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.


Mediastinal contours are normal. Opacity within the right middle and lower lobes. No displacement of the XXXX or XXXX fissure. No pneumothorax..

Opacification of the right middle and lower lobes.


No gross consolidation, atelectasis or infiltrate. No pleural fluid collection or pneumothorax. Cardiomediastinal silhouette is within normal limits. XXXX XXXX is intact.

1. Negative for acute cardiopulmonary findings.


There is no focal airspace consolidation or pleural effusion. Heart size is normal. No pneumothorax.


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


There is stable marked cardiomegaly and mediastinal contour. Pulmonary vascularity is within normal limits. The left chest pacemaker is unchanged from comparison exam with fractured proximal lateral XXXX and both XXXX tips overlying the right ventricle. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.

Stable marked cardiomegaly. No acute cardiopulmonary abnormalities.


The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures show arthritic changes.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. The aorta is tortuous and ectatic. There are degenerative changes of the acromioclavicular joints. There degenerative changes of the spine. There is an IVC XXXX identified.


Postoperative changes are present in the left fifth rib. Residual radiopaque sutures are also present in the left upper lobe. The lungs are clear with no infiltrates or masses. Heart and mediastinum are normal.

Postoperative left upper lobe. No visible active cardiopulmonary disease.


There is chronic asymmetric elevation of the right hemidiaphragm. Compared with the prior study, there is mildly increased streaky airspace disease in the right lung base. Hilar prominence appears stable. There is no pneumothorax or large pleural effusion. Heart size is stable and grossly normal. There no acute bony findings.

Chronic asymmetric elevation of the right hemidiaphragm with mildly increased right basilar airspace disease, atelectasis versus infiltrate. .


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.


XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. There are calcified mediastinal perihilar pulmonary nodules consistent with sequela of old granulomatous infection. No acute lung infiltrates. Aortic XXXX appear unremarkable. There is no effusion or pneumothorax.


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.


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


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.


Normal heart size and mediastinal contours. No focal airspace consolidation. XXXX opacities in the right lower lung representing atelectasis versus scarring. Significantly decreased subcutaneous soft tissue since comparison radiograph. Probable pectus deformity. Negative for acute bony abnormality.

1. No acute cardiopulmonary abnormality. 2. Hyperlucent lungs, XXXX related to cachexia and probable pectus excavatum deformity.


The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Slight thoracolumbar curvature is noted.


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.


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.


The heart is normal in size and contour. There is mild calcification of the transverse XXXX. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Degenerative changes of the midthoracic spine are noted.


Lung volumes are XXXX. XXXX opacities are present in both lung bases. A hiatal hernia is present. Heart and pulmonary XXXX are normal.

Hypoinflation with bibasilar focal atelectasis.


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.


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

No acute cardiopulmonary abnormality identified.


The lungs are clear. Heart size is normal. No pneumothorax.

Clear lungs. No acute cardiopulmonary abnormality. .


The lungs are well-expanded and clear. No pleural effusion or pneumothorax is seen. The cardiomediastinal contour is normal. No acute osseous lesions are identified.


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


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

No radiographic evidence of acute cardiopulmonary disease.


The heart size is within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax.

1. No acute abnormality. 2. Dextroscoliosis of thoracic spine unchanged. .


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


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.


Cardio mediastinal silhouette, pulmonary vascular pattern are within normal limits. Mildly low lung volumes. No focal infiltrate, pleural effusion or pulmonary edema. No pneumothorax.


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.


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. The left hemidiaphragm is elevated. This is unchanged. No focal airspace disease is seen. No pneumothorax or pleural effusion is noted. There is eventration of the right hemidiaphragm.

1. Continued elevation of the left hemidiaphragm. 2. No evidence of active disease.


The patient is rotated to left. The cardiomediastinal silhouette is normal in size. XXXX lucency along the left ventricular XXXX XXXX related to interface between the heart and aerated lung. Patchy right perihilar/upper lobe opacities, which abut the XXXX fissure on lateral projection. No pneumothorax or large pleural effusion. Exaggerated thoracic kyphosis. No definite acute bone abnormality.

Right upper lobe pneumonia. Consideration may be given for followup chest x-XXXX, following appropriate therapy.


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


The heart and mediastinal silhouettes are within normal limits. The lungs are clear without focal airspace opacity, large effusion, or pneumothorax. The XXXX are grossly intact. Interval removal of right PICC. Persistent elevation of the left hemidiaphragm.

No acute visualized cardiopulmonary abnormality.


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

No evidence of acute cardiopulmonary process.


Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified.


XXXX sternotomy XXXX are in XXXX and intact. Normal cardiomediastinal silhouette. The bilateral costophrenic XXXX are excluded from the image on the PA view. Lungs are clear without focal areas of consolidation, pleural effusion, or pneumothorax. XXXX XXXX are intact without acute osseous abnormality. Mild degenerative changes throughout the thoracic spine.

Chest radiograph. 1. No acute radiographic cardiopulmonary process.


Hyperexpansion of the lungs with hyperlucency and flattening of hemidiaphragms suggestive of chronic emphysematous lung disease. Heart size within normal limits. Bibasilar, right greater than left atelectasis/airspace disease noted. No pneumothorax or large pleural effusion. No acute bony abnormality.

Chronic emphysematous lung disease with mild bibasilar, right greater than left airspace disease/atelectasis.


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


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.


The cardiomediastinal silhouette is normal size and configuration. The thoracic aorta is tortuous. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation. There is no obvious displaced rib fracture. If there is concern for fracture consider rib series.


Low lung volumes. Normal heart size. The trachea is midline. Lungs are clear. No pneumothorax. No pleural effusion.


The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal as are the skeletal structures and soft tissues.


The previously seen right-sided PICC has been removed. The heart size is normal. Lungs are clear. There is no pneumothorax or large pleural effusion. Bony structures are within normal limits.


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


Stable left-sided ICD and postsurgical changes consistent with prior CABG. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Mild degenerative endplate changes of the spine.

1. No acute radiographic cardiopulmonary process.


No pneumothorax or pleural effusion. Normal cardiac contour. Clear lungs bilaterally.

1. No acute cardiopulmonary abnormalities.


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


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


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


XXXX sternotomy XXXX and mediastinal surgical clips remain in XXXX. The cardiomediastinal silhouette is stable in appearance. The thoracic aorta is tortuous and calcified with stable appearance since XXXX exam. No focal areas of pulmonary consolidation. Scattered right basilar subsegmental atelectasis. The left lung appears clear. No pneumothorax or pleural effusion present. Moderate degenerative changes of the thoracic spine. Osteopenia. Mild loss of XXXX of a mid thoracic vertebral body.

1. Minimal right basilar subsegmental atelectasis. Otherwise, no acute cardiopulmonary abnormality demonstrated. .


Frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. No XXXX focal airspace consolidation or pleural effusion.

No acute or active cardiac, pulmonary or pleural disease.


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


Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. There is a stable calcified granuloma in the right lower lobe. A hiatal hernia is present that is unchanged from the prior study. XXXX are grossly unremarkable.

1. Clear lungs. 2. Stable hiatal hernia.


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.


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.


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.


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


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


The 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.


Cardiomediastinal contour stable and within normal limits. Changes of prior CABG again noted. Normal pulmonary vascularity. Streaky bibasilar opacities decreased from previous, possibly subsegmental atelectasis and/or scar. No pneumothorax or pleural effusion demonstrated. Redemonstrated severe L1 XXXX fracture. Slight interval increase in XXXX loss of T11 and there is XXXX mild to moderate anterior XXXX loss of T10. Degenerative changes of the spine. Abdominal aortic stent.

1. No acute cardiopulmonary finding. 2. Mild to moderate T10 vertebral body anterior XXXX deformity, XXXX from XXXX. Slight interval increase in XXXX loss of T11. Unchanged severe L1 XXXX deformity. If further imaging characterization is needed, recommend MRI. Findings will be conveyed to the ordering physician XXXX the Primordial communication XXXX.


Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. No XXXX focal airspace consolidation or pleural effusion.


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. .


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


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.


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


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


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.


The XXXX and soft tissue appear normal. The cardiac silhouette and mediastinum size are normal. The aortic XXXX is on the left. The trachea is well seen and appears normal. The lungs are clear.


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


Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified lymph XXXX and granuloma are noted. Mild degenerative changes are present in the spine.


Atrial septal occluder artifact. Rotated frontal position, overall heart size within normal limits, no typical findings of pulmonary edema. XXXX densities in the left base, small focal XXXX opacity in the right base with focal posterior right hemidiaphragm elevation and obscured right costophrenic XXXX. Biapical pleuroparenchymal irregularities most compatible with scarring, chronic appearing right 5th rib contour deformity. No pneumothorax seen.

1. XXXX densities in left base may be compatible with scarring or subsegmental atelectasis 2. Abnormal opacity in the right base XXXX due at XXXX in part to atelectasis with right hemidiaphragm eventration, question small right pleural effusion


The heart size is normal. Mediastinal contours are within normal limits. Postsurgical changes of left hemithorax are stable. Skin XXXX have been removed since prior study study. The left apical pneumothorax has resolved. There are mild chronic opacities in the left lung base with probable small residual effusion. The right lung is grossly clear.

Stable postsurgical changes of left hemithorax with resolution of small apical pneumothorax and basilar air space opacities.


Heart size is at the upper limits of normal. The pulmonary vascularity appears within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. No non-calcified nodules are identified.


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.


The heart is normal in size. The mediastinum is stable. Granulomatous sequela are noted. The previously visualized nodular density in the right upper lobe is not well-seen on today's study. There is no acute infiltrate or pleural effusion.


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


Cardiomediastinal silhouette is within normal limits. No acute bony abnormality is identified. There is slightly increased XXXX opacity of the right base compared to the left which may minimal right basilar airspace disease, XXXX in the right middle lobe. The left lung is clear. No pneumothorax or effusion identified.

Minimal right basilar airspace disease, XXXX right middle lobe.


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


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Mild right basilar atelectasis and relative elevation of the right hemidiaphragm noted. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.


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.


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


Normal cardiac contours. No pleural effusion or pneumothorax. Bilateral lower lobe bronchial thickening consistent with bronchitis.


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


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


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.


The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax unremarkable.

Negative for acute cardiopulmonary abnormality.


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.


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


The lungs appear clear. The heart and pulmonary XXXX appear normal. The pleural spaces are clear. These XXXX't contours appear normal. There is a XXXX fracture of the midthoracic vertebral body. This vertebral body does not appear sclerotic. The age of this fracture is unknown. There are healed fractures of several left anterior ribs. There is a healed left clavicle fracture.

1. No acute cardiopulmonary disease. No evidence of pulmonary nodules. 2. A single nonsclerotic mid thoracic vertebral XXXX fracture is present. Without a comparison study, the age of this fracture is unknown. Metastatic disease is possible, however given the nonsclerotic appearance, is not XXXX. 3. Healed left clavicle and left anterior rib fractures.


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.


The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits.


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.


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


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.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is a left lung calcified granuloma noted. There has been resolution of the left-sided airspace disease.


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


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

Lung volumes with streaky left basilar opacity consistent with subsegmental atelectasis.


Again observed is a curvilinear density in the right midlung zone which may represent some pulmonary scarring or thickening of the right XXXX fissure. There is minimal blunting of the right posterior costophrenic XXXX, consistent with a small effusion and/or pleural scarring. The lung parenchyma is otherwise clear. There is mild cardiomegaly. There are degenerative changes and a mild dextroscoliosis in the thoracic spine.

1. Minimal XXXX atelectasis in the right midlung zone versus pleural scarring in the right XXXX fissure. 2. Minimal blunting of the posterior right costophrenic XXXX, consistent with a small pleural effusion and/or pleural scarring. 3. Cardiomegaly. 4. No XXXX abnormalities as compared to prior study of earlier the same XXXX


Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.


Cardiomediastinal silhouette is within normal limits of size In appearance. Pulmonary vascularity is unremarkable. There are diffuse, bilateral interstitial opacities, with XXXX B lines demonstrated. Small amount of subpleural edema is demonstrated in the fissures. There is mild blunting of both posterior costophrenic sulci, which may reflect XXXX effusions. Negative for pneumothorax. Limited evaluation reveals the XXXX XXXX the grossly intact.


PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. There is no pneumothorax, pleural effusion, or focal air space consolidation. Mild basilar atelectasis. Increased density the lung bases, favored this attenuation from overlying breast shadows.


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.


Normal heart size. Aortic atherosclerotic calcifications. Right IJ central venous catheter tip in region of mid SVC. There are 2 AICD leads, one tip in expected region of right atrium and one tip in expected region of right ventricle. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no evidence of pneumothorax.

There is no evidence of acute cardiopulmonary disease. .


The heart is again mildly enlarged. Mediastinal contours are stable. Changes of XXXX sternotomy and valvuloplasty are noted. Left subclavian ICD is unchanged in position. Lungs are mildly hypoinflated with blunted costophrenic XXXX suggesting small bilateral pleural effusions.

1. Mild stable cardiomegaly. 2. Small bilateral pleural effusions.


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


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.


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. .


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

Clear lungs. No acute cardiopulmonary abnormality. .


No pneumothorax, pleural effusion or airspace consolidation. Heart size and pulmonary vasculature appear within normal limits. XXXX XXXX are intact. There are calcified right hilar granulomas. There is mild thoracic dextroscoliosis.


Chest: The heart is enlarged. There may be a pericardial effusion. No definite pulmonary edema is seen. Lungs appear clear. There is no pleural effusion. The skeletal structures and soft tissues are unremarkable. KUB XXXX: XXXX single view of the abdomen was obtained. The bowel XXXX pattern is nonspecific. There is no evidence for obstruction or free intraperitoneal air. No large soft tissue masses or organomegaly are identified. The skeletal structures appear normal.

Chest. 1. Cardiomegaly with possible pericardial effusion. 2. No evidence for pulmonary edema or pneumonitis. KUB. 1. Nonspecific abdomen.


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


Heart 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.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but clear of focal airspace disease, pneumothorax, or pleural effusion. There are multiple XXXX sternotomy XXXX and surgical clips compatible with prior CABG. The most caudal XXXX sternotomy XXXX is fractured. There are no acute bony findings.

1. Low lung volumes. No acute pulmonary findings. 2. Fractured XXXX sternotomy XXXX, without evidence of complication. .


Within the right lower lobes there are XXXX airspace opacities XXXX representing consolidation and atelectasis with blunting of the bilateral costophrenic XXXX. The cardiomediastinal silhouette is within normal limits. Bibasilar subsegmental atelectasis. No acute osseous abnormality.

Right lower lobe airspace disease with bilateral pleural effusions.


The lungs appear clear. There is a calcified granuloma in the right lung base and calcified right hilar lymph XXXX. This was seen well on prior XXXX. There are no suspicious appearing pulmonary nodules or masses. Heart and pulmonary XXXX appear normal. The pleural spaces are clear. Mediastinal contours are normal.

No acute cardiopulmonary disease. No evidence of metastatic disease to the lungs.


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.


Normal heart size. Clear lungs without pneumothorax or pleural effusion.


Moderate bilateral interstitial edema, with cardiomegaly and bilateral effusion consistent with moderate cardiac failure. A large calcified right mediastinal adenopathy, XXXX chronic fungal. No pneumothorax.


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.


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.


Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion. There are right upper quadrant surgical clips, perhaps from cholecystectomy.

No acute or active cardiac, pulmonary or pleural disease.


The heart is normal in size. The mediastinum is unremarkable. Left upper extremity PIC catheter tip overlies the distal aspect of the left clavicle XXXX within the subclavian vein. There is no pneumothorax. The lungs are mildly hyperinflated but clear. Deformity of the lateral left 6th rib, XXXX old injury.

No acute disease. Left upper extremity PIC catheter tip XXXX within left subclavian vein. Findings communicated XXXX primordial.


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


There are minimal XXXX left basilar opacities, XXXX subsegmental atelectasis or scarring. There is no focal airspace consolidation to suggest pneumonia. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. Cardiac defibrillator XXXX overlies the right ventricle. The XXXX appears intact. There is aortic atherosclerotic vascular calcification. Calcified mediastinal and hilar lymph XXXX are consistent with prior granulomatous disease. Multiple calcified splenic granulomas are also noted. There are minimal degenerative changes of the spine.

Minimal left basilar subsegmental atelectasis or scarring. No acute findings.


Compared to prior examination from XXXX, there has been extubation and removal of central line and enteric tube. Stable cardiomegaly and mild thoracolumbar dextroscoliosis. Left basilar opacity XXXX represents chronic fibrosis/scar. No focal consolidation, pneumothorax, or effusion. No acute osseous abnormality.

Stable cardiomegaly without acute cardiopulmonary abnormality.


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


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are calcified granulomas noted. There are vascular calcifications over the aortic XXXX.


Cardiac silhouette is normal in size. Normal mediastinal contour and pulmonary vasculature. The lungs are without focal airspace consolidation, large pleural effusion, or pneumothoraces.


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.


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


The cardiac silhouette and pulmonary vascularity are normal. The lungs are clear. There is no evidence of pleural effusion. Postoperative changes are noted in the mediastinum and lower cervical spine.

No evidence of acute cardiopulmonary disease.


The heart is normal in size. The mediastinal contours are stable. Aortic calcifications are noted. There are small calcified lymph XXXX. Emphysema and chronic changes are identified. There is XXXX opacity in the left perihilar upper lobe. There is questionable XXXX extension to the pleural surface. This may represent acute infiltrate or developing density. There is no pleural effusion or pneumothorax.

Left midlung opacity may be secondary to acute infectious process or developing mass lesion. Followup to resolution is recommended.


XXXX opacities projecting over the right apex and mediastinum on PA view are artifactual. Stable cardiomediastinal silhouette. Pulmonary vascularity is unremarkable. Stable chronic coarse interstitial markings, without focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX are grossly intact. XXXX right cervical rib.

1. Stable chronic lung changes without acute cardiopulmonary abnormality.


The cardiac silhouette, mediastinum, and pulmonary vasculature are unremarkable. There is stable elevation of the left hemidiaphragm. Lungs are clear. No pleural fluid or pneumothorax is appreciated. Cholecystectomy clips are noted in the right upper quadrant.


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


The heart is normal in size. The mediastinum is unremarkable. Subtle increased opacity of right mid hemithorax XXXX related to superimposed soft tissues. The lungs are otherwise clear. There is no pleural effusion or pneumothorax.


PA and moderate loss of the chest demonstrate stable moderate cardiomediastinal silhouette with atherosclerotic calcifications of the aortic XXXX and mild aortic ectasia. Emphysematous changes with flattening of the hemidiaphragms. Blunting of the costophrenic XXXX, and XXXX secondary to scarring/emphysematous changes. No evidence of focal airspace consolidation large pleural effusion or pneumothorax. Visualized osseous structures appear intact.

Emphysematous changes without evidence of focal airspace disease or pulmonary edema.


Chest. Lungs are clear and expanded. Heart size normal. A calcified pleural plaque in the right subpulmonic area has not XXXX since the abdomen CT. Left and right knees. XXXX, XXXX spaces, and soft tissues are normal.

1. Chest. No active disease. 2. Left and right knees negative.


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.


Lungs are hyperexpanded. No infiltrates or masses in the lungs. Heart size normal.


Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications in the paratracheal region. Mild streaky scarring in the right upper lobe. No active pneumonia. Bony structures are intact.


Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality.


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


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

No acute cardiopulmonary abnormality identified.


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


The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. with XXXX opacities in the lung bases, XXXX bronchovascular crowding. No focal consolidation or pleural effusion are seen.

Low lung volumes with bibasilar opacities XXXX bronchovascular crowding. No acute infiltrate.


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 granulomas noted. XXXX symmetric apical scarring. The diaphragms are flattened, and the chest is somewhat XXXX shaped. The cardiothymic silhouette is within normal limits for size. Pulmonary vascularity is unremarkable. No acute bony abnormality.

Radiographic findings suggestive of emphysema.


The lungs are clear. A calcified granuloma is seen in the left midlung zone. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.


Normal cardiac contour. Right sided pleural effusion. Clear left lung XXXX. No pneumothorax.


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


Bilateral calcified granulomas stable compared to prior examination, without focal consolidation, pneumothorax, or pleural effusion identified. Cardiomediastinal silhouette stable and unremarkable. No acute osseous abnormality identified.


The cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic XXXX. No focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.


The lungs are clear. Heart size is normal. No pneumothorax. Stable S-shaped scoliosis. Cardiac XXXX is intact.


Heart size is normal and cardiomediastinal silhouette is normal. There are scattered calcified granulomas throughout both lung XXXX. Lungs are clear bilaterally otherwise. No bony or soft tissue abnormalities.


Mild cardiomegaly. Small area of platelike atelectasis in left mid lung. No pneumothorax or pleural effusion. Soft tissue and bony structures unremarkable.


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.


No change in the appearance of the left upper lobectomy. Left parahilar scar is unchanged. No XXXX infiltrates or masses in the lungs. Heart size remains normal.

Stable chest. No evidence for recurrence or metastasis.


Chronic-appearing XXXX opacities are unchanged and represent emphysema. Heart size is normal. No large pleural effusions. No pneumothorax. No focal airspace opacities.


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


The heart and mediastinal contours are stable. There is minimal patchy right lower lobe airspace disease identified. No pleural effusion or pneumothorax.

1. Patchy right lower lobe airspace disease may be due to atelectasis or infiltrate.


Chest. There is no change in the strandy scarring in the right apex. No XXXX infiltrates or masses in the lungs. Heart and mediastinum remain normal. Lumbosacral spine. disc spaces are old narrow, and large osteophytes present on the vertebral bodies, worst at L2-L3. XXXX elements from L4 through S1 are sclerotic. Sacrum and sacroiliac joints are normal. Calcific aortic disease is present.

1. Chest. No change right upper lobe scar. No acute disease. 2. Lumbosacral spine. Multiple levels of advanced degenerative disc disease and XXXX arthritis.


PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or lobar air space consolidation. XXXX right middle lobe collapse appears less distinct than on prior study.


The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is chronic left hemidiaphragm elevation. The aorta is tortuous and ectatic with atherosclerotic calcifications.

Suspected left hemidiaphragm paralysis. Consider a fluoroscopic evaluation for confirmation. Consider XXXX of the neck and nasopharynx with intravenous contrast if there is no known potential XXXX. Critical result notification documented through Primordial.


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.


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


No focal consolidation, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury XXXX demonstrated.

No acute XXXX related findings. Please note that nondisplaced fractures may not be demonstrated.


Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.


There is no focal consolidation. There is no pneumothorax or large pleural effusion. The cardiomediastinal contours are grossly unremarkable. The heart size is within normal limits. The right upper extremity PICC tip is in the upper SVC. Surgical clips in the right upper abdomen.


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.


Normal cardiac contour. Clear hyperexpanded lungs bilaterally with no pneumothorax or pleural effusion.

1. No acute cardiopulmonary abnormalities.


The heart is top normal in size. The mediastinum is stable. The lungs are grossly clear. Bilateral rib deformities are noted, possibly old fractures. There is no pleural effusion or pneumothorax.


The heart is normal in size. The mediastinum is unremarkable. Right chest XXXX is visualized with tip at cavoatrial junction. There is no pneumothorax. The lungs are clear.


Portable frontal view of the chest with overlying external cardiac monitor leads shows normal cardiomediastinal silhouette, central airways, pulmonary vasculature and lung volumes without focal air space consolidation or pleural effusion.


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.


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


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. .


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.


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.


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.


Cardiomediastinal silhouette stable and within normal limits for size with unchanged atherosclerosis and tortuosity thoracic aorta. There is no focal consolidation, pneumothorax, or effusion. No acute bony abnormality. Stable left proximal humeral enchondroma versus remote bony infarct. Stable multilevel degenerative disc disease of the thoracic spine. Calcified granuloma seen anteriorly on lateral view is stable since XXXX.


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


Borderline enlarged heart size. Atherosclerosis of the aortic XXXX. Calcified subcarinal lymph XXXX. Left anterior chest wall pacemaker/defibrillator. Right apical fibronodular pleural scarring/thickening. Scattered interstitial densities without focal consolidation, pneumothorax or large pleural effusion. T-spine osteophytes.

Borderline cardiomegaly without heart failure. No focal pneumonia.


The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma are noted. A few XXXX opacities are present consistent with XXXX XXXX of scarring or atelectasis.

1. A few basilar XXXX of opacity. This may represent scarring or atelectasis.


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.


Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact. The trachea and XXXX pulmonary bronchi are unremarkable.


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


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


Normal heart size and mediastinal contours. No abnormal airspace opacities. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable appearance.


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.


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.


The cardiac silhouette, mediastinum, and pulmonary vasculature are within normal limits. Lungs are clear. No pleural fluid or pneumothorax is appreciated.


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


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.


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


Heart size is normal in cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally. No XXXX consolidations. No pleural effusion. No pneumothorax. XXXX and soft tissues are unremarkable. Lungs are hyperinflated.


The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Minimal right basilar subsegmental atelectasis noted. Cardio mediastinal silhouette is unremarkable. Tortuosity of the thoracic aorta noted. Scattered calcified granulomas are seen without evidence of active granulomatous/tuberculous process. Visualized osseous structures of the thorax are without acute abnormality.


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.


Moderate cardiomegaly with narrowed severe mediastinal contours. Been sternotomy XXXX noted. No pneumothorax. no large pleural effusions. No focal lung consolidation.

1. No acute cardiopulmonary abnormalities. 2. Moderate cardiomegaly without significant pulmonary edema.


Heart size is normal. There are XXXX opacities which appear to XXXX XXXX above the right XXXX fissure. There is mild thickening in the fissure. No pneumothorax. No large pleural effusions.

XXXX opacities in the right upper lobe anterior segment which may represent atelectasis or infiltrate.


There is XXXX airspace disease in the right lower lobe seen behind the right hemidiaphragm on PA view. This is also well seen on lateral view. Remainder of the lungs appear clear. The heart and pulmonary XXXX appear normal. Mediastinal contours are normal.


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.


The heart is again mildly enlarged. Mediastinal contours are stable. Patient is somewhat rotated. The lungs are hypoinflated with elevated left hemidiaphragm. XXXX XXXX opacities compatible with atelectasis. No large effusion is seen. There is no focal consolidation. Pulmonary vascularity is mildly accentuated. There are bilateral degenerative changes of the XXXX with probable chronic dislocation of the left humerus. Correlate clinically.

1. Mild stable cardiomegaly and central vascular congestion. 2. Low lung volumes with elevated left hemidiaphragm and basilar subsegmental atelectasis. 3. Extensive bilateral shoulder degenerative changes with subluxation/dislocation left shoulder, possibly chronic. Suggest clinical correlation.


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.


There are multiple bilateral pulmonary nodules. For example, there is a 12 mm left lower lobe nodule, XXXX seen on the frontal view. There is no pleural effusion or pneumothorax. Heart size is within normal limits. The left hilar contour is prominent. There are diffuse degenerative changes of the spine.

1. Multiple bilateral pulmonary nodules, concerning for metastatic disease. 2. Prominent left hilum. After correlation with the XXXX scan performed today, findings XXXX reflect enlargement of the left pulmonary artery.


PA and lateral views the chest were obtained. The cardiac silhouette is normal in size and configuration. Calcified right hilar lymph XXXX. There is focal contour abnormality of the level of the inferior posterior mediastinum, may reflect focal aneurysm of the descending thoracic aorta. The lungs are well aerated. No pneumothorax, pleural effusion, or focal air space consolidation.

1. No acute cardiopulmonary disease. 2. Focal convexity of the left inferior posterior mediastinum, may reflect focal aneurysm of the descending thoracic aorta. This has been present and without significant change since at XXXX XXXX. Nonemergent chest CT may be useful.


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


Cardiomediastinal silhouette appears normal in size and contour. Right lung is clear. Stable blunting of costophrenic XXXX with improved aeration of the left base compared to prior exam. No visualized pneumothorax or focal consolidation. XXXX unremarkable.

Stable blunting of the left costophrenic XXXX which may represent persistent left pleural effusion versus pleural scarring.


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.


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


Apparent cardiomegaly XXXX at XXXX partially accentuated by low lung volumes. No focal consolidation, pneumothorax or large pleural effusion. Right base calcified granuloma. Stable right infrahilar nodular density (lateral view). Negative for acute bone abnormality.

Borderline cardiomegaly without heart failure.


2 images. Heart size upper limits of normal. Mediastinal contours are maintained. The patient is mildly rotated. There is a small to moderate sized right apical pneumothorax which measures approximately 2.0 cm. No focal airspace consolidation is seen. Left chest is clear. No definite displaced bony injury is seen. Results called XXXX. XXXX XXXX p.m. XXXX, XXXX.

Small to moderate right apical pneumothorax.


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.


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.


The heart is again enlarged, stable. The left subclavian ICD is unchanged position. There is a XXXX right upper extremity PICC line, the tip is partially obscured by the pacemaker XXXX. The tip appears to be in the proximal SVC. No pneumothorax is seen. There is mild central vascular prominence and bronchovascular crowding. The lungs are hypoinflated without focal consolidation.

1. Stable cardiomegaly and mild central vascular prominence. 2. XXXX right upper extremity PICC line with tip in proximal SVC. No pneumothorax.


The heart is normal in size. The mediastinum is Within normal limits the lungs are hypoinflated. There is mild increase in perihilar markings XXXX related to patient's history bronchitis. No acute infiltrate or pleural effusion are seen.

Low lung volumes with increased lung markings particularly in the left perihilar region XXXX related to history of bronchitis. No acute infiltrate.


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.


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


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.


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.


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


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.


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


The lungs are clear. No pleural effusion is seen. The heart and mediastinum are normal. The skeletal structures are normal. There are surgical clips in the right axilla region.


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.


Cardiac and mediastinal contours are within normal limits. Emphysematous changes are present. The lungs are free of active disease. Deformed right ribs. Thoracic spondylosis.


The cardiac contours are normal. Prominent pulmonary arteries. The lungs are clear. Thoracic spondylosis.


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. The right pneumothorax is not appreciated. Pneumomediastinum is also less perceptible. There is a mid right clavicle comminuted fracture. There are lateral mid right rib deformities, perhaps due to fractures as well.

The XXXX right pneumothorax and XXXX pneumomediastinum are less apparent. Mid right clavicle fracture.


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.


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.


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.


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.


Heart size upper limits normal. Vascularity normal.Calcified breast implants obscure some detail. Lungs are clear. Vascular calcifications aorta. No pleural effusions or pneumothoraces.

Borderline cardiomegaly, otherwise unremarkable exam.


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

No radiographic evidence of acute cardiopulmonary disease


Negative for cardiac enlargement. Negative for vascular congestion. Bilateral granulomas are seen scattered throughout the lungs. Negative for pneumothorax. Negative for focal air space consolidation. Some minimal streaky opacity at the bilateral bases XXXX relates to subsegmental atelectasis.


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


The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is tortuous and calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Degenerative endplate changes of the thoracic spine with an age-indeterminate, mild wedge XXXX deformity of a midthoracic vertebral body.

1. No acute cardiopulmonary process. 2., Mild, age-indeterminate wedge XXXX deformity of a midthoracic vertebral body.


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


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

No acute radiographic cardiopulmonary process.


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


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.


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


Cardiac silhouette is unchanged. Aorta is calcified ectatic and tortuous. No pneumothorax. Basilar reticular opacities XXXX represent chronic scarring or atelectasis. There is a hiatal hernia.


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


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


The heart size is normal. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. There are degenerative changes within the XXXX bilaterally and left acromioclavicular joint. XXXX XXXX in the soft tissues of the right upper extremity.


Within the posterior lateral 8th rib there is a deformity along the cortex with associated oblique lucency. In addition within the posterior lateral 9th rib there appears to be a obliquely oriented lucency with cortical disruption. Findings are concerning for possible left rib fractures. Otherwise the cardiomediastinal silhouette is within normal limits. The lungs are clear bilaterally. Multiple small punctate radiopaque foreign bodies are seen within the subcutaneous tissues and are present on previous CT scan from XXXX.

Possible lower posterior lateral left rib fractures as described above. If further concern for rib fractures dedicated rib films would better evaluate. Otherwise no acute cardiopulmonary disease.


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.


A left-sided hemodialysis catheter is in XXXX with its distal tip at the right atrium. The cardiac silhouette and mediastinal contours are within normal limits. There is no focal opacity. There is no pneumothorax. No large pleural effusion.

Stable position of the left-sided hemodialysis catheter otherwise no acute cardiopulmonary disease.


The cardiac silhouette size is at the upper limits of normal. Central vascular markings are mildly prominent. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. No acute bony abnormality.

1. Mild central vascular prominence, XXXX congestion. Heart size at the upper limits of normal.


The heart size is normal. Tortuous aorta. Calcifications are seen within the aortic XXXX. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. Stable calcified granuloma within the lingula. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm. Surgical clips are seen within the right upper abdomen.

1. No acute radiographic cardiopulmonary process.


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.


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.


Stable cardiomegaly and mediastinal contour. Increased interstitial lung markings are seen, possibly due to volume overload. There is improved aeration of the lung bases with small residual left basilar effusion. No XXXX focal consolidation or pneumothorax. Stable tunneled dialysis catheter. Visualized osseous structures appear intact.

Stable cardiomegaly. Improved aeration of lung bases with persistent left basilar effusion. Prominent interstitium, possibly due to mild volume overload. .


There is stable cardiomegaly. Aorta is calcified and tortuous. There are multiple pleural calcifications XXXX representing prior asbestos exposure. These appear unchanged. There is no pneumothorax, pleural effusion, or XXXX focal airspace consolidation.

1. Cardiomegaly and findings of prior asbestos exposure without interval acute cardiopulmonary findings.


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


Ribs are intact with no fractures or bone destruction. Both lungs remain clear and expanded. Heart and mediastinum are normal.

1. Left and right ribs. Negative for fracture. 2. Chest. No evidence for cardiopulmonary injury.


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.


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.


Mild cardiomegaly. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is thoracic kyphosis. There is XXXX deformity of T12 and L1, unchanged XXXX abdomen XXXX, XXXX. Aortic calcifications are noted. Fracture of right proximal humerus, incompletely evaluated.

1. No acute abnormality of the chest. 2. XXXX deformities of T12 and L1, unchanged XXXX abdomen XXXX, XXXX abdomen XXXX, XXXX. 3. Fracture of right proximal humerus, incompletely evaluated. .


Lung volumes are low. Bibasilar consolidation and bilateral costophrenic XXXX blunting are present. Heart size normal. Pulmonary XXXX normal. Shunt tubing traverses the entire image from top to XXXX.

Bibasilar airspace disease and bilateral pleural fluid.


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.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. Lungs are clear of focal airspace disease. There is no pneumothorax. There is mild blunting of the right costophrenic XXXX, without definite pleural effusion.

1. Clear lungs. 2. Mildly blunted right costophrenic XXXX without definite pleural effusion.


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


The cardiac contours are normal. XXXX scarring left base. The lungs are clear. Thoracic spondylosis.


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..


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.


Heart size within normal limits. Mediastinal contours unremarkable. Pulmonary vascularity is normal. Right lung is clear. XXXX opacities left lung base may represent atelectasis versus scarring. No focal consolidation. No pleural effusion, no pneumothorax. Bony structures unremarkable.

Atelectasis versus scar left lung base. Otherwise unremarkable. XXXX XXXX for the opportunity to assist in the care of your patient. If there are any questions about this examination please XXXX. XXXX, XXXX certified radiologist, at XXXX.


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.


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.


Both lungs remain hyperexpanded. No XXXX focal infiltrates. A small pleural or collection is XXXX present in the right apex. However, it has decreased considerably since the previous examination. Heart size remains normal.

COPD with almost completely resolved right apical pleural air collection.


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


The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs, without focal consolidation, pneumothorax or large pleural effusion. XXXX right upper lobe scarring/atelectasis. Aortic calcifications.

Hyperexpanded lungs. XXXX right upper lobe scarring/atelectasis. No focal pneumonia.


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

XXXX change. Hypoinflation with no visible active cardiopulmonary disease.


Cardiac silhouette within normal limits. No edema or airspace consolidation. No pneumothorax. No pleural effusion.

No evidence of acute cardiopulmonary process.


There are numerous surgical clips at the thoracic inlet. Small areas of XXXX scarring are seen in the left base. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.


Cardiac and mediastinal XXXX appear normal. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. There is a mild dextro scoliotic curvature of the midthoracic spine.

No acute radiographic cardiopulmonary process. .


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.


Stable cardiomediastinal silhouette. Calcified granuloma in the left lower lobe. Minimal bibasilar airspace disease. No pneumothorax. Degenerative changes of the thoracic spine.


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. .


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

1. No acute radiographic cardiopulmonary process.


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


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


The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. There is right greater than left biapical bullous emphysema. No focal consolidation, pleural effusion, or pneumothorax identified. There are XXXX degenerative changes of the thoracic spine.


Stable normal cardiac size and contour, normal mediastinal silhouette. Normal pulmonary XXXX. Lungs clear, no airspace disease. No pleural effusion or pneumothorax.

Stable chest, no active/acute cardiopulmonary disease.


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


The lungs are clear. Heart and pulmonary XXXX appear normal. The pleural spaces are clear and mediastinal contours are normal. Nodular density overlying the anterior left 4th rib XXXX represents a healing rib fracture.


Heart is at the upper limits of normal size. Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal pulmonary vascularity.


The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.


The heart is at the upper limits of normal in size. There is XXXX patchy opacification in the right upper and left lower lobes. No pneumothorax or pleural effusion. Atherosclerotic aortic XXXX calcifications noted. Stent overlying the right upper quadrant XXXX represents prior TIPSS procedure. Mild degenerative changes of the thoracic spine.

Right upper and left lower lobe airspace disease. .


Heart size is normal. No focal consolidations. There are degenerative changes throughout the midlower thoracic spine. No pneumothorax or pleural effusion.


Negative for cardiac enlargement. Negative for vascular congestion. Negative for focal confluent airspace disease. Negative for pneumothorax. A few scattered calcified granulomas are identified.


Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Thoracic spondylosis. Bilateral breast prostheses with XXXX calcification.


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


Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. Bronchovascular crowding without typical findings of pulmonary edema.


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.


The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is minimal XXXX opacity in the lung bases. The lungs are otherwise grossly clear. There are no acute bony findings.


PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Prominent bilateral pericardial fat pads. The lungs are well aerated. There is minimal patchy and XXXX air space opacity within the lingula favored as atelectasis.

Minimal XXXX patchy airspace disease within the lingula, may reflect atelectasis or infiltrate.


Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. There is a mild anterior wedge XXXX deformity of L1, age-indeterminate.

1. No acute cardiopulmonary process. 2. Age indeterminant grade 1 anterior wedge XXXX deformity of L1.


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.


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.


Lungs are relatively clear. Heart size normal. Unfolded aorta. Moderate hiatal hernia. T-spine osteophytes and DISH.

Moderate hiatal hernia. No definite pneumonia.


Lung volumes remain XXXX. XXXX opacities are present in both lower lobes. Old rib fractures and pleural thickening are present on the right. Heart and pulmonary XXXX are normal.

Hypoinflation with bibasilar focal atelectasis.


No focal consolidation. No visualized pneumothorax. No large pleural effusions. Heart size normal. Cardiomediastinal silhouette is unremarkable.


Borderline cardiomegaly, XXXX at XXXX partially accentuated by low lung volumes. Right upper lobe calcified granuloma. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.


There is widening of the mediastinum. There is moderate cardiomegaly identified. The central pulmonary XXXX appear enlarged. Correlate for pulmonary vascular congestion. No focal infiltrate. No large effusion or pneumothorax.

1. Moderate increase in size of the cardiac silhouette. Unclear whether this is secondary to cardiomegaly or pericardial effusion. 2. Pulmonary vascular congestion. 3. Widened mediastinum. Maybe secondary to prominent mediastinal fat or tortuous XXXX. However, adenopathy, or mass is not excluded. CT of the chest with contrast is recommended for further evaluation of these findings.


ICD leads in XXXX position to prior study with stable cardiomegaly. No XXXX pulmonary consolidation. Lungs hyperinflated. The cardiomediastinal silhouette appears stable. No significant pleural effusion. Minimal opacity at the lateral costophrenic XXXX may be due to degree of lung inflation versus minimal pleural-parenchymal scarring or XXXX atelectasis. Visualized spine vertebrae appear normal in XXXX and alignment. The arm projects over chest on the lateral view.


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


No 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.


The trachea is midline. The cardio mediastinal silhouette is of normal size and contour. No evidence of focal infiltrate or effusion. Low lung volumes XXXX XXXX atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals degenerative changes of the thoracic spine.

1. No acute cardiopulmonary abnormalities. 2. Low lung volumes causing bibasilar atelectasis and bronchovascular crowding .


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.


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.


Heart size and mediastinal contours appear within normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. There is levoscoliosis of the thoracic spine.

No acute cardiopulmonary abnormality. Levoscoliosis of the thoracic spine.


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.


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


Lungs are clear without focal infiltrates. Calcified right upper lobe granuloma unchanged from prior. No pneumothorax or pleural effusion. Normal heart size. Normal pulmonary vascularity. Bony thorax intact.


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.


XXXX XXXX opacities with elevated right hemidiaphragm and low lung volumes. Negative for effusion or pneumothorax. Cardiomegaly, stable. Left chest AICD leads in the right atrium and right ventricle unchanged.

Cardiomegaly with bibasilar opacities, which may represent atelectasis or infiltrate.


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


The heart is normal in size. The mediastinum is unremarkable. XXXX granuloma is noted in the left midlung. The lungs are otherwise clear.


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


No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact.


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


The heart is normal in size. The mediastinum is within normal limits. Small calcified lymph XXXX are seen. The lungs are clear.


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


In the interval, a 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe. In addition, on the PA view, an 8 mm opacity is adjacent to the left XXXX of the heart. This opacity cannot be well identified on the lateral view. It may be artifactual, but another mass on the left cannot be excluded. Mediastinum is normal with no evidence for adenopathy. Heart size normal. Note XXXX of an unchanged hiatal hernia.

XXXX right upper lobe mass, suspicious for neoplasm. CT of chest abdomen and head would be helpful for further evaluation.


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.


There is a moderate layering left pleural effusion, grossly stable. There is a moderate right pleural effusion, which is partially loculated. There is some pleural fluid tracking along the right XXXX fissure. There is bibasilar airspace disease, possibly passive atelectasis. No pneumothorax is identified. Heart size is within normal limits. Right PICC tip is at the SVC. There are mild degenerative changes of the spine.

1. Partially loculated right pleural effusion, grossly stable. 2. Stable moderate layering left pleural effusion. 3. Bibasilar airspace disease, possibly atelectasis.


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.


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

Negative for acute cardiopulmonary abnormality.


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.


The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. There is stable mild XXXX deformity of the lower thoracic vertebral body.


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


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

1. Cardiomegaly without lung infiltrates.


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.