung/hypoinflation,Lung," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",dyspnea,"XXXX, XXXX.",lung volumes remain low no infiltrates heart and pulmonary remain normal,XXXX change. Hypoinflation with no visible active cardiopulmonary disease.,1675_IM-0445-1001.dcm.png,Frontal,hypoinflation
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.,1676_IM-0445-1001.dcm.png,Frontal,atherosclerosis
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.,1677_IM-0446-1001.dcm.png,Frontal,normal
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 tip is again seen at the cavoatrial junction there is no pneumothorax there is again elevation of right hemidiaphragm with rightsided pleural effusion vague opacities are noted in the right upper lobe 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.",1678_IM-0447-0001-0001.dcm.png,Frontal,effusion
1679,normal,normal," PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX 10 ",XXXX.,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,1679_IM-0448-1001.dcm.png,Frontal,normal
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.,1681_IM-0448-1001.dcm.png,Frontal,normal
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 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,No evidence of acute cardiopulmonary process. Mediastinal and hilar adenopathy compatible with patient's known sarcoidosis.,1683_IM-0449-1001.dcm.png,Frontal,hypoinflation
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.,1684_IM-0449-1001.dcm.png,Frontal,normal
1685,Lung/hyperdistention;Diaphragm/posterior/flattened/mild,Lung;Diaphragm,Xray Chest PA and Lateral,"XXXX-year-old male, XXXX",,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.",1685_IM-0449-1001.dcm.png,Frontal,hyperdistention
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 in the interval both lungs are clear and expanded heart and mediastinum normal no change calcified aorticopulmonary node,No active disease.,1686_IM-0450-1001.dcm.png,Frontal,calcinosis
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.,1688_IM-0450-1001.dcm.png,Frontal,normal
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.,1689_IM-0451-1001.dcm.png,Frontal,normal
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 residual left pneumothorax no large pleural effusion stable cardiomediastinal contour leftsided rib fractures are better appreciated on the chest comparison,"1. Probable XXXX residual left pneumothorax. 2. Stable streaky left basilar airspace disease, possibly atelectasis.",1691_IM-0453-4001.dcm.png,Frontal,hypoinflation
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.,1693_IM-0454-1001.dcm.png,Frontal,hypoinflation
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.,1696_IM-0457-4004.dcm.png,Frontal,normal
1697,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,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.,1697_IM-0458-1001.dcm.png,Frontal,normal
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 are grossly unremarkable,1. Clear lungs.,1698_IM-0458-1001.dcm.png,Frontal,normal
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.,1701_IM-0462-1001.dcm.png,Frontal,normal
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.,1702_IM-0463-1001.dcm.png,Frontal,cardiomegaly
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 deformity,"Low lung volumes, no acute cardiopulmonary findings.",1703_IM-0463-1001.dcm.png,Frontal,hypoinflation
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 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 leftsided 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.",1704_IM-0464-1001.dcm.png,Frontal,effusion
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.,1706_IM-0466-1001.dcm.png,Frontal,hypoinflation
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 and vasculature central airways and lung volumes no pleural effusion,"No acute or active cardiac, pulmonary or pleural disease.",1707_IM-0466-1001.dcm.png,Frontal,normal
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 are identified in the left infrahilar region no pneumothorax no pleural effusion no acute displaced rib fractures identified,1. No acute intrathoracic abnormality.,1708_IM-0466-1001.dcm.png,Frontal,calcinosis
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 opacity in the lung bases the lungs are otherwise grossly clear there are no acute bony findings,No acute cardiopulmonary findings. .,1709_IM-0467-1001.dcm.png,Frontal,opacity
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.,1710_IM-0469-1001.dcm.png,Frontal,normal
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.,1714_IM-0472-1001.dcm.png,Frontal,degenerative
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.,1717_IM-0473-1001.dcm.png,Frontal,granulomatous
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.,1719_IM-0474-1001.dcm.png,Frontal,normal
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 filled loops of mildly dilated colon in the left upper quadrant the bowel 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. .,1720_IM-0475-4004.dcm.png,Frontal,opacity
1721,normal,normal,Xray Chest PA and Lateral,XXXX-year-old with XXXX chest pain.,None.,the heart pulmonary 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.,1721_IM-0476-1001.dcm.png,Frontal,normal
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.,1722_IM-0476-1001.dcm.png,Frontal,hyperdistention
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 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.,1723_IM-0477-1001.dcm.png,Frontal,calcinosis
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.,1724_IM-0478-1001.dcm.png,Frontal,hyperdistention
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 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 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.",1725_IM-0478-1001.dcm.png,Frontal,opacity
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.,1726_IM-0479-1001.dcm.png,Frontal,normal
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.,rightsided internal jugular central venous catheter with tip approximating the right atrium postsurgical changes of the mediastinum including sternotomy 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. .",1727_IM-0479-1001.dcm.png,Frontal,opacity
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.,1728_IM-0479-1001.dcm.png,Frontal,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 are intact,Significant bilateral emphysematous changes. No acute cardiopulmonary abnormalities.,1729_IM-0480-1001.dcm.png,Frontal,emphysema
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.,1730_IM-0481-1001.dcm.png,Frontal,degenerative
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..,1731_IM-0481-2001.dcm.png,Frontal,hypoinflation
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 and soft tissue are unremarkable,No acute cardiopulmonary abnormality.,1732_IM-0482-1001.dcm.png,Frontal,normal
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.,1734_IM-0484-1001.dcm.png,Frontal,normal
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 and surgical clips overlying there is blunting of the right costophrenic 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.,1735_IM-0484-1001.dcm.png,Frontal,hyperdistention
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 again noted mildly low lung volumes no significant pulmonary edema focal lung consolidation pleural effusions or pneumothorax seen,1. No acute cardiopulmonary abnormalities.,1736_IM-0484-1001.dcm.png,Frontal,hypoinflation
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.,1737_IM-0485-1001.dcm.png,Frontal,normal
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.,1738_IM-0486-1001.dcm.png,Frontal,tortuous
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 opacity within the left lung base 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.",1739_IM-0487-1001.dcm.png,Frontal,opacity
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 airspace opacity in the mid right lung radiating from the right hilum to the pleura and bordered inferiorly by the fissures the 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.,1740_IM-0488-1001.dcm.png,Frontal,opacity
1742,Cardiomegaly/mild;Scoliosis,Cardiomegaly;Scoliosis,PA and Lateral Chest,"XXXX-year-old female, XXXX",,heart size mildly enlarged no alveolar consolidation no findings of pleural effusion or pulmonary edema no pneumothorax sshaped spine curvature noted,"Cardiomegaly, no acute pulmonary findings",1742_IM-0489-1001.dcm.png,Frontal,cardiomegaly
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 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,1743_IM-0489-4004.dcm.png,Frontal,cardiomegaly
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 and soft tissue are unremarkable,No acute cardiopulmonary abnormality.,1744_IM-0489-2001.dcm.png,Frontal,normal
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.,1745_IM-0489-4004.dcm.png,Frontal,normal
1747,Opacity/left/retrocardiac,Opacity,Xray Chest PA and Lateral,,None available this institution.,there is an ovoid opacity 35 cm in the retrocardiac area on ap view not wellseen on the lateral view a dedicated 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. .",1747_IM-0490-1001.dcm.png,Frontal,opacity
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 blunting to suggest large pleural effusion bony structures are within normal limits,No acute cardiopulmonary findings.,1748_IM-0490-1001.dcm.png,Frontal,normal
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.,1750_IM-0493-1001.dcm.png,Frontal,opacity
1751,normal,normal," PA and lateral chest XXXX, XXXX at XXXX with comparison XXXX ",chest pain,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest.,1751_IM-0494-1001.dcm.png,Frontal,normal
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 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.,1752_IM-0494-1001.dcm.png,Frontal,opacity
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 blunting to suggest large pleural effusion bony structures are within normal limits,No acute cardiopulmonary findings.,1753_IM-0494-1001.dcm.png,Frontal,cardiomegaly
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,1. No acute radiographic cardiopulmonary process.,1757_IM-0495-1001.dcm.png,Frontal,normal
1758,Mediastinum/prominent/mild;Lucency/mediastinum/mild;Lung/hypoinflation;Adipose Tissue/mediastinum,Mediastinum;Lucency;Lung;Adipose Tissue,CHEST 2V FRONTAL/LATERAL ,"Chest pain, dyspnea",,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 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.,1758_IM-0495-1001.dcm.png,Frontal,hypoinflation
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 ct no focal infiltrates,Emphysema. Recommend rib series to to establish that circular densities overlying ribs are in the ribs.,1759_IM-0495-1001.dcm.png,Frontal,hyperdistention
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.,1760_IM-0497-1001.dcm.png,Frontal,cardiomegaly
1763,Lung/hyperdistention,Lung,"Chest x-XXXX AP and lateral, 2 views. ","Productive XXXX, history of COPD",XXXX,heart mediastinum bony structures are unremarkable stable increased lung volumes consistent with chronic lung disease no infiltrates noted,No radiographic evidence of acute cardiopulmonary disease,1763_IM-0497-1001.dcm.png,Frontal,hyperdistention
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.,1764_IM-0498-1001.dcm.png,Frontal,fracture
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.,1765_IM-0499-1001.dcm.png,Frontal,calcinosis
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.,1766_IM-0500-1001.dcm.png,Frontal,normal
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,,consolidation and some atelectasis are present in the left lower lobe patchy interstitial infiltrates are also present in the right lower lobe bilateral costophrenic blunting is present heart and pulmonary are normal,"Bibasilar airspace disease, left worse right. Bilateral pleural fluid.",1769_IM-0503-1001.dcm.png,Frontal,effusion
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 fracturedislocations 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.,1770_IM-0504-1001.dcm.png,Frontal,normal
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.,1775_IM-0508-1001.dcm.png,Frontal,normal
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.,1776_IM-0508-1001.dcm.png,Frontal,degenerative
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 lucency along the left ventricular related to interface between the heart and aerated lung patchy right perihilarupper lobe opacities which abut the 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.",1777_IM-0509-1001.dcm.png,Frontal,pneumonia
1779,normal,normal," PA and lateral chest XXXX, XXXX time XXXX. ",XXXX.,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,1779_IM-0509-1001.dcm.png,Frontal,normal
1780,normal,normal,Xray Chest PA and Lateral,XXXX-year-old male status post XXXX,,lungs are clear bilaterally with no focal infiltrate pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits and soft tissues are unremarkable,No acute cardiopulmonary abnormality. .,1780_IM-0509-1001.dcm.png,Frontal,normal
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.,1781_IM-0509-1001.dcm.png,Frontal,degenerative
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 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.,1782_IM-0510-1001.dcm.png,Frontal,degenerative
1787,Granulomatous Disease/mild,Granulomatous Disease,CHEST 2V FRONTAL/LATERAL ,"Preop for cholecystectomy, history of XXXX apnea",,the heart is normal in size the mediastinum is unremarkable mild granulomatous sequela are noted the lungs are grossly clear,No acute disease.,1787_IM-0513-1001.dcm.png,Frontal,granulomatous
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.,1788_IM-0513-1001.dcm.png,Frontal,normal
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.,1790_IM-0515-1001.dcm.png,Frontal,normal
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 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.,1791_IM-0515-1001.dcm.png,Frontal,hyperdistention
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 secondary to a small effusion no pneumothorax no acute bony abnormalities,Small left pleural effusion with left basilar atelectasis.,1792_IM-0515-1001.dcm.png,Frontal,effusion
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.,1794_IM-0515-1001.dcm.png,Frontal,normal
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.,1795_IM-0516-1001.dcm.png,Frontal,cardiomegaly
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..,1796_IM-0517-1002.dcm.png,Frontal,normal
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.,1799_IM-0519-1001.dcm.png,Frontal,normal
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 are unremarkable,No acute cardiopulmonary abnormality.,1800_IM-0520-1001.dcm.png,Frontal,hyperdistention
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.,1801_IM-0520-1001.dcm.png,Frontal,cardiomegaly
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.,1802_IM-0521-1001.dcm.png,Frontal,normal
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.",1807_IM-0524-1001.dcm.png,Frontal,cardiomegaly
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 are unremarkable,No acute cardiopulmonary abnormality.,1810_IM-0524-1001.dcm.png,Frontal,normal
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 are intact and without acute osseous abnormality mild degenerative changes of the thoracic spine,Chest radiograph. No acute radiographic cardiopulmonary process.,1811_IM-0525-1001.dcm.png,Frontal,cardiomegaly
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.,1812_IM-0525-1001.dcm.png,Frontal,normal
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. .,1813_IM-0526-1001.dcm.png,Frontal,normal
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.,1815_IM-0527-1001.dcm.png,Frontal,degenerative
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 as well as large calcifications within the left upper and left lower lobes these appear similar to the patients previous chest ct and are 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.",1816_IM-0528-1001.dcm.png,Frontal,granulomatous
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 examination consists of frontal and lateral radiographs of the chest upper thorax is poorly visualized due to patients overlying head and chin the cardiomediastinal contours are within normal limits background of mild coarse interstitial opacities seen throughout the lungs 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.,1817_IM-0529-4004.dcm.png,Frontal,opacity
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.,1821_IM-0532-1003.dcm.png,Frontal,degenerative
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 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.",1823_IM-0534-1001.dcm.png,Frontal,calcinosis
1824,normal,normal," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ","h/o smoking, dm, xol. evaluate mediastinum.",,both lungs are clear and expanded heart and mediastinum normal,No active disease.,1824_IM-0535-1001.dcm.png,Frontal,normal
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 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.,1826_IM-0535-0001.dcm.png,Frontal,normal
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.,1827_IM-0535-1001.dcm.png,Frontal,normal
1829,Pleural Effusion/bilateral/posterior/mild,Pleural Effusion,"Chest PA and lateral views. XXXX, XXXX XXXX PM",Status post chest tube removal,"XXXX, XXXX",and lateral chest examination was obtained the heart silhouette and mediastinal contours are not enlarged removal of 2 leftsided 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.,1829_IM-0537-1001.dcm.png,Frontal,effusion
1831,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, XXXX, chest pain",,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,1831_IM-0538-2001.dcm.png,Frontal,normal
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 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.",1832_IM-0538-1001.dcm.png,Frontal,cardiomegaly
1834,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX 10 ",tuberculosis +PPD,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest No evidence of tuberculosis,1834_IM-0539-1001.dcm.png,Frontal,normal
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 are intact,Low lung volumes. No acute cardiopulmonary abnormalities.,1835_IM-0539-1001.dcm.png,Frontal,hypoinflation
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.,1836_IM-0540-2002.dcm.png,Frontal,hypoinflation
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.,1837_IM-0541-1001.dcm.png,Frontal,normal
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 wellseen on todays study there is no acute infiltrate or pleural effusion,No acute disease.,1839_IM-0543-12013.dcm.png,Frontal,granulomatous
1840,Opacity/lung/hilum/left,Opacity,2 views chest XXXX,XXXX left chest pain,,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.",1840_IM-0545-1001.dcm.png,Frontal,opacity
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.,1843_IM-0546-1001.dcm.png,Frontal,normal
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.,1844_IM-0547-1001.dcm.png,Frontal,hyperdistention
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.,,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.,1848_IM-0550-1001.dcm.png,Frontal,granulomatous
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. .,1851_IM-0553-1001.dcm.png,Frontal,normal
1852,normal,normal,PA AND LATERAL CHEST X-XXXX at XXXX on XXXX ,Chest pain,,lungs are clear no focal consolidation effusion or pneumothorax heart and mediastinal contours are normal osseous structures intact,No acute cardiopulmonary disease,1852_IM-0554-1001.dcm.png,Frontal,normal
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.,1853_IM-0555-1001.dcm.png,Frontal,normal
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.,1854_IM-0555-1001.dcm.png,Frontal,normal
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.,1855_IM-0555-1001.dcm.png,Frontal,opacity
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.,1856_IM-0556-1001.dcm.png,Frontal,normal
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,Mild cardiomegaly. Clear lungs. .,1857_IM-0556-4004.dcm.png,Frontal,cardiomegaly
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 wellexpanded and clear there is no focal airspace opacity there is no pneumothorax or effusion there is dextrocurvature of the thoracic spine there is 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.,1860_IM-0558-1001.dcm.png,Frontal,degenerative
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 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.,1861_IM-0558-1001.dcm.png,Frontal,normal
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.,1863_IM-0558-1001.dcm.png,Frontal,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",,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",1864_IM-0558-1001.dcm.png,Frontal,cardiomegaly
1865,Calcified Granuloma/lung/upper lobe/right;Calcinosis/lung/hilum/lymph nodes/right,Calcified Granuloma;Calcinosis,Xray Chest PA and Lateral,Syncope,,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 the hilar and mediastinal contours are normal normal pulmonary vascularity,No acute abnormality. .,1865_IM-0558-2001.dcm.png,Frontal,calcinosis
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 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.,1867_IM-0560-4004.dcm.png,Frontal,cardiomegaly
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.,1868_IM-0561-1001.dcm.png,Frontal,effusion
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 due to low lung volumes elevated right hemidiaphragm,1. Marked cardiomegaly. 2. Low lung volumes.,1870_IM-0563-1001.dcm.png,Frontal,cardiomegaly
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.,1871_IM-0564-1001.dcm.png,Frontal,normal
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. .,1873_IM-0565-1001.dcm.png,Frontal,degenerative
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. .",1874_IM-0565-1001.dcm.png,Frontal,opacity
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,1875_IM-0566-2001.dcm.png,Frontal,tortuous
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.,1876_IM-0567-1001.dcm.png,Frontal,hyperdistention
1877,normal,normal," PA and lateral chest XXXX, XXXX at XXXX comparison available from XXXX 10 ",XXXX,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,1877_IM-0568-1001.dcm.png,Frontal,normal
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.",1879_IM-0569-1001.dcm.png,Frontal,normal
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 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.,1880_IM-0569-1001.dcm.png,Frontal,degenerative
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.,1881_IM-0570-3001.dcm.png,Frontal,atherosclerosis
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.,1882_IM-0571-1001.dcm.png,Frontal,normal
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.",1884_IM-0573-1001.dcm.png,Frontal,tortuous
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.",1885_IM-0574-1001.dcm.png,Frontal,normal
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 and overlying the t9 vertebral bodylateral view no focal airspace consolidation pneumothorax or large pleural effusion degenerative changes of thoracic spine no acute osseous abnormality,No acute cardiopulmonary abnormality.,1886_IM-0574-1001.dcm.png,Frontal,degenerative
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.,1887_IM-0575-1001.dcm.png,Frontal,atherosclerosis
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 lungs are hyperexpanded but clear no pneumothorax or pleural effusion degenerative changes are seen in the spine,No acute cardiopulmonary process. .,1888_IM-0576-4004.dcm.png,Frontal,hyperdistention
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 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.,1889_IM-0577-1001.dcm.png,Frontal,degenerative
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.,1893_IM-0580-1001.dcm.png,Frontal,hypoinflation
1894,Opacity/thorax/right,Opacity,CHEST 2V FRONTAL/LATERAL ,Dyspnea,,the heart is normal in size the mediastinum is unremarkable subtle increased opacity of right mid hemithorax related to superimposed soft tissues the lungs are otherwise clear there is no pleural effusion or pneumothorax,No acute disease.,1894_IM-0581-1001.dcm.png,Frontal,opacity
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.",1896_IM-0581-1001.dcm.png,Frontal,normal
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 cardiac apex and stomach are leftsided 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.",1898_IM-0581-1001.dcm.png,Frontal,cardiomegaly
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..,1899_IM-0582-1001.dcm.png,Frontal,normal
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 sternotomy 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.,1900_IM-0584-1001.dcm.png,Frontal,tortuous
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.,1902_IM-0586-1001.dcm.png,Frontal,normal
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.,1903_IM-0586-1001.dcm.png,Frontal,normal
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.,1905_IM-0587-1001.dcm.png,Frontal,granulomatous
1908,Opacity/lung/upper lobe/bilateral/round,Opacity,Xray Chest PA and Lateral,Chest pain,,cardiac silhouette and mediastinal contours are within normal limits nodular opacity overlying the upper lungs bilaterally may represent overlying telemetry correlate clinically otherwise lungs are clear no large pleural effusion no pneumothorax,No acute cardiopulmonary disease.,1908_IM-0590-1001.dcm.png,Frontal,opacity
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 blunting in the left lower lobe have cleared in the interval a persistent patchy infiltrate is present in the right middle lobe no infiltrates heart is slightly large pulmonary are normal aorta remains tortuous,Cleared left lower lobe airspace disease with persistent right middle lobe airspace disease.,1909_IM-0590-1001.dcm.png,Frontal,cardiomegaly
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 are grossly unremarkable,1. No active disease.,1911_IM-0593-1001.dcm.png,Frontal,normal
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,1912_IM-0594-1001.dcm.png,Frontal,normal
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.,1913_IM-0595-1001.dcm.png,Frontal,degenerative
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.",1914_IM-0595-1001.dcm.png,Frontal,opacity
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..,1915_IM-0595-1001.dcm.png,Frontal,normal
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 15 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 of pleural effusion there is no evidence of pneumothorax opacities 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.",1918_IM-0597-2001.dcm.png,Frontal,opacity
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 atelectasisairspace 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.",1919_IM-0598-1001.dcm.png,Frontal,hyperdistention
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 atelectasisairspace 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.",1919_IM-0598-3001.dcm.png,Frontal,hyperdistention
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.,1920_IM-0598-1001.dcm.png,Frontal,normal
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 moderatelyinflated lungs consistent with copd and unchanged atherosclerotic calcifications of the thoracic seen no airspace disease effusion or noncalcified nodule normal heart size and mediastinum visualized of the chest are within normal limits,"Moderately hyperinflated lung XXXX, otherwise no acute cardiopulmonary abnormality.",1921_IM-0598-1001.dcm.png,Frontal,hyperdistention
1922,normal,normal,"Chest x-XXXX AP and lateral, 2 views. ",Chest pain.,None.,heart mediastinum bony structures and lung are unremarkable,No radiographic evidence of acute cardiopulmonary disease,1922_IM-0598-1001.dcm.png,Frontal,normal
1923,Lung/hyperdistention;Cardiomegaly,Lung;Cardiomegaly,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old female with XXXX,,lungs are clear without focal consolidation effusion or pneumothorax hyperinflated lungs cardiomegaly bony thorax and soft tissues grossly unremarkable,Cardiomegaly without acute cardiopulmonary abnormality.,1923_IM-0598-1001.dcm.png,Frontal,cardiomegaly
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",,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 within normal limits heavily calcified and mildly tortuous aorta no typical findings of pulmonary edema,Limited quality exam shows no definite acute findings.,1924_IM-0598-4004.dcm.png,Frontal,tortuous
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.,1927_IM-0600-1001.dcm.png,Frontal,granulomatous
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.,1928_IM-0600-1001.dcm.png,Frontal,normal
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 opacity left base compatible atelectasis or scarring the cardiomediastinal silhouette appears unremarkable mild atherosclerotic calcification aorta prior chest surgery costophrenic clear visualized spine vertebrae appear normal in and alignment,1. Fracture deformity proximal right humerus. 2. No pulmonary consolidation.,1929_IM-0600-1001.dcm.png,Frontal,opacity
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.,1930_IM-0602-1001-0002.dcm.png,Frontal,hypoinflation
1931,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.,1931_IM-0602-1001.dcm.png,Frontal,normal
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.,1932_IM-0603-2001.dcm.png,Frontal,normal
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 ageindeterminate anterior wedging deformity of lower thoracic vertebra,No acute cardiopulmonary abnormality.,1933_IM-0604-1001.dcm.png,Frontal,tortuous
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 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.,1934_IM-0604-1001.dcm.png,Frontal,tortuous
1935,"Cardiomegaly/borderline;Aorta/tortuous/mild;Catheters, Indwelling/right","Cardiomegaly;Aorta;Catheters, Indwelling",Xray Chest PA and Lateral,Central line placement,,the heart is borderline in size the aorta is mildly tortuous right ij catheter is in with tip in proximal right atriumcavoatrial junction there is no pneumothorax lungs are grossly clear there is no large effusion,Right IJ catheter tip in proximal right atrium. No pneumothorax.,1935_IM-0605-0001-0001.dcm.png,Frontal,cardiomegaly
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 this catheter has been exchanged for a large 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. .,1936_IM-0606-1001.dcm.png,Frontal,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.,1937_IM-0607-1001.dcm.png,Frontal,normal
1938,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",XXXX,,no focal lung opacity pleural effusion or pneumothorax cardiomediastinal silhouette is unremarkable,"No focal lung opacity, pleural effusion of pneumothorax.",1938_IM-0608-1001.dcm.png,Frontal,normal
1939,Opacity/costophrenic angle/left,Opacity,"Chest 2 views. XXXX, XXXX at XXXX.",XXXX-year-old female with chest pain,,lungs are clear heart size normal no pneumothorax left costophrenic opacity may represent pleural or pericardial fat,Clear lungs. No acute cardiopulmonary abnormality.,1939_IM-0609-1001.dcm.png,Frontal,opacity
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. .,1940_IM-0610-2002.dcm.png,Frontal,normal
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.",1943_IM-0612-1001.dcm.png,Frontal,granulomatous
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,1947_IM-0616-1001.dcm.png,Frontal,nodule
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.,1948_IM-0616-1001.dcm.png,Frontal,normal
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 are grossly unremarkable,1. No acute cardiopulmonary disease.,1950_IM-0618-1001.dcm.png,Frontal,normal
1951,normal,normal,Xray Chest PA and Lateral,,,cardiomediastinal silhouette is normal pulmonary vasculature and are normal no consolidation pneumothorax or large pleural effusion osseous structures and soft tissues are unchanged,No acute cardiopulmonary disease.,1951_IM-0619-1001.dcm.png,Frontal,normal
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 are unremarkable,No radiographic evidence of acute cardiopulmonary disease.,1953_IM-0621-1001.dcm.png,Frontal,normal
1954,normal,normal,Xray Chest PA and Lateral,TESTIS CA,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,1954_IM-0622-1001.dcm.png,Frontal,normal
1956,normal,normal,"2 views chest, XXXX hours, XXXX, XXXX ",Chest pain,,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.,1956_IM-0623-1001.dcm.png,Frontal,normal
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",1957_IM-0624-4004.dcm.png,Frontal,effusion
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,COPD. No acute abnormality.,1958_IM-0625-1001.dcm.png,Frontal,hyperdistention
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.,1959_IM-0625-1001.dcm.png,Frontal,granulomatous
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.,1960_IM-0627-1002001.dcm.png,Frontal,normal
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.,1961_IM-0628-3001.dcm.png,Frontal,cardiomegaly
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.,1963_IM-0629-1001.dcm.png,Frontal,normal
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.,1964_IM-0629-1001.dcm.png,Frontal,normal
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.,1965_IM-0629-1001.dcm.png,Frontal,cardiomegaly
1966,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.,1966_IM-0629-1001.dcm.png,Frontal,normal
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 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.,1967_IM-0629-1001.dcm.png,Frontal,opacity
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 at 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.,1970_IM-0632-1001.dcm.png,Frontal,cardiomegaly
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 airspace opacity in the left upper lung heart size within normal limits mild calcification of the aortic no pneumothorax or pleural effusions,XXXX airspace opacity in the left upper lung which may represent streaky atelectasis or resolving pneumonia.,1972_IM-0633-1001.dcm.png,Frontal,opacity
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..,1973_IM-0633-1001.dcm.png,Frontal,tortuous
1974,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 .,1974_IM-0633-1001.dcm.png,Frontal,normal
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 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.,1979_IM-0637-1001.dcm.png,Frontal,normal
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.,1980_IM-0637-1001.dcm.png,Frontal,normal
1981,Spine/degenerative/chronic,Spine,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX a.m. ",XXXX-year-old female with chest pain,,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.,1981_IM-0638-3001.dcm.png,Frontal,degenerative
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 wedgeshaped fracture of t12,1. No acute cardiopulmonary abnormality. 2. Wedge-shaped XXXX fracture of T12.,1984_IM-0641-4001-0001.dcm.png,Frontal,fracture
1985,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",weakness and XXXX,XXXX,and lateral chest examination was obtained the heart silhouette is normal in size and contour aortic appear unremarkable lungs demonstrate no acute findings there is no effusion or pneumothorax,1. No acute pulmonary disease.,1985_IM-0642-1001.dcm.png,Frontal,normal
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.,1986_IM-0643-1001.dcm.png,Frontal,opacity
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.,1987_IM-0644-1001.dcm.png,Frontal,normal
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.,1990_IM-0648-1001.dcm.png,Frontal,cardiomegaly
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 streaky opacities predominantly in the left lung base possibly related to scarring and atelectasis blines 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.",1991_IM-0648-1001.dcm.png,Frontal,opacity
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 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.,1992_IM-0649-4004.dcm.png,Frontal,cardiomegaly
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.,1993_IM-0650-1001.dcm.png,Frontal,hyperdistention
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.,1994_IM-0651-1001.dcm.png,Frontal,normal
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.,1995_IM-0651-1001.dcm.png,Frontal,normal
1997,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison XXXX XXXX ",XXXX XXXX,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,1997_IM-0651-1001.dcm.png,Frontal,normal
1999,normal,normal,PA and lateral views of the chest ,Chest pain,,mediastinal contours are normal lungs are clear there is no pneumothorax or large pleural effusion,No acute cardiopulmonary abnormality.,1999_IM-0651-1001.dcm.png,Frontal,normal
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.,2000_IM-0654-1001.dcm.png,Frontal,normal
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.,2003_IM-0654-2001.dcm.png,Frontal,cardiomegaly
2005,normal,normal, PA and lateral chest. ,dyspnea,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,2005_IM-0656-1001.dcm.png,Frontal,normal
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 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.,2006_IM-0656-1001.dcm.png,Frontal,cardiomegaly
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 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,2007_IM-0657-0001-0002.dcm.png,Frontal,degenerative
2008,normal,normal,PA and lateral of the chest ,XXXX-year-old chest pain.,,no focal consolidation no visualized pneumothorax no pleural effusions heart size normal the cardiomediastinal silhouette is unremarkable,1. No acute cardiopulmonary findings.,2008_IM-0658-1001.dcm.png,Frontal,normal
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.,2012_IM-0662-3001.dcm.png,Frontal,normal
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 left upper lobe atelectasis or scarring no pneumothorax or pleural effusion tortuous aorta hiatal hernia,No acute cardiopulmonary findings.,2013_IM-0663-1001.dcm.png,Frontal,tortuous
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.,2015_IM-0664-2001.dcm.png,Frontal,normal
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 are unremarkable,No radiographic evidence of acute cardiopulmonary disease.,2016_IM-0665-1001.dcm.png,Frontal,normal
2017,normal,normal,Xray Chest PA and Lateral,MORBID OBESITY; preop renal surgery and colostomy reversal.,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,2017_IM-0665-1001.dcm.png,Frontal,normal
2019,normal,normal,Chest x-XXXX XXXX and lateral on XXXX at XXXX hours. ,XXXX year-old male with XXXX.,,the heart size and mediastinal silhouette are within normal limits for contour the lungs are clear no pneumothorax or pleural effusions the are intact,No acute cardiopulmonary abnormalities.,2019_IM-0666-1001.dcm.png,Frontal,normal
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.,2020_IM-0668-1001.dcm.png,Frontal,normal
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,2021_IM-0668-1001.dcm.png,Frontal,cardiomegaly
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.,2023_IM-0669-1001.dcm.png,Frontal,normal
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. .,2026_IM-0671-1001.dcm.png,Frontal,normal
2027,Nodule/lung/lingula,Nodule,Xray Chest PA and Lateral,"Melanoma, exam for metastatic disease",,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 15 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.",2027_IM-0672-0001-0002.dcm.png,Frontal,nodule
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.,2028_IM-0673-1001.dcm.png,Frontal,normal
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.,2029_IM-0674-1001.dcm.png,Frontal,normal
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.,2030_IM-0675-1001.dcm.png,Frontal,hyperdistention
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. .,2031_IM-0676-2002.dcm.png,Frontal,normal
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",,the lungs are clear no focal air space consolidation no pleural effusion or pneumothorax normal cardiomediastinal silhouette,Clear lungs.,2032_IM-0677-1001.dcm.png,Frontal,normal
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.,2033_IM-0678-1001.dcm.png,Frontal,tortuous
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 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.",2034_IM-0679-2001.dcm.png,Frontal,opacity
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.,2035_IM-0680-1001.dcm.png,Frontal,hyperdistention
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. .",2036_IM-0680-4001.dcm.png,Frontal,cardiomegaly
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.,2038_IM-0682-1001.dcm.png,Frontal,normal
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.,2041_IM-0685-1001.dcm.png,Frontal,normal
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.,2041_IM-0685-3001.dcm.png,Frontal,normal
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.,2044_IM-0687-1001.dcm.png,Frontal,hypoinflation
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.,2045_IM-0687-1001.dcm.png,Frontal,tortuous
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",,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 on lateral view would be to evaluate this finding as the small rightsided pleural effusion is visible on both pa and lateral views there is a leftsided pleural effusion as well the left lung appears grossly clear heart size and pulmonary 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",2046_IM-0688-1001.dcm.png,Frontal,effusion
2052,"Granuloma/scattered/multiple;Aorta, Thoracic/tortuous/mild","Granuloma;Aorta, Thoracic","Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old with XXXX.,,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.,2052_IM-0690-1001.dcm.png,Frontal,tortuous
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.,2053_IM-0691-1001.dcm.png,Frontal,normal
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 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.,2056_IM-0694-1001-0002.dcm.png,Frontal,normal
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.,2058_IM-0696-1001.dcm.png,Frontal,hypoinflation
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.",,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.",2059_IM-0696-1001.dcm.png,Frontal,opacity
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.,2061_IM-0698-1001.dcm.png,Frontal,normal
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 atelectasis cardiomediastinal size is within normal limits pulmonary vasculature is normal 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. .",2062_IM-0699-0001-0001.dcm.png,Frontal,hypoinflation
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.,2065_IM-0701-1001.dcm.png,Frontal,degenerative
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 opacities noted in the right lower lobe 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.",2066_IM-0701-1001.dcm.png,Frontal,cardiomegaly
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.,2067_IM-0701-1001.dcm.png,Frontal,normal
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.,2068_IM-0701-1001.dcm.png,Frontal,normal
2069,normal,normal," PA and lateral chest XXXX, XXXX at XXXX comparison XXXX ",chest pain,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,2069_IM-0702-1001.dcm.png,Frontal,normal
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.",2072_IM-0706-1001.dcm.png,Frontal,opacity
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.,2074_IM-0708-1001.dcm.png,Frontal,effusion
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,Negative for acute abnormality.,2075_IM-0708-1001.dcm.png,Frontal,normal
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",,right jugular 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 scarsubsegmental 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.,2077_IM-0710-1001.dcm.png,Frontal,degenerative
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.,2078_IM-0710-1001.dcm.png,Frontal,normal
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.,2079_IM-0711-1001.dcm.png,Frontal,degenerative
2081,normal,normal,Xray Chest PA and Lateral XXXX,"XXXX-year-old XXXX with XXXX for 3 weeks, RLL pneumonia",,the lungs are wellexpanded and clear no pleural effusion or pneumothorax is seen the cardiomediastinal contour is normal no acute osseous lesions are identified,No active pulmonary disease.,2081_IM-0713-1001.dcm.png,Frontal,normal
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 pulmonary edema there is no pneumothorax or large pleural effusion there are no acute bony findings,Cardiomegaly with vascular congestion and suspected pulmonary edema. .,2082_IM-0714-4004.dcm.png,Frontal,cardiomegaly
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.,2083_IM-0715-1001.dcm.png,Frontal,normal
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 normal cardiac contours no pneumothorax or pleural effusions clear lungs bilaterally 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.,2084_IM-0715-1001-0001.dcm.png,Frontal,fracture
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.,2086_IM-0717-1001.dcm.png,Frontal,normal
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 there has been extubation and removal of central line and enteric tube stable cardiomegaly and mild thoracolumbar dextroscoliosis left basilar opacity represents chronic fibrosisscar no focal consolidation pneumothorax or effusion no acute osseous abnormality,Stable cardiomegaly without acute cardiopulmonary abnormality.,2088_IM-0719-2001.dcm.png,Frontal,cardiomegaly
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.,2090_IM-0722-1001.dcm.png,Frontal,normal
2092,Opacity/lung/lower lobe/right/posterior/round;Nodule/lung/lower lobe/right,Opacity;Nodule,Xray Chest PA and Lateral,,,there is a rounded opacity in the right lower zone measuring 20 cm which is to be in the posterobasal segment there is of uncertain etiology but would benefit from followup at some concern for neoplasm a is recommended no airspace disease effusion or cavitary nodule normal heart size and mediastinum visualized of the chest are within normal limits,2 cm noncalcified nodule in the right lower lobe would benefit from a XXXX.,2092_IM-0723-1001.dcm.png,Frontal,opacity
2095,"Pulmonary Atelectasis/base/bilateral/patchy;Fractures, Bone/ribs/left/healed","Pulmonary Atelectasis;Fractures, Bone",Xray Chest PA and Lateral,PTX,,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.,2095_IM-0725-4001.dcm.png,Frontal,fracture
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,No acute cardiopulmonary process. .,2096_IM-0726-1001.dcm.png,Frontal,normal
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.,2097_IM-0727-1001-0001.dcm.png,Frontal,normal
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 blunting to suggest large pleural effusion bony structures are within normal limits,No acute cardiopulmonary findings.,2098_IM-0728-1001.dcm.png,Frontal,normal
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.,2099_IM-0729-1001.dcm.png,Frontal,normal
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 thinwalled 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.,2100_IM-0731-1001.dcm.png,Frontal,atherosclerosis
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 intact unchanged eventration of the left hemidiaphragm versus small hernia bochdalek,No acute cardiopulmonary abnormality. .,2102_IM-0733-1001.dcm.png,Frontal,tortuous
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.,2103_IM-0734-0001-0001.dcm.png,Frontal,normal
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.,2106_IM-0736-1001.dcm.png,Frontal,normal
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.,2109_IM-0739-0001-0002.dcm.png,Frontal,hypoinflation
2110,normal,normal,Xray Chest PA and Lateral,Cervical cancer,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,2110_IM-0741-1001.dcm.png,Frontal,normal
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.",2111_IM-0741-2001.dcm.png,Frontal,pneumonia
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.,2113_IM-0742-1002.dcm.png,Frontal,hyperdistention
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..,2116_IM-0745-1001.dcm.png,Frontal,fracture
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. .",2119_IM-0746-1001.dcm.png,Frontal,calcinosis
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.,2120_IM-0747-1001.dcm.png,Frontal,normal
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 ectasiatortuosity of the thoracic aorta calcified hilar lymph irregular calcific density projecting over the left lower lobe stable since 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.,2121_IM-0747-1001.dcm.png,Frontal,tortuous
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,,the heart is large pulmonary are engorged no infiltrates aorta is somewhat tortuous degenerative disc disease is present in the thoracic spine,Cardiomegaly and pulmonary venous hypertension,2123_IM-0748-1001.dcm.png,Frontal,cardiomegaly
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.,2124_IM-0749-1001.dcm.png,Frontal,degenerative
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 sternotomy intact stable position of the epicardial mild cardiomegaly the lungs are clear bilateral small pleural effusions,1. Stable postop changes with mild cardiomegaly. 2. Small bilateral pleural effusions.,2127_IM-0751-1001.dcm.png,Frontal,cardiomegaly
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.,2129_IM-0753-1001.dcm.png,Frontal,normal
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 blines 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 posterior effusion normal mediastinal silhouette tspine 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.",2130_IM-0755-1001.dcm.png,Frontal,cardiomegaly
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. .,2131_IM-0755-1001.dcm.png,Frontal,normal
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 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.,2135_IM-0757-1001.dcm.png,Frontal,cardiomegaly
2136,normal,normal,PA and lateral views of the chest ,XXXX x6 months,,mediastinal contours are normal lungs are clear there is no pneumothorax or large pleural effusion,No acute cardiopulmonary abnormality.,2136_IM-0758-3001.dcm.png,Frontal,normal
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 represents healing rib callus no pneumothorax or pleural effusion,No acute abnormality seen.,2138_IM-0760-1001.dcm.png,Frontal,opacity
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 heart size is enlarged pulmonary vascularity within normal limits sternotomy and prosthetic aortic valve noted,1. No acute pulmonary abnormality. 2. Mild cardiomegaly without pulmonary edema.,2139_IM-0760-1001.dcm.png,Frontal,cardiomegaly
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 the heart and mediastinum are normal the skeletal structures are notable for an old apparent fracture at t12l1 or congenital fusion unchanged from the prior study,1. No acute pulmonary disease. 2. Possible old injury or developmental anomaly partially T12-L1.,2140_IM-0762-1001.dcm.png,Frontal,calcinosis
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.,2141_IM-0763-3001.dcm.png,Frontal,cardiomegaly
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 and granulomas lungs are clear bilaterally there is no focal consolidation pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits are unremarkable,No acute cardiopulmonary abnormality.,2144_IM-0765-1001.dcm.png,Frontal,calcinosis
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.,2145_IM-0766-1001.dcm.png,Frontal,normal
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.,2146_IM-0766-13013.dcm.png,Frontal,normal
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.,2146_IM-0766-2002.dcm.png,Frontal,normal
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.,2148_IM-0767-3001.dcm.png,Frontal,normal
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. .,2149_IM-0768-0001-0001.dcm.png,Frontal,calcinosis
2150,Nodule/lung/upper lobe/left/small,Nodule,Xray Chest PA and Lateral,XXXX; MVA,,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.",2150_IM-0770-1001.dcm.png,Frontal,nodule
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",,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.",2151_IM-0771-1001.dcm.png,Frontal,hyperdistention
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,2152_IM-0772-1001.dcm.png,Frontal,normal
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.,2156_IM-0775-1001.dcm.png,Frontal,normal
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.,2159_IM-0776-1001.dcm.png,Frontal,normal
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.,2160_IM-0778-1001.dcm.png,Frontal,normal
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.",2161_IM-0779-1001.dcm.png,Frontal,normal
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 prominent no focal airspace consolidation or pleural effusion there is spine spondylosis,1. Unchanged cardiomegaly. 2. Interstitial prominence. Maybe due to technical factors.,2162_IM-0779-1001.dcm.png,Frontal,cardiomegaly
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 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 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).",2163_IM-0779-1001.dcm.png,Frontal,hyperdistention
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 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.,2165_IM-0781-0001-0001.dcm.png,Frontal,opacity
2167,Lung/hyperdistention;Diaphragm/bilateral/flattened/mild;Emphysema;Contrast Media/abdomen,Lung;Diaphragm;Emphysema;Contrast Media,Xray Chest PA and Lateral,,,there is hyperexpansion with mild flattening of diaphragm cardiomediastinal silhouette is normal pulmonary vasculature and are normal no consolidation pneumothorax or large pleural effusion osseous structures and soft tissues are normal contrast retained within the renal collecting,1. No acute cardiopulmonary disease. 2. Emphysematous changes 3. Retained contrast within the renal collecting XXXX.,2167_IM-0783-1001.dcm.png,Frontal,hyperdistention
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 large emphysematous there are biapical opacities 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.,2169_IM-0785-0001-0002.dcm.png,Frontal,opacity
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 large emphysematous there are biapical opacities 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.,2169_IM-0785-0001-0003.dcm.png,Frontal,opacity
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 thickeningscarring hyperexpanded lungs without focal consolidation pneumothorax or large pleural effusion negative for acute bone abnormality,Hyperexpanded lungs. Negative for acute abnormality.,2172_IM-0786-1001.dcm.png,Frontal,hyperdistention
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.,2173_IM-0786-1001.dcm.png,Frontal,degenerative
2174,normal,normal,Xray Chest PA and Lateral,XXXX and XXXX.,,the 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.,2174_IM-0787-1001.dcm.png,Frontal,normal
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.,2175_IM-0788-1003.dcm.png,Frontal,normal
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. .,2176_IM-0789-1001.dcm.png,Frontal,normal
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.,,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,1. Decreased lung volumes. Bibasilar airspace opacities seen on lateral XXXX XXXX be atelectasis or possibly pneumonia.,2177_IM-0789-4001.dcm.png,Frontal,opacity
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.,2179_IM-0791-1001.dcm.png,Frontal,hyperdistention
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 and mediastinum are within normal limits there is no pleural effusion or pneumothorax there is suspected right lower lobe airspace opacity demonstrated on the lateral study there is a fracture of superior sternotomy unchanged,Possible right lower lobe pneumonia. Cardiomegaly,2181_IM-0793-1001-0001.dcm.png,Frontal,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.,2183_IM-0794-1001.dcm.png,Frontal,cardiomegaly
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 appear intact,Left basilar atelectasis. No acute cardiopulmonary abnormalities.,2184_IM-0795-1001.dcm.png,Frontal,cardiomegaly
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 representing subsegmental atelectasis the cardio the cardiac silhouette is of the of normal there is no pneumothorax or pleural effusion,Low lung volumes with bibasilar streaky opacities most XXXX representing subsegmental atelectasis.,2185_IM-0795-1001.dcm.png,Frontal,opacity
2186,Lung/hypoinflation,Lung,Xray Chest PA and Lateral,",786.52 XXXX",,the lungs appear clear lung volumes are low the heart and pulmonary appear normal pleural spaces are clear,No acute cardiopulmonary disease.,2186_IM-0796-1001.dcm.png,Frontal,hypoinflation
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 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 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.,2187_IM-0797-1001.dcm.png,Frontal,tortuous
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.,2189_IM-0798-1001.dcm.png,Frontal,normal
2190,Spine/degenerative;Implanted Medical Device,Spine;Implanted Medical Device,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",XXXX,,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 with tip overlying the t9 vertebral body,Clear lungs.,2190_IM-0800-3001.dcm.png,Frontal,degenerative
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.,2191_IM-0801-1001.dcm.png,Frontal,cardiomegaly
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 effusionheart size and pulmonary vascularity are within normal limitsminimal degenerative changes of the thoracic spine the previouslybrdescribed deformity in the midthoracic spine is again seen there is subcutaneous shunt catheter tubing along the anterior chest wall,No acute cardiopulmonary process.,2192_IM-0802-2002.dcm.png,Frontal,degenerative
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 a effusion or scarring opacity in the right lung base also appears unchanged scarring heart size appears normal improved from prior study there is no vascular congestion or edema theres no pneumothorax,1. Stable right basilar scarring and right pleural thickening,2193_IM-0803-1001.dcm.png,Frontal,effusion
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 of an azygos fissure there are no acute bony findings,"Mildly hyperinflated, clear lungs.",2195_IM-0805-1001.dcm.png,Frontal,hyperdistention
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,,heart size is normal there are opacities which appear to above the right 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.,2197_IM-0807-1001.dcm.png,Frontal,opacity
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.,2198_IM-0808-1001.dcm.png,Frontal,normal
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 are intact,Low lung volumes. Bibasilar atelectasis versus scarring.,2200_IM-0811-1001.dcm.png,Frontal,hypoinflation
2203,"Fractures, Bone/ribs/right/multiple/healed","Fractures, Bone",2 views chest XXXX,Persistent 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 old right rib fractures,1. No acute cardiopulmonary disease.,2203_IM-0812-1001.dcm.png,Frontal,fracture
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 12 cm opacity in the left upper lung is identified both on pa and lateral views and 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.,2205_IM-0814-1001.dcm.png,Frontal,opacity
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.,2207_IM-0815-1001.dcm.png,Frontal,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.,2208_IM-0815-1001.dcm.png,Frontal,cardiomegaly
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.,2209_IM-0816-1001.dcm.png,Frontal,emphysema
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.,2210_IM-0817-1001.dcm.png,Frontal,normal
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 density on the frontal image the lungs are clear no visible pleural effusion or pneumothorax,1. Persistent cardiomegaly. 2. Clear lungs.,2211_IM-0818-1001.dcm.png,Frontal,cardiomegaly
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.,2212_IM-0819-1001.dcm.png,Frontal,normal
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 bilateral nodules are identified most of which appear calcified on examination there is no acute infiltrate or effusion lingular scarring andor atelectasis,No acute disease.,2213_IM-0819-1001.dcm.png,Frontal,calcinosis
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.,2215_IM-0820-1001.dcm.png,Frontal,normal
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.,,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.,2216_IM-0821-85075001.dcm.png,Frontal,degenerative
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 from noted right hemidiaphragm eventration no focal alveolar consolidation no definite pleural effusion seen no typical findings of pulmonary edema,No acute cardiopulmonary findings,2217_IM-0822-0001-0002.dcm.png,Frontal,cardiomegaly
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 sternotomy are again noted there is a large amount of 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.,2218_IM-0823-2001.dcm.png,Frontal,cardiomegaly
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 sternotomy are again noted there is a large amount of 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.,2218_IM-0823-3001.dcm.png,Frontal,cardiomegaly
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 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 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.,2220_IM-0824-4004.dcm.png,Frontal,effusion
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 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.,2222_IM-0826-1001.dcm.png,Frontal,opacity
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 unremarkable limited technique right elbow and forearm no acute fracture dislocation or joint effusion soft tissues unremarkable left ankle soft tissue 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.,2223_IM-0827-1001.dcm.png,Frontal,normal
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 stable lingular scarring no focal consolidation large pleural effusion or pneumothorax is identified no bony abnormality,1. No acute cardiopulmonary abnormality.,2224_IM-0828-1001.dcm.png,Frontal,hyperdistention
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.,2225_IM-0829-3001.dcm.png,Frontal,normal
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 study,1. No acute radiographic cardiopulmonary process.,2226_IM-0830-12001.dcm.png,Frontal,fracture
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.,2230_IM-0831-1001.dcm.png,Frontal,normal
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.,2232_IM-0832-1001.dcm.png,Frontal,normal
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",,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.",2233_IM-0832-1001.dcm.png,Frontal,hyperdistention
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.,2235_IM-0833-1001.dcm.png,Frontal,hypoinflation
2236,normal,normal,Xray Chest PA and Lateral,XXXX-year-old male with XXXX's syndrome and worsening XXXX,,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. .,2236_IM-0833-1001.dcm.png,Frontal,normal
2238,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.,2238_IM-0835-1001.dcm.png,Frontal,normal
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.",2239_IM-0836-1001.dcm.png,Frontal,opacity
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.,2240_IM-0838-1001.dcm.png,Frontal,normal
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 rightsided chest 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.",2241_IM-0839-28001.dcm.png,Frontal,opacity
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.,2243_IM-0840-1001.dcm.png,Frontal,degenerative
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.,2243_IM-0840-4001.dcm.png,Frontal,degenerative
2245,normal,normal,PA and lateral chest x-XXXX ,"XXXX-year-old male, metastatic workup.",,cardiomediastinal silhouettes are within normal limits lungs are clear without focal consolidation pneumothorax or pleural effusion bony thorax is unremarkable,No acute cardiopulmonary abnormalities.,2245_IM-0842-1001.dcm.png,Frontal,normal
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 opacities in the left lung base consistent with atelectasis no pneumothorax no pleural effusion mild wedge deformity of t12,Right lung base airspace disease and left base atelectasis.,2246_IM-0843-1001.dcm.png,Frontal,opacity
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.,2247_IM-0844-1001.dcm.png,Frontal,normal
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.,2248_IM-0844-1001.dcm.png,Frontal,normal
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 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.,2250_IM-0844-1001.dcm.png,Frontal,cardiomegaly
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.,2251_IM-0844-1001.dcm.png,Frontal,normal
2252,normal,normal, PA and lateral chest. ,XXXX XXXX,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,2252_IM-0844-1001.dcm.png,Frontal,normal
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.,2253_IM-0845-1002001.dcm.png,Frontal,hyperdistention
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.,2255_IM-0847-3001.dcm.png,Frontal,granulomatous
2256,normal,normal,Chest PA and lateral views. ,dyspnea,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 appear unremarkable lungs demonstrate no focal infiltrates there is no effusion or pneumothorax,1. No acute pulmonary disease.,2256_IM-0848-1001.dcm.png,Frontal,normal
2256,normal,normal,Chest PA and lateral views. ,dyspnea,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 appear unremarkable lungs demonstrate no focal infiltrates there is no effusion or pneumothorax,1. No acute pulmonary disease.,2256_IM-0848-3001.dcm.png,Frontal,normal
2257,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,Xray Chest PA and Lateral,"XXXX year old female, hypertension, preop thyroid surgery. No complaints.",,no focal areas of consolidation heart size normal limits no pleural effusions no evidence of pneumothorax degenerative changes thoracic spine,No acute cardiopulmonary abnormality. .,2257_IM-0849-1001.dcm.png,Frontal,degenerative
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",,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 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.",2258_IM-0849-1001.dcm.png,Frontal,hypoinflation
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 enlargementprominence of soft tissue density in the upper mediastinum it is increased from most recent prior exam on however it appears similar compared to exams performed in no focal area of consolidation pleural effusion or pneumothorax focal opacity in the left upper lobe 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.,2259_IM-0850-2001.dcm.png,Frontal,cardiomegaly
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.,2260_IM-0852-1001.dcm.png,Frontal,normal
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,right basal airspace opacity the heart size and mediastinal silhouette are within normal limits for contour no pneumothorax or pleural effusions the are intact,XXXX right basilar airspace opacity.,2262_IM-0852-1001.dcm.png,Frontal,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 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,2263_IM-0853-1001.dcm.png,Frontal,cardiomegaly
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.,2264_IM-0854-1001.dcm.png,Frontal,hypoinflation
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.,2267_IM-0856-2001.dcm.png,Frontal,degenerative
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 is in satisfactory position there is no pneumothorax the lungs are clear,No acute disease.,2269_IM-0858-1001.dcm.png,Frontal,normal
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 fissure there is minimal blunting of the right posterior costophrenic consistent with a small effusion andor 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",2271_IM-0860-1001.dcm.png,Frontal,cardiomegaly
2273,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX XXXX ",left lower chest pain with XXXX.r/o pneumonia,,lungs are clear no pleural effusions or pneumothoraces heart and mediastinum of normal size and contour,Clear lungs.,2273_IM-0861-1001.dcm.png,Frontal,normal
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 is most 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.,2275_IM-0862-1001.dcm.png,Frontal,degenerative
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 available for my interpretation at hours 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.,2276_IM-0863-1001-0002.dcm.png,Frontal,hypoinflation
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 are unremarkable,No radiographic evidence of acute cardiopulmonary disease.,2277_IM-0864-1001.dcm.png,Frontal,normal
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,Cardiomegaly with mild bibasilar infiltrates versus atelectasis.,2279_IM-0865-2001.dcm.png,Frontal,cardiomegaly
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..,2282_IM-0869-1001.dcm.png,Frontal,normal
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.",sternotomy and mediastinal postsurgical changes stable cardiomegaly crowded bronchovascular and interstitial markings 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.,2285_IM-0870-2001.dcm.png,Frontal,cardiomegaly
2286,Opacity/multiple/chronic;Emphysema,Opacity;Emphysema,"Chest x-XXXX, 2 views dated XXXX COMPARISXXXX/XXXX ",XXXX-year-old male with weakness,,chronicappearing opacities are unchanged and represent emphysema heart size is normal no large pleural effusions no pneumothorax no focal airspace opacities,No acute cardiopulmonary abnormalities.,2286_IM-0871-1001.dcm.png,Frontal,opacity
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 are grossly unremarkable,1. Clear lungs. No radiographic evidence of active TB.,2288_IM-0872-1001.dcm.png,Frontal,normal
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,,lungs are clear blunting of the left costophrenic 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.,2289_IM-0873-1001.dcm.png,Frontal,effusion
2290,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX year-old male, 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 are intact,No acute cardiopulmonary abnormality.,2290_IM-0874-1001.dcm.png,Frontal,normal
2292,normal,normal,"Chest 2 views PA and lateral XXXX, XXXX XXXX a.m. ","Shortness of breath, XXXX",,lungs are clear bilaterally there is no focal consolidation pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits are unremarkable,No acute cardiopulmonary abnormality.,2292_IM-0874-1001.dcm.png,Frontal,normal
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 have been removed there is improved aeration in the lung bases with mild residual opacities compatible with scarring or atelectasis,Mild XXXX XXXX opacities compatible with residual atelectasis/scarring.,2293_IM-0875-1001.dcm.png,Frontal,opacity
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.,2295_IM-0876-1001.dcm.png,Frontal,calcinosis
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 to represent confluence of overlapping silhouettes negative for acute bone abnormality,Negative for acute abnormality.,2299_IM-0878-1001.dcm.png,Frontal,opacity
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. .,2300_IM-0881-1001.dcm.png,Frontal,normal
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 are normal,Stable cardiomegaly without gross evidence for failure or pneumonia.,2301_IM-0881-2001.dcm.png,Frontal,cardiomegaly
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.",2302_IM-0882-1001.dcm.png,Frontal,normal
2304,normal,normal,Xray Chest PA and Lateral,"XXXX, XXXX vehicle collision",,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.,2304_IM-0882-4004.dcm.png,Frontal,normal
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 intact mild degenerative change of the lower thoracic spine anterior osteophytes,No acute cardiopulmonary abnormality. .,2306_IM-0882-1001.dcm.png,Frontal,degenerative
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,,the heart is normal in size the mediastinum is unremarkable the lungs are hyperinflated with opacities compatible with pleuralparenchymal scarring there is no acute infiltrate or effusion,Emphysema and scarring without acute disease,2307_IM-0882-1001.dcm.png,Frontal,opacity
2310,normal,normal,PA and lateral of the chest ,XXXX-year-old with shortness of breath.,,no focal consolidation no visualized pneumothorax the heart size is normal there are no large pleural effusions,1. No acute cardiopulmonary findings.,2310_IM-0885-1001.dcm.png,Frontal,normal
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,1. No acute cardiopulmonary abnormality.,2311_IM-0886-2001.dcm.png,Frontal,normal
2312,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.,2312_IM-0887-1001.dcm.png,Frontal,normal
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 sternotomy the heart and mediastinum are normal the skeletal structures are normal,No acute pulmonary disease.,2313_IM-0888-1002001.dcm.png,Frontal,normal
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 opacities are present in the right costophrenic no focal infiltrates heart size normal,Findings of COPD with right costophrenic XXXX focal atelectasis.,2314_IM-0889-1001.dcm.png,Frontal,opacity
2316,normal,normal,Chest X-XXXX 2 XXXX ,Shortness of breath,,the lungs are clear the cardiomediastinal silhouette is within normal limits no pneumothorax or pleural effusion,Negative chest.,2316_IM-0889-1001.dcm.png,Frontal,normal
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.,2320_IM-0894-1001.dcm.png,Frontal,degenerative
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.,2321_IM-0894-1001.dcm.png,Frontal,normal
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.,2321_IM-0894-3001.dcm.png,Frontal,normal
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 opacity is present in the right middle lobe no focal infiltrates heart size normal,Continued hypoinflation with right middle lobe focal atelectasis.,2322_IM-0894-1001.dcm.png,Frontal,opacity
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. .,2323_IM-0895-12012.dcm.png,Frontal,normal
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 .,2324_IM-0895-1001.dcm.png,Frontal,normal
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",2326_IM-0897-1001.dcm.png,Frontal,cardiomegaly
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 rightsided pleural effusion the left lung is clear there is no pneumothorax heart size mediastinal contours are within normal limits 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.,2327_IM-0898-1001.dcm.png,Frontal,effusion
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 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.,2328_IM-0898-1001.dcm.png,Frontal,tortuous
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 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.,2331_IM-0900-1001.dcm.png,Frontal,opacity
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.,2332_IM-0900-1001.dcm.png,Frontal,normal
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.,2334_IM-0902-1001.dcm.png,Frontal,effusion
2336,Lung/hyperdistention;Calcinosis/mediastinum,Lung;Calcinosis,PA AND LATERAL CHEST X-XXXX at XXXX XXXX/XXXX ,XXXX-year-old male with dyspnea,,lungs are hyperinflated but clear no focal infiltrate or effusion heart and mediastinal contours within normal limits calcified mediastinal identified,Hyperinflated but clear lungs.,2336_IM-0903-1001.dcm.png,Frontal,hyperdistention
2336,Lung/hyperdistention;Calcinosis/mediastinum,Lung;Calcinosis,PA AND LATERAL CHEST X-XXXX at XXXX XXXX/XXXX ,XXXX-year-old male with dyspnea,,lungs are hyperinflated but clear no focal infiltrate or effusion heart and mediastinal contours within normal limits calcified mediastinal identified,Hyperinflated but clear lungs.,2336_IM-0903-3001.dcm.png,Frontal,hyperdistention
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.,2338_IM-0905-1001.dcm.png,Frontal,opacity
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.,2338_IM-0905-3001.dcm.png,Frontal,opacity
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 filled loops of bowel are present gastrostomy is noted,1. Clear lungs.,2339_IM-0905-1001.dcm.png,Frontal,normal
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.,2340_IM-0907-1001.dcm.png,Frontal,hypoinflation
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 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.,2342_IM-0907-1001.dcm.png,Frontal,calcinosis
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.,2343_IM-0908-1001.dcm.png,Frontal,atherosclerosis
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 postsurgicalbiopsy changes overlying the right breast,Mild hypoinflation without acute disease.,2344_IM-0909-1001.dcm.png,Frontal,hypoinflation
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.,2345_IM-0910-1001.dcm.png,Frontal,degenerative
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 no focal consolidation pneumothorax or large pleural effusion tspine osteophytes,Negative for acute abnormality.,2347_IM-0912-1001.dcm.png,Frontal,atherosclerosis
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 there is a small left pleural effusion this is unchanged as compared to the prior study there is a right chest wall venous 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.,2348_IM-0913-1001.dcm.png,Frontal,effusion
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.,2349_IM-0914-1001.dcm.png,Frontal,normal
2350,Thoracic Vertebrae/degenerative/mild,Thoracic Vertebrae,Xray Chest PA and Lateral,"Surgery for goiter, XXXX-year-old female.",,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. .,2350_IM-0916-1001.dcm.png,Frontal,degenerative
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.,2351_IM-0917-1001.dcm.png,Frontal,granulomatous
2353,normal,normal, An PA and lateral chest. ,chest pain,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,2353_IM-0918-1001.dcm.png,Frontal,normal
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.,2354_IM-0918-1001.dcm.png,Frontal,normal
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,,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 secondary to low volumes no pneumothorax pleural effusion or focal air space consolidation,Low lung volumes with crowding. Mild left base atelectasis.,2355_IM-0919-1001.dcm.png,Frontal,cardiomegaly
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.,2356_IM-0920-1001.dcm.png,Frontal,hypoinflation
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.,2357_IM-0921-1001.dcm.png,Frontal,normal
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. .,2358_IM-0922-0001-0002.dcm.png,Frontal,normal
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.,2360_IM-0925-1001.dcm.png,Frontal,normal
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.,2362_IM-0926-1001.dcm.png,Frontal,normal
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 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.,2363_IM-0926-1001.dcm.png,Frontal,pneumonia
2364,Lung/hyperdistention,Lung,Xray Chest PA and Lateral,786.05-,,the lungs are clear there is hyperexpansion of the lungs suggesting underlying emphysema the heart and pulmonary appear normal pleural spaces are clear mediastinal contours are normal,No acute cardiopulmonary disease,2364_IM-0927-1001.dcm.png,Frontal,hyperdistention
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.,2365_IM-0927-3001.dcm.png,Frontal,normal
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. .,2367_IM-0928-1001.dcm.png,Frontal,normal
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.,2368_IM-0928-1001.dcm.png,Frontal,degenerative
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 blunted on the right left lung clear heart size normal,Left lower lobe airspace disease consistent with pneumonia. Associated right pleural effusion.,2370_IM-0931-1001.dcm.png,Frontal,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 tspine 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.,2371_IM-0932-1001.dcm.png,Frontal,opacity
2372,Lung/hypoinflation;Opacity/lung/right,Lung;Opacity,Xray Chest PA and Lateral,XXXX,,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.,2372_IM-0933-0001-0001.dcm.png,Frontal,opacity
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.,2373_IM-0934-1001.dcm.png,Frontal,hyperdistention
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.,2375_IM-0936-1001.dcm.png,Frontal,granulomatous
2376,normal,normal,Xray Chest PA and Lateral,XXXX x1 XXXX.,Chest x-XXXX XXXX.,the 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.,2376_IM-0936-1001.dcm.png,Frontal,normal
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.,2377_IM-0937-1001.dcm.png,Frontal,normal
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.,2378_IM-0938-1001.dcm.png,Frontal,fracture
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.,2379_IM-0939-1001.dcm.png,Frontal,hyperdistention
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 noted no pneumothorax no large pleural effusions no focal lung consolidation,1. No acute cardiopulmonary abnormalities. 2. Moderate cardiomegaly without significant pulmonary edema.,2382_IM-0941-2001.dcm.png,Frontal,cardiomegaly
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 at partially accentuated by low lung volumes stable sternotomy several of which are interrupted and mediastinal clips no focal consolidation pneumothorax or large pleural effusion tspine osteophytes,Stable cardiomegaly without heart failure.,2383_IM-0941-1001.dcm.png,Frontal,cardiomegaly
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.,2384_IM-0942-1001.dcm.png,Frontal,degenerative
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.,2386_IM-0942-1001.dcm.png,Frontal,hyperdistention
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 patients 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.,2387_IM-0943-1001.dcm.png,Frontal,degenerative
2388,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",chest pain,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,2388_IM-0944-1001.dcm.png,Frontal,normal
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.,2389_IM-0944-1001.dcm.png,Frontal,normal
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 sternotomy and bypass graft aorta is atherosclerotic there are postsurgical changes of the left hemithorax with mild leftsided 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.,2390_IM-0944-1001.dcm.png,Frontal,cardiomegaly
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.,2391_IM-0944-1001.dcm.png,Frontal,normal
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.,2392_IM-0944-1001.dcm.png,Frontal,normal
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.,2393_IM-0944-1001.dcm.png,Frontal,hyperdistention
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 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. .,2394_IM-0944-1001.dcm.png,Frontal,normal
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.,2395_IM-0944-1001.dcm.png,Frontal,normal
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 are unremarkable there is an embolization overlying left upper quadrant,Bilateral opacities most prominent in the lower lobes XXXX representing airspace disease or edema.,2396_IM-0945-1001.dcm.png,Frontal,opacity
2397,normal,normal, PA and lateral chest. XXXX. ,Chest pain.,XXXX.,stable normal cardiac size and contour normal mediastinal silhouette normal pulmonary lungs clear no airspace disease no pleural effusion or pneumothorax,"Stable chest, no active/acute cardiopulmonary disease.",2397_IM-0946-1001.dcm.png,Frontal,normal
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 study from as well no pneumothorax no large pleural effusion no focal infiltrate,Cardiomegaly with elevated right hemidiaphragms and no acute findings.,2398_IM-0947-12012.dcm.png,Frontal,cardiomegaly
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 study from as well no pneumothorax no large pleural effusion no focal infiltrate,Cardiomegaly with elevated right hemidiaphragms and no acute findings.,2398_IM-0947-4004.dcm.png,Frontal,cardiomegaly
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.,2401_IM-0950-1001.dcm.png,Frontal,normal
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.,2402_IM-0951-1001.dcm.png,Frontal,hypoinflation
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.,2407_IM-0954-1001.dcm.png,Frontal,granulomatous
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 andor scar no pneumothorax or pleural effusion demonstrated redemonstrated severe l1 fracture slight interval increase in loss of t11 and there is mild to moderate anterior 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.",2408_IM-0955-4004.dcm.png,Frontal,opacity
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 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.,2409_IM-0955-1001.dcm.png,Frontal,opacity
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 appear stable there is persistence of a left lower lobe calcified nodule representing a granuloma the lungs are hyperinflated but otherwise clear bilaterally,1. Severe hyperinflation. 2. Stable left calcified hilar lymph XXXX.,2410_IM-0956-1001.dcm.png,Frontal,hyperdistention
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",2411_IM-0957-0001-0002.dcm.png,Frontal,cardiomegaly
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 consistent with gallstone,No acute cardiopulmonary abnormalities.,2412_IM-0958-1001.dcm.png,Frontal,calcinosis
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.,2413_IM-0959-1001.dcm.png,Frontal,normal
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 andor possible infiltrate increased markings are noted throughout and were present on prior ct the study is limited secondary to moderate 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.",2415_IM-0961-1001.dcm.png,Frontal,cardiomegaly
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 is normal except for slight cardiomegaly,Heart size upper limits normal. Lungs are clear. No evidence of active tuberculosis. No change from prior exam.,2416_IM-0961-1001.dcm.png,Frontal,cardiomegaly
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.,2417_IM-0961-1001.dcm.png,Frontal,degenerative
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 of calcifications in the aortic 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. .,2418_IM-0962-5001.dcm.png,Frontal,calcinosis
2420,"Aorta/tortuous;Catheters, Indwelling/right;Deformity/ribs/left/multiple","Aorta;Catheters, Indwelling;Deformity",Xray Chest PA and Lateral,EVALUATE FOR METASTATIC DISEASE;,,the heart is normal in size the mediastinum is within normal limits aorta is tortuous right chest 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.,2420_IM-0964-0001-0001.dcm.png,Frontal,tortuous
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,,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.,2422_IM-0965-1001.dcm.png,Frontal,pneumonia
2423,normal,normal,CHEST 2V FRONTAL/LATERAL ,Shortness of breath,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,2423_IM-0965-1001.dcm.png,Frontal,normal
2425,Lung/hypoinflation,Lung,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",cp,,lung volumes are low no infiltrates heart and mediastinum are normal,Hypoinflation with no visible active cardiopulmonary disease.,2425_IM-0967-1001.dcm.png,Frontal,hypoinflation
2425,Lung/hypoinflation,Lung,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",cp,,lung volumes are low no infiltrates heart and mediastinum are normal,Hypoinflation with no visible active cardiopulmonary disease.,2425_IM-0967-3001.dcm.png,Frontal,hypoinflation
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",,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.",2428_IM-0970-1001.dcm.png,Frontal,hyperdistention
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,Clear lungs. No acute cardiopulmonary abnormality. .,2431_IM-0973-1001.dcm.png,Frontal,calcinosis
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. .,2432_IM-0974-1001.dcm.png,Frontal,normal
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,,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.,2433_IM-0975-2001.dcm.png,Frontal,hypoinflation
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,,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.,2433_IM-0975-3001.dcm.png,Frontal,hypoinflation
2437,normal,normal,"PA and lateral views of the chest, XXXX, XXXX XXXX XXXX",XXXX chest radiograph prior to initiation of medication,,the lungs appear clear the heart and pulmonary are normal mediastinal contours are normal the pleural spaces are clear,No acute cardiopulmonary disease.,2437_IM-0977-2002.dcm.png,Frontal,normal
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.,2438_IM-0978-4004.dcm.png,Frontal,normal
2439,Lung/hyperdistention;Cicatrix/lung/apex/bilateral;Emphysema,Lung;Cicatrix;Emphysema,Xray Chest PA and Lateral,EMPHYSEMIA; thyroidectomy sched in one XXXX.,,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.,2439_IM-0978-1001.dcm.png,Frontal,hyperdistention
2440,Atherosclerosis/aorta;Emphysema,Atherosclerosis;Emphysema,CHEST 2V FRONTAL/LATERAL ,Chest pain,,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.,2440_IM-0978-2001.dcm.png,Frontal,atherosclerosis
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 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.",2441_IM-0978-1001.dcm.png,Frontal,tortuous
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 deformities stable postsurgical changes of the left shoulder and marked degenerative changes of the right shoulder,No acute cardiopulmonary abnormality.,2442_IM-0979-1001.dcm.png,Frontal,degenerative
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.,2443_IM-0980-1001.dcm.png,Frontal,calcinosis
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 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.,2444_IM-0980-1001.dcm.png,Frontal,degenerative
2445,normal,normal,Xray Chest PA and Lateral,"XXXX and XXXX infection, XXXX",,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,2445_IM-0981-2002.dcm.png,Frontal,normal
2446,Aorta/tortuous,Aorta,"Two-view chest. XXXX hours XXXX, XXXX. ",Chest pain.,,the heart and lungs have in the interval both lungs are clear and expanded the aorta is tortuous but the heart and mediastinum otherwise normal,No active disease.,2446_IM-0982-1001.dcm.png,Frontal,tortuous
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 are demonstrated atherosclerotic calcifications of the aortic 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.,2447_IM-0983-1001.dcm.png,Frontal,degenerative
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.,2448_IM-0983-1001.dcm.png,Frontal,effusion
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.,2450_IM-0986-1001.dcm.png,Frontal,normal
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.",2451_IM-0987-1001.dcm.png,Frontal,degenerative
2453,normal,normal,PA and lateral chest radiograph (2 views) (2 images) ,Chest pain,,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.,2453_IM-0988-1001.dcm.png,Frontal,normal
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 deformity of t12 and l1 unchanged abdomen 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. .",2456_IM-0989-1001.dcm.png,Frontal,cardiomegaly
2457,normal,normal,Xray Chest PA and Lateral,Chest pain.,,the 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.,2457_IM-0989-1001.dcm.png,Frontal,normal
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.,2458_IM-0990-1001.dcm.png,Frontal,degenerative
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.,2459_IM-0991-1001.dcm.png,Frontal,normal
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 representing prior asbestos exposure these appear unchanged there is no pneumothorax pleural effusion or focal airspace consolidation,1. Cardiomegaly and findings of prior asbestos exposure without interval acute cardiopulmonary findings.,2462_IM-0995-1001.dcm.png,Frontal,cardiomegaly
2464,normal,normal,Xray Chest PA and Lateral,INDICATION: HISTORY OF TOBACCO USE;,,the lungs appear clear there are no suspicious appearing pulmonary nodules or masses there is no evidence of pneumonia the heart pulmonary appear normal pleural spaces are clear mediastinal contours are normal,No acute cardiopulmonary disease,2464_IM-0997-1001.dcm.png,Frontal,normal
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.,2465_IM-0997-1001.dcm.png,Frontal,cardiomegaly
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.,2466_IM-0997-1001.dcm.png,Frontal,normal
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.,2467_IM-0997-1001.dcm.png,Frontal,opacity
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 opacification over both 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.,2469_IM-0999-1001.dcm.png,Frontal,opacity
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 are intact,No acute abnormality.,2470_IM-1001-1001.dcm.png,Frontal,normal
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 are intact,No acute abnormality.,2470_IM-1001-3001.dcm.png,Frontal,normal
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.,2471_IM-1002-1001.dcm.png,Frontal,normal
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.,2473_IM-1003-1001.dcm.png,Frontal,hypoinflation
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 are blunted aorta is somewhat tortuous with the heart size is normal pulmonary are normal,Bibasilar patchy airspace disease with bilateral small pleural fluid collections.,2474_IM-1003-1001.dcm.png,Frontal,effusion
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 are normal aorta tortuous,XXXX change. No active cardiopulmonary disease.,2475_IM-1004-1001.dcm.png,Frontal,cardiomegaly
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.,2476_IM-1005-1001.dcm.png,Frontal,degenerative
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 sternotomy stable cardiomegaly with grossly unchanged rightward mediastinal shift unchanged appearance of left perihilar calcified lymph 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.,2477_IM-1006-1001.dcm.png,Frontal,cardiomegaly
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.,2478_IM-1007-1001.dcm.png,Frontal,hyperdistention
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 are intact,No acute cardiopulmonary abnormalities.,2480_IM-1009-1001.dcm.png,Frontal,normal
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 calcified granulomas no focal airspace consolidation or pleural effusion,"No acute or active cardiac, pulmonary or pleural disease. Probable previous granulomatous disease.",2484_IM-1012-1001.dcm.png,Frontal,opacity
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,Small to moderate sized bilateral pleural effusions with adjacent infiltrate or atelectasis.,2485_IM-1013-1001.dcm.png,Frontal,effusion
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 and disc spaces are maintained mild degenerative endplate changes lumbar spine there are 5 nonribbearing lumbar type vertebral bodies alignment is within normal limits vertebral body 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.,2487_IM-1014-1001.dcm.png,Frontal,normal
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 atelectasis or scarring in the left lower lobe there is no effusion or pneumothorax,1. No acute cardiopulmonary disease.,2489_IM-1016-1001.dcm.png,Frontal,hypoinflation
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.,2491_IM-1017-1001.dcm.png,Frontal,normal
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.,2492_IM-1018-1001.dcm.png,Frontal,atherosclerosis
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. .,2493_IM-1019-8001.dcm.png,Frontal,normal
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 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.,2494_IM-1020-1001.dcm.png,Frontal,cardiomegaly
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.,2501_IM-1027-1001.dcm.png,Frontal,hyperdistention
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.,2502_IM-1027-1001-0002.dcm.png,Frontal,effusion
2503,Atherosclerosis/aorta;Arthritis,Atherosclerosis;Arthritis,Xray Chest PA and Lateral,Preop knee surgery,,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.,2503_IM-1028-1001.dcm.png,Frontal,atherosclerosis
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.,2504_IM-1029-2001.dcm.png,Frontal,normal
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 no focal airspace consolidation no pleural effusion or pneumothorax visualized osseous structures are unremarkable appearance,No acute or XXXX pulmonary abnormality.,2505_IM-1029-1001.dcm.png,Frontal,calcinosis
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 of pleural effusion there is no evidence of pneumothorax,Cardiomegaly similar to prior examination. Negative for evidence of acute pulmonary disease.,2506_IM-1029-1001.dcm.png,Frontal,cardiomegaly
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.,2509_IM-1031-1001.dcm.png,Frontal,hyperdistention
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.,2510_IM-1033-1001.dcm.png,Frontal,degenerative
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.,2514_IM-1036-1001.dcm.png,Frontal,degenerative
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.,2515_IM-1036-1001.dcm.png,Frontal,normal
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 pleuralparenchymal irregularities compatible with scarring no focal alveolar consolidation no definite pleural effusion seen no typical findings of pulmonary edema no pneumothorax,No acute findings,2516_IM-1036-1001.dcm.png,Frontal,hyperdistention
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.,2517_IM-1036-1001.dcm.png,Frontal,normal
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.,2519_IM-1037-1001.dcm.png,Frontal,cardiomegaly
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,,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 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.,2520_IM-1039-27001.dcm.png,Frontal,opacity
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. .,2522_IM-1040-1001.dcm.png,Frontal,normal
2523,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, chest pain",,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,2523_IM-1041-1001.dcm.png,Frontal,normal
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.,2524_IM-1042-1001.dcm.png,Frontal,granulomatous
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.,2527_IM-1043-1001.dcm.png,Frontal,normal
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..,2529_IM-1044-1001.dcm.png,Frontal,normal
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.,2530_IM-1045-1001.dcm.png,Frontal,tortuous
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.,2531_IM-1045-1001.dcm.png,Frontal,degenerative
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.",2532_IM-1046-1001.dcm.png,Frontal,cardiomegaly
2533,normal,normal,XR Chest PA and Lateral,"XXXX, history of acute bronchitis",,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.,2533_IM-1047-1001.dcm.png,Frontal,normal
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 rightsided aortic normal mediastinal contour pulmonary and vasculature central airways and aeration of the lungs there is right basal 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.",2537_IM-1049-1001.dcm.png,Frontal,opacity
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.,2538_IM-1050-1001.dcm.png,Frontal,normal
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.,2539_IM-1050-1001.dcm.png,Frontal,normal
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.,2539_IM-1050-3001.dcm.png,Frontal,normal
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.,2540_IM-1052-1001.dcm.png,Frontal,normal
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.,2541_IM-1053-3001.dcm.png,Frontal,normal
2542,normal,normal,Chest 2 views dated XXXX. ,Chest pressure.,Chest x-XXXX XXXX.,the 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.,2542_IM-1053-1001.dcm.png,Frontal,normal
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 sternotomy 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.,2544_IM-1054-1001.dcm.png,Frontal,cardiomegaly
2545,normal,normal,"Chest x-XXXX, 2 views. XXXX. XXXX a.m. ",XXXX.,None.,the trachea is midline the cardiomediastinal silhouette is normal lung are clear without evidence of effusion infiltrate or pneumothorax visualized bony structures are intact visualized soft tissues appear normal,Normal chest x-XXXX.,2545_IM-1054-1001.dcm.png,Frontal,normal
2546,"Aorta, Thoracic/tortuous","Aorta, Thoracic",PA and lateral chest x-XXXX XXXX,"Chest pain, pressure",,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.,2546_IM-1055-1001.dcm.png,Frontal,tortuous
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 mild air space opacity in that distribution no 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. .,2547_IM-1055-4004.dcm.png,Frontal,pneumonia
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.,2549_IM-1057-1001.dcm.png,Frontal,normal
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.,2551_IM-1058-1001.dcm.png,Frontal,normal
2552,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old female with XXXX and XXXX,,lungs are clear without focal consolidation effusion or pneumothorax normal heart size bony thorax and soft tissues grossly unremarkable,Negative for acute cardiopulmonary abnormality.,2552_IM-1058-1001.dcm.png,Frontal,normal
2553,Calcified Granuloma/lung/multiple/small;Spine/degenerative,Calcified Granuloma;Spine,Xray Chest PA and Lateral,"XXXX-year-old male with XXXX, 786.2",,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.,2553_IM-1059-1001.dcm.png,Frontal,degenerative
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 represent scarring or atelectasis no large pneumothorax or effusion there are no acute osseous abnormalities,1. No acute radiographic cardiopulmonary process.,2554_IM-1059-1001.dcm.png,Frontal,hyperdistention
2555,Lung/hyperdistention/mild,Lung,Xray Chest PA and Lateral,"XXXX, XXXX abdominal pain, XXXX",,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. .,2555_IM-1060-1001.dcm.png,Frontal,hyperdistention
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. .,2558_IM-1062-10001.dcm.png,Frontal,normal
2559,normal,normal,PA and lateral chest x-XXXX XXXX,Preop 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,No evidence of active disease.,2559_IM-1063-1001.dcm.png,Frontal,normal
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.,2561_IM-1064-1001.dcm.png,Frontal,normal
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 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.,2562_IM-1065-1001.dcm.png,Frontal,opacity
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. .,2563_IM-1066-1001.dcm.png,Frontal,normal
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 activeacute cardiopulmonary disease,"Normal cardiac size and contour unremarkable mediastinal silhouette. Lungs clear, no airspace disease, pleural effusion, or pneumothorax. No active/acute cardiopulmonary disease.",2564_IM-1067-1001.dcm.png,Frontal,normal
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,,the heart is normal in size the aorta is tortuous the lungs are hypoinflated no focal consolidation or pleural effusion seen old rightsided rib fracture is noted,1. Low lung volumes without acute infiltrate. 2. Aortic tortuosity and mild ectasia.,2565_IM-1068-1002.dcm.png,Frontal,hypoinflation
2567,normal,normal,Xray Chest PA and Lateral,"XXXX, XXXX and shortness of breath",,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,2567_IM-1069-2002.dcm.png,Frontal,normal
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 are generally unremarkable,No acute cardiopulmonary abnormality.,2569_IM-1071-1001.dcm.png,Frontal,atherosclerosis
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 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. .,2570_IM-1073-1001.dcm.png,Frontal,cardiomegaly
2572,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",Patient with suspected Colon Cancer at XXXX stage,,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.,2572_IM-1073-1001.dcm.png,Frontal,normal
2573,normal,normal,"Chest 2 views PA and lateral XXXX, XXXX XXXX a.m. ",Actinomyces Healing Wound,,lungs are clear bilaterally there is no focal consolidation pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits are unremarkable,No acute cardiopulmonary abnormality.,2573_IM-1074-1001.dcm.png,Frontal,normal
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. .,2575_IM-1075-1001.dcm.png,Frontal,degenerative
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 opacities atelectasis versus airspace disease no large effusion or pneumothorax,XXXX XXXX atelectasis/airspace disease.,2577_IM-1077-1001.dcm.png,Frontal,opacity
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 better visualized on the comparison 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.",2578_IM-1078-1001.dcm.png,Frontal,fracture
2579,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old female with chest pain.,,the lungs are clear without focal consolidation effusion or pneumothorax normal heart size bony thorax unremarkable,Negative for acute cardiopulmonary abnormality.,2579_IM-1078-1001.dcm.png,Frontal,normal
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 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 pattern there is an ivc identified there are phleboliths in pelvis there mild degenerative changes of the spine,CHEST. No acute cardiopulmonary disease. ABDOMEN. Normal bowel XXXX pattern.,2581_IM-1079-1001.dcm.png,Frontal,degenerative
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.,2583_IM-1081-1001.dcm.png,Frontal,normal
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.,2584_IM-1081-1001.dcm.png,Frontal,normal
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 on the frontal view there is also mild obscuration of the right cardiac 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.",2585_IM-1082-1001.dcm.png,Frontal,degenerative
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.,2589_IM-1083-1001.dcm.png,Frontal,cardiomegaly
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.,2590_IM-1083-1001.dcm.png,Frontal,normal
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.,2591_IM-1083-1001.dcm.png,Frontal,normal
2592,normal,normal,Xray Chest PA and Lateral,Chest pain after coughing for 2 weeks.,,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.,2592_IM-1084-1001.dcm.png,Frontal,normal
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.",2593_IM-1084-1001.dcm.png,Frontal,cardiomegaly
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,Streaky right lower lobe infiltrate versus atelectasis.,2594_IM-1085-1001.dcm.png,Frontal,opacity
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..,2595_IM-1086-1001.dcm.png,Frontal,normal
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. .,2596_IM-1086-1001.dcm.png,Frontal,normal
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.",2599_IM-1089-1001.dcm.png,Frontal,opacity
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.,2605_IM-1095-1001.dcm.png,Frontal,normal
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 blunting persists in both lower lobes heart and pulmonary remain normal no infiltrates,Persistent bibasilar airspace disease and bilateral pleural fluid.,2608_IM-1098-2001.dcm.png,Frontal,effusion
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 right upper lobe scarringatelectasis aortic calcifications,Hyperexpanded lungs. XXXX right upper lobe scarring/atelectasis. No focal pneumonia.,2610_IM-1101-1001.dcm.png,Frontal,hyperdistention
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.,2611_IM-1102-1001.dcm.png,Frontal,normal
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.,2611_IM-1102-3001.dcm.png,Frontal,normal
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. .,2612_IM-1103-1001.dcm.png,Frontal,normal
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 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.,2614_IM-1105-1001.dcm.png,Frontal,opacity
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 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",2615_IM-1106-1001.dcm.png,Frontal,normal
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 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.,2616_IM-1106-1001.dcm.png,Frontal,effusion
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.,2617_IM-1106-1001.dcm.png,Frontal,hyperdistention
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.",2618_IM-1107-2001.dcm.png,Frontal,opacity
2620,normal,normal,XR frontal and lateral chest ,Chest pain,,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.,2620_IM-1109-1001.dcm.png,Frontal,normal
2621,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",DYSPNEA/XXXX,,both lungs are clear and expanded heart and mediastinum normal,No active disease.,2621_IM-1109-1001.dcm.png,Frontal,normal
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. .,2623_IM-1111-1001.dcm.png,Frontal,normal
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.,2625_IM-1112-0001-0002.dcm.png,Frontal,normal
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.,2627_IM-1114-3001.dcm.png,Frontal,degenerative
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.,2628_IM-1115-1001.dcm.png,Frontal,hypoinflation
2629,normal,normal,PA and lateral views of the chest ,XXXX,,mediastinal contours are normal lungs are clear there is no pneumothorax or large pleural effusion,No focal infiltrate.,2629_IM-1116-1001.dcm.png,Frontal,normal
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,2632_IM-1119-1001.dcm.png,Frontal,normal
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 there is a 21 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.",2633_IM-1120-2002.dcm.png,Frontal,degenerative
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.,sternotomy remain in 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.,2636_IM-1121-1001.dcm.png,Frontal,degenerative
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",,moderatetomarked 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",2637_IM-1122-4004.dcm.png,Frontal,normal
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.,2638_IM-1123-1001.dcm.png,Frontal,normal
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..,2640_IM-1126-2001.dcm.png,Frontal,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.,2643_IM-1129-1001.dcm.png,Frontal,normal
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 are there is increased kyphotic curvature of the thoracic spine within the heart there is a small area of ovalshaped density measuring 22 x 16 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.",2644_IM-1130-1001.dcm.png,Frontal,cardiomegaly
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.,2651_IM-1136-1001.dcm.png,Frontal,normal
2652,Calcinosis/mediastinum/lymph nodes,Calcinosis,Xray Chest PA and Lateral,Positive PPD. XXXX.,"XXXX, XXXX",and lateral chest examination was obtained the heart silhouette and mediastinal contours are not enlarged there is calcified mediastinal lymph lungs demonstrate no acute findings there is no effusion or pneumothorax,1. No acute pulmonary disease.,2652_IM-1136-1001.dcm.png,Frontal,calcinosis
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.,2653_IM-1137-1001.dcm.png,Frontal,degenerative
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 the lungs are clear soft tissues and bony structures are unremarkable no pneumothorax or pleural effusion,Unremarkable examination of the chest.,2655_IM-1137-1001.dcm.png,Frontal,normal
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.,2658_IM-1140-1001.dcm.png,Frontal,atherosclerosis
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.,2659_IM-1140-1001.dcm.png,Frontal,normal
2660,normal,normal," PA and lateral chest XXXX, XXXX at XXXX comparison XXXX XXXX ",XXXX rule out pneumonia,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,2660_IM-1142-1001.dcm.png,Frontal,normal
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.,2661_IM-1142-1001.dcm.png,Frontal,cardiomegaly
2662,normal,normal,Xray Chest PA and Lateral,XXXX and wheezing,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,2662_IM-1143-2002.dcm.png,Frontal,normal
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.,2663_IM-1144-1001.dcm.png,Frontal,normal
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.,2665_IM-1145-1001.dcm.png,Frontal,normal
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.,2667_IM-1146-1001.dcm.png,Frontal,normal
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.,2668_IM-1147-3001.dcm.png,Frontal,normal
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 blunting 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.",2670_IM-1148-1001.dcm.png,Frontal,opacity
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.,2672_IM-1148-1001.dcm.png,Frontal,normal
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.,2673_IM-1149-1001.dcm.png,Frontal,cardiomegaly
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 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.,2676_IM-1151-1001.dcm.png,Frontal,cardiomegaly
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.,2677_IM-1151-1001.dcm.png,Frontal,tortuous
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.,2680_IM-1154-1001.dcm.png,Frontal,normal
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 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 foreign body noted over the left chest there are vascular calcifications over the aortic there are mild degenerative changes of the spine,No acute cardiopulmonary disease.,2681_IM-1154-1001.dcm.png,Frontal,degenerative
2683,normal,normal," PA and lateral chest XXXX, XXXX XXXX with comparison XXXX XXXX ",left chest wall pain,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,2683_IM-1156-1001.dcm.png,Frontal,normal
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 are identified in left hilar region no pneumothorax no pleural effusion minimal degenerative endplate changes of the thoracic spine,1. No acute intrathoracic abnormality.,2684_IM-1157-1001.dcm.png,Frontal,degenerative
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.,2686_IM-1158-1001.dcm.png,Frontal,normal
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.,2687_IM-1158-1001.dcm.png,Frontal,degenerative
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.,2688_IM-1159-4004.dcm.png,Frontal,cardiomegaly
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 12 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 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.,2689_IM-1160-1002001.dcm.png,Frontal,calcinosis
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.,2693_IM-1165-1001.dcm.png,Frontal,hypoinflation
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.,2694_IM-1165-1001.dcm.png,Frontal,normal
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.,2695_IM-1166-1001.dcm.png,Frontal,hyperdistention
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 at 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.",2696_IM-1166-1001.dcm.png,Frontal,cardiomegaly
2698,normal,normal,Xray Chest PA and Lateral,Bronchiectasis,,the lungs appear clear the heart and pulmonary are normal the pleural spaces are clear mediastinal contours are normal,No acute cardiopulmonary disease,2698_IM-1167-1001.dcm.png,Frontal,normal
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 over the abdomen on the lateral view these may reside within or outside of the patient,No acute cardiopulmonary disease.,2699_IM-1167-1001.dcm.png,Frontal,normal
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 are stable low lung volumes no pneumothorax minimal right costophrenic blunting no focal infiltrates,Cardiomegaly with XXXX right pleural effusion.,2702_IM-1170-1001.dcm.png,Frontal,cardiomegaly
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 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 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.",2704_IM-1171-1001.dcm.png,Frontal,opacity
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 with a calcified right lower lobe pulmonary nodule the lungs are wellinflated 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.,2708_IM-1174-1001.dcm.png,Frontal,degenerative
2709,Opacity/lung/base/left,Opacity,Xray Chest PA and Lateral,,,there is a subtle left medial base opacity cardiomediastinal silhouette is normal pulmonary vasculature and are normal no pneumothorax or large pleural effusion osseous structures and soft tissues are normal,Subtle medial left basilar opacity could represent early pneumonia.,2709_IM-1175-1001.dcm.png,Frontal,opacity
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,1. No acute radiographic cardiopulmonary process.,2710_IM-1177-1001.dcm.png,Frontal,normal
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 subsegmental atelectasis no pleural effusion or pneumothorax,1. Low lung volume study with minimal bibasilar atelectasis. Stable chest.,2713_IM-1180-1001.dcm.png,Frontal,opacity
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.,2715_IM-1180-1001.dcm.png,Frontal,nodule
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 airspace opacities representing consolidation and atelectasis with blunting of the bilateral costophrenic the cardiomediastinal silhouette is within normal limits bibasilar subsegmental atelectasis no acute osseous abnormality,Right lower lobe airspace disease with bilateral pleural effusions.,2716_IM-1181-1001.dcm.png,Frontal,effusion
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.,2718_IM-1182-1001.dcm.png,Frontal,degenerative
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 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. .",2719_IM-1182-1001.dcm.png,Frontal,opacity
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.,2720_IM-1182-1001.dcm.png,Frontal,normal
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 curvature of the thoracic spine exaggerated kyphosis are diffusely osteopenic multilevel degenerative changes of the thoracic spine with minimal anterior loss of several vertebral bodies,Chronic changes without acute cardiopulmonary findings.,2721_IM-1183-1001.dcm.png,Frontal,tortuous
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.,2722_IM-1184-1001.dcm.png,Frontal,cardiomegaly
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.,,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 midlower thoracic spine no pneumothorax,Negative for acute cardiopulmonary process.,2723_IM-1185-1001.dcm.png,Frontal,degenerative
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.,2724_IM-1186-1001.dcm.png,Frontal,tortuous
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.,2725_IM-1186-1001.dcm.png,Frontal,emphysema
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.,2726_IM-1186-2001.dcm.png,Frontal,normal
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.,2727_IM-1187-1001.dcm.png,Frontal,granulomatous
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.,2727_IM-1187-1002.dcm.png,Frontal,granulomatous
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 infiltrates or masses pulmonary arteries are prominent centrally,XXXX change COPD. Chronic right middle lobe scar and atelectasis. Pulmonary arterial hypertension.,2728_IM-1187-1001.dcm.png,Frontal,opacity
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 there is a bullet fragment overlying the left t7 vertebra retained 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.,2729_IM-1187-1001.dcm.png,Frontal,degenerative
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.,2730_IM-1189-1001.dcm.png,Frontal,normal
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 are intact,"Bibasilar airspace opacities, right greater than left. These findings are concerning for pneumonia.",2733_IM-1189-1001.dcm.png,Frontal,opacity
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.,2734_IM-1189-1001.dcm.png,Frontal,normal
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.,2735_IM-1189-1001.dcm.png,Frontal,normal
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.,2738_IM-1192-1001.dcm.png,Frontal,tortuous
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.,2739_IM-1193-1001.dcm.png,Frontal,normal
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. .,2740_IM-1195-1001.dcm.png,Frontal,degenerative
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.,2742_IM-1197-1001.dcm.png,Frontal,degenerative
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.,2743_IM-1197-1001.dcm.png,Frontal,degenerative
2744,normal,normal," PA lateral chest XXXX, XXXX XXXX ",XXXX and hemoptysis,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,2744_IM-1197-1001.dcm.png,Frontal,normal
2747,Pleural Effusion/bilateral/small,Pleural Effusion, PA and lateral views of the chest. ,,,the lungs are clear the cardiomediastinal silhouette is within normal limits small pleural effusion is identified,Small bilateral pleural effusions.,2747_IM-1198-1001.dcm.png,Frontal,effusion
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.,2748_IM-1198-1001.dcm.png,Frontal,normal
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.,2751_IM-1201-1001.dcm.png,Frontal,normal
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;,,the cardiac silhouette is mildly enlarged mediastinal contours are within normal limits the pulmonary vasculaturity is increased there is large rightsided pleural effusion and probable underlying associated compressive atelectasis mild perihilar opacities edema no pneumothorax is seen,"1. Cardiomegaly and central vascular congestion with perihilar opacities, possibly edema. 2. Large right pleural effusion.",2752_IM-1202-0001-0001.dcm.png,Frontal,cardiomegaly
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 lungs are clear bilaterally there is no focal consolidation pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits are unremarkable,No acute cardiopulmonary abnormality.,2753_IM-1203-1001.dcm.png,Frontal,calcinosis
2754,normal,normal,Xray Chest PA and Lateral,",466.0 acute bronchitis cxr",,the lungs are clear the heart and pulmonary are normal the pleural spaces are clear mediastinal contours are normal,No acute cardiopulmonary disease,2754_IM-1204-2002.dcm.png,Frontal,normal
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 and postsurgicalpost traumatic in left shoulder rotator bone anchor noted no acute osseous abnormality identified,Surgical changes of the right hemithorax and mild cardiomegaly without acute cardiopulmonary abnormality identified. .,2755_IM-1204-1001.dcm.png,Frontal,cardiomegaly
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 and vasculature central airways and lung volumes no pleural effusion,"No acute or active cardiac, pulmonary or pleural disease.",2758_IM-1206-1001.dcm.png,Frontal,normal
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 deformity of a midthoracic vertebral body this is ageindeterminate,"1. No acute cardiopulmonary process. 2. Mild, age-indeterminate wedge XXXX deformity of a midthoracic vertebral body.",2759_IM-1207-1001.dcm.png,Frontal,degenerative
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.",2761_IM-1208-1001.dcm.png,Frontal,opacity
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 are grossly unremarkable there is evidence of granulomatous disease,1. Clear lungs.,2762_IM-1208-1001.dcm.png,Frontal,granulomatous
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.,2767_IM-1212-1001.dcm.png,Frontal,degenerative
2768,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM ComparisXXXX/XXXX. ",Chest pain.,,and lateral chest examination was obtained the heart silhouette is normal in size and contour aortic appear unremarkable lungs demonstrate no acute findings there is no effusion or pneumothorax,No acute pulmonary disease.,2768_IM-1212-1001.dcm.png,Frontal,normal
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.,2769_IM-1212-1001.dcm.png,Frontal,degenerative
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.,2770_IM-1213-1001.dcm.png,Frontal,normal
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 is present around the malleoli 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.,2771_IM-1213-1001.dcm.png,Frontal,normal
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.,2773_IM-1214-1001.dcm.png,Frontal,degenerative
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.,2774_IM-1215-1001.dcm.png,Frontal,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.,2775_IM-1216-3001.dcm.png,Frontal,normal
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.,2781_IM-1219-1001.dcm.png,Frontal,normal
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 on the ct scan no 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.,2783_IM-1220-1001.dcm.png,Frontal,tortuous
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 are intact,No acute cardiopulmonary abnormalities.,2784_IM-1220-1001.dcm.png,Frontal,normal
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.,2785_IM-1220-1001.dcm.png,Frontal,normal
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..,2786_IM-1221-1001.dcm.png,Frontal,normal
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 are intact,No acute cardiopulmonary abnormality. .,2787_IM-1222-1001.dcm.png,Frontal,normal
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.,2788_IM-1222-1001.dcm.png,Frontal,normal
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",,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,2789_IM-1223-8001.dcm.png,Frontal,tortuous
2791,normal,normal,Xray Chest PA and Lateral,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 evidence of active disease.,2791_IM-1225-2001.dcm.png,Frontal,normal
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 are intact,No acute cardiopulmonary abnormalities.,2792_IM-1226-1001.dcm.png,Frontal,normal
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,"Mild lung hyperexpansion, otherwise clear.",2793_IM-1226-1001.dcm.png,Frontal,hyperdistention
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.,2794_IM-1226-1001.dcm.png,Frontal,hyperdistention
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.,2796_IM-1228-1001.dcm.png,Frontal,normal
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.,2796_IM-1228-12012.dcm.png,Frontal,normal
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. .,2797_IM-1229-1001.dcm.png,Frontal,normal
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.,2799_IM-1231-1001.dcm.png,Frontal,normal
2802,Lung/hyperdistention;Surgical Instruments/abdomen/multiple,Lung;Surgical Instruments,"Chest x-XXXX XXXX and lateral, XXXX. ",XXXX-year-old female with XXXX,,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.,2802_IM-1234-1001.dcm.png,Frontal,hyperdistention
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.,2803_IM-1234-1001.dcm.png,Frontal,hypoinflation
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.,2804_IM-1235-1001.dcm.png,Frontal,normal
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.,2805_IM-1235-1001.dcm.png,Frontal,normal
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.,2806_IM-1236-1001.dcm.png,Frontal,normal
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 and vasculature central airways and lung volumes no pleural effusion,"No acute or active cardiac, pulmonary or pleural disease.",2807_IM-1237-1001.dcm.png,Frontal,normal
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.,2808_IM-1238-1001.dcm.png,Frontal,granulomatous
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.,2810_IM-1238-1001.dcm.png,Frontal,tortuous
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 are normal,XXXX. XXXX patchy right lower lobe infiltrate consistent with pneumonia.,2812_IM-1239-2001.dcm.png,Frontal,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.,2813_IM-1239-1001.dcm.png,Frontal,degenerative
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.,2815_IM-1240-1001.dcm.png,Frontal,granulomatous
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 patients arm on the lateral view cardiomediastinal silhouette is within normal limits of size and appearance pulmonary vascular is unremarkable are chronic coarse interstitial lung markings peripheral opacity along the right mid lung reflects scar or a small amount of loculated pleural fluid or thickening otherwise negative for focal airspace disease or consolidation hyperlucent lungs with apical negative for pneumothorax or pleural effusion limited evaluation reveals the to be grossly intact,1. No acute cardiopulmonary abnormality. 2. Emphysema.,2817_IM-1241-1001.dcm.png,Frontal,effusion
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 patients arm on the lateral view cardiomediastinal silhouette is within normal limits of size and appearance pulmonary vascular is unremarkable are chronic coarse interstitial lung markings peripheral opacity along the right mid lung reflects scar or a small amount of loculated pleural fluid or thickening otherwise negative for focal airspace disease or consolidation hyperlucent lungs with apical negative for pneumothorax or pleural effusion limited evaluation reveals the to be grossly intact,1. No acute cardiopulmonary abnormality. 2. Emphysema.,2817_IM-1241-3001.dcm.png,Frontal,effusion
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 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.",2818_IM-1242-1001.dcm.png,Frontal,opacity
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.,2820_IM-1244-1001.dcm.png,Frontal,normal
2821,Calcinosis/aorta;Aorta/tortuous;Thoracic Vertebrae/degenerative,Calcinosis;Aorta;Thoracic Vertebrae,"Chest, 2 views, XXXX XXXX ",Right-sided chest pain after XXXX,,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.,2821_IM-1244-1001.dcm.png,Frontal,tortuous
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 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 loss of t4 and t7 vertebral bodies,Negative for acute cardiopulmonary abnormality,2822_IM-1244-2002.dcm.png,Frontal,degenerative
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.,2824_IM-1245-13001.dcm.png,Frontal,hyperdistention
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 shrapnel is overlying the right lower lobe there is a round bullet overlying the t10 vertebral body density is seen within the right lower lobe representing hemorrhage there is a rightsided 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.",2827_IM-1246-1001.dcm.png,Frontal,emphysema
2828,Lung/hyperdistention;Thoracic Vertebrae/degenerative,Lung;Thoracic Vertebrae,Xray Chest PA and Lateral,"Syncope with collapse, XXXX, pain",,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.,2828_IM-1247-1001.dcm.png,Frontal,hyperdistention
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.,2829_IM-1247-1001.dcm.png,Frontal,normal
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.,2829_IM-1247-3001.dcm.png,Frontal,normal
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.,2832_IM-1249-1001.dcm.png,Frontal,cardiomegaly
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 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.,2833_IM-1249-1001.dcm.png,Frontal,normal
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.,2835_IM-1251-1001.dcm.png,Frontal,hypoinflation
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.,2835_IM-1251-3001.dcm.png,Frontal,hypoinflation
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.,2836_IM-1252-1001.dcm.png,Frontal,cardiomegaly
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 14 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.",2837_IM-1252-1001.dcm.png,Frontal,opacity
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.,2838_IM-1252-1001.dcm.png,Frontal,normal
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 bilaterallythere is no focal consolidation pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits are unremarkable,No acute cardiopulmonary abnormality.,2839_IM-1252-1001.dcm.png,Frontal,normal
2840,normal,normal,Xray Chest PA and Lateral,Hypoxemia,,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.,2840_IM-1253-1001-0002.dcm.png,Frontal,normal
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..,2842_IM-1254-1001.dcm.png,Frontal,normal
2843,Density/right/paratracheal;Opacity/lung/upper lobe/right/patchy/streaky,Density;Opacity,Xray Chest PA and Lateral,"XXXX,XXXX",,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.",2843_IM-1254-1001-0002.dcm.png,Frontal,opacity
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. .,2844_IM-1254-1001.dcm.png,Frontal,fracture
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 are unremarkable,No acute cardiopulmonary finding.,2845_IM-1254-1001.dcm.png,Frontal,normal
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.,2847_IM-1256-1001.dcm.png,Frontal,tortuous
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 no pleural effusion or pneumothorax soft tissues and showed unremarkable,No evidence of active tuberculosis.,2848_IM-1256-1001.dcm.png,Frontal,cardiomegaly
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. .,2851_IM-1260-0001-0001.dcm.png,Frontal,normal
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 bilaterally no intervertebral disc narrowing or loss of vertebral body,1. No acute bony abnormalities. 2. No acute cardiopulmonary abnormalities.,2852_IM-1261-3001.dcm.png,Frontal,normal
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.,2854_IM-1262-1001.dcm.png,Frontal,normal
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.,2855_IM-1263-1001.dcm.png,Frontal,normal
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.,2856_IM-1263-1001.dcm.png,Frontal,normal
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.,2858_IM-1265-1001.dcm.png,Frontal,tortuous
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.,2858_IM-1265-3001.dcm.png,Frontal,tortuous
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.,2859_IM-1266-1001.dcm.png,Frontal,pneumonia
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 tortuous and ectatic aorta no focal area of consolidation pleural effusion or pneumothorax,No acute radiographic cardiopulmonary process.,2860_IM-1268-1001.dcm.png,Frontal,tortuous
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.,2861_IM-1269-2001.dcm.png,Frontal,normal
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.,2862_IM-1270-1001.dcm.png,Frontal,normal
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..,2863_IM-1271-3001.dcm.png,Frontal,normal
2866,normal,normal, PA lateral chest. ,XXXX XXXX,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,2866_IM-1273-1001.dcm.png,Frontal,normal
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 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. .,2867_IM-1274-1001.dcm.png,Frontal,emphysema
2870,normal,normal,"Chest 2 views dated XXXX, XXXX ","XXXX, wheezing.",None.,the 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.,2870_IM-1276-1001.dcm.png,Frontal,normal
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 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.,2871_IM-1277-1001.dcm.png,Frontal,normal
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.,2873_IM-1279-2002.dcm.png,Frontal,normal
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 this was seen well on prior there are no suspicious appearing pulmonary nodules or masses heart and pulmonary appear normal the pleural spaces are clear mediastinal contours are normal,No acute cardiopulmonary disease. No evidence of metastatic disease to the lungs.,2874_IM-1280-1001.dcm.png,Frontal,calcinosis
2876,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, chest pain.",,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.,2876_IM-1282-1001.dcm.png,Frontal,normal
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,Negative for acute abnormality.,2877_IM-1283-1001.dcm.png,Frontal,normal
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.,2879_IM-1284-1001.dcm.png,Frontal,cardiomegaly
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.,2880_IM-1284-1001.dcm.png,Frontal,normal
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.",2882_IM-1286-1001.dcm.png,Frontal,cardiomegaly
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.",,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. .",2886_IM-1288-0001-0002.dcm.png,Frontal,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 opacities in the lung bases bilaterally no definitive pneumothorax or pleural effusion displaced fracture of the mid onethird of the right clavicle,1. Previously identified small right pneumothorax is not visualized on today's exam. 2. Minimal bibasilar atelectasis/airspace disease.,2887_IM-1289-4001.dcm.png,Frontal,opacity
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.,2888_IM-1290-0001-0001.dcm.png,Frontal,tortuous
2889,normal,normal,PA and lateral chest x-XXXX XXXX at XXXX hours. ,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.,2889_IM-1291-1001.dcm.png,Frontal,normal
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 represents projectile fragment,1. No acute radiographic cardiopulmonary process.,2890_IM-1293-8001.dcm.png,Frontal,opacity
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 and soft tissues are unremarkable,No acute cardiopulmonary abnormality. .,2893_IM-1295-1001.dcm.png,Frontal,normal
2898,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, hypertension",,heart size within normal limits no focal alveolar consolidation no definite pleural effusion seen no typical findings of pulmonary edema,No acute cardiopulmonary findings,2898_IM-1300-0001-0001.dcm.png,Frontal,normal
2898,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, hypertension",,heart size within normal limits no focal alveolar consolidation no definite pleural effusion seen no typical findings of pulmonary edema,No acute cardiopulmonary findings,2898_IM-1300-0001-0002.dcm.png,Frontal,normal
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. .,2899_IM-1301-1001.dcm.png,Frontal,normal
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.,2902_IM-1306-4001.dcm.png,Frontal,normal
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. .",2903_IM-1307-4004.dcm.png,Frontal,hypoinflation
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 ectasiatortuosity 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,2904_IM-1308-1001.dcm.png,Frontal,cardiomegaly
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.,2908_IM-1312-4004.dcm.png,Frontal,degenerative
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,1. No acute radiographic cardiopulmonary process.,2910_IM-1314-1001.dcm.png,Frontal,normal
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,1. No acute radiographic cardiopulmonary process.,2915_IM-1317-3001.dcm.png,Frontal,normal
2916,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old female, pre-syncope",,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,2916_IM-1318-1001.dcm.png,Frontal,normal
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,,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.,2917_IM-1319-1001.dcm.png,Frontal,hyperdistention
2918,normal,normal," Chest radiograph, frontal and lateral views",,,cardiomediastinal silhouette is normal pulmonary vasculature and are normal no consolidation pneumothorax or large pleural effusion osseous structures and soft tissues are normal,No acute cardiopulmonary disease.,2918_IM-1320-1001.dcm.png,Frontal,normal
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.,2919_IM-1321-3001.dcm.png,Frontal,cardiomegaly
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.,2920_IM-1323-1001.dcm.png,Frontal,normal
2922,Lung/hyperdistention;Diaphragm/bilateral/flattened;Calcinosis/lung/hilum/right,Lung;Diaphragm;Calcinosis,Xray Chest PA and Lateral,"XXXX-year-old male, pain",,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.",2922_IM-1325-12012.dcm.png,Frontal,hyperdistention
2923,normal,normal,Xray Chest PA and Lateral,Shortness of breath,,clear lungs heart and pulmonary appear normal pleural spaces are clear mediastinal contours are normal,No acute cardiopulmonary disease.,2923_IM-1326-1001.dcm.png,Frontal,normal
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.,2925_IM-1327-1001.dcm.png,Frontal,normal
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.,2926_IM-1328-1001.dcm.png,Frontal,normal
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 are again noted bilaterally,No acute disease.,2929_IM-1331-2001.dcm.png,Frontal,hypoinflation
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 opacities are seen in the left lower lobe and left costodiaphragmatic which could represent scarring or atelectasis there is no pneumothorax no acute bony abnormalities,1. No acute cardiopulmonary abnormalities. .,2931_IM-1334-1001.dcm.png,Frontal,opacity
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.,2932_IM-1335-1001.dcm.png,Frontal,normal
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.,2933_IM-1336-1001.dcm.png,Frontal,normal
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.,2933_IM-1336-3001.dcm.png,Frontal,normal
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 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.,2936_IM-1338-1002001.dcm.png,Frontal,cardiomegaly
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.,2937_IM-1339-1001.dcm.png,Frontal,normal
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.,2938_IM-1339-1001.dcm.png,Frontal,normal
2940,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,Xray Chest PA and Lateral,Chest pain and XXXX symptoms,,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.,2940_IM-1341-1001.dcm.png,Frontal,degenerative
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 are grossly unremarkable,1. Clear lungs.,2941_IM-1342-1001.dcm.png,Frontal,normal
2942,normal,normal,"PA and Lateral Chest. XXXX, XXXX ",Followup on reported pneumonia,"XXXX, XXXX",postsurgical changes of sternotomy with screw fixation of anterior 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.,2942_IM-1343-1001.dcm.png,Frontal,normal
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. .,2945_IM-1345-12012.dcm.png,Frontal,degenerative
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.,2948_IM-1348-1001.dcm.png,Frontal,normal
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 represents calcified granulomas lungs are clear bilaterally there is no focal consolidation pleural effusion or pneumothoraces stable calcified hilar and mediastinal lymph decreased in size from prior exam heart size is normal are unremarkable,No acute cardiopulmonary abnormality.,2949_IM-1348-1001.dcm.png,Frontal,calcinosis
2950,normal,normal,Xray Chest PA and Lateral,ALLOGENEIC BMT W/U LAB;,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,2950_IM-1348-1001.dcm.png,Frontal,normal
2953,normal,normal,XR Chest PA and Lateral,Congestion for one XXXX worsening last 2 days. Nonproductive 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.,2953_IM-1351-1001.dcm.png,Frontal,normal
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 atelectaticfibrotic changes of the visualized lung and stable leftsided calcified granuloma no acute osseous abnormalities identified cardiomediastinal silhouette unremarkable,"Obscuration of the bilateral lung bases, XXXX combination of atelectasis, infiltrate, effusions.",2954_IM-1352-2001.dcm.png,Frontal,effusion
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.,2956_IM-1353-2001.dcm.png,Frontal,normal
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 andor atelectasis is noted in right lung base there is also streaky opacity in the left base the costophrenic are blunted,1. Cardiomegaly and pulmonary vascular congestion. 2. Eventration of right hemidiaphragm with basilar atelectasis.,2957_IM-1354-1003.dcm.png,Frontal,cardiomegaly
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.,2959_IM-1354-1001.dcm.png,Frontal,normal
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 bilaterally no pneumothorax or pleural effusion,No acute cardiopulmonary abnormalities.,2960_IM-1354-1001.dcm.png,Frontal,normal
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.,2961_IM-1355-1001.dcm.png,Frontal,effusion
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 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.,2962_IM-1355-1001.dcm.png,Frontal,cardiomegaly
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.,2963_IM-1356-1001.dcm.png,Frontal,normal
2964,normal,normal,Xray Chest PA and Lateral,XXXX-year-old female with chest pain,,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.,2964_IM-1357-2001.dcm.png,Frontal,normal
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.",2965_IM-1358-1001.dcm.png,Frontal,normal
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.,2966_IM-1359-1001.dcm.png,Frontal,degenerative
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.,2967_IM-1360-1001.dcm.png,Frontal,normal
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 pleuralparenchymal scarring scattered granulomas no abnormal airspace consolidation no pneumothorax or pleural effusion,1. Stable emphysematous changes. 2. Stable biapical pleural-parenchymal scarring.,2969_IM-1360-1001.dcm.png,Frontal,hyperdistention
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.,2970_IM-1362-1001.dcm.png,Frontal,calcinosis
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. .,2971_IM-1362-2001.dcm.png,Frontal,normal
2972,Lung/hypoinflation;Costophrenic Angle/bilateral/blunted;Pleural Effusion/bilateral/small,Lung;Costophrenic Angle;Pleural Effusion,CHEST 2V FRONTAL/LATERAL ,"Pre-XXXX, XXXX depression",,the heart is normal in size the mediastinum is unremarkable the lungs are hypoinflated costophrenic are blunted 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.",2972_IM-1363-1001.dcm.png,Frontal,effusion
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 andor 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 pleuralparenchymal 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.,2974_IM-1364-1001.dcm.png,Frontal,effusion
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.",2976_IM-1365-2002.dcm.png,Frontal,hyperdistention
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 a 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 old granulomatous infection there are no acute bony findings,No acute findings. .,2978_IM-1367-4001.dcm.png,Frontal,granulomatous
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 there are atherosclerotic changes of the aorta arthritic changes of the skeletal structures are noted,No acute pulmonary disease.,2979_IM-1368-1001-0001.dcm.png,Frontal,atherosclerosis
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 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 spine spondylosis,Cardiomegaly. No acute pulmonary disease process.,2984_IM-1372-1001.dcm.png,Frontal,cardiomegaly
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..,2985_IM-1373-1001.dcm.png,Frontal,degenerative
2988,normal,normal,Xray Chest PA and Lateral,XXXX and XXXX symptoms,,the cardiomediastinal silhouette is normal size and configuration pulmonary vasculature within normal limits the lungs are wellaerated there is no pneumothorax pleural effusion or focal consolidation,No acute cardiopulmonary disease. .,2988_IM-1375-1001.dcm.png,Frontal,normal
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 degenerative changes of the spine and the acromioclavicular joints,No acute cardiopulmonary abnormality.,2989_IM-1376-1001.dcm.png,Frontal,degenerative
2993,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX. ",XXXX-year-old female with chest pain,,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.,2993_IM-1380-1001.dcm.png,Frontal,normal
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.,2994_IM-1380-1001.dcm.png,Frontal,normal
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.,2997_IM-1381-2001.dcm.png,Frontal,normal
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.,2998_IM-1382-1001.dcm.png,Frontal,normal
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. .",2999_IM-1383-0001-0001.dcm.png,Frontal,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 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.",3000_IM-1386-0001-0001.dcm.png,Frontal,degenerative
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.,3002_IM-1388-1001.dcm.png,Frontal,normal
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 no acute osseous abnormality identified,No acute cardiopulmonary abnormality..,3003_IM-1388-1001.dcm.png,Frontal,tortuous
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 and vasculature central airways and lung volumes and scattered calcified granulomas left greater than right basilar opacity probable atelectasis andor scarring no pleural effusion,"Basilar atelectasis. Otherwise, no acute cardiac or pulmonary disease process.",3004_IM-1388-1001.dcm.png,Frontal,opacity
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 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 deformity of t9 appears worse than prior study,"1. Emphysema without acute infiltrate. 2. Progressive XXXX deformity of midthoracic vertebral body, XXXX T9.",3005_IM-1388-1001.dcm.png,Frontal,tortuous
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 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.,3006_IM-1388-1001.dcm.png,Frontal,cardiomegaly
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. .,3009_IM-1389-1001.dcm.png,Frontal,degenerative
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.,3010_IM-1389-1001.dcm.png,Frontal,normal
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. .,3011_IM-1390-1001.dcm.png,Frontal,atherosclerosis
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.,3012_IM-1390-1001.dcm.png,Frontal,normal
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 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. .",3013_IM-1391-0001-0001.dcm.png,Frontal,cardiomegaly
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.,3015_IM-1392-1001.dcm.png,Frontal,normal
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.,3016_IM-1392-1001.dcm.png,Frontal,granulomatous
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;,,the heart is normal in size the mediastinum is unremarkable there are 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.,3017_IM-1393-1001.dcm.png,Frontal,opacity
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.,3019_IM-1393-1001.dcm.png,Frontal,tortuous
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.,3020_IM-1395-1001.dcm.png,Frontal,normal
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.,3024_IM-1399-1001.dcm.png,Frontal,normal
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..,3025_IM-1400-1001.dcm.png,Frontal,normal
3028,Atherosclerosis/aorta,Atherosclerosis,"Chest 2 views dated XXXX, XXXX.",Chest pain.,XXXX.,the examination consists of frontal and lateral radiographs of the chest atherosclerotic calcifications of the aortic 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.,3028_IM-1403-1001.dcm.png,Frontal,atherosclerosis
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 bilaterally no pleural effusion or pneumothorax degenerative seen throughout cervical spine,No acute cardiopulmonary abnormalities.,3029_IM-1404-1001.dcm.png,Frontal,degenerative
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 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.,3030_IM-1405-3001.dcm.png,Frontal,normal
3031,normal,normal,Chest X-XXXX 2 XXXX ,chest pain,,the lungs are clear the cardiomediastinal silhouette is within normal limits no pneumothorax or pleural effusion,Negative chest.,3031_IM-1406-1001.dcm.png,Frontal,normal
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..,3033_IM-1408-1001.dcm.png,Frontal,normal
3037,normal,normal," PA and lateral chest XXXX, XXXX XXXX chest for XXXX XXXX/XXXX ",chest pain.,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,3037_IM-1410-1001.dcm.png,Frontal,normal
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.,3039_IM-1412-1001.dcm.png,Frontal,normal
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 at the cervicothoracic junction,No acute cardiopulmonary process.,3040_IM-1414-12012.dcm.png,Frontal,degenerative
3041,normal,normal," PA and lateral chest XXXX, XXXX at XXXX comparison XXXX ",abnormal lung sounds rales,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,3041_IM-1415-1001.dcm.png,Frontal,normal
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.,3045_IM-1418-1001.dcm.png,Frontal,normal
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 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.",3046_IM-1418-1001.dcm.png,Frontal,opacity
3047,normal,normal,PA lateral chest x-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,No evidence of active disease.,3047_IM-1418-1001.dcm.png,Frontal,normal
3049,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",hemoptysis,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest.,3049_IM-1420-1001.dcm.png,Frontal,normal
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.,3050_IM-1420-1001.dcm.png,Frontal,normal
3051,normal,normal,Chest x-XXXX XXXX ,History of immunodeficiency syndrome with shortness of breath,,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.,3051_IM-1420-1001.dcm.png,Frontal,normal
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.,3052_IM-1420-1001.dcm.png,Frontal,degenerative
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.,3054_IM-1422-2002.dcm.png,Frontal,degenerative
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. .",3058_IM-1425-12012.dcm.png,Frontal,opacity
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. .",3058_IM-1425-2002.dcm.png,Frontal,opacity
3059,normal,normal,"Chest 2 views PA and lateral XXXX, XXXX XXXX a.m. ",XXXX,,lungs are clear bilaterally there is no focal consolidation pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits are unremarkable,No acute cardiopulmonary abnormality.,3059_IM-1425-1001.dcm.png,Frontal,normal
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.,3060_IM-1426-1003.dcm.png,Frontal,normal
3061,Opacity/lung/base/right;Pulmonary Atelectasis/base/right,Opacity;Pulmonary Atelectasis,Xray Chest PA and Lateral,Upper XXXX tract infection,,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.,3061_IM-1427-2001.dcm.png,Frontal,opacity
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.,3063_IM-1428-1001.dcm.png,Frontal,normal
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.",3064_IM-1428-1001.dcm.png,Frontal,pneumonia
3065,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,Xray Chest PA and Lateral,XXXX and congestion,None.,lungs are without focal airspace disease no pleural effusions or pneumothoraces heart size is normal status post sternotomy degenerative changes in the thoracic spine incidental note is of previous left rotator repair,XXXX lungs without focal consolidation.,3065_IM-1429-1001.dcm.png,Frontal,degenerative
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 lingular scarring or atelectasis noted,Emphysema without acute disease.,3066_IM-1430-1001.dcm.png,Frontal,emphysema
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.,3067_IM-1430-1001.dcm.png,Frontal,normal
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,,right upper lobe airspace disease consistent with pneumonia given patients history the lungs are otherwise clear no pleural effusions or pneumothoraces heart and mediastinum of normal size and contour,Right upper lobe pneumonia.,3069_IM-1432-1001.dcm.png,Frontal,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.,3070_IM-1432-1001.dcm.png,Frontal,normal
3071,normal,normal, Frontal and lateral views of the chest dated XXXX,"Chest pain shortness of breath, hypertension",,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.,3071_IM-1433-1001.dcm.png,Frontal,normal
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.,3073_IM-1434-1001.dcm.png,Frontal,normal
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.,3074_IM-1435-1001.dcm.png,Frontal,opacity
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 seen in the transverse colon,No acute cardiopulmonary findings.,3075_IM-1436-1001.dcm.png,Frontal,cardiomegaly
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 borderline enlarged,"Low lung volumes, otherwise, no definite acute findings.",3076_IM-1437-4004.dcm.png,Frontal,cardiomegaly
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. .,3078_IM-1438-1001.dcm.png,Frontal,pneumonia
3079,Thoracic Vertebrae/degenerative/multiple;Arthritis/shoulder/bilateral/mild,Thoracic Vertebrae;Arthritis,"Chest 2 views dated XXXX, XXXX.",Passed out XXXX XXXX.,None.,the 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 anchors 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.,3079_IM-1438-1001.dcm.png,Frontal,degenerative
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.,3081_IM-1440-1001.dcm.png,Frontal,tortuous
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.,3082_IM-1441-1001.dcm.png,Frontal,cardiomegaly
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.,3083_IM-1442-7001.dcm.png,Frontal,normal
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.,3084_IM-1443-1001.dcm.png,Frontal,degenerative
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.",3086_IM-1444-1001.dcm.png,Frontal,degenerative
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.,3087_IM-1444-1001.dcm.png,Frontal,cardiomegaly
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.,3089_IM-1444-1001.dcm.png,Frontal,normal
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 no pneumothorax,1. Right sided pleural effusion.,3090_IM-1445-1001.dcm.png,Frontal,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 sternotomy are intact the pulmonary 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.,3091_IM-1445-1001.dcm.png,Frontal,cardiomegaly
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",,lungs are hyperexpanded bullae are present in the upper lobes no focal infiltrates heart size normal,Findings of COPD. No acute findings.,3093_IM-1446-1001.dcm.png,Frontal,hyperdistention
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.,3094_IM-1447-2001.dcm.png,Frontal,hypoinflation
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.,3095_IM-1448-1001.dcm.png,Frontal,cardiomegaly
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 nodules are seen no pneumothorax or pleural effusion is seen no focal airspace disease is identified,1. No evidence of active disease.,3097_IM-1449-1001.dcm.png,Frontal,calcinosis
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.,3098_IM-1450-1001.dcm.png,Frontal,normal
3099,Calcinosis/lung/hilum/left,Calcinosis,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old male with XXXX.,,lungs are clear without focal consolidation effusion or pneumothorax normal heart size bony thorax and soft tissues grossly unremarkable calcified left hilar,Negative for acute cardiopulmonary abnormality.,3099_IM-1450-1001.dcm.png,Frontal,calcinosis
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",,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.,3100_IM-1452-1001.dcm.png,Frontal,hyperdistention
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.,3101_IM-1453-1001.dcm.png,Frontal,tortuous
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.,3102_IM-1454-1001.dcm.png,Frontal,normal
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.,3105_IM-1456-1001.dcm.png,Frontal,normal
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.,3106_IM-1456-1001.dcm.png,Frontal,normal
3108,Airspace Disease/lung/lower lobe/right;Pneumonia/lower lobe/right,Airspace Disease;Pneumonia,Xray Chest PA and Lateral,",486",,there is 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 appear normal mediastinal contours are normal,The right lower lobe pneumonia,3108_IM-1457-1001.dcm.png,Frontal,pneumonia
3108,Airspace Disease/lung/lower lobe/right;Pneumonia/lower lobe/right,Airspace Disease;Pneumonia,Xray Chest PA and Lateral,",486",,there is 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 appear normal mediastinal contours are normal,The right lower lobe pneumonia,3108_IM-1457-12001.dcm.png,Frontal,pneumonia
3109,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, XXXX.",,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.,3109_IM-1458-1001.dcm.png,Frontal,normal
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.,3110_IM-1460-1001.dcm.png,Frontal,degenerative
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 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.,3111_IM-1461-1001.dcm.png,Frontal,cardiomegaly
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.,3112_IM-1461-1001.dcm.png,Frontal,normal
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.,3113_IM-1462-1001.dcm.png,Frontal,atherosclerosis
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.,3115_IM-1463-1001.dcm.png,Frontal,normal
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.,3116_IM-1464-1001.dcm.png,Frontal,effusion
3117,normal,normal,"Chest 2 views, XXXX, XXXX.",Kidney XXXX.,None.,heart size is normal the lungs and costophrenic are clear the bony thorax is grossly intact,Normal chest.,3117_IM-1465-1001.dcm.png,Frontal,normal
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.,3118_IM-1466-1001.dcm.png,Frontal,granulomatous
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. .,3119_IM-1466-1001.dcm.png,Frontal,normal
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 ageindeterminate,"1. No acute cardiopulmonary abnormalities. Specifically, no pneumothorax. 2. Fractures of the posterior left 4th, 5th, and 6th ribs, age-indeterminate.",3120_IM-1466-1001.dcm.png,Frontal,fracture
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.,3121_IM-1466-1001.dcm.png,Frontal,degenerative
3122,normal,normal,Xray Chest PA and Lateral,Throat pain,,the cardiomediastinal silhouette is normal size and configuration pulmonary vasculature within normal limits the lungs are wellaerated there is no pneumothorax pleural effusion or focal consolidation,No acute cardiopulmonary disease. .,3122_IM-1467-1001.dcm.png,Frontal,normal
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 sternotomy and bypass graft are identified in the lungs are grossly clear right pleural thickening versus 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.,3123_IM-1468-1001.dcm.png,Frontal,cardiomegaly
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.,3125_IM-1469-1001.dcm.png,Frontal,normal
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.,3126_IM-1470-1001.dcm.png,Frontal,normal
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 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.,3128_IM-1471-1001.dcm.png,Frontal,granulomatous
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.,3129_IM-1471-3001.dcm.png,Frontal,tortuous
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 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.",3130_IM-1472-1001.dcm.png,Frontal,cardiomegaly
3131,normal,normal,PA and Lateral of the Chest ,XXXX-year-old from XXXX XXXX with clubbing of the XXXX.,,no focal consolidation no visualized pneumothorax no large pleural effusions the heart size and cardiomediastinal silhouette are grossly unremarkable,1. No acute cardiopulmonary findings.,3131_IM-1473-1001.dcm.png,Frontal,normal
3132,normal,normal,Xray Chest PA and Lateral,XXXX-year-old XXXX with preoperative examination. Rule out TB.,,the and soft tissue appear normal the cardiac silhouette and mediastinum size are normal the aortic is on the left the trachea is well seen and appears normal the lungs are clear,Unremarkable chest study. .,3132_IM-1473-1001.dcm.png,Frontal,normal
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",,lungs appear clear heart and pulmonary appear normal pleural spaces are clear mediastinal contours are normal no pneumothorax,No acute cardiopulmonary disease,3134_IM-1474-1001.dcm.png,Frontal,normal
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.,3135_IM-1474-1001.dcm.png,Frontal,normal
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.,3136_IM-1475-1001.dcm.png,Frontal,normal
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,,the trachea is midline cardiomediastinal silhouette is normal there is a calcified density in the left mid lung most 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.,3137_IM-1476-1001.dcm.png,Frontal,calcinosis
3138,normal,normal,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ",positive ppd,,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.,3138_IM-1476-1001.dcm.png,Frontal,normal
3139,normal,normal,Xray Chest PA and Lateral,"XXXX-year-old male, history of tobacco use.",,no focal areas of consolidation no pleural effusions no evidence of pneumothorax heart size within normal limits osseous structures intact,No acute cardiopulmonary abnormality. .,3139_IM-1476-1001.dcm.png,Frontal,normal
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,3141_IM-1477-1001.dcm.png,Frontal,normal
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 theyre stable tortuosity of the aorta there is no acute pulmonary consolidation large effusion or pneumothorax,No acute process. Stable cardiomegaly.,3142_IM-1477-2001.dcm.png,Frontal,cardiomegaly
3143,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",dizziness,none,and lateral chest examination was obtained the heart silhouette is normal in size and contour aortic appear unremarkable lungs demonstrate no acute findings there is no effusion or pneumothorax,1. No acute pulmonary disease.,3143_IM-1477-1001.dcm.png,Frontal,normal
3144,normal,normal,TWO-VIEW CHEST (AP/PA and lateral): XXXX.,XXXX-year-old male with palpitations and tachycardia.,,and lateral views of the chest were obtained on the lung volumes are normal the lungs are clear and there are no pleural effusions the mediastinum and pulmonary are normal the bony elements are not remarkable,No acute cardiopulmonary abnormalities are seen. END OF REPORT.,3144_IM-1478-1001.dcm.png,Frontal,normal
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.,3146_IM-1479-1001.dcm.png,Frontal,normal
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 .,3147_IM-1480-1001.dcm.png,Frontal,normal
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.,3148_IM-1480-1001.dcm.png,Frontal,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.,3149_IM-1480-1001.dcm.png,Frontal,hyperdistention
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 opacities in the left lower lobe of the lung which are most dependent atelectasis there is no pneumothorax visualized bony structures reveal no acute abnormalities,"Left base focal atelectasis, no infiltrates that would suggest active tuberculosis.",3150_IM-1482-3001.dcm.png,Frontal,opacity
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 bilateral opacities most notable in the left upper lobe 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.",3152_IM-1484-1001.dcm.png,Frontal,opacity
3155,Cardiomegaly/mild;Heart Atria/right/enlarged,Cardiomegaly;Heart Atria,Xray Chest PA and Lateral,"XXXX-year-old male, pain",,heart size mildly enlarged with enlarged right atrium no focal alveolar consolidation no definite pleural effusion seen no pneumothorax,"Cardiomegaly, no acute pulmonary findings",3155_IM-1486-1001.dcm.png,Frontal,cardiomegaly
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.",3156_IM-1486-1001.dcm.png,Frontal,normal
3157,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",XXXX.,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,3157_IM-1487-1001.dcm.png,Frontal,normal
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 opacities are present whose appearance 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.,3158_IM-1487-1001.dcm.png,Frontal,cardiomegaly
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 pedicleupper mediastinal contour mild central vascular congestion no overt edema or confluent lobar pneumonia no pleural effusion thoracic spondylosis,"No acute findings, see above.",3159_IM-1487-1001-0001.dcm.png,Frontal,cardiomegaly
3163,normal,normal,CHEST 2V FRONTAL/LATERAL ,Dyspnea,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,3163_IM-1488-1001.dcm.png,Frontal,normal
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 leftsided intravenous catheter no pneumothorax opacities obscuring the hemidiaphragms slightly improved from prior exam rightsided rib fractures again noted,"Mildly improved XXXX XXXX opacities, which may represent atelectasis, infiltrate and/or pleural effusions.",3165_IM-1490-13013.dcm.png,Frontal,opacity
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.,3166_IM-1491-2001.dcm.png,Frontal,granulomatous
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.,3167_IM-1491-1001.dcm.png,Frontal,normal
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.,3168_IM-1492-1001.dcm.png,Frontal,fracture
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 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.",3169_IM-1492-2001.dcm.png,Frontal,hyperdistention
3170,Aorta/tortuous;Sclerosis/thoracic vertebrae,Aorta;Sclerosis,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX ",pt w/ sacroiliitis,,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.,3170_IM-1494-1001.dcm.png,Frontal,tortuous
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. .,3173_IM-1495-2002.dcm.png,Frontal,normal
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 pleuralparenchymal scarring and upward retraction of the similar to the prior study there are multiple reticularnodular opacities in the upper lobes bilaterally which appear grossly stable from the prior study there is no evidence of 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. .,3174_IM-1496-4004.dcm.png,Frontal,opacity
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 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 are unremarkable,1. No acute cardiopulmonary abnormality. 2. No evidence of tuberculosis.,3175_IM-1497-1001.dcm.png,Frontal,opacity
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.,3176_IM-1497-1001.dcm.png,Frontal,normal
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.,3177_IM-1497-1001.dcm.png,Frontal,hyperdistention
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.,3180_IM-1500-3001.dcm.png,Frontal,normal
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.,3181_IM-1500-1001.dcm.png,Frontal,normal
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 30 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.,3182_IM-1501-0001-0001.dcm.png,Frontal,nodule
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.,3183_IM-1502-1001.dcm.png,Frontal,normal
3184,Aorta/tortuous/mild;Osteophyte/thoracic vertebrae/multiple,Aorta;Osteophyte,Xray Chest PA and Lateral,"Morbid obesity, hypertension",None available.,the aortic 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 tspine osteophytes large body habitus,No acute cardiopulmonary abnormality.,3184_IM-1503-1001.dcm.png,Frontal,tortuous
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 are clear there are no soft tissue or bony abnormalities there is no pneumothorax or pleural effusion,No acute cardiopulmonary process.,3185_IM-1503-1001.dcm.png,Frontal,normal
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.",3186_IM-1503-1001.dcm.png,Frontal,hypoinflation
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 and myocardial revascularization cardiac size remains mildly enlarged but stable there is mild vascular congestion small bilateral pleural effusions are present which are,"Mild pulmonary vascular congestion, with XXXX XXXX bilateral effusions. Constellation findings is most compatible with congestive heart failure.",3187_IM-1503-1001.dcm.png,Frontal,cardiomegaly
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.,3189_IM-1505-1001.dcm.png,Frontal,hypoinflation
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.,3191_IM-1505-1001.dcm.png,Frontal,cardiomegaly
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 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.",3192_IM-1505-1001.dcm.png,Frontal,emphysema
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.,3193_IM-1505-1001.dcm.png,Frontal,hyperdistention
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 are intact,No acute cardiopulmonary abnormalities.,3194_IM-1505-1001.dcm.png,Frontal,normal
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.,3195_IM-1506-0001-0002.dcm.png,Frontal,opacity
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.,3196_IM-1507-1001.dcm.png,Frontal,normal
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 .,3199_IM-1510-1001.dcm.png,Frontal,normal
3201,Lung/hypoinflation,Lung," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM",difficulty swallowing,,lung volumes are low no focal infiltrates heart size normal mediastinum normal,Hypoinflation with no visible active cardiopulmonary disease.,3201_IM-1513-1001.dcm.png,Frontal,hypoinflation
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.,3202_IM-1513-1001.dcm.png,Frontal,fracture
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.,3203_IM-1513-1001.dcm.png,Frontal,normal
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.,3204_IM-1513-1001.dcm.png,Frontal,atherosclerosis
3205,normal,normal,"Chest x-XXXX, 2 views dated XXXX ","XXXX-year-old female, evaluate for rib fractures post XXXX",,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.,3205_IM-1513-1001.dcm.png,Frontal,normal
3206,normal,normal,"Chest x-XXXX, 2 views dated XXXX ",XXXX-year-old female with history of leiomyosarcoma,,heart size is normal no large effusions no focal airspace opacities no pneumothorax,No acute cardiopulmonary abnormalities.,3206_IM-1513-1001.dcm.png,Frontal,normal
3207,Cardiac Shadow/enlarged;Cardiomegaly,Cardiac Shadow;Cardiomegaly,Xray Chest PA and Lateral,Heart flutter,,theres been interval enlargement in the cardiac silhouette these 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.,3207_IM-1514-1001.dcm.png,Frontal,cardiomegaly
3208,normal,normal,Xray Chest PA and Lateral,XXXX-year-old female with chest pain,,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.,3208_IM-1515-1001.dcm.png,Frontal,normal
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.,3209_IM-1515-1001.dcm.png,Frontal,normal
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.,3210_IM-1517-1001.dcm.png,Frontal,normal
3211,Atherosclerosis/aorta;Kyphosis;Arthritis;Pleural Effusion/bilateral/small,Atherosclerosis;Kyphosis;Arthritis;Pleural Effusion,Xray Chest PA and Lateral,XXXX XXXX intake increasing weakness.,,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 deformity that is not wellcharacterized arthritic changes are seen,1. Probable small bilateral pleural effusions. 2. Possible lower thoracic XXXX deformity not well characterized on today's study.,3211_IM-1517-1001-0002.dcm.png,Frontal,effusion
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.,3212_IM-1517-1001.dcm.png,Frontal,normal
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 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.,3214_IM-1519-1001.dcm.png,Frontal,cardiomegaly
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.,3216_IM-1520-1001.dcm.png,Frontal,normal
3218,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",cp,XXXX,and lateral chest examination was obtained the heart silhouette is normal in size and contour aortic 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.,3218_IM-1520-1001.dcm.png,Frontal,normal
3218,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",cp,XXXX,and lateral chest examination was obtained the heart silhouette is normal in size and contour aortic 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.,3218_IM-1520-3001.dcm.png,Frontal,normal
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.,3220_IM-1522-1001.dcm.png,Frontal,normal
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..,3221_IM-1522-1002.dcm.png,Frontal,normal
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.,3222_IM-1522-1001.dcm.png,Frontal,normal
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.,3223_IM-1523-1001.dcm.png,Frontal,normal
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.,3224_IM-1524-1001.dcm.png,Frontal,normal
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.,3227_IM-1525-1001.dcm.png,Frontal,normal
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.,3229_IM-1526-1001.dcm.png,Frontal,hypoinflation
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 within normal limits persistent right basilar opacity atelectasis no suspicious pulmonary opacity pneumothorax or definite pleural effusion mild degenerative change of the thoracic spine,Persistent stable right basilar atelectasis.,3230_IM-1527-2001.dcm.png,Frontal,opacity
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 pulmonary arterial enlargement visualized on chest in radiographically the findings are grossly stable,1. No acute pulmonary abnormality. 2. Abnormal appearance of the mediastinum as discussed below.,3231_IM-1528-1001.dcm.png,Frontal,tortuous
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.",3232_IM-1529-1001.dcm.png,Frontal,nodule
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 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. .,3233_IM-1530-1001.dcm.png,Frontal,hyperdistention
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 .,3234_IM-1531-1001.dcm.png,Frontal,normal
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.,3235_IM-1532-1001.dcm.png,Frontal,normal
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.,3236_IM-1533-1001.dcm.png,Frontal,normal
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",,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.,3238_IM-1534-1001.dcm.png,Frontal,opacity
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.,3239_IM-1534-1001.dcm.png,Frontal,normal
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.,3240_IM-1534-1001.dcm.png,Frontal,hyperdistention
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.,3242_IM-1534-1001.dcm.png,Frontal,degenerative
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 of a large pleural effusion there is no evidence of pneumothorax heart is not enlarged are unremarkable,"Compared to XXXX, there are XXXX extensive bilateral reticulonodular interstitial opacities, concerning for atypical infection. Result notification XXXX Primordial. .",3243_IM-1535-0001-0001.dcm.png,Frontal,opacity
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 represents tortuous 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. .",3244_IM-1536-1001.dcm.png,Frontal,opacity
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,,,moderate bilateral interstitial edema with cardiomegaly and bilateral effusion consistent with moderate cardiac failure a large calcified right mediastinal adenopathy chronic fungal no pneumothorax,Moderate congestive cardiac failure.,3245_IM-1537-1001.dcm.png,Frontal,cardiomegaly
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,,,moderate bilateral interstitial edema with cardiomegaly and bilateral effusion consistent with moderate cardiac failure a large calcified right mediastinal adenopathy chronic fungal no pneumothorax,Moderate congestive cardiac failure.,3245_IM-1537-4001.dcm.png,Frontal,cardiomegaly
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 examination consists of frontal and lateral radiographs of the chest again seen is evidence of prior cabg the cardiomediastinal contours are unchanged right and left pleural effusions there is right greater than left bibasilar atelectasis blines seen at the lung bases no consolidation or pneumothorax,"XXXX XXXX bilateral pleural effusions, right larger than left. Early interstitial show pulmonary edema.",3249_IM-1539-1001.dcm.png,Frontal,effusion
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 tspine osteophytes and dish,Moderate hiatal hernia. No definite pneumonia.,3250_IM-1540-1001-0002.dcm.png,Frontal,tortuous
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 etiology not determined this is noncalcified and is stable since a ct examination from and is benign etiology the lungs are well inflated and without focal consolidation the cardiomediastinal silhouette appears unremarkable costophrenic clear visualized spine vertebrae appear normal in and alignment overlying leads,Stable radiographic view of chest.,3251_IM-1541-1001.dcm.png,Frontal,nodule
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 of the chest are within normal limits,No acute cardiopulmonary abnormality. .,3252_IM-1542-1001.dcm.png,Frontal,normal
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.,3253_IM-1542-1001.dcm.png,Frontal,normal
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 are intact,No acute cardiopulmonary abnormalities.,3254_IM-1543-1001.dcm.png,Frontal,normal
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.,3256_IM-1543-1001.dcm.png,Frontal,cardiomegaly
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 are unremarkable,No acute cardiopulmonary process. .,3258_IM-1544-1001.dcm.png,Frontal,normal
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.,3259_IM-1545-1001.dcm.png,Frontal,opacity
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.,,1 cardiomegaly andor pericardial effusion 2 right base opacity combination of pleural effusion and atelectasisairspace 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,,3260_IM-1547-1001.dcm.png,Frontal,cardiomegaly
3261,normal,normal, and lateral chest. ,"iritis, rule out sarcoidosis",None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest No evidence of sarcoidosis.,3261_IM-1547-1001.dcm.png,Frontal,normal
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.,3262_IM-1548-1001.dcm.png,Frontal,normal
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.,3262_IM-1548-3001.dcm.png,Frontal,normal
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 fracturedislocation there are degenerative changes with medial compartment osteophytes there is no suprapatellar effusion there is a,"Chest: No acute cardiopulmonary finding. Left knee: Minimal degenerative changes, however no acute bony abnormality.",3263_IM-1549-1001.dcm.png,Frontal,normal
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 fracturedislocation there are degenerative changes with medial compartment osteophytes there is no suprapatellar effusion there is a,"Chest: No acute cardiopulmonary finding. Left knee: Minimal degenerative changes, however no acute bony abnormality.",3263_IM-1549-3001.dcm.png,Frontal,normal
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.,3265_IM-1551-1001.dcm.png,Frontal,normal
3266,normal,normal,Xray Chest PA and Lateral,Neck pain,,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.,3266_IM-1551-1001.dcm.png,Frontal,normal
3267,normal,normal,"Chest 2 views dated XXXX, XXXX.","XXXX, transfer patient",None.,the 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.,3267_IM-1551-1001.dcm.png,Frontal,normal
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 are intact,No acute cardiopulmonary abnormalities.,3268_IM-1551-1001.dcm.png,Frontal,normal
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.,3269_IM-1552-1001.dcm.png,Frontal,normal
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. .,3270_IM-1552-1001.dcm.png,Frontal,degenerative
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..,3271_IM-1552-1001.dcm.png,Frontal,normal
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 opacities are present in both lower lobes old rib fractures and pleural thickening are present on the right heart and pulmonary are normal,Hypoinflation with bibasilar focal atelectasis.,3272_IM-1553-1001.dcm.png,Frontal,opacity
3273,"Cardiomegaly;Aorta, Thoracic/tortuous/mild","Cardiomegaly;Aorta, Thoracic","Chest x-XXXX XXXX and lateral, XXXX ","XXXX-year-old male, chest pain and dyspnea",,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.,3273_IM-1554-1001.dcm.png,Frontal,cardiomegaly
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.,3275_IM-1556-1002001.dcm.png,Frontal,degenerative
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.,3275_IM-1556-1003002.dcm.png,Frontal,degenerative
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.,,cardiomediastinal silhouettes are within normal limits lungs are without focal consolidation pneumothorax or pleural effusion calcified left hilar lymph a calcified granuloma is seen in the left lower lobe bony thorax is unremarkable,No acute cardiopulmonary abnormalities.,3277_IM-1558-1001.dcm.png,Frontal,calcinosis
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.,3279_IM-1560-1001.dcm.png,Frontal,normal
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.,3280_IM-1561-2001.dcm.png,Frontal,opacity
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 and soft tissues are unremarkable,"1. Right upper lobe pulmonary nodule, XXXX granuloma.",3281_IM-1562-1001.dcm.png,Frontal,nodule
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 and soft tissues are unremarkable,"1. Right upper lobe pulmonary nodule, XXXX granuloma.",3281_IM-1562-3001.dcm.png,Frontal,nodule
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.,3282_IM-1563-2001.dcm.png,Frontal,hypoinflation
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..",3283_IM-1564-1001.dcm.png,Frontal,normal
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.,3284_IM-1565-20001.dcm.png,Frontal,normal
3285,normal,normal,Chest X-XXXX 2 XXXX ,"XXXX, XXXX, dyspnea",,the lungs are clear the cardiomediastinal silhouette is within normal limits no pneumothorax or pleural effusion,Negative chest .,3285_IM-1566-1001.dcm.png,Frontal,normal
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 are engorged no infiltrates opacity is present in the left midlung,Hypoinflation with cardiomegaly and pulmonary venous hypertension. Left mid lung focal atelectasis.,3286_IM-1567-1001.dcm.png,Frontal,cardiomegaly
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..,3288_IM-1569-1001.dcm.png,Frontal,normal
3289,normal,normal, PA and lateral chest. XXXX. ,Syncope.,,normal cardiac size and contour unremarkable mediastinal silhouette normal pulmonary lungs clear no airspace disease pleural effusion or pneumothorax,No active or acute cardiopulmonary disease.,3289_IM-1570-1001.dcm.png,Frontal,normal
3291,normal,normal,Xray Chest PA and Lateral,INDICATION: EVALUATE FOR metastatic DISEASE;,,the lungs are clear the heart and pulmonary are normal the pleural spaces are clear mediastinal contours are normal,No acute cardiopulmonary disease,3291_IM-1572-1001.dcm.png,Frontal,normal
3292,Opacity/lung/middle lobe/right;Opacity/lung/lower lobe/right,Opacity;Opacity,PA and lateral views of the chest ,Chest pain,,mediastinal contours are normal opacity within the right middle and lower lobes no displacement of the or fissure no pneumothorax,Opacification of the right middle and lower lobes.,3292_IM-1572-1001.dcm.png,Frontal,opacity
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.,3294_IM-1573-1001.dcm.png,Frontal,tortuous
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. .,3296_IM-1575-1001-0001.dcm.png,Frontal,calcinosis
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.,3297_IM-1575-1001.dcm.png,Frontal,emphysema
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.,3298_IM-1575-1001.dcm.png,Frontal,normal
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.,3299_IM-1575-1001.dcm.png,Frontal,hypoinflation
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 bilaterallythere 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 biliary stent,No acute cardiopulmonary abnormality.,3300_IM-1578-1001.dcm.png,Frontal,tortuous
3301,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.,3301_IM-1579-1001.dcm.png,Frontal,normal
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.,3302_IM-1579-1001.dcm.png,Frontal,hypoinflation
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 16 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.",3303_IM-1580-3001.dcm.png,Frontal,opacity
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.,,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.,3305_IM-1581-4001.dcm.png,Frontal,opacity
3307,normal,normal,Xray Chest PA and Lateral,Chest pain,,the cardiomediastinal silhouette is normal size and configuration pulmonary vasculature within normal limits the lungs are wellaerated there is no pneumothorax pleural effusion or focal consolidation,No acute cardiopulmonary disease. .,3307_IM-1582-1002001.dcm.png,Frontal,normal
3307,normal,normal,Xray Chest PA and Lateral,Chest pain,,the cardiomediastinal silhouette is normal size and configuration pulmonary vasculature within normal limits the lungs are wellaerated there is no pneumothorax pleural effusion or focal consolidation,No acute cardiopulmonary disease. .,3307_IM-1582-1003002.dcm.png,Frontal,normal
3307,normal,normal,Xray Chest PA and Lateral,Chest pain,,the cardiomediastinal silhouette is normal size and configuration pulmonary vasculature within normal limits the lungs are wellaerated there is no pneumothorax pleural effusion or focal consolidation,No acute cardiopulmonary disease. .,3307_IM-1582-1004003.dcm.png,Frontal,normal
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.,3309_IM-1583-1001.dcm.png,Frontal,normal
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.,3311_IM-1586-1001.dcm.png,Frontal,normal
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.,3312_IM-1586-1001.dcm.png,Frontal,pneumonia
3313,Spine/degenerative,Spine,"PA and lateral views of the chest XXXX, XXXX XXXX XXXX ",XXXX,,lungs are clear no pleural effusions or pneumothoraces heart and mediastinum of normal size and contour degenerative changes in the spine,Clear lungs.,3313_IM-1586-1001.dcm.png,Frontal,degenerative
3314,normal,normal," XXXX and lateral chest XXXX, XXXX XXXX comparison XXXX ",XXXX,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest.,3314_IM-1586-1001.dcm.png,Frontal,normal
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.,3315_IM-1586-1001.dcm.png,Frontal,normal
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.,3316_IM-1586-1001.dcm.png,Frontal,emphysema
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 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.,3317_IM-1587-1001.dcm.png,Frontal,normal
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.,3318_IM-1587-1001.dcm.png,Frontal,granulomatous
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.,3319_IM-1588-1001.dcm.png,Frontal,degenerative
3321,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM",SYNCOPE,none,and lateral chest examination was obtained the heart silhouette is normal in size and contour aortic appear unremarkable lungs demonstrate no acute findings there is no effusion or pneumothorax,1. No acute pulmonary disease.,3321_IM-1588-1001.dcm.png,Frontal,normal
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 patients known large breast mass the appearance is grossly stable to decreased from prior study the lateral projection is suboptimal as patient could not raise there is no pleural effusion,Redemonstration of right chest wall mass compatible with patient's known breast carcinoma.,3324_IM-1590-1001.dcm.png,Frontal,atherosclerosis
3325,normal,normal,CHEST 2V FRONTAL/LATERAL ,XXXX,,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,3325_IM-1591-1001.dcm.png,Frontal,normal
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.",3327_IM-1593-2001.dcm.png,Frontal,opacity
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 are intact,No acute cardiopulmonary abnormalities.,3329_IM-1594-1001.dcm.png,Frontal,normal
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.,3330_IM-1594-1001.dcm.png,Frontal,normal
3331,Calcified Granuloma/lung/lower lobe/right;Spine/degenerative,Calcified Granuloma;Spine,PA and lateral chest x-XXXX XXXX at XXXX hours. ,XXXX,,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.,3331_IM-1595-1001.dcm.png,Frontal,degenerative
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 are intact,No acute cardiopulmonary abnormalities.,3332_IM-1596-1001.dcm.png,Frontal,hypoinflation
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 pulmonary bronchi are unremarkable,Normal chest radiograph.,3333_IM-1597-1001.dcm.png,Frontal,normal
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.,3335_IM-1598-1001.dcm.png,Frontal,degenerative
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 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 ageindeterminate leftsided 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.,3336_IM-1598-1001.dcm.png,Frontal,degenerative
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 since the abdomen ct left and right knees spaces and soft tissues are normal,1. Chest. No active disease. 2. Left and right knees negative.,3337_IM-1598-1001.dcm.png,Frontal,calcinosis
3339,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, chest pain, syncope.",,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.,3339_IM-1599-1001.dcm.png,Frontal,normal
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 minimal 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.,3340_IM-1601-1001.dcm.png,Frontal,hyperdistention
3341,normal,normal, PA and lateral chest. ,COPD.,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,3341_IM-1602-1001.dcm.png,Frontal,normal
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 infiltrates heart size remains large tracheostomy tube remains in the trachea a right central line has its tip at the superior,Persistent cardiomegaly and patchy bibasilar interstitial disease.,3342_IM-1603-1001.dcm.png,Frontal,cardiomegaly
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.,3343_IM-1603-1001.dcm.png,Frontal,normal
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.,3345_IM-1603-1001.dcm.png,Frontal,normal
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..,3346_IM-1604-1001.dcm.png,Frontal,normal
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 are visualized on the lateral projection in the region of the expected location of the mitral valve sternotomy noted,1. No acute pulmonary abnormality.,3347_IM-1605-4004.dcm.png,Frontal,hypoinflation
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 are intact,No acute cardiopulmonary abnormalities. Stable cardiomegaly.,3348_IM-1605-1001.dcm.png,Frontal,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.,3349_IM-1606-1001.dcm.png,Frontal,hyperdistention
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 of a large pleural effusion there is no evidence of pneumothorax,There is no evidence of acute cardiopulmonary disease. .,3350_IM-1607-0001-0001.dcm.png,Frontal,normal
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.,3352_IM-1608-1001.dcm.png,Frontal,normal
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.,3354_IM-1609-1001.dcm.png,Frontal,hyperdistention
3355,Lung/hyperdistention,Lung,PA and lateral chest x-XXXX ,XXXX-year-old female with workup for XXXX loss and history tobacco use.,,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.,3355_IM-1609-1001.dcm.png,Frontal,hyperdistention
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.,3359_IM-1612-3001.dcm.png,Frontal,normal
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.,3359_IM-1612-4001.dcm.png,Frontal,normal
3361,normal,normal,PA and lateral chest x-XXXX ,XXXX-year-old male 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.,3361_IM-1614-1001.dcm.png,Frontal,normal
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.,3362_IM-1615-1001.dcm.png,Frontal,normal
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 opacities in the lung bases there are fragments overlying the posterior left chest right neck base and fragments in the left costophrenic there is no pleural effusion or pneumothorax,"XXXX bullet fragments, as described above. No evidence of acute parenchymal abnormality.",3363_IM-1616-1001.dcm.png,Frontal,opacity
3365,normal,normal,"Chest x-XXXX, 2 views dated XXXX ",XXXX-year-old male with chest pain,,no large pleural effusions no pneumothorax no focal airspace opacities heart size is normal,No acute cardiopulmonary abnormalities.,3365_IM-1618-1001.dcm.png,Frontal,normal
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,,3368_IM-1620-0001-0002.dcm.png,Frontal,hypoinflation
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.,3369_IM-1621-1001.dcm.png,Frontal,opacity
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.,3370_IM-1622-2001.dcm.png,Frontal,normal
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 noted,No acute abnormality.,3371_IM-1623-1001.dcm.png,Frontal,calcinosis
3373,normal,normal,"PA and Lateral Chest Radiograph XXXX, XXXX at XXXX p.m. ",XXXX-year-old male with shortness of breath,,the heart is normal size the mediastinum is unremarkable there is no pleural effusion pneumothorax or focal airspace disease the are unremarkable,No acute cardiopulmonary abnormality.,3373_IM-1623-1001.dcm.png,Frontal,normal
3374,Nodule/lung/lower lobe/left,Nodule," CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX",recurrent pneumonia,,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 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.,3374_IM-1624-1001.dcm.png,Frontal,nodule
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.,3375_IM-1624-1001.dcm.png,Frontal,degenerative
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.,3375_IM-1624-1002.dcm.png,Frontal,degenerative
3377,normal,normal,Xray Chest PA and Lateral,"XXXX for 2 XXXX, XXXX",,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.,3377_IM-1626-1002001.dcm.png,Frontal,normal
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 rightsided pneumothorax measuring approximately 33 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.,3378_IM-1627-1001.dcm.png,Frontal,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.,3379_IM-1627-2001.dcm.png,Frontal,cardiomegaly
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.,,the heart pulmonary 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.,3380_IM-1628-1001.dcm.png,Frontal,degenerative
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. .,3382_IM-1629-0001-0001.dcm.png,Frontal,effusion
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.,3384_IM-1631-1001.dcm.png,Frontal,normal
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,3385_IM-1632-1001.dcm.png,Frontal,normal
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,3386_IM-1633-1001.dcm.png,Frontal,normal
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 opacity of the right base compared to the left which may minimal right basilar airspace disease in the right middle lobe the left lung is clear no pneumothorax or effusion identified,"Minimal right basilar airspace disease, XXXX right middle lobe.",3387_IM-1633-1001.dcm.png,Frontal,opacity
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 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.,3388_IM-1633-1001.dcm.png,Frontal,calcinosis
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.,3390_IM-1636-1001.dcm.png,Frontal,normal
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.,3390_IM-1636-3001.dcm.png,Frontal,normal
3392,normal,normal,PA and lateral views of the chest ,Unavailable,,mediastinal contours are normal lungs are clear there is no pneumothorax or large pleural effusion,No acute cardiopulmonary abnormality.,3392_IM-1637-1001.dcm.png,Frontal,normal
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.",3393_IM-1637-1001.dcm.png,Frontal,tortuous
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,3398_IM-1642-4004.dcm.png,Frontal,degenerative
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.,3400_IM-1644-1001.dcm.png,Frontal,normal
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 granulomaslymph a bullet is present in the posterior soft tissues of the left chest wall stable compared to prior examination,No acute cardiopulmonary abnormality..,3401_IM-1645-1001.dcm.png,Frontal,calcinosis
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.,3403_IM-1647-1001.dcm.png,Frontal,normal
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.,3405_IM-1647-1001.dcm.png,Frontal,degenerative
3407,Calcified Granuloma/multiple;Thoracic Vertebrae/degenerative,Calcified Granuloma;Thoracic Vertebrae,"PA and Lateral Chest. XXXX, XXXX ",Altered mental status,"XXXX, XXXX",intact sternotomy and cabg markers calcified granulomas heart size is normal no focal airspace consolidation suspicious pulmonary opacity pneumothorax or pleural effusion tspine degenerative changes,Postsurgical changes of CABG without acute cardiopulmonary abnormality.,3407_IM-1647-1001.dcm.png,Frontal,degenerative
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.,3408_IM-1648-1001.dcm.png,Frontal,fracture
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 and left small granuloma,XXXX change. COPD with no acute disease.,3410_IM-1648-1001.dcm.png,Frontal,hyperdistention
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 opacities in the right mid lung 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.",3411_IM-1649-0001-0001.dcm.png,Frontal,opacity
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.,3413_IM-1650-1001.dcm.png,Frontal,normal
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.,3414_IM-1650-1001.dcm.png,Frontal,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 superimposed structures no focal area of consolidation pleural effusion or pneumothorax mild bibasilar atelectasis,1. No acute radiographic cardiopulmonary process.,3415_IM-1650-1001.dcm.png,Frontal,degenerative
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 of the cardiomediastinal silhouette is unremarkable no suspicion bony destruction identified,No acute cardiopulmonary abnormality.,3416_IM-1651-0001-0001.dcm.png,Frontal,calcinosis
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.,3417_IM-1652-1001.dcm.png,Frontal,cardiomegaly
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.,3420_IM-1656-1001.dcm.png,Frontal,normal
3421,"Aorta, Thoracic/tortuous/mild;Diaphragm/right/elevated/mild","Aorta, Thoracic;Diaphragm",2 views chest XXXX,174.6,,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.,3421_IM-1656-1001.dcm.png,Frontal,tortuous
3422,normal,normal, PA lateral chest. ,XXXX.,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,3422_IM-1656-1001.dcm.png,Frontal,normal
3423,Aorta/tortuous;Thoracic Vertebrae/degenerative,Aorta;Thoracic Vertebrae,Xray Chest PA and Lateral,Preop right breast surgery,,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.",3423_IM-1656-1001.dcm.png,Frontal,tortuous
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 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.,3426_IM-1656-1001.dcm.png,Frontal,degenerative
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 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 .,3427_IM-1657-1001.dcm.png,Frontal,normal
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 tspine 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.,3428_IM-1657-1001.dcm.png,Frontal,tortuous
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.,3429_IM-1657-1001.dcm.png,Frontal,hypoinflation
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 duallumen catheter near the caval atrial junction mild vascular cephalization no definite interstitial changes of pulmonary edema no focal alveolar consolidation no pleural effusion demonstrated,1. Mild to moderate cardiomegaly. 2. Vascular redistribution without definite findings of pulmonary edema,3430_IM-1659-4004.dcm.png,Frontal,cardiomegaly
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.,3431_IM-1660-1001.dcm.png,Frontal,normal
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,,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.,3432_IM-1661-1001.dcm.png,Frontal,cardiomegaly
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.,3433_IM-1662-1001.dcm.png,Frontal,normal
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.,3436_IM-1663-1001.dcm.png,Frontal,hyperdistention
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 are intact,No acute cardiopulmonary abnormalities.,3438_IM-1664-1001.dcm.png,Frontal,normal
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.,3439_IM-1664-1001.dcm.png,Frontal,normal
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.,3441_IM-1666-1001.dcm.png,Frontal,normal
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.,3442_IM-1667-1001.dcm.png,Frontal,opacity
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 is intact,1. Negative for acute cardiopulmonary findings.,3445_IM-1668-1001.dcm.png,Frontal,normal
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.,3446_IM-1669-1001.dcm.png,Frontal,normal
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 represents old granulomatous disease no acute bony abnormalities,Hyperexpanded lungs with no focal airspace disease.,3448_IM-1671-3001.dcm.png,Frontal,hyperdistention
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.,3450_IM-1673-1001.dcm.png,Frontal,normal
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 lymph are seen a small rightsided 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.,3451_IM-1674-1001.dcm.png,Frontal,effusion
3452,normal,normal, PA and lateral views of the Chest on XXXX ,XXXX,,heart size and pulmonary vascularity within normal limits no focal infiltrate pneumothorax or pleural effusion identified,No acute cardiopulmonary disease.,3452_IM-1675-1001.dcm.png,Frontal,normal
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 large unremarkable no large pleural effusion,XXXX pulmonary edema and left basilar atelectasis/airspace disease.,3455_IM-1677-1001.dcm.png,Frontal,cardiomegaly
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.",3456_IM-1678-1001.dcm.png,Frontal,hypoinflation
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 are normal the pleural spaces are clear mediastinal contours are normal,No acute cardiopulmonary disease,3458_IM-1678-1001.dcm.png,Frontal,normal
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 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.,3459_IM-1679-1001.dcm.png,Frontal,granulomatous
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.,3460_IM-1681-1001.dcm.png,Frontal,normal
3461,normal,normal,Chest 2 views. ,Persistent XXXX.,None.,clear lungs no pneumothorax no pleural effusion normal heart trachea is midline,Normal chest exam.,3461_IM-1682-1001.dcm.png,Frontal,normal
3465,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",cp,,lungs are clear no pleural effusions or pneumothoraces heart and mediastinum of normal size and contour,Clear lungs.,3465_IM-1683-1001.dcm.png,Frontal,normal
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,Findings most suggestive of infectious or reactive small airways disease. No focal pneumonia.,3466_IM-1683-1001.dcm.png,Frontal,opacity
3467,"Calcinosis/aorta, thoracic",Calcinosis,Xray Chest PA and Lateral,,,the lungs are clear the heart and pulmonary 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.,3467_IM-1684-0001-0001.dcm.png,Frontal,calcinosis
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 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.",3468_IM-1684-0001-0003.dcm.png,Frontal,opacity
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 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.",3468_IM-1684-0001-0004.dcm.png,Frontal,opacity
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 with the tip in the superior no focal infiltrate pneumothorax or pleural effusion is identified,Chronic changes with no acute cardiopulmonary disease.,3469_IM-1685-1001.dcm.png,Frontal,opacity
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.,3470_IM-1686-1001.dcm.png,Frontal,degenerative
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.,3471_IM-1687-2002.dcm.png,Frontal,degenerative
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.,3472_IM-1688-1001.dcm.png,Frontal,normal
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.,3473_IM-1688-2002.dcm.png,Frontal,normal
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.",,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 could represent an ectatic descending aorta or hiatal hernia visualized of the chest are within normal limits degenerative changes demonstrated within the visualized thoracic spine,No acute cardiopulmonary abnormality.,3474_IM-1688-1001.dcm.png,Frontal,hypoinflation
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 .,3475_IM-1688-1001.dcm.png,Frontal,normal
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.,3477_IM-1690-3001.dcm.png,Frontal,normal
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.,,soft tissue neck the airway is no laryngeal edema laryngeal intact cervical spine intact chest the heart is large diffuse parahilar and alveolar consolidations are present bilateral costophrenic blunting is present,1. Soft tissue neck negative. 2. Chest. Heart failure with pulmonary alveolar edema and pleural effusion.,3479_IM-1690-1001.dcm.png,Frontal,cardiomegaly
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.,3481_IM-1692-1001.dcm.png,Frontal,hyperdistention
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.,3482_IM-1692-1001.dcm.png,Frontal,emphysema
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.,3483_IM-1692-1001.dcm.png,Frontal,normal
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 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.,3485_IM-1694-2002.dcm.png,Frontal,hyperdistention
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.,3486_IM-1695-1001.dcm.png,Frontal,degenerative
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.,3487_IM-1696-1001.dcm.png,Frontal,normal
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.,3488_IM-1696-4004.dcm.png,Frontal,degenerative
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,Negative for acute abnormality.,3489_IM-1696-1001.dcm.png,Frontal,normal
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.,3491_IM-1698-1001.dcm.png,Frontal,degenerative
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.,3492_IM-1698-1001.dcm.png,Frontal,hyperdistention
3493,Lung/hypoinflation/mild,Lung,"CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM ","XXXX, edema in XXXX",,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.,3493_IM-1698-1001.dcm.png,Frontal,hypoinflation
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.,3494_IM-1699-1001.dcm.png,Frontal,hypoinflation
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.,3495_IM-1700-1001.dcm.png,Frontal,normal
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.,3495_IM-1700-3001.dcm.png,Frontal,normal
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,,chest a minimally displaced fracture is present on right rib 4 the small amount of pleural fluid is deep to the fracture no pleural air collection both lungs clear and expanded heart and mediastinum normal note of a levoscoliosis of the thoracolumbar spine right shoulder soft tissues and alignment are normal right humerus 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.,3498_IM-1702-1001.dcm.png,Frontal,effusion
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.,3500_IM-1706-1001.dcm.png,Frontal,normal
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. .,3501_IM-1706-1001.dcm.png,Frontal,normal
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 sternotomy surgical clips and cabg markers all of the sternotomy are broken and a fragment at a sternotomy appears to 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.",3502_IM-1707-1001.dcm.png,Frontal,cardiomegaly
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,No acute radiographic cardiopulmonary process.,3503_IM-1707-3001.dcm.png,Frontal,normal
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. .,3504_IM-1707-1001.dcm.png,Frontal,normal
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.,3505_IM-1707-1001.dcm.png,Frontal,normal
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 rightsided loculation biapical scarring and pleural thickening appears stable there is again rightsided superior hilar retraction and mild rightward 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.",3508_IM-1710-1001.dcm.png,Frontal,effusion
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 of right base atelectasis are seen surgical remain in the left lung appears clear,1. Small right pleural effusion. Increased. 2. No pneumothorax is seen. 3. Scattered XXXX of right base atelectasis.,3509_IM-1711-0001-0001.dcm.png,Frontal,effusion
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 of right base atelectasis are seen surgical remain in the left lung appears clear,1. Small right pleural effusion. Increased. 2. No pneumothorax is seen. 3. Scattered XXXX of right base atelectasis.,3509_IM-1711-0001-0003.dcm.png,Frontal,effusion
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.,3513_IM-1715-1001.dcm.png,Frontal,normal
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 are grossly intact degenerative tspine osteophytes,No acute visualized cardiopulmonary abnormality.,3518_IM-1717-1001.dcm.png,Frontal,degenerative
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.",,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.,3519_IM-1717-1001.dcm.png,Frontal,effusion
3521,Bullous Emphysema/lung/apex/bilateral;Thoracic Vertebrae/degenerative,Bullous Emphysema;Thoracic Vertebrae,Xray Chest PA and Lateral,Syncope.,None.,the 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 degenerative changes of the thoracic spine,No evidence of acute cardiopulmonary process.,3521_IM-1719-4001.dcm.png,Frontal,degenerative
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.,3522_IM-1720-1001.dcm.png,Frontal,normal
3524,normal,normal,Chest x-XXXX XXXX and lateral on XXXX at XXXX hours. ,XXXX-year-old male with chest pain involved in MVA.,,the heart size and mediastinal silhouette are within normal limits for contour the lungs are clear no pneumothorax or pleural effusions the are intact,No acute cardiopulmonary abnormalities.,3524_IM-1721-1001.dcm.png,Frontal,normal
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 examination consists of frontal and lateral radiographs of the chest there are diminished lung volumes with 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.,3526_IM-1723-1001.dcm.png,Frontal,hypoinflation
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.,3527_IM-1724-1001.dcm.png,Frontal,normal
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.,3528_IM-1725-2002.dcm.png,Frontal,normal
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 stable mild cardiomegaly normal lung vascularity the lungs are clear,Stable postop changes with stable mild cardiomegaly and normal lung vascularity.,3529_IM-1725-1001.dcm.png,Frontal,cardiomegaly
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.,3531_IM-1726-1001.dcm.png,Frontal,tortuous
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.",3533_IM-1726-1001.dcm.png,Frontal,hyperdistention
3535,normal,normal,Xray Chest PA and Lateral,INDICATION: PAIN; coming to xray XXXX scan.,,the lungs are clear the heart and pulmonary are normal pleural spaces are clear mediastinal contours are normal,No acute cardiopulmonary disease,3535_IM-1728-0001-0002.dcm.png,Frontal,normal
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 right pleural effusion blunting posterior costophrenic there is a of subsegmental atelectasis of the left lung base there is 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.,3536_IM-1729-4004.dcm.png,Frontal,cardiomegaly
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,No acute cardiopulmonary findings.,3539_IM-1731-1001.dcm.png,Frontal,normal
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.,3540_IM-1732-1001.dcm.png,Frontal,hyperdistention
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 airspace opacities compatible with discoid atelectasis there is no evidence of pleural effusion or pneumothorax,Bilateral lower lobe focal atelectasis.,3541_IM-1733-0001-0002.dcm.png,Frontal,opacity
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.,3542_IM-1734-1001.dcm.png,Frontal,normal
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 opacities reflecting atelectasis versus bronchovascular crowding,Bronchovascular crowding versus atelectasis within the right lung base otherwise no acute cardiopulmonary disease.,3544_IM-1736-1001.dcm.png,Frontal,opacity
3545,"Opacity/lung/base/bilateral/interstitial;Lung/hypoinflation;Calcinosis/aorta, thoracic",Opacity;Lung;Calcinosis,Xray Chest PA and Lateral,",786.2 XXXX cxr",,opacities in the lung bases are slightly worse compared to prior study lung volumes are low heart size and pulmonary are normal there no focal airspace opacities to suggest pneumonia the patient is status post 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,3545_IM-1737-2002.dcm.png,Frontal,opacity
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.",3546_IM-1738-4004.dcm.png,Frontal,cardiomegaly
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.,3547_IM-1739-1001.dcm.png,Frontal,degenerative
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.,3548_IM-1739-1001.dcm.png,Frontal,normal
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..,3549_IM-1739-1001-0001.dcm.png,Frontal,normal
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..,3549_IM-1739-1001-0002.dcm.png,Frontal,normal
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.,3550_IM-1740-1001.dcm.png,Frontal,tortuous
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,3551_IM-1740-12012.dcm.png,Frontal,nodule
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,3552_IM-1741-1001.dcm.png,Frontal,normal
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.,3555_IM-1741-2001.dcm.png,Frontal,degenerative
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 sternotomy the heart is not enlarged some atherosclerotic changes of the aorta are seen the skeletal structures are normal,No acute pulmonary disease.,3556_IM-1741-1001-0001.dcm.png,Frontal,atherosclerosis
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 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.,3557_IM-1742-0001-0002.dcm.png,Frontal,effusion
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.,3559_IM-1744-1001.dcm.png,Frontal,nodule
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.,3560_IM-1745-1001.dcm.png,Frontal,normal
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 .,3561_IM-1746-1001.dcm.png,Frontal,normal
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.,3562_IM-1747-2001.dcm.png,Frontal,hypoinflation
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 mediastinumthere 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.,3564_IM-1749-0001-0001.dcm.png,Frontal,hypoinflation
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.",3565_IM-1750-1001.dcm.png,Frontal,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. .,3566_IM-1751-12012.dcm.png,Frontal,hypoinflation
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. .,3566_IM-1751-4004.dcm.png,Frontal,hypoinflation
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 the osseous structures are intact,No acute cardiopulmonary finding.,3568_IM-1753-1001.dcm.png,Frontal,calcinosis
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.",3569_IM-1753-1001.dcm.png,Frontal,hypoinflation
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.",3570_IM-1754-1001.dcm.png,Frontal,hypoinflation
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.",3570_IM-1754-3001.dcm.png,Frontal,hypoinflation
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.,3571_IM-1754-3001.dcm.png,Frontal,degenerative
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.,3573_IM-1756-1001.dcm.png,Frontal,tortuous
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 artifact over the bilateral neck soft tissues and supraclavicular fossae normal,Negative for acute abnormality.,3574_IM-1756-1001.dcm.png,Frontal,normal
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.,3575_IM-1757-1001.dcm.png,Frontal,calcinosis
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.,3576_IM-1757-1001.dcm.png,Frontal,normal
3577,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old female, XXXX, 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.,3577_IM-1758-1001.dcm.png,Frontal,normal
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,Negative.,3580_IM-1760-1001.dcm.png,Frontal,normal
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 and granuloma are noted no pleural effusion or pneumothorax is seen mild deformity is noted in the lower thoracic spine,1. No evidence of active disease. 2. Evidence of previous granulomatous infection. 3. Pectus carinatum.,3581_IM-1761-1001.dcm.png,Frontal,granulomatous
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.,3582_IM-1761-1001.dcm.png,Frontal,normal
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 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.,3583_IM-1762-1001.dcm.png,Frontal,degenerative
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.",3586_IM-1764-1001.dcm.png,Frontal,cardiomegaly
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 .,3587_IM-1765-1001.dcm.png,Frontal,normal
3588,normal,normal,"Chest PA and lateral views. XXXX, XXXX XXXX PM ",sob,XXXX,and lateral chest examination was obtained the heart silhouette is normal in size and contour aortic appear unremarkable lungs demonstrate no acute findings there is no effusion or pneumothorax,1. No acute pulmonary disease.,3588_IM-1766-1001.dcm.png,Frontal,normal
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.",3589_IM-1767-1001.dcm.png,Frontal,opacity
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,3590_IM-1769-1001.dcm.png,Frontal,normal
3593,normal,normal," and lateral chest XXXX, XXXX at XXXX for comparison XXXX XXXX ",hemoptysis.,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,3593_IM-1772-1001.dcm.png,Frontal,normal
3594,normal,normal,"Chest PA and lateral data XXXX, XXXX at XXXX hours ",XXXX,,the cardiomediastinal silhouette is normal no focal airspace consolidation no pneumothorax or pleural effusion,Normal chest,3594_IM-1772-1001.dcm.png,Frontal,normal
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 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. .",3595_IM-1773-0001-0001.dcm.png,Frontal,cardiomegaly
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 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. .,3597_IM-1775-1001.dcm.png,Frontal,degenerative
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 convexity also present on the previous exam,No acute findings,3598_IM-1775-1001.dcm.png,Frontal,normal
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 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.,3599_IM-1775-1001.dcm.png,Frontal,tortuous
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.,3601_IM-1777-2002.dcm.png,Frontal,degenerative
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,3603_IM-1779-1001.dcm.png,Frontal,normal
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.",3605_IM-1781-1001.dcm.png,Frontal,normal
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.,3606_IM-1781-1001.dcm.png,Frontal,normal
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 opacities are present in the left base the appearance which 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.",3607_IM-1781-1001.dcm.png,Frontal,opacity
3608,Cardiomegaly,Cardiomegaly,Xray Chest PA and Lateral,Difficulty breathing for one XXXX. Right lower quadrant pain for 2 months.,,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 single view of the abdomen was obtained the bowel 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.,3608_IM-1781-1001.dcm.png,Frontal,cardiomegaly
3609,Cardiomegaly/borderline,Cardiomegaly,Xray Chest PA and Lateral,XXXX-year-old male with history of mitral valve XXXX,,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.,3609_IM-1782-2001.dcm.png,Frontal,cardiomegaly
3610,normal,normal," PA and lateral chest XXXX, XXXX time XXXX. ",tuberculosis +PPD,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest No evidence of tuberculosis,3610_IM-1783-1001.dcm.png,Frontal,normal
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 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.,3611_IM-1784-0001-0001.dcm.png,Frontal,tortuous
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 are seen aorta is atherosclerotic the lungs are mildly hypoinflated without focal consolidation there is no pleural effusion,No acute disease.,3612_IM-1785-1001.dcm.png,Frontal,hypoinflation
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 leftsided pleural effusion stable cardiomegaly no pneumothorax mild pulmonary vascular congestion,,3614_IM-1787-4001.dcm.png,Frontal,cardiomegaly
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.",3616_IM-1789-2002.dcm.png,Frontal,atherosclerosis
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.,3617_IM-1789-1001.dcm.png,Frontal,normal
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.,3618_IM-1790-82420001.dcm.png,Frontal,emphysema
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 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. .,3619_IM-1791-1001.dcm.png,Frontal,normal
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 are normal,XXXX change. Hypoinflation with no visible active cardiopulmonary disease.,3621_IM-1792-3001.dcm.png,Frontal,hypoinflation
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 are clear no effusion or pneumothorax calcified lymph stable from prior exam,No active disease.,3623_IM-1793-1001.dcm.png,Frontal,calcinosis
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.,3624_IM-1794-1001.dcm.png,Frontal,normal
3625,normal,normal,"PA and lateral views of the chest, XXXX, XXXX XXXX PM",INDICATION: EVALUATE FOR METASTATIC DISEASE; Pre op for nephrectomy,,the lungs appear clear there are no suspicious pulmonary nodules or masses the heart and pulmonary appear normal mediastinal contours appear normal theres no pneumothorax,No acute cardiopulmonary disease.,3625_IM-1794-1001.dcm.png,Frontal,normal
3628,Thoracic Vertebrae/degenerative/multiple,Thoracic Vertebrae,Xray Chest PA and Lateral,"Chest pain, shortness of breath.",None.,the 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 multilevel degenerative changes of the thoracic spine,No evidence of acute cardiopulmonary process.,3628_IM-1796-1001.dcm.png,Frontal,degenerative
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 vascular calcification and there is a hyper left lung calcified granuloma normal mediastinal contour pulmonary 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.",3630_IM-1798-4004.dcm.png,Frontal,calcinosis
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 opacities in the left lung base atelectasis the lateral view shows a left pleural effusion no focal airspace consolidation no pneumothorax stable bilateral apical pleural capping,1. Small left pleural effusion.,3632_IM-1799-2001.dcm.png,Frontal,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.,3633_IM-1800-1001.dcm.png,Frontal,hypoinflation
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.,3634_IM-1801-1001.dcm.png,Frontal,normal
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.,3635_IM-1802-1001.dcm.png,Frontal,degenerative
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 no focal consolidation pleural effusion or pneumothorax no acute osseous abnormality,Chest radiograph. Stable emphysematous changes without acute cardiopulmonary abnormality.,3636_IM-1803-1001.dcm.png,Frontal,opacity
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,3637_IM-1804-1001.dcm.png,Frontal,normal
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 bilaterally,1. Cardiomegaly.,3638_IM-1804-1001.dcm.png,Frontal,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.,3639_IM-1804-1002001.dcm.png,Frontal,normal
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 tortuous aorta,No acute cardiopulmonary process.,3642_IM-1806-1001.dcm.png,Frontal,tortuous
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 including elongation of the left ventricle and tortuous thoracic aorta subcarinal calcified lymph 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.,3644_IM-1807-1001.dcm.png,Frontal,tortuous
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. .,3646_IM-1808-0001-0002.dcm.png,Frontal,normal
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.,3647_IM-1809-1001.dcm.png,Frontal,normal
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.,3648_IM-1810-3001.dcm.png,Frontal,normal
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.,3649_IM-1811-3001.dcm.png,Frontal,normal
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.,3650_IM-1813-1001.dcm.png,Frontal,hyperdistention
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 examination consists of frontal and lateral radiographs of the chest there are diminished lung volumes with 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.,3653_IM-1815-1001.dcm.png,Frontal,hypoinflation
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 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.",3654_IM-1816-1001.dcm.png,Frontal,opacity
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.,3655_IM-1817-1001.dcm.png,Frontal,nodule
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.,3656_IM-1817-1001.dcm.png,Frontal,cardiomegaly
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.,3657_IM-1818-1001.dcm.png,Frontal,hyperdistention
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 thickeningscarring there is a like deformity of the anterior cortex of the 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.",3658_IM-1819-1001.dcm.png,Frontal,nodule
3660,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX ",XXXX-year-old male with XXXX and COPD,,lungs are clear without focal consolidation effusion or pneumothorax normal heart size bony thorax and soft tissue is unremarkable,Negative for acute cardiopulmonary abnormality.,3660_IM-1820-1001.dcm.png,Frontal,normal
3661,normal,normal,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old female, dizziness.",,there are no focal areas of consolidation no pleural effusions no pneumothorax heart size within normal limits osseous structures intact,No acute cardiopulmonary abnormality.,3661_IM-1821-1001.dcm.png,Frontal,normal
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 hilarperihilar lymph 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.,3662_IM-1821-1001.dcm.png,Frontal,degenerative
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,3663_IM-1822-1001.dcm.png,Frontal,normal
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.,3664_IM-1822-1001.dcm.png,Frontal,normal
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.,3665_IM-1823-1001.dcm.png,Frontal,normal
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,onset right basal atelectasis with airspace disease and effusion suggestive of the chest infection stable cardiomegaly and features of cabg interval removal of left picc line no pneumothorax,XXXX onset right basal chest infection,3666_IM-1824-1001.dcm.png,Frontal,cardiomegaly
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;,,density in the left upper lung on pa represents superimposed bony and vascular structures there is calcification of the first rib costicartilage junction which contributes to this appearance the lungs otherwise appear clear the heart and pulmonary 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.",3667_IM-1824-2001.dcm.png,Frontal,degenerative
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 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.,3670_IM-1826-1001.dcm.png,Frontal,degenerative
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 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.",3671_IM-1827-3001.dcm.png,Frontal,opacity
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 aortic calcifications mild interstitial edema no focal infiltrate no effusion or pneumothorax mild cardiomegaly,Mild interstitial edema.,3672_IM-1828-1001.dcm.png,Frontal,cardiomegaly
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 emphysema and chronic changes are identified there is opacity in the left perihilar upper lobe there is questionable 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.,3673_IM-1828-1001.dcm.png,Frontal,opacity
3675,normal,normal,Xray Chest PA and Lateral,Intermittent asthma. Productive XXXX.,none,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.,3675_IM-1829-0001-0001.dcm.png,Frontal,normal
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 are demonstrated in the left hilum no focal pulmonary consolidation diffuse increased bilateral pulmonary interstitial markings consistent with the patients 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. .,3676_IM-1829-0001-0001.dcm.png,Frontal,tortuous
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.,3677_IM-1830-2001.dcm.png,Frontal,tortuous
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.,3679_IM-1831-1001.dcm.png,Frontal,normal
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 atelectasis vague opacity in the right midlung scattered calcified granulomas no large pleural effusion or pneumothorax the are intact,"Vague opacity in the right midlung, this could reflect a small focus of atelectasis or infiltrate. Bibasilar airspace opacities, XXXX atelectasis.",3680_IM-1832-1001.dcm.png,Frontal,opacity
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 is not as welldemonstrated on radiography no lobar consolidation no pleural effusion or pneumothorax,No acute abnormality identified.,3681_IM-1833-0001-0002.dcm.png,Frontal,hypoinflation
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.,3682_IM-1834-1001.dcm.png,Frontal,hypoinflation
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 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.,3685_IM-1836-1001.dcm.png,Frontal,degenerative
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 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.,3689_IM-1840-1001.dcm.png,Frontal,degenerative
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.,3690_IM-1841-1001.dcm.png,Frontal,cardiomegaly
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.,3691_IM-1842-1001.dcm.png,Frontal,degenerative
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 to be grossly intact,1. No acute cardiopulmonary abnormality.,3692_IM-1843-1001.dcm.png,Frontal,normal
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 study cardio mediastinal silhouette is unremarkable visualized osseous structures of the thorax are without acute abnormality,No acute cardiopulmonary abnormality.,3693_IM-1844-1001.dcm.png,Frontal,normal
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.,3698_IM-1846-1001.dcm.png,Frontal,normal
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.,3699_IM-1846-1001.dcm.png,Frontal,degenerative
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 focal airspace disease is seen no pleural effusion or pneumothorax is identified,1. Cardiomegaly with mild vascular prominence. No change.,3700_IM-1848-1001.dcm.png,Frontal,cardiomegaly
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.,3701_IM-1848-1001.dcm.png,Frontal,normal
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 ct findings are consistent with changes of multiple myeloma,Clear lungs.,3702_IM-1849-22001.dcm.png,Frontal,hyperdistention
3703,normal,normal,"Chest 2 views dated XXXX, XXXX","History of atrial fibrillation and cardioversion 3 weeks ago, heart XXXX.",None.,the examination consists of frontal and lateral radiographs of the chest the posterior costophrenic 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.,3703_IM-1850-1001.dcm.png,Frontal,normal
3704,normal,normal,"Chest x-XXXX XXXX and lateral, XXXX. ",XXXX-year-old female with XXXX,,lungs are clear without focal consolidation effusion or pneumothorax normal heart size bony thorax and soft tissues unremarkable,Negative for acute cardiopulmonary abnormality.,3704_IM-1851-1001.dcm.png,Frontal,normal
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 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.,3705_IM-1851-1001-0001.dcm.png,Frontal,atherosclerosis
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 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.,3708_IM-1852-1001.dcm.png,Frontal,hypoinflation
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.,3714_IM-1856-1001.dcm.png,Frontal,hypoinflation
3717,Lung/hypoinflation,Lung,"PA and lateral chest radiograph XXXX, XXXX. ",Chest pain.,Chest radiograph XXXX.,low lung volumes normal heart size no pneumothorax no large effusion no focal infiltrate,"Low lung volumes, no acute cardiopulmonary disease.",3717_IM-1856-1001.dcm.png,Frontal,hypoinflation
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. .,3720_IM-1859-1001.dcm.png,Frontal,normal
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.,3721_IM-1859-1001.dcm.png,Frontal,opacity
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. .,3722_IM-1859-1001.dcm.png,Frontal,normal
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.,3723_IM-1860-1001.dcm.png,Frontal,normal
3724,normal,normal," PA and lateral chest XXXX, XXXX XXXX with comparison XXXX ",chest pain,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest.,3724_IM-1860-2001.dcm.png,Frontal,normal
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 are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,3726_IM-1862-1001.dcm.png,Frontal,normal
3727,"Lung/hypoinflation;Catheters, Indwelling/left","Lung;Catheters, Indwelling",Two-view chest.,Chemotherapy for AML.,,lung volumes are low no focal infiltrates heart and pulmonary normal an indwelling catheter from the left has its tip at the superior,Hypoinflation with no visible active cardiopulmonary disease.,3727_IM-1863-1001.dcm.png,Frontal,hypoinflation
3728,normal,normal,Xray Chest PA and Lateral,XXXX and XXXX.,,the 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.,3728_IM-1864-1001.dcm.png,Frontal,normal
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 airfluid levels or free intraperitoneal air no suspicious calcifications there is 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.,3729_IM-1864-1001.dcm.png,Frontal,normal
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,3731_IM-1865-1001.dcm.png,Frontal,normal
3732,Calcinosis/lung/hilum/lymph nodes/left,Calcinosis,Xray Chest PA and Lateral,"XXXX-year-old female with XXXX, XXXX, dyspnea",,calcified left hilar lymph node lungs are clear bilaterally with no focal infiltrate pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits and soft tissues are unremarkable,No acute cardiopulmonary abnormality. .,3732_IM-1866-1001.dcm.png,Frontal,calcinosis
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 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,1. Cardiomegaly without failure 2. Ectatic aorta,3733_IM-1866-1001.dcm.png,Frontal,cardiomegaly
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.,3734_IM-1866-1001.dcm.png,Frontal,normal
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.,3735_IM-1866-1001.dcm.png,Frontal,atherosclerosis
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.,3737_IM-1867-2001.dcm.png,Frontal,normal
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.,3738_IM-1867-1001.dcm.png,Frontal,normal
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,,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.,3740_IM-1868-1001.dcm.png,Frontal,pneumonia
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.,3742_IM-1869-1002001.dcm.png,Frontal,granulomatous
3745,normal,normal,"Chest, 2 views, XXXX XXXX ",XXXX vehicle collision,,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.,3745_IM-1872-1001.dcm.png,Frontal,normal
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 stent has been removed cardiomediastinal silhouette is stable and within normal limits stable mild atherosclerotic calcifications of the aortic 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.,3746_IM-1872-1001.dcm.png,Frontal,hypoinflation
3747,normal,normal," PA and lateral chest XXXX, XXXX at XXXX. ",dyspnea and XXXX XXXX,None.,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,3747_IM-1873-1001.dcm.png,Frontal,normal
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.,3749_IM-1874-1001.dcm.png,Frontal,normal
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 focal infiltrate no pneumothorax visualized osseous structures intact,Stable cardiomegaly and XXXX of interstitial edema with small but increasing right pleural effusion.,3750_IM-1874-1001.dcm.png,Frontal,cardiomegaly
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 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.",3753_IM-1877-1001.dcm.png,Frontal,nodule
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.,3754_IM-1878-2001.dcm.png,Frontal,normal
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 opacity in the left lung base scarring lungs are clear there is no pneumothorax or large pleural effusion,No acute cardiopulmonary abnormality.,3756_IM-1880-1001.dcm.png,Frontal,opacity
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 sternotomy noted inferior sternotomy is disrupted,1. No acute pulmonary abnormality.,3757_IM-1881-12012.dcm.png,Frontal,tortuous
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.,3759_IM-1883-1001.dcm.png,Frontal,hyperdistention
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.,sternotomy remain in 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.,3760_IM-1883-1001.dcm.png,Frontal,tortuous
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,3761_IM-1883-1001.dcm.png,Frontal,cardiomegaly
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. .,3762_IM-1883-1001.dcm.png,Frontal,calcinosis
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.,3763_IM-1883-1001.dcm.png,Frontal,normal
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 are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,3764_IM-1884-1001.dcm.png,Frontal,normal
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.",3765_IM-1884-1001.dcm.png,Frontal,normal
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 with mild arthritic changes of the thoracic spine,No acute pulmonary disease.,3766_IM-1885-1001.dcm.png,Frontal,atherosclerosis
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.,3768_IM-1887-1001.dcm.png,Frontal,cardiomegaly
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 the tracheostomy tube is in unchanged position,"Low lung volumes with slightly increased perihilar opacities bilaterally, XXXX infectious etiology.",3769_IM-1888-4001.dcm.png,Frontal,opacity
3770,Spine/degenerative,Spine,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",back pain,,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.",3770_IM-1890-1001.dcm.png,Frontal,degenerative
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.,3772_IM-1891-1001.dcm.png,Frontal,degenerative
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 visualized on lateral projection pulmonary vascularity within normal limits,1. No acute pulmonary abnormality.,3773_IM-1891-1001.dcm.png,Frontal,normal
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.,3774_IM-1892-1001.dcm.png,Frontal,tortuous
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.,3775_IM-1893-1001.dcm.png,Frontal,normal
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.,3777_IM-1894-1001.dcm.png,Frontal,hypoinflation
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.,3778_IM-1894-1001.dcm.png,Frontal,normal
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 are intact,No acute cardiopulmonary abnormalities.,3779_IM-1894-1001.dcm.png,Frontal,normal
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 is noted incidentally without evidence of complicating features,No acute cardiopulmonary abnormality.,3781_IM-1897-1001.dcm.png,Frontal,normal
3783,normal,normal,PA and lateral chest x-XXXX ,XXXX-year-old female with chest pain and shortness of breath since 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.,3783_IM-1898-1001.dcm.png,Frontal,normal
3784,Lung/hypoinflation;Technical Quality of Image Unsatisfactory ,Lung;Technical Quality of Image Unsatisfactory ,CHEST 2V FRONTAL/LATERAL - RADXXXX ,-- XXXX,,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.,3784_IM-1898-2001.dcm.png,Frontal,hypoinflation
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 due to bronchovascular crowding heart size within normal limits cardiomediastinal silhouette is the bony structures appear intact,No acute cardiopulmonary disease.,3785_IM-1898-2001.dcm.png,Frontal,opacity
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.,3787_IM-1900-1001.dcm.png,Frontal,normal
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 airspace opacity pleural effusion or pneumothorax no acute bony abnormalities right upper quadrant surgical clips,Stable appearance of the chest. No acute cardiopulmonary findings.,3789_IM-1902-1001.dcm.png,Frontal,cardiomegaly
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 degenerative changes of the thoracic spine,Right lower lobe airspace disease. .,3790_IM-1904-0001-0002.dcm.png,Frontal,opacity
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..,3792_IM-1906-1001.dcm.png,Frontal,normal
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.,3793_IM-1907-1001.dcm.png,Frontal,opacity
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.,3794_IM-1908-1001.dcm.png,Frontal,opacity
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.,3796_IM-1909-1001.dcm.png,Frontal,normal
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",and lateral chest examination was obtained the heart silhouette and mediastinal contours are not enlarged lungs demonstrate left lower lobe air space opacity with atelectasis without significant change there is no effusion or pneumothorax,1. Left lower lobe air space opacities without significant change.,3797_IM-1910-0001-0002.dcm.png,Frontal,opacity
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.,3798_IM-1911-1001.dcm.png,Frontal,opacity
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 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.,3801_IM-1912-1001.dcm.png,Frontal,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 wellaerated there is no pneumothorax pleural effusion or focal consolidation there are multiple overlying leads at the level of the left lower chest with overlying 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. .,3802_IM-1912-1001-0002.dcm.png,Frontal,tortuous
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.,3803_IM-1913-3001.dcm.png,Frontal,hyperdistention
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,No acute cardiopulmonary abnormality.,3804_IM-1914-1001.dcm.png,Frontal,tortuous
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.,3808_IM-1918-1001.dcm.png,Frontal,atherosclerosis
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.,3809_IM-1919-1002001.dcm.png,Frontal,normal
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 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.,3812_IM-1922-2001.dcm.png,Frontal,atherosclerosis
3813,Opacity/lung/base/left,Opacity,Chest X-XXXX 2 XXXX ,Wheezing,XXXX,there is 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..,3813_IM-1922-1001.dcm.png,Frontal,opacity
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 demonstrated,No acute XXXX related findings. Please note that fractures may not be demonstrated and consider additional imaging if clinically indicated.,3814_IM-1923-1001.dcm.png,Frontal,normal
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 noncalcified nodules are identified,1. No evidence of active disease.,3816_IM-1925-1001.dcm.png,Frontal,degenerative
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 and soft tissues are unremarkable,No acute cardiopulmonary findings. .,3817_IM-1925-1001.dcm.png,Frontal,normal
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.,3818_IM-1925-1001.dcm.png,Frontal,normal
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 vascular calcification no focal airspace consolidation or pleural effusion,Continued severe cardiomegaly and/or pericardial effusion. No acute pulmonary disease process identified.,3819_IM-1926-1001.dcm.png,Frontal,cardiomegaly
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 vascular calcification no focal airspace consolidation or pleural effusion,Continued severe cardiomegaly and/or pericardial effusion. No acute pulmonary disease process identified.,3819_IM-1926-4004.dcm.png,Frontal,cardiomegaly
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.,3826_IM-1932-1001.dcm.png,Frontal,normal
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.,3827_IM-1932-1001.dcm.png,Frontal,normal
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.,3829_IM-1932-1001.dcm.png,Frontal,cardiomegaly
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.,3830_IM-1933-1001.dcm.png,Frontal,normal
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.,3831_IM-1934-1001.dcm.png,Frontal,normal
3832,Calcinosis/mediastinum/lymph nodes,Calcinosis,Xray Chest PA and Lateral,Chest pain,,the lungs are clear there is no pleural effusion or pneumothorax the heart is not enlarged there are calcified mediastinal lymph the skeletal structures are normal,No acute pulmonary disease.,3832_IM-1935-1002001.dcm.png,Frontal,calcinosis
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 due to pleural thickeningsclerosis redemonstration and stable appearance of bilateral calcified granulomaslymph changes in the lungs consistent with copdemphysema 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.",3833_IM-1936-1001.dcm.png,Frontal,opacity
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,1. No acute radiographic cardiopulmonary process.,3836_IM-1939-1001.dcm.png,Frontal,normal
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.,3837_IM-1939-1001.dcm.png,Frontal,normal
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 bilateral pleural effusions no pneumothorax,1. Bilateral airspace disease. 2. Stable enlarged heart and prominent mediastinal contours.,3840_IM-1941-2001.dcm.png,Frontal,cardiomegaly
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.,3841_IM-1942-1001.dcm.png,Frontal,degenerative
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 rightsided chest remains in 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. .,3843_IM-1944-1001.dcm.png,Frontal,degenerative
3844,normal,normal,"PA and lateral views of the chest XXXX, XXXX XXXX PM ",chest pain,,lungs are clear no pleural effusions or pneumothoraces heart size is upper limits of normal,Heart size upper limits of normal with clear lungs.,3844_IM-1945-1001.dcm.png,Frontal,normal
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. .,3845_IM-1945-1001.dcm.png,Frontal,normal
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 moderatesized left pleural effusion no pneumothorax limited right base stringy density compatible with atelectasis dextroscoliosis of the thoracic spine,Recurrent moderate sized left pleural effusion.,3846_IM-1946-1001.dcm.png,Frontal,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 focal infiltrates a small pleural or collection is 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.,3847_IM-1946-1001.dcm.png,Frontal,hyperdistention
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 suggesting pulmonary artery hypertension there has been removal of the rightsided picc line there is persistent left basilar airspace opacity with left costophrenic 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.,3848_IM-1946-1001-0001.dcm.png,Frontal,cardiomegaly
3849,Thoracic Vertebrae/degenerative,Thoracic Vertebrae,PA and lateral chest x-XXXX ,XXXX-year-old female shortness of breath.,,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,No acute cardiopulmonary abnormalities.,3849_IM-1947-1001.dcm.png,Frontal,degenerative
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.,3851_IM-1948-1001.dcm.png,Frontal,granulomatous
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.,3852_IM-1949-4004.dcm.png,Frontal,degenerative
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.",3855_IM-1950-1001.dcm.png,Frontal,nodule
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.,3856_IM-1951-1001.dcm.png,Frontal,normal
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.,3857_IM-1952-1001.dcm.png,Frontal,normal
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.,3858_IM-1953-4004.dcm.png,Frontal,tortuous
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 are intact,No acute cardiopulmonary abnormalities.,3860_IM-1954-2001.dcm.png,Frontal,normal
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.,3861_IM-1955-1001.dcm.png,Frontal,normal
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.",3863_IM-1957-1001.dcm.png,Frontal,cardiomegaly
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. .,3866_IM-1959-0001-0001.dcm.png,Frontal,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.,3867_IM-1960-1001.dcm.png,Frontal,normal
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.,3869_IM-1962-1001.dcm.png,Frontal,cardiomegaly
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 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.",3874_IM-1966-1001.dcm.png,Frontal,hypoinflation
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 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.,3875_IM-1967-1001.dcm.png,Frontal,hypoinflation
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 there has been removal of rightsided tunneled dialysis catheter the cardiomediastinal silhouette is stable and within normal limits for size and contour mildly increased atherosclerotic calcifications of the thoracic aorta 10 cm nodular opacity in the left midlung is stable compared to prior examination from no nodules focal consolidation or pneumothorax identified there are bilateral pleural effusions posteriorly there is mild central pulmonary vascular congestion without pulmonary edema no acute bony abnormality,"Central pulmonary vascular congestion without XXXX edema, consolidation. XXXX bilateral pleural effusions.",3877_IM-1967-1001.dcm.png,Frontal,effusion
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.,3878_IM-1968-1001.dcm.png,Frontal,cardiomegaly
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.,3879_IM-1968-1001.dcm.png,Frontal,normal
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.,3880_IM-1968-1001.dcm.png,Frontal,cardiomegaly
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 a has been inserted since the previous study the tip projects over the lower superior,1. No evidence of active disease.,3881_IM-1969-1001.dcm.png,Frontal,degenerative
3882,Diaphragmatic Eventration/left;Lung/hypoinflation,Diaphragmatic Eventration;Lung,PA and lateral views of the chest dated XXXX. ,"XXXX-year-old male, chest pain.",,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.",3882_IM-1970-1001.dcm.png,Frontal,hypoinflation
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 are intact,No acute cardiopulmonary abnormality.,3883_IM-1971-1001.dcm.png,Frontal,normal
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.,3884_IM-1971-1001.dcm.png,Frontal,opacity
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 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.,3885_IM-1971-1001.dcm.png,Frontal,normal
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.,3889_IM-1973-1001.dcm.png,Frontal,normal
3890,normal,normal,Xray Chest PA and Lateral,XXXX-year-old female with XXXX x1 XXXX,,lungs are clear bilaterally with no focal infiltrate pleural effusion or pneumothoraces cardiomediastinal silhouette is within normal limits and soft tissues are unremarkable,No acute cardiopulmonary abnormality. .,3890_IM-1973-1001.dcm.png,Frontal,normal
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 leftsided 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 deformity of the vertebral body the level of the two vertebroplasty,"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. .",3892_IM-1974-0001-0001.dcm.png,Frontal,opacity
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.,3893_IM-1975-3001.dcm.png,Frontal,hypoinflation
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 opacities in the left lower lobe cardiac silhouette is within normal limits there is prominence of the right and left hilum 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.,3895_IM-1977-1001.dcm.png,Frontal,pneumonia
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.,3897_IM-1978-1001.dcm.png,Frontal,normal
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 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.,3899_IM-1978-1001.dcm.png,Frontal,hyperdistention
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 pullthrough are stable bibasilar air space opacities have significantly improved the lungs remain hypoinflated with blunted costophrenic there is no pneumothorax,Stable postsurgical changes of esophagectomy with improved bibasilar airspace opacities/atelectasis.,3901_IM-1980-1001.dcm.png,Frontal,opacity
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.,3903_IM-1982-1001.dcm.png,Frontal,normal
3904,normal,normal,PA and lateral chest x-XXXX ,XXXX-year-old male 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.,3904_IM-1983-1001.dcm.png,Frontal,normal
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 are unremarkable,1. Stable cardiomegaly without acute cardiopulmonary abnormality.,3905_IM-1984-1001.dcm.png,Frontal,cardiomegaly
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 opacities in the right lung base 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.,3907_IM-1985-1001.dcm.png,Frontal,cardiomegaly
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 tip in the low svc right granulomatous disease the lungs are clear bony structures are intact,No acute findings.,3909_IM-1986-1001.dcm.png,Frontal,granulomatous
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.,3910_IM-1987-1001.dcm.png,Frontal,hypoinflation
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 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.",3912_IM-1988-2001-0001.dcm.png,Frontal,cardiomegaly
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 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.",3912_IM-1988-2001-0002.dcm.png,Frontal,cardiomegaly
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 in the left chest with catheter tip terminating in the superior 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.,3915_IM-1990-1001.dcm.png,Frontal,cardiomegaly
3916,normal,normal, PA and lateral chest. ,dyspnea.,None.,heart size normal lungs clear normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,3916_IM-1991-1001.dcm.png,Frontal,normal
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.,3917_IM-1992-1001.dcm.png,Frontal,cardiomegaly
3918,Lung/hyperdistention;Diaphragm/bilateral/posterior/flattened/mild,Lung;Diaphragm,PA and Lateral Chest,"Chest pain, palpitations",,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.",3918_IM-1992-1001.dcm.png,Frontal,hyperdistention
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.,3922_IM-1996-0001-0002.dcm.png,Frontal,normal
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 there are atherosclerotic changes of the aorta arthritic changes of the skeletal structures are noted,No acute pulmonary disease.,3925_IM-1999-1002001.dcm.png,Frontal,atherosclerosis
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 there are atherosclerotic changes of the aorta arthritic changes of the skeletal structures are noted,No acute pulmonary disease.,3925_IM-1999-1003002.dcm.png,Frontal,atherosclerosis
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 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. .,3926_IM-2000-4004.dcm.png,Frontal,cardiomegaly
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.,3928_IM-2000-1001.dcm.png,Frontal,granulomatous
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.,3930_IM-2003-1001.dcm.png,Frontal,hyperdistention
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 are normal in appearance,No acute cardiopulmonary finding.,3931_IM-2003-3001.dcm.png,Frontal,normal
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 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 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.,3935_IM-2006-1001.dcm.png,Frontal,opacity
3936,normal,normal,PA and Lateral Chest,"XXXX-year-old male, XXXX, XXXX of breath",,heart size within normal limits no alveolar consolidation no findings of pleural effusion or pulmonary edema no pneumothorax,No acute cardiopulmonary findings,3936_IM-2007-1001.dcm.png,Frontal,normal
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 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.,3937_IM-2008-1001.dcm.png,Frontal,degenerative
3938,normal,normal," PA and lateral chest XXXX, XXXX XXXX comparison 13 XXXX ",chest pain.,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,3938_IM-2009-1001.dcm.png,Frontal,normal
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.,3939_IM-2010-1001.dcm.png,Frontal,normal
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,1. No acute cardiopulmonary abnormality. 2. Cardiomegaly. .,3941_IM-2012-0001-0002.dcm.png,Frontal,cardiomegaly
3943,Calcinosis/lung/hilum/left,Calcinosis, XXXX. ,Chest pain.,,the bony thorax is intact and the heart size is normal the lung 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.,3943_IM-2013-1001.dcm.png,Frontal,calcinosis
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 partial collapse of the left upper and lower lobes this pneumothorax measures up to 35 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 effusionhemothorax 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.",3945_IM-2014-1001.dcm.png,Frontal,effusion
3946,normal,normal,Chest x-XXXX dated XXXX. ,"XXXX-year-old male, epigastric pain, 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 are intact,No acute cardiopulmonary abnormality.,3946_IM-2015-1001.dcm.png,Frontal,normal
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.,3948_IM-2017-1001.dcm.png,Frontal,normal
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 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,3949_IM-2018-4004.dcm.png,Frontal,cardiomegaly
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 are grossly normal,"Worsening masslike opacification of right apex, suggesting worsening malignancy or malignancy with postobstructive pneumonia.",3951_IM-2019-1001.dcm.png,Frontal,opacity
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.,3952_IM-2020-1001.dcm.png,Frontal,cardiomegaly
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.,3953_IM-2021-1001.dcm.png,Frontal,normal
3954,normal,normal,CHEST 2V FRONTAL/LATERAL ,"XXXX, headaches and difficulty breathing",,the heart is normal in size the mediastinum is unremarkable the lungs are clear,No acute disease.,3954_IM-2021-1001.dcm.png,Frontal,normal
3956,Lung/hypoinflation,Lung,CHEST 2V FRONTAL/LATERAL - RADXXXX ,MVC,,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,3956_IM-2021-1001.dcm.png,Frontal,hypoinflation
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.,3957_IM-2022-1001.dcm.png,Frontal,normal
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.,3958_IM-2022-1001.dcm.png,Frontal,normal
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 are grossly normal there is no visible free intraperitoneal air under the diaphragm,Right upper lobe infiltrate consistent with pneumonia.,3961_IM-2026-1001.dcm.png,Frontal,pneumonia
3962,normal,normal," PA and lateral chest XXXX, XXXX at XXXX with comparison 17 XXXX ",XXXX,,heart size normal lungs are clear are normal no pneumonia effusions edema pneumothorax adenopathy nodules or masses,Normal chest,3962_IM-2027-1001.dcm.png,Frontal,normal
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,,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.,3964_IM-2028-1001.dcm.png,Frontal,hyperdistention
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 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.,3966_IM-2028-1001.dcm.png,Frontal,degenerative
3967,Spine/degenerative/mild,Spine,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 mild degenerative endplate changes of the spine,1. No acute radiographic cardiopulmonary process.,3967_IM-2028-1001.dcm.png,Frontal,degenerative
3969,"Lung/hyperdistention;Spine/degenerative;Bone Diseases, Metabolic/spine","Lung;Spine;Bone Diseases, Metabolic",Xray Chest PA and Lateral,Pain,,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.,3969_IM-2030-1001.dcm.png,Frontal,hyperdistention
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 and soft tissues are unremarkable,No acute cardiopulmonary abnormality. .,3970_IM-2031-1001.dcm.png,Frontal,normal
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.,3971_IM-2031-1001.dcm.png,Frontal,normal
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.,3971_IM-2031-3001.dcm.png,Frontal,normal
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.,3972_IM-2032-1001.dcm.png,Frontal,opacity
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.,3974_IM-2034-2002.dcm.png,Frontal,hyperdistention
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.,3976_IM-2035-1001.dcm.png,Frontal,normal
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.,3977_IM-2036-1001.dcm.png,Frontal,tortuous
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 are intact,No acute cardiopulmonary abnormalities.,3978_IM-2037-0001-0001.dcm.png,Frontal,normal
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.,3979_IM-2038-1001.dcm.png,Frontal,tortuous
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",,heart size moderately enlarged mild left costophrenic 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",3980_IM-2039-1001.dcm.png,Frontal,cardiomegaly
3981,normal,normal,Xray Chest PA and Lateral,XXXX vehicle accident with left shoulder pain.,,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.,3981_IM-2039-1001.dcm.png,Frontal,normal
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.,3982_IM-2039-1001.dcm.png,Frontal,normal
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 are intact,"1.There is a left basilar airspace opacity, which is concerning for pneumonia. 2. Right basilar atelectasis.",3983_IM-2039-1001.dcm.png,Frontal,opacity
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 a there are calcified mediastinal and hilar lymph 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,3984_IM-2040-1001.dcm.png,Frontal,tortuous
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.,3986_IM-2041-1001.dcm.png,Frontal,normal
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.,3986_IM-2041-3001.dcm.png,Frontal,normal
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.,3987_IM-2041-1001.dcm.png,Frontal,degenerative
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.",3988_IM-2041-1001.dcm.png,Frontal,opacity
3993,Cardiomegaly/mild;Diaphragm/left/elevated,Cardiomegaly;Diaphragm,CHEST 2V FRONTAL/LATERAL ,Edema,,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.,3993_IM-2044-1001.dcm.png,Frontal,cardiomegaly
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.,3994_IM-2045-2001.dcm.png,Frontal,cardiomegaly
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 scarring or atelectasis in the right midlung there is no 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. .,3995_IM-2046-1001.dcm.png,Frontal,hyperdistention
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. .,3996_IM-2047-1001.dcm.png,Frontal,degenerative
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 represents a granuloma no pneumothorax or effusions,"No acute findings, no evidence for active TB.",3997_IM-2048-1001.dcm.png,Frontal,opacity