IndianaUniversityDatasetsModels/Indiana_University_Medical_reports_original

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1	normal	normal	Xray Chest PA and Lateral	Positive TB test	None.	The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a pleural effusion. There is no evidence of pneumothorax.	Normal chest x-XXXX.
2	Cardiomegaly/borderline;Pulmonary Artery/enlarged	Cardiomegaly;Pulmonary Artery	Chest, 2 views, frontal and lateral	Preop bariatric surgery.	None.	Borderline cardiomegaly. Midline sternotomy XXXX. Enlarged pulmonary arteries. Clear lungs. Inferior XXXX XXXX XXXX.	No acute pulmonary findings.
3	normal	normal	Xray Chest PA and Lateral	rib pain after a XXXX, XXXX XXXX steps this XXXX. Pain to R back, R elbow and R rib XXXX, no previous heart or lung hx, non-XXXX, no hx ca	null	null	No displaced rib fractures, pneumothorax, or pleural effusion identified. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
4	Pulmonary Disease, Chronic Obstructive;Bullous Emphysema;Pulmonary Fibrosis/interstitial;Cicatrix/lung/upper lobe/left;Opacity/lung/apex/left/irregular;Opacity/lung/upper lobe/right/streaky;Opacity/pulmonary alveoli;Opacity/lung/bilateral/interstitial/diffuse	Pulmonary Disease, Chronic Obstructive;Bullous Emphysema;Pulmonary Fibrosis;Cicatrix;Opacity;Opacity;Opacity;Opacity	PA and lateral views of the chest XXXX, XXXX at XXXX hours	XXXX-year-old XXXX with XXXX.	None available	There are diffuse bilateral interstitial and alveolar opacities consistent with chronic obstructive lung disease and bullous emphysema. There are irregular opacities in the left lung apex, that could represent a cavitary lesion in the left lung apex.There are streaky opacities in the right upper lobe, XXXX scarring. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.	1. Bullous emphysema and interstitial fibrosis. 2. Probably scarring in the left apex, although difficult to exclude a cavitary lesion. 3. Opacities in the bilateral upper lobes could represent scarring, however the absence of comparison exam, recommend short interval followup radiograph or CT thorax to document resolution.
5	Osteophyte/thoracic vertebrae/multiple/small;Thickening/pleura/apex/bilateral;Lung/hyperdistention/mild	Osteophyte;Thickening;Lung	Xray Chest PA and Lateral	Chest and nasal congestion.	null	The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present. Small T-spine osteophytes. There is biapical pleural thickening, unchanged from prior. Mildly hyperexpanded lungs.	No acute cardiopulmonary abnormality.
6	normal	normal	PA and Lateral Chest. XXXX, XXXX at XXXX	Evaluate for infection	XXXX, XXXX	Heart size and mediastinal contour are within normal limits. There is no focal airspace consolidation or suspicious pulmonary opacity. No pneumothorax or large pleural effusion. Mild degenerative change of the thoracic spine.	No acute cardiopulmonary findings.
7	Pulmonary Atelectasis/base;Spondylosis/thoracic vertebrae;Arthritis/cervical vertebrae	Pulmonary Atelectasis;Spondylosis;Arthritis	Xray Chest PA and Lateral	Preop lumbar surgery	XXXX, XXXX	The cardiac contours are normal. XXXX basilar atelectasis. The lungs are clear. Thoracic spondylosis. Lower cervical XXXX arthritis.	Basilar atelectasis. No confluent lobar consolidation or pleural effusion.
8	normal	normal	Xray Chest PA and Lateral	XXXX-year-old with XXXX on XXXX. Dyspnea. History of mitral valve prolapse.	Two views of the chest dated XXXX.	The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is an interim XXXX cervical spinal fusion partly evaluated.	No acute cardiopulmonary disease.
9	Calcified Granuloma/lung/upper lobe/right;Density/cardiophrenic angle/left	Calcified Granuloma;Density	Xray Chest PA and Lateral	Chest pain today. History of stent placement 7+ years ago.	CT XXXX image XXXX, CT abdomen which included the lower thorax XXXX.	The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiac silhouette is not enlarged. There has been apparent interval increase in low density convexity at the left cardiophrenic XXXX. Calcified granuloma is again seen in the right upper lobe. There is no consolidation, pleural effusion or pneumothorax.	Increased size of density in the left cardiophrenic XXXX. Primary differential considerations include increased size of prominent epicardial fat, pericardial mass, pleural mass or cardiac aneurysm. CT chest with contrast is recommended. These findings and recommendations were discussed XXXX. XXXX by Dr. XXXX XXXX telephone at XXXX p.m. XXXX/XXXX. Dr. XXXX<XXXX>technologist receipt of the results.
10	Calcified Granuloma/lung/upper lobe/right	Calcified Granuloma	PA and lateral chest x-XXXX XXXX.	XXXX-year-old male, chest pain.	Chest radiographs XXXX.	The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Stable calcified granuloma within the right upper lung. No acute bone abnormality..	No acute cardiopulmonary process.
11	normal	normal	Xray Chest PA and Lateral	Fatigue, weakness, anterior chest pain	None	Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.	No acute cardiopulmonary findings.
12	normal	normal	PA and lateral chest radiograph (2 views) (2 images)	XXXX	None	Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.	No acute cardiopulmonary abnormality.
13	Cardiac Shadow/borderline	Cardiac Shadow	PA and lateral chest radiograph (2 views) (2 images)	Chest pain.	Chest radiograph from XXXX, XXXX.	The cardiac silhouette is borderline enlarged. Otherwise, there is no focal opacity. Mediastinal contours are within normal limits. There is no large pleural effusion. No pneumothorax.	Borderline enlargement of the cardiac silhouette without acute pulmonary disease.
14	Lung/hyperdistention/mild;Markings/lung/interstitial/scattered/irregular/chronic	Lung;Markings	Xray Chest PA and Lateral	XXXX-year-old female, chest pain	null	Heart size within normal limits, stable mediastinal and hilar contours. Mild hyperinflation appears similar to prior. No focal alveolar consolidation, no definite pleural effusion seen. Scattered chronic appearing irregular interstitial markings, no typical findings of pulmonary edema.	No acute findings
15	Granulomatous Disease	Granulomatous Disease	Chest, 2 views, XXXX XXXX ComparisXXXX/XXXX	Dyspnea	null	Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Evidence of prior granulomatous disease. No acute osseous findings.	No acute cardiopulmonary findings.
16	normal	normal	Xray Chest PA and Lateral	null	null	null	null
17	normal	normal	PA and lateral views of the chest dated XXXX.	XXXX-year-old female, chest pain.	XXXX films of the chest dated XXXX.	No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.	No acute cardiopulmonary abnormality.
18	Pleural Effusion/borderline	Pleural Effusion	Xray Chest PA and Lateral	XXXX-year-old male, pain	None	Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.	No acute cardiopulmonary findings
19	Aorta, Thoracic/tortuous;Thoracic Vertebrae/degenerative	Aorta, Thoracic;Thoracic Vertebrae	PA and LAT view CHEST XXXX, XXXX XXXX PM	XXXX, preop for abdominal aortic aneurysm repair	CT chest angiography, XXXX	Heart size is normal. There is tortuosity of the thoracic aorta, stable compared with prior. No focal airspace disease or effusion. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.	No acute cardiopulmonary process.
20	normal	normal	PA and lateral chest radiograph, XXXX at XXXX hours.	XXXX-year-old female with XXXX.	PA lateral chest radiograph, XXXX.	The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. There are mild degenerative changes of the thoracic spine.	No evidence of acute cardiopulmonary process. Stable appearance of the chest.
21	Calcified Granuloma/lung/lingula;Breast Implants;Deformity/thoracic vertebrae/moderate	Calcified Granuloma;Breast Implants;Deformity	2 VIEW CHEST: XXXX, XXXX at XXXX hours.	Patient confused. Possible head injury.	None	null	Heart size normal. Mediastinal silhouettes and pulmonary vascularity are within normal limits. Calcified lingular granuloma. No focal consolidations or pleural effusions. No pneumothorax. Breast implants there is a moderate wedge XXXX deformity of the midthoracic vertebrae, XXXX T6, age-indeterminate.
22	normal	normal	PA and lateral views of the chest XXXX, XXXX at XXXX hours	XXXX-year-old woman with XXXX for 3 weeks.	None available	The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax large pleural effusion.	No acute cardiopulmonary abnormality.
23	normal	normal	Xray Chest PA and Lateral	Nausea, vomiting, preop for surgery	None	The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.	No evidence of active disease.
24	normal	normal	PA AND LATERAL VIEWS OF THE CHEST dated XXXX XXXX hours	XXXX, dyspnea	None.	Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality. There is incompletely evaluated lumbar levoscoliosis.	No acute cardiopulmonary abnormality.
25	Sutures/lung/apex/right;Lung, Hyperlucent;Lung/hyperdistention;Pulmonary Emphysema;Airspace Disease/lung/lower lobe/left;Pleural Effusion/left/moderate;Pleural Effusion/right/small	Sutures;Lung, Hyperlucent;Lung;Pulmonary Emphysema;Airspace Disease;Pleural Effusion;Pleural Effusion	Xray Chest PA and Lateral	XXXX year old smoking on oxygen and nasal cannula caught XXXX. XXXX to the cheek and inside of nose.	PA and lateral chest XXXX and CTA XXXX.	The heart is within normal limits in size. Surgical suture material projects over the right lung apex. The lungs are hyperlucent and hyperinflated compatible with emphysema. There is left lower lobe airspace disease identified. There is moderate left pleural effusion and small right pleural effusion. No visualized pneumothorax.	1. Left lower lobe airspace disease and bilateral pleural effusions, left greater than right. This may be secondary to inhalational injury. Recommend followup to ensure complete resolution.
26	Spondylosis/thoracic vertebrae	Spondylosis	Chest, 2 views, frontal and lateral	XXXX	None.	The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.	No acute process.
27	Lung/hyperdistention;Diaphragm/flattened;Thoracic Vertebrae/degenerative	Lung;Diaphragm;Thoracic Vertebrae	PA and LAT view CHEST XXXX, XXXX XXXX PM	Chronic XXXX XXXX	XXXX	Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.	Hyperexpanded but clear lungs.
28	Opacity/lung/base/bilateral/scattered/focal/patchy/multiple;Pulmonary Atelectasis;Consolidation/lung/base/left;Pulmonary Congestion;Cardiac Shadow/enlarged	Opacity;Pulmonary Atelectasis;Consolidation;Pulmonary Congestion;Cardiac Shadow	Xray Chest PA and Lateral	XXXX-year-old male, shortness of breath.	Portable chest dated XXXX.	Bilateral patchy pulmonary opacities noted. Interval improvement in left base consolidative opacity. Pulmonary vascular congestion again noted. Stable enlarged cardiomediastinal silhouette. Stable left XXXX. No evidence of pneumothorax. No large pleural effusions.	1. Interval improvement in consolidative left base opacity. Multifocal scattered bibasilar patchy and XXXX pulmonary opacities again noted, most consistent with atelectasis/infiltrate. 2. Stable enlarged cardiomediastinal silhouette. Stable pulmonary vascular congestion. .
29	Cardiomegaly/borderline;Diaphragm/left/elevated;Tube, Inserted/trachea, carina;Airspace Disease/lung/base/left/severe	Cardiomegaly;Diaphragm;Tube, Inserted;Airspace Disease	Chest, 2 views, frontal and lateral	XXXX, hypoxia.	XXXX, XXXX	null	Borderline heart size. Elevated left diaphragm. Clear right lung. Tracheostomy tube tip above the carina. Extensive airspace disease in the left base. No large effusion or pneumothorax.
30	normal	normal	Chest x-XXXX XXXX and lateral, XXXX	XXXX-year-old male with chest pain.	None	Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Negative for pneumoperitoneum. Bony thorax and soft tissue grossly unremarkable	Negative acute cardiopulmonary abnormality.
31	Markings/lung/interstitial	Markings	Xray Chest PA and Lateral	XXXX DYSPNEA	Comparison XXXX, XXXX.	null	Suggestion of slightly more prominent interstitial markings, which may represent some bronchitic/bronchiolitis changes. No suspicious nodules, pneumonia, effusions, or CHF. Stable mediastinal contour.
32	Costophrenic Angle/right/blunted/mild	Costophrenic Angle	Xray Chest PA and Lateral	WEAKNESS OF MUSCLES; hx XXXX nodules; XXXX for changes in lungs	None	The heart is normal in size. The mediastinum is unremarkable. Mild blunting of right costophrenic XXXX. The lungs are otherwise grossly clear.	No acute disease.
33	Surgical Instruments/left	Surgical Instruments	Xray Chest PA and Lateral	Six months of XXXX.	None.	Cardiac and mediastinal contours are within normal limits. The lungs are clear. Left axillary surgical clips. Bony structures are intact.	No active pulmonary disease.
34	normal	normal	PA and lateral views of the Chest performed XXXX/XXXX.	XXXX year old with chest pain.	None.	The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.	No acute cardiopulmonary disease.
35	Lung/hyperdistention;Diaphragm/bilateral/flattened;Thoracic Vertebrae/degenerative/multiple;Emphysema	Lung;Diaphragm;Thoracic Vertebrae;Emphysema	PA and lateral chest radiographs XXXX at XXXX hours.	XXXX-year-old female with breast mass and smoking history.	PA and lateral chest redressed XXXX	The heart size and cardiomediastinal silhouette are normal. There is hyperexpansion of the lungs with flattening of the hemidiaphragms. There is no focal airspace opacity, pleural effusion, or pneumothorax. There multilevel degenerative changes of thoracic spine.	Emphysema, however no acute cardiopulmonary finding.
36	normal	normal	PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m..	XXXX-year-old female with chest pain, rule out pneumonia..	Two-view chest radiograph dated XXXX, XXXX..	The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.	No acute cardiopulmonary abnormality..
37	Opacity/lung/middle lobe/right	Opacity	Xray Chest PA and Lateral	HYPOXIA;	None	The heart is normal in size. The mediastinum is unremarkable. XXXX XXXX opacities in right mid lung. The lungs are otherwise grossly clear.	No acute disease.
38	normal	normal	Chest x-XXXX XXXX	XXXX, XXXX and shortness of breath for 3 days	XXXX	Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.	No acute cardiopulmonary process.
39	No Indexing	No Indexing	CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM	diminished breath sounds throughout	XXXX, XXXX.	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.
40	Lung/hyperdistention/mild;Deformity/ribs/bilateral/multiple;Osteophyte/thoracic vertebrae/anterior/multiple/large;Emphysema	Lung;Deformity;Osteophyte;Emphysema	PA and lateral views of the chest.	XXXX-year-old male with peripheral edema.	PA and lateral views of the chest from XXXX.	Mild hyperexpansion of the lungs. Numerous bilateral rib deformities. No focal airspace disease. Heart size is normal. No pneumothorax or effusion. Large, flowing anterior endplate osteophytes of the thoracic spine.	Emphysema with no acute cardiopulmonary findings.
41	Opacity/lung/bilateral/interstitial/diffuse;Opacity/lung/base/left/interstitial/diffuse;Volume Loss/lung/left/mild;Lung Diseases, Interstitial	Opacity;Opacity;Volume Loss;Lung Diseases, Interstitial	Xray Chest PA and Lateral	XXXX-year-old male with history of idiopathic pulmonary fibrosis presents for evaluation.	Comparison is XXXX to chest radiograph examination dated XXXX.	The cardiomediastinal silhouette is stable in appearance. No interval change in the diffuse increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and left lung base. These opacities appear slightly increased as compared to prior examination. Mild left-sided volume loss redemonstrated, unchanged. No pneumothorax or pleural effusion. The thoracic spine appears intact.	1. Slight interval worsening of the diffusely increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and the left lung base. These findings are most consistent with slight interval worsening of the patient's known interstitial lung disease. 2. Stable, mild left-sided volume loss. .
42	normal	normal	Xray Chest PA and Lateral	The patient is a XXXX-year-old female with chest pain.	None available.	The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.	No acute cardiopulmonary abnormalities. .
43	No Indexing	No Indexing	CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM	dyspnea	XXXX, XXXX.	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.
44	normal	normal	Xray Chest PA and Lateral	XXXX-year-old with XXXX for 5 days. Previously seen for vomiting and ear pain.	None.	The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.	No acute cardiopulmonary disease.
45	Cardiomegaly;Pulmonary Congestion	Cardiomegaly;Pulmonary Congestion	Radiograph Chest PA and Lateral XXXX, XXXX.	Edema.	Radiograph Chest PA and Lateral XXXX, XXXX.	Stable cardiomegaly with vascular prominence without overt edema. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.	Stable cardiomegaly without overt pulmonary edema.
46	normal	normal	Xray Chest PA and Lateral	V76.12 SCREENING MAMMOGRAM XXXX,no hx ca or implants,466.0 ACUTE BRONCHITIS	null	null	No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
47	Stents/coronary vessels;Thickening/pleura/apex/bilateral/mild	Stents;Thickening	2 VIEW CHEST: XXXX, XXXX at XXXX hours.	Kidney transplant evaluation	XXXX, XXXX	null	Heart size is within normal limits. Coronary artery stent noted. No edema. No focal consolidation, pleural effusion or pneumothorax. Mild nonspecific biapical pleural thickening. Clips from prior cholecystectomy are noted.
48	Nodule/lung/base/left;Bone and Bones/thorax/degenerative/mild	Nodule;Bone and Bones	PA and lateral chest radiograph, XXXX at XXXX hours.	XXXX-year-old female with XXXX.	None.	The cardiac and mediastinal contours are within normal limits. The lungs are well-inflated and clear. There is an 8mm nodule in the left lower lobe, XXXX calcified granuloma. There is no pneumothorax or effusion. Bony structures of the thorax are intact with minimal early degenerative change.	1. No evidence of acute cardiopulmonary process. 2. 8mm nodule in the left lung base, XXXX calcified granuloma.
49	Thoracic Vertebrae/degenerative;Calcified Granuloma/lung/hilum/right;Aorta/tortuous/mild;Thickening/pleura/apex/right	Thoracic Vertebrae;Calcified Granuloma;Aorta;Thickening	PA and lateral chest radiographs dated XXXX at XXXX hours.	XXXX-year-old with osteoarthritis of the hip scheduled for total hip replacement. Preoperative evaluation.	None.	The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are degenerative changes of the thoracic spine. There is a calcified granuloma identified in the right suprahilar region. The aorta is mildly tortuous and ectatic. There is asymmetric right apical smooth pleural thickening. There are severe degenerative changes of the XXXX.	No acute cardiopulmonary disease.
50	Cardiomegaly;Spine/degenerative;Lung/hypoinflation	Cardiomegaly;Spine;Lung	PA and lateral views of the chest XXXX, XXXX XXXX PM	pt with sob,	XXXX	A XXXX XXXX lung volumes. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. cardiomegaly. Degenerative changes in the spine.	Cardiomegaly with low lung volumes which are grossly clear.
51	Calcified Granuloma/lung/bilateral/scattered	Calcified Granuloma	CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX	preop XXXX	Chest 2 views from XXXX, XXXX. .	Heart size is normal and cardiomediastinal silhouette is normal. There are scattered calcified granulomas throughout both lung XXXX. Lungs are clear bilaterally otherwise. No bony or soft tissue abnormalities.	No acute cardiopulmonary abnormality.
52	normal	normal	PA and Lateral Chest Radiograph XXXX, XXXX at XXXX p.m.	XXXX-year-old male with chest pain	None	The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.	No acute cardiopulmonary abnormality.
53	Lung/hypoinflation/severe;Opacity/lung/base/right;Pulmonary Atelectasis/base/right	Lung;Opacity;Pulmonary Atelectasis	CHEST (PA AND LATERAL) on XXXX, XXXX.	Dizziness, hypoxia.	PA and lateral views of the chest on XXXX, XXXX.	There extremely low lung volumes. there is right basilar opacity. There is no pneumothorax. There is no large pleural effusion. Cardiac silhouette and mediastinal contours are within normal limits.	Low lung volumes with right basilar atelectasis. Otherwise, no acute cardiopulmonary disease.
54	Pulmonary Atelectasis/base/right/mild;Aorta, Thoracic/tortuous;Calcified Granuloma/scattered	Pulmonary Atelectasis;Aorta, Thoracic;Calcified Granuloma	PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m..	XXXX-year-old woman, prior to Enbrel therapy..	None.	The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Minimal right basilar subsegmental atelectasis noted. Cardio mediastinal silhouette is unremarkable. Tortuosity of the thoracic aorta noted. Scattered calcified granulomas are seen without evidence of active granulomatous/tuberculous process. Visualized osseous structures of the thorax are without acute abnormality.	No acute cardiopulmonary abnormality.
55	Lung/hypoinflation	Lung	CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM	chest pain	XXXX, XXXX.	Lung lines remain low. However, no focal infiltrates are identified. Heart and pulmonary XXXX are normal.	XXXX change. Hypoinflation with no visible active cardiopulmonary disease.
56	normal	normal	Xray Chest PA and Lateral	XXXX loss, XXXX	None	The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.	No acute disease.
57	Tube, Inserted/trachea, carina;Opacity/lung/bilateral/interstitial/diffuse/prominent;Spine/degenerative/mild	Tube, Inserted;Opacity;Spine	Xray Chest PA and Lateral	XXXX-year-old female with history of pneumonia, followup study	null	The tracheostomy tube tip is 5 cm above the carina. There are prominent diffuse bilateral interstitial opacities, stable from prior radiographs. There is no focal airspace consolidation. No pleural effusion. No pneumothorax. Heart size is within normal limits. There are mild degenerative changes of the spine.	1. No focal airspace consolidation. 2. Prominent bilateral interstitial opacities, stable from prior radiographs.
58	Thoracic Vertebrae/degenerative;Scoliosis/thoracic vertebrae/mild	Thoracic Vertebrae;Scoliosis	CHEST 2V FRONTAL/LATERAL	Left arm numbness	None	The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Mild scoliosis and degenerative changes of the thoracic spine noted.	No acute disease.
59	Diaphragm/left/elevated	Diaphragm	Xray Chest PA and Lateral	XXXX-year-old male with history of XXXX cell, back pain	XXXX, XXXX	The cardiac silhouette, mediastinum, and pulmonary vasculature are unremarkable. There is stable elevation of the left hemidiaphragm. Lungs are clear. No pleural fluid or pneumothorax is appreciated. Cholecystectomy clips are noted in the right upper quadrant.	No acute abnormalities are seen. .
60	Hernia, Hiatal;Density/lung/lower lobe/left/round;Mass/lung/lower lobe/left/round	Hernia, Hiatal;Density;Mass	Chest radiograph PA and lateral XXXX/XXXX at XXXX.	XXXX-year-old male for preop evaluation.	Chest radiograph XXXX/XXXX.	Stable appearance of hiatal hernia. Clear right lung XXXX.In the left superior lower lobe there is a 1.9 x 1.8 cm round area of density which has increased in size compared to prior chest radiograph and recommend a XXXX chest, abdomen and pelvis with contrast as this area is suspicious for potential malignancy. Normal cardiac contour. No pneumothorax or pleural effusion.	1. Round area of density measuring 1.9 x 1.8 cm in left superior lower lobe with interval increased size compared to prior imaging. Recommend XXXX chest, abdomen and pelvis with contrast for further evaluation. Dr. XXXX XXXX notified by the Veriphy critical result notification XXXX of the left pulmonary mass and recommended followup XXXX chest, abdomen and pelvis with contrast at XXXX XXXX/XXXX.
61	Calcinosis/lymph nodes/right/paratracheal	Calcinosis	PA and lateral chest	chest pain	null	null	3 cm calcified right paratracheal lymph node. This most XXXX due to old histoplasmosis. Heart size is normal. Lungs clear
62	Stents/coronary vessels;Spine/degenerative;Calcinosis/mediastinum/lymph nodes	Stents;Spine;Calcinosis	Xray Chest PA and Lateral	Chest pain	null	Status post XXXX sternotomy and CABG. Heart size is normal. Coronary vascular stent. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are stable. Calcified mediastinal lymph XXXX. Normal pulmonary vascularity. Degenerative changes of the spine.	No acute abnormality. .
63	Diaphragm/posterior/flattened;Markings/lung/interstitial/scattered/irregular/chronic;Aorta/tortuous;Osteophyte/spine/multiple/mild;Calcinosis/spine	Diaphragm;Markings;Aorta;Osteophyte;Calcinosis	PA and Lateral Chest	XXXX-year-old female, pain, short of breath	XXXX	Stable flattening of the posterior diaphragm and scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation. Stable cardiomediastinal silhouette with normal heart size and aortic ectasia/tortuosity, stable mediastinal contours. No definite pleural effusion seen, no typical findings of pulmonary edema. Following spine ossifications and marginal osteophytes again noted.	Chronic changes as described, no acute findings
64	Technical Quality of Image Unsatisfactory ;Pneumothorax/apex/right/moderate	Technical Quality of Image Unsatisfactory ;Pneumothorax	Xray Chest PA and Lateral	XXXX. MVC.	None. Clinical	2 images. Heart size upper limits of normal. Mediastinal contours are maintained. The patient is mildly rotated. There is a small to moderate sized right apical pneumothorax which measures approximately 2.0 cm. No focal airspace consolidation is seen. Left chest is clear. No definite displaced bony injury is seen. Results called XXXX. XXXX XXXX p.m. XXXX, XXXX.	Small to moderate right apical pneumothorax.
65	normal	normal	Chest 2 views dated XXXX, XXXX.	Chest pain.	XXXX.	The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Deformity of the right clavicle related to remote XXXX is again seen. Visualized upper abdomen grossly unremarkable.	No evidence of acute cardiopulmonary process.
66	normal	normal	Chest, 2 views; SPINE LUMBAR 3 VIEWS XXXX, XXXX XXXX PM	Hematemesis; BACK PAIN 724.5	XXXX, XXXX.	Chest. Both lungs are clear and expanded with no pleural air collections or parenchymal consolidations. Heart and mediastinum remain normal. Lumbosacral spine. XXXX, disc spaces, and alignment are normal. Sacrum and sacroiliac joints are normal.	1. Chest. No active disease. 2. Lumbar spine negative.
67	Lung/hypoinflation;Markings/bronchovascular	Lung;Markings	CHEST AP and lateral at XXXX XXXX/XXXX	XXXX-year-old, MVA, chest pain	None.	There are low volumes with bronchovascular crowding. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. No displaced fracture identified.	Low volumes with bronchovascular crowding. No acute abnormality.
68	normal	normal	PA and lateral chest XXXX, XXXX at XXXX for comparisXXXX/XXXX. Additional rib films were taken to seen the left side ribs. Three views.	rib pain. Left rib left chest pain.	null	null	Rib films. No fractures or dislocations. Chest. Heart size normal. Lungs are clear. No effusion or pneumothorax. Minimal degenerative disease thoracic spine
69	normal	normal	Xray Chest PA and Lateral	XXXX year old chest pain, XXXX, sore throat.	PA and lateral chest XXXX.	The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.	No acute cardiopulmonary disease.
70	Granulomatous Disease	Granulomatous Disease	PA and lateral views of the chest XXXX, XXXX XXXX PM	chest pain	None	Sequelae of old granulomatous disease. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.	Clear lungs.
71	normal	normal	Xray Chest PA and Lateral	XXXX year old right shoulder and back pain after a XXXX vehicle XXXX..	None.	The heart is upper limits of normal in size. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.	No acute cardiopulmonary disease.
72	normal	normal	Chest x-XXXX XXXX and lateral, XXXX.	XXXX-year-old female with chest pain	Chest x-XXXX, XXXX.	Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable.	Negative acute cardiopulmonary abnormality.
73	Pleural Effusion/bilateral/small;Pulmonary Atelectasis/base/left;Emphysema	Pleural Effusion;Pulmonary Atelectasis;Emphysema	Xray Chest PA and Lateral	cirrhosis.	Comparison XXXX.	null	Improved basilar aeration. Persistent small bilateral pleural effusions, XXXX on the right, small on the left with some associated left basilar atelectasis. Lungs otherwise clear. Unremarkable mediastinal contour. Changes of emphysema. No XXXX acute abnormalities since the previous chest radiograph.
74	Calcified Granuloma/lung/left;Atherosclerosis/aorta;Kyphosis/thoracic vertebrae;Deformity/thoracic vertebrae/multiple;Osteoporosis;Implanted Medical Device	Calcified Granuloma;Atherosclerosis;Kyphosis;Deformity;Osteoporosis;Implanted Medical Device	PA and lateral chest XXXX, XXXX.	Bilateral rib pain and shortness of breath.	null	Lungs appear to be clear other than a calcified granuloma on left. Heart is not enlarged. There are atherosclerotic changes of the aorta. There is increased kyphosis of the thoracic spine and there are multiple XXXX deformities. A stimulator is seen.	No acute pulmonary disease. Multiple thoracic XXXX deformities XXXX due to osteoporosis.
75	Atherosclerosis/aorta, thoracic;Aorta, Thoracic/tortuous;Cicatrix/lung/lower lobe/left;Opacity/lung/bilateral/interstitial/prominent/mild;Pulmonary Emphysema;Calcified Granuloma	Atherosclerosis;Aorta, Thoracic;Cicatrix;Opacity;Pulmonary Emphysema;Calcified Granuloma	PA and lateral views of the chest XXXX, XXXX at XXXX hours	XXXX-year-old XXXX with chest pain.	XXXX, XXXX	The heart size is stable. The aorta is ectatic and atherosclerotic but stable. XXXX sternotomy XXXX are again noted. The scarring in the left lower lobe is again noted and unchanged from prior exam. There are mild bilateral prominent lung interstitial opacities consistent with emphysematous disease. The calcified granulomas are stable.	1. Changes of emphysema and left lower lobe scarring, both stable. 2. Unchanged degenerative and atherosclerotic changes of the thoracic aorta.
76	Cicatrix/lung/lingula	Cicatrix	PA and LAT view CHEST XXXX, XXXX XXXX PM	Pilonidal cyst, preop evaluation.	None.	Apparent scarring within the lingula. Lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.	Apparent scarring within the lingula, otherwise unremarkable.
77	Thickening/pleura/apex/bilateral;Bone Diseases, Metabolic/degenerative/mild	Thickening;Bone Diseases, Metabolic	Xray Chest PA and Lateral	PAIN;	null	null	Stable XXXX silhouette. No pneumothorax. No focal consolidation. No large pleural effusion. Unchanged pleural thickening at the visualized lung apices. Mild osteopenia, degenerative changes. No fractures.
78	Pulmonary Atelectasis/base/left/mild	Pulmonary Atelectasis	XXXX PA and lateral chest 3 images XXXX, XXXX there comparison 20 XXXX	History of XXXX.	null	null	Heart size normal. Right lung clear. Minimal basilar atelectasis on the left
79	normal	normal	Xray Chest PA and Lateral	Flank pain and dyspnea	None available.	The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.	1. No acute radiographic cardiopulmonary process.
80	normal	normal	PA and Lateral Chest Radiograph	XXXX	XXXX	Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.	No acute cardiopulmonary abnormality.
81	normal	normal	Xray Chest PA and Lateral	XXXX and XXXX.	null	2 images. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings.	No acute cardiopulmonary abnormality identified.
82	Surgical Instruments/left	Surgical Instruments	Xray Chest PA and Lateral	PAIN IN THORACIC SPINE Pain started in leg area two weeks ago now having severe pain in upper XXXX back area rt side. HF	Chest x-XXXX XXXX	No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Left axillary surgical clips unchanged Visualized XXXX of the chest XXXX are within normal limits.	No acute cardiopulmonary abnormality.
83	normal	normal	PA and lateral chest, thoracic spine 3 views, and lumbar spine 3 views.	pain and spine and chest after XXXX	None	null	Lumbar spine. No fractures. No dislocations. Disc spaces are normal. No degenerative disease. Clips in the gallbladder region. Thoracic spine. No XXXX fractures or dislocations. No significant degenerative disease. Chest. Heart size is normal. Lungs are clear. No effusion or pneumothorax.
84	Lung/hypoinflation;Markings/bronchovascular	Lung;Markings	PA and Lateral views of the Chest performed on XXXX, XXXX.	XXXX year-old male with dyspnea, chemical exposure.	None.	There are low lung volumes with bronchovascular crowding as a result. No pleural effusion, pneumothorax or focal airspace disease. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.	Low lung volumes. No acute pulmonary disease.
85	Calcified Granuloma/scattered;Spine/degenerative	Calcified Granuloma;Spine	Xray Chest PA and Lateral	Status post cardiac catheterization.	None	There are scattered calcified granulomas. No focal infiltrate. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.	No evidence of active disease.
86	normal	normal	PA and lateral views of the chest.	XXXX year old male, preoperative evaluation for hemorrhoidectomy.	None available.	Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion.	No acute cardiopulmonary findings.
87	normal	normal	PA and Lateral views of the Chest performed on XXXX, XXXX.	XXXX-year-old male with wheezing.	None.	No focal airspace disease, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.	No acute pulmonary disease.
88	Cardiomegaly/mild;Markings/lung/interstitial/diffuse/mild;Spine/degenerative;Heart Failure/mild	Cardiomegaly;Markings;Spine;Heart Failure	Xray Chest PA and Lateral	Worsening dyspnea, history of coronary artery disease	None	Heart is mildly heart enlarged. Mediastinal contour normal. There is mild diffuse interstitial prominence suggestive of edema. No focal airspace consolidation or pleural effusion. Degenerative changes of the the spine.	1. Findings consistent with mild congestive heart failure.
89	normal	normal	Chest x-XXXX XXXX and lateral on XXXX XXXX hours.	XXXX-year-old female chest pain.	Chest x-XXXX on XXXX	The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.	No acute cardiopulmonary abnormalities.
90	Spine/degenerative	Spine	Xray Chest PA and Lateral	XXXX-year-old female, preoperative evaluation.	None	The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.	No evidence of active disease.
91	Pneumothorax/apex/right/moderate;Shift/mediastinum/mild	Pneumothorax;Shift	Xray Chest PA and Lateral	Chest pain, right arm numbness	None	Minimal right-to-left cardiomediastinal shift. The cardiomediastinal silhouette is otherwise normal size and configuration. Pulmonary vasculature within normal limits. There is a moderate sized right pneumothorax. This measures 3.2 cm at the level the right apex.	Moderate sized right pneumothorax. There is minimal right-to-left cardiomediastinal shift, suggesting XXXX.
92	Markings/bronchovascular	Markings	Xray Chest PA and Lateral	XXXX-year-old female, XXXX bleed	None	null	Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusions seen. Bronchovascular crowding without typical findings of pulmonary edema.
93	Thoracic Vertebrae/degenerative/mild	Thoracic Vertebrae	Chest x-XXXX XXXX and lateral, XXXX	XXXX-year-old female with chest pain	Chest CT, XXXX.	Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Negative for pneumoperitoneum. Mild degenerative changes of the thoracic spine.	Negative for acute cardiopulmonary abnormality.
94	normal	normal	PA and lateral chest radiograph on XXXX at 02: 33 hours.	XXXX-year-old XXXX with chest pain.	XXXX.	Heart size, mediastinal contour, and pulmonary vascularity are similar to comparison exam and within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.	No acute cardiopulmonary abnormalities.
95	Calcified Granuloma/lung/base/right;Osteophyte/thoracic vertebrae/multiple/small	Calcified Granuloma;Osteophyte	PA and lateral chest radiograph (2 views) (2 images)	Dyspnea	XXXX, XXXX	There is a single calcified granuloma in the right lung base. The lungs are otherwise grossly clear bilaterally. There is no pneumothorax or pleural effusion. Cardiac and mediastinal silhouettes are normal. There are cholecystectomy clips in the right upper quadrant of the abdomen. Small T-spine osteophytes are noted.	No acute cardiopulmonary abnormality.
96	normal	normal	Xray Chest PA and Lateral	,786.2	None	The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. The mediastinal contours are normal.	No acute cardiopulmonary disease
97	Spondylosis/thoracic vertebrae	Spondylosis	Xray Chest PA and Lateral	XXXX	None.	The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.	No acute process.
98	Lung/hypoinflation;Pulmonary Atelectasis/base	Lung;Pulmonary Atelectasis	Xray Chest PA and Lateral	Chest pain shortness of breath for 3 days. The patient's lower abdomen was shielded for this exam.	XXXX, XXXX.	Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Reduced lung volumes with basilar atelectasis. No XXXX focal airspace consolidation or pleural effusion.	No acute or active cardiac, pulmonary or pleural disease.
99	Foreign Bodies/thorax/left	Foreign Bodies	Chest 2 views.	XXXX-year-old with increasing dyspnea.	None.	Normal heart and mediastinum. Clear lungs. Trachea is midline. No pneumothorax. No pleural effusion. Radiopaque foreign body overlying left chest.	No acute abnormality.
100	normal	normal	CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM	null	None.	Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.

1

normal

Xray Chest PA and Lateral

Positive TB test

None.

The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a pleural effusion. There is no evidence of pneumothorax.

Normal chest x-XXXX.

2

Cardiomegaly/borderline;Pulmonary Artery/enlarged

Cardiomegaly;Pulmonary Artery

Chest, 2 views, frontal and lateral

Preop bariatric surgery.

None.

Borderline cardiomegaly. Midline sternotomy XXXX. Enlarged pulmonary arteries. Clear lungs. Inferior XXXX XXXX XXXX.

No acute pulmonary findings.

3

normal

Xray Chest PA and Lateral

rib pain after a XXXX, XXXX XXXX steps this XXXX. Pain to R back, R elbow and R rib XXXX, no previous heart or lung hx, non-XXXX, no hx ca

null

No displaced rib fractures, pneumothorax, or pleural effusion identified. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.

4

Pulmonary Disease, Chronic Obstructive;Bullous Emphysema;Pulmonary Fibrosis/interstitial;Cicatrix/lung/upper lobe/left;Opacity/lung/apex/left/irregular;Opacity/lung/upper lobe/right/streaky;Opacity/pulmonary alveoli;Opacity/lung/bilateral/interstitial/diffuse

Pulmonary Disease, Chronic Obstructive;Bullous Emphysema;Pulmonary Fibrosis;Cicatrix;Opacity;Opacity;Opacity;Opacity

PA and lateral views of the chest XXXX, XXXX at XXXX hours

XXXX-year-old XXXX with XXXX.

None available

There are diffuse bilateral interstitial and alveolar opacities consistent with chronic obstructive lung disease and bullous emphysema. There are irregular opacities in the left lung apex, that could represent a cavitary lesion in the left lung apex.There are streaky opacities in the right upper lobe, XXXX scarring. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.

1. Bullous emphysema and interstitial fibrosis. 2. Probably scarring in the left apex, although difficult to exclude a cavitary lesion. 3. Opacities in the bilateral upper lobes could represent scarring, however the absence of comparison exam, recommend short interval followup radiograph or CT thorax to document resolution.

5

Osteophyte/thoracic vertebrae/multiple/small;Thickening/pleura/apex/bilateral;Lung/hyperdistention/mild

Osteophyte;Thickening;Lung

Xray Chest PA and Lateral

Chest and nasal congestion.

null

The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present. Small T-spine osteophytes. There is biapical pleural thickening, unchanged from prior. Mildly hyperexpanded lungs.

No acute cardiopulmonary abnormality.

6

normal

PA and Lateral Chest. XXXX, XXXX at XXXX

Evaluate for infection

XXXX, XXXX

Heart size and mediastinal contour are within normal limits. There is no focal airspace consolidation or suspicious pulmonary opacity. No pneumothorax or large pleural effusion. Mild degenerative change of the thoracic spine.

No acute cardiopulmonary findings.

7

Pulmonary Atelectasis/base;Spondylosis/thoracic vertebrae;Arthritis/cervical vertebrae

Pulmonary Atelectasis;Spondylosis;Arthritis

Xray Chest PA and Lateral

Preop lumbar surgery

XXXX, XXXX

The cardiac contours are normal. XXXX basilar atelectasis. The lungs are clear. Thoracic spondylosis. Lower cervical XXXX arthritis.

Basilar atelectasis. No confluent lobar consolidation or pleural effusion.

8

normal

Xray Chest PA and Lateral

XXXX-year-old with XXXX on XXXX. Dyspnea. History of mitral valve prolapse.

Two views of the chest dated XXXX.

The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is an interim XXXX cervical spinal fusion partly evaluated.

No acute cardiopulmonary disease.

9

Calcified Granuloma/lung/upper lobe/right;Density/cardiophrenic angle/left

Calcified Granuloma;Density

Xray Chest PA and Lateral

Chest pain today. History of stent placement 7+ years ago.

CT XXXX image XXXX, CT abdomen which included the lower thorax XXXX.

The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiac silhouette is not enlarged. There has been apparent interval increase in low density convexity at the left cardiophrenic XXXX. Calcified granuloma is again seen in the right upper lobe. There is no consolidation, pleural effusion or pneumothorax.

Increased size of density in the left cardiophrenic XXXX. Primary differential considerations include increased size of prominent epicardial fat, pericardial mass, pleural mass or cardiac aneurysm. CT chest with contrast is recommended. These findings and recommendations were discussed XXXX. XXXX by Dr. XXXX XXXX telephone at XXXX p.m. XXXX/XXXX. Dr. XXXX<XXXX>technologist receipt of the results.

10

Calcified Granuloma/lung/upper lobe/right

Calcified Granuloma

PA and lateral chest x-XXXX XXXX.

XXXX-year-old male, chest pain.

Chest radiographs XXXX.

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

No acute cardiopulmonary process.

11

normal

Xray Chest PA and Lateral

Fatigue, weakness, anterior chest pain

None

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

No acute cardiopulmonary findings.

12

normal

PA and lateral chest radiograph (2 views) (2 images)

XXXX

None

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

No acute cardiopulmonary abnormality.

13

Cardiac Shadow/borderline

Cardiac Shadow

PA and lateral chest radiograph (2 views) (2 images)

Chest pain.

Chest radiograph from XXXX, XXXX.

The cardiac silhouette is borderline enlarged. Otherwise, there is no focal opacity. Mediastinal contours are within normal limits. There is no large pleural effusion. No pneumothorax.

Borderline enlargement of the cardiac silhouette without acute pulmonary disease.

14

Lung/hyperdistention/mild;Markings/lung/interstitial/scattered/irregular/chronic

Lung;Markings

Xray Chest PA and Lateral

XXXX-year-old female, chest pain

null

Heart size within normal limits, stable mediastinal and hilar contours. Mild hyperinflation appears similar to prior. No focal alveolar consolidation, no definite pleural effusion seen. Scattered chronic appearing irregular interstitial markings, no typical findings of pulmonary edema.

No acute findings

15

Granulomatous Disease

Chest, 2 views, XXXX XXXX ComparisXXXX/XXXX

Dyspnea

null

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

No acute cardiopulmonary findings.

16

normal

Xray Chest PA and Lateral

null

17

normal

PA and lateral views of the chest dated XXXX.

XXXX-year-old female, chest pain.

XXXX films of the chest dated XXXX.

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

No acute cardiopulmonary abnormality.

18

Pleural Effusion/borderline

Pleural Effusion

Xray Chest PA and Lateral

XXXX-year-old male, pain

None

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

No acute cardiopulmonary findings

19

Aorta, Thoracic/tortuous;Thoracic Vertebrae/degenerative

Aorta, Thoracic;Thoracic Vertebrae

PA and LAT view CHEST XXXX, XXXX XXXX PM

XXXX, preop for abdominal aortic aneurysm repair

CT chest angiography, XXXX

Heart size is normal. There is tortuosity of the thoracic aorta, stable compared with prior. No focal airspace disease or effusion. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.

No acute cardiopulmonary process.

20

normal

PA and lateral chest radiograph, XXXX at XXXX hours.

XXXX-year-old female with XXXX.

PA lateral chest radiograph, XXXX.

The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. There are mild degenerative changes of the thoracic spine.

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

21

Calcified Granuloma/lung/lingula;Breast Implants;Deformity/thoracic vertebrae/moderate

Calcified Granuloma;Breast Implants;Deformity

2 VIEW CHEST: XXXX, XXXX at XXXX hours.

Patient confused. Possible head injury.

None

null

Heart size normal. Mediastinal silhouettes and pulmonary vascularity are within normal limits. Calcified lingular granuloma. No focal consolidations or pleural effusions. No pneumothorax. Breast implants there is a moderate wedge XXXX deformity of the midthoracic vertebrae, XXXX T6, age-indeterminate.

22

normal

PA and lateral views of the chest XXXX, XXXX at XXXX hours

XXXX-year-old woman with XXXX for 3 weeks.

None available

The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax large pleural effusion.

No acute cardiopulmonary abnormality.

23

normal

Xray Chest PA and Lateral

Nausea, vomiting, preop for surgery

None

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

No evidence of active disease.

24

normal

PA AND LATERAL VIEWS OF THE CHEST dated XXXX XXXX hours

XXXX, dyspnea

None.

Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality. There is incompletely evaluated lumbar levoscoliosis.

No acute cardiopulmonary abnormality.

25

Sutures/lung/apex/right;Lung, Hyperlucent;Lung/hyperdistention;Pulmonary Emphysema;Airspace Disease/lung/lower lobe/left;Pleural Effusion/left/moderate;Pleural Effusion/right/small

Sutures;Lung, Hyperlucent;Lung;Pulmonary Emphysema;Airspace Disease;Pleural Effusion;Pleural Effusion

Xray Chest PA and Lateral

XXXX year old smoking on oxygen and nasal cannula caught XXXX. XXXX to the cheek and inside of nose.

PA and lateral chest XXXX and CTA XXXX.

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

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

26

Spondylosis/thoracic vertebrae

Spondylosis

Chest, 2 views, frontal and lateral

XXXX

None.

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

No acute process.

27

Lung/hyperdistention;Diaphragm/flattened;Thoracic Vertebrae/degenerative

Lung;Diaphragm;Thoracic Vertebrae

PA and LAT view CHEST XXXX, XXXX XXXX PM

Chronic XXXX XXXX

XXXX

Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.

Hyperexpanded but clear lungs.

28

Opacity/lung/base/bilateral/scattered/focal/patchy/multiple;Pulmonary Atelectasis;Consolidation/lung/base/left;Pulmonary Congestion;Cardiac Shadow/enlarged

Opacity;Pulmonary Atelectasis;Consolidation;Pulmonary Congestion;Cardiac Shadow

Xray Chest PA and Lateral

XXXX-year-old male, shortness of breath.

Portable chest dated XXXX.

Bilateral patchy pulmonary opacities noted. Interval improvement in left base consolidative opacity. Pulmonary vascular congestion again noted. Stable enlarged cardiomediastinal silhouette. Stable left XXXX. No evidence of pneumothorax. No large pleural effusions.

1. Interval improvement in consolidative left base opacity. Multifocal scattered bibasilar patchy and XXXX pulmonary opacities again noted, most consistent with atelectasis/infiltrate. 2. Stable enlarged cardiomediastinal silhouette. Stable pulmonary vascular congestion. .

29

Cardiomegaly/borderline;Diaphragm/left/elevated;Tube, Inserted/trachea, carina;Airspace Disease/lung/base/left/severe

Cardiomegaly;Diaphragm;Tube, Inserted;Airspace Disease

Chest, 2 views, frontal and lateral

XXXX, hypoxia.

XXXX, XXXX

null

Borderline heart size. Elevated left diaphragm. Clear right lung. Tracheostomy tube tip above the carina. Extensive airspace disease in the left base. No large effusion or pneumothorax.

30

normal

Chest x-XXXX XXXX and lateral, XXXX

XXXX-year-old male with chest pain.

None

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

Negative acute cardiopulmonary abnormality.

31

Markings/lung/interstitial

Markings

Xray Chest PA and Lateral

XXXX DYSPNEA

Comparison XXXX, XXXX.

null

Suggestion of slightly more prominent interstitial markings, which may represent some bronchitic/bronchiolitis changes. No suspicious nodules, pneumonia, effusions, or CHF. Stable mediastinal contour.

32

Costophrenic Angle/right/blunted/mild

Costophrenic Angle

Xray Chest PA and Lateral

WEAKNESS OF MUSCLES; hx XXXX nodules; XXXX for changes in lungs

None

The heart is normal in size. The mediastinum is unremarkable. Mild blunting of right costophrenic XXXX. The lungs are otherwise grossly clear.

No acute disease.

33

Surgical Instruments/left

Surgical Instruments

Xray Chest PA and Lateral

Six months of XXXX.

None.

Cardiac and mediastinal contours are within normal limits. The lungs are clear. Left axillary surgical clips. Bony structures are intact.

No active pulmonary disease.

34

normal

PA and lateral views of the Chest performed XXXX/XXXX.

XXXX year old with chest pain.

None.

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

No acute cardiopulmonary disease.

35

Lung/hyperdistention;Diaphragm/bilateral/flattened;Thoracic Vertebrae/degenerative/multiple;Emphysema

Lung;Diaphragm;Thoracic Vertebrae;Emphysema

PA and lateral chest radiographs XXXX at XXXX hours.

XXXX-year-old female with breast mass and smoking history.

PA and lateral chest redressed XXXX

The heart size and cardiomediastinal silhouette are normal. There is hyperexpansion of the lungs with flattening of the hemidiaphragms. There is no focal airspace opacity, pleural effusion, or pneumothorax. There multilevel degenerative changes of thoracic spine.

Emphysema, however no acute cardiopulmonary finding.

36

normal

PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m..

XXXX-year-old female with chest pain, rule out pneumonia..

Two-view chest radiograph dated XXXX, XXXX..

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

No acute cardiopulmonary abnormality..

37

Opacity/lung/middle lobe/right

Opacity

Xray Chest PA and Lateral

HYPOXIA;

None

The heart is normal in size. The mediastinum is unremarkable. XXXX XXXX opacities in right mid lung. The lungs are otherwise grossly clear.

No acute disease.

38

normal

Chest x-XXXX XXXX

XXXX, XXXX and shortness of breath for 3 days

XXXX

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

No acute cardiopulmonary process.

39

No Indexing

CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM

diminished breath sounds throughout

XXXX, XXXX.

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

No active disease.

40

Lung/hyperdistention/mild;Deformity/ribs/bilateral/multiple;Osteophyte/thoracic vertebrae/anterior/multiple/large;Emphysema

Lung;Deformity;Osteophyte;Emphysema

PA and lateral views of the chest.

XXXX-year-old male with peripheral edema.

PA and lateral views of the chest from XXXX.

Mild hyperexpansion of the lungs. Numerous bilateral rib deformities. No focal airspace disease. Heart size is normal. No pneumothorax or effusion. Large, flowing anterior endplate osteophytes of the thoracic spine.

Emphysema with no acute cardiopulmonary findings.

41

Opacity/lung/bilateral/interstitial/diffuse;Opacity/lung/base/left/interstitial/diffuse;Volume Loss/lung/left/mild;Lung Diseases, Interstitial

Opacity;Opacity;Volume Loss;Lung Diseases, Interstitial

Xray Chest PA and Lateral

XXXX-year-old male with history of idiopathic pulmonary fibrosis presents for evaluation.

Comparison is XXXX to chest radiograph examination dated XXXX.

The cardiomediastinal silhouette is stable in appearance. No interval change in the diffuse increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and left lung base. These opacities appear slightly increased as compared to prior examination. Mild left-sided volume loss redemonstrated, unchanged. No pneumothorax or pleural effusion. The thoracic spine appears intact.

1. Slight interval worsening of the diffusely increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and the left lung base. These findings are most consistent with slight interval worsening of the patient's known interstitial lung disease. 2. Stable, mild left-sided volume loss. .

42

normal

Xray Chest PA and Lateral

The patient is a XXXX-year-old female with chest pain.

None available.

The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.

No acute cardiopulmonary abnormalities. .

43

No Indexing

CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM

dyspnea

XXXX, XXXX.

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

No active disease.

44

normal

Xray Chest PA and Lateral

XXXX-year-old with XXXX for 5 days. Previously seen for vomiting and ear pain.

None.

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

No acute cardiopulmonary disease.

45

Cardiomegaly;Pulmonary Congestion

Radiograph Chest PA and Lateral XXXX, XXXX.

Edema.

Radiograph Chest PA and Lateral XXXX, XXXX.

Stable cardiomegaly with vascular prominence without overt edema. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.

Stable cardiomegaly without overt pulmonary edema.

46

normal

Xray Chest PA and Lateral

V76.12 SCREENING MAMMOGRAM XXXX,no hx ca or implants,466.0 ACUTE BRONCHITIS

null

No comparison chest x-XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.

47

Stents/coronary vessels;Thickening/pleura/apex/bilateral/mild

Stents;Thickening

2 VIEW CHEST: XXXX, XXXX at XXXX hours.

Kidney transplant evaluation

XXXX, XXXX

null

Heart size is within normal limits. Coronary artery stent noted. No edema. No focal consolidation, pleural effusion or pneumothorax. Mild nonspecific biapical pleural thickening. Clips from prior cholecystectomy are noted.

48

Nodule/lung/base/left;Bone and Bones/thorax/degenerative/mild

Nodule;Bone and Bones

PA and lateral chest radiograph, XXXX at XXXX hours.

XXXX-year-old female with XXXX.

None.

The cardiac and mediastinal contours are within normal limits. The lungs are well-inflated and clear. There is an 8mm nodule in the left lower lobe, XXXX calcified granuloma. There is no pneumothorax or effusion. Bony structures of the thorax are intact with minimal early degenerative change.

1. No evidence of acute cardiopulmonary process. 2. 8mm nodule in the left lung base, XXXX calcified granuloma.

49

Thoracic Vertebrae/degenerative;Calcified Granuloma/lung/hilum/right;Aorta/tortuous/mild;Thickening/pleura/apex/right

Thoracic Vertebrae;Calcified Granuloma;Aorta;Thickening

PA and lateral chest radiographs dated XXXX at XXXX hours.

XXXX-year-old with osteoarthritis of the hip scheduled for total hip replacement. Preoperative evaluation.

None.

The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are degenerative changes of the thoracic spine. There is a calcified granuloma identified in the right suprahilar region. The aorta is mildly tortuous and ectatic. There is asymmetric right apical smooth pleural thickening. There are severe degenerative changes of the XXXX.

No acute cardiopulmonary disease.

50

Cardiomegaly;Spine/degenerative;Lung/hypoinflation

Cardiomegaly;Spine;Lung

PA and lateral views of the chest XXXX, XXXX XXXX PM

pt with sob,

XXXX

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

Cardiomegaly with low lung volumes which are grossly clear.

51

Calcified Granuloma/lung/bilateral/scattered

Calcified Granuloma

CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX XXXX

preop XXXX

Chest 2 views from XXXX, XXXX. .

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

No acute cardiopulmonary abnormality.

52

normal

PA and Lateral Chest Radiograph XXXX, XXXX at XXXX p.m.

XXXX-year-old male with chest pain

None

The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.

No acute cardiopulmonary abnormality.

53

Lung/hypoinflation/severe;Opacity/lung/base/right;Pulmonary Atelectasis/base/right

Lung;Opacity;Pulmonary Atelectasis

CHEST (PA AND LATERAL) on XXXX, XXXX.

Dizziness, hypoxia.

PA and lateral views of the chest on XXXX, XXXX.

There extremely low lung volumes. there is right basilar opacity. There is no pneumothorax. There is no large pleural effusion. Cardiac silhouette and mediastinal contours are within normal limits.

Low lung volumes with right basilar atelectasis. Otherwise, no acute cardiopulmonary disease.

54

Pulmonary Atelectasis/base/right/mild;Aorta, Thoracic/tortuous;Calcified Granuloma/scattered

Pulmonary Atelectasis;Aorta, Thoracic;Calcified Granuloma

PA and lateral chest x-XXXX dated XXXX, XXXX at XXXX p.m..

XXXX-year-old woman, prior to Enbrel therapy..

None.

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

No acute cardiopulmonary abnormality.

55

Lung/hypoinflation

Lung

CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM

chest pain

XXXX, XXXX.

Lung lines remain low. However, no focal infiltrates are identified. Heart and pulmonary XXXX are normal.

XXXX change. Hypoinflation with no visible active cardiopulmonary disease.

56

normal

Xray Chest PA and Lateral

XXXX loss, XXXX

None

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

No acute disease.

57

Tube, Inserted/trachea, carina;Opacity/lung/bilateral/interstitial/diffuse/prominent;Spine/degenerative/mild

Tube, Inserted;Opacity;Spine

Xray Chest PA and Lateral

XXXX-year-old female with history of pneumonia, followup study

null

The tracheostomy tube tip is 5 cm above the carina. There are prominent diffuse bilateral interstitial opacities, stable from prior radiographs. There is no focal airspace consolidation. No pleural effusion. No pneumothorax. Heart size is within normal limits. There are mild degenerative changes of the spine.

1. No focal airspace consolidation. 2. Prominent bilateral interstitial opacities, stable from prior radiographs.

58

Thoracic Vertebrae/degenerative;Scoliosis/thoracic vertebrae/mild

Thoracic Vertebrae;Scoliosis

CHEST 2V FRONTAL/LATERAL

Left arm numbness

None

The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Mild scoliosis and degenerative changes of the thoracic spine noted.

No acute disease.

59

Diaphragm/left/elevated

Diaphragm

Xray Chest PA and Lateral

XXXX-year-old male with history of XXXX cell, back pain

XXXX, XXXX

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

No acute abnormalities are seen. .

60

Hernia, Hiatal;Density/lung/lower lobe/left/round;Mass/lung/lower lobe/left/round

Hernia, Hiatal;Density;Mass

Chest radiograph PA and lateral XXXX/XXXX at XXXX.

XXXX-year-old male for preop evaluation.

Chest radiograph XXXX/XXXX.

Stable appearance of hiatal hernia. Clear right lung XXXX.In the left superior lower lobe there is a 1.9 x 1.8 cm round area of density which has increased in size compared to prior chest radiograph and recommend a XXXX chest, abdomen and pelvis with contrast as this area is suspicious for potential malignancy. Normal cardiac contour. No pneumothorax or pleural effusion.

1. Round area of density measuring 1.9 x 1.8 cm in left superior lower lobe with interval increased size compared to prior imaging. Recommend XXXX chest, abdomen and pelvis with contrast for further evaluation. Dr. XXXX XXXX notified by the Veriphy critical result notification XXXX of the left pulmonary mass and recommended followup XXXX chest, abdomen and pelvis with contrast at XXXX XXXX/XXXX.

61

Calcinosis/lymph nodes/right/paratracheal

Calcinosis

PA and lateral chest

chest pain

null

3 cm calcified right paratracheal lymph node. This most XXXX due to old histoplasmosis. Heart size is normal. Lungs clear

62

Stents/coronary vessels;Spine/degenerative;Calcinosis/mediastinum/lymph nodes

Stents;Spine;Calcinosis

Xray Chest PA and Lateral

Chest pain

null

Status post XXXX sternotomy and CABG. Heart size is normal. Coronary vascular stent. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are stable. Calcified mediastinal lymph XXXX. Normal pulmonary vascularity. Degenerative changes of the spine.

No acute abnormality. .

63

Diaphragm/posterior/flattened;Markings/lung/interstitial/scattered/irregular/chronic;Aorta/tortuous;Osteophyte/spine/multiple/mild;Calcinosis/spine

Diaphragm;Markings;Aorta;Osteophyte;Calcinosis

PA and Lateral Chest

XXXX-year-old female, pain, short of breath

XXXX

Stable flattening of the posterior diaphragm and scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation. Stable cardiomediastinal silhouette with normal heart size and aortic ectasia/tortuosity, stable mediastinal contours. No definite pleural effusion seen, no typical findings of pulmonary edema. Following spine ossifications and marginal osteophytes again noted.

Chronic changes as described, no acute findings

64

Technical Quality of Image Unsatisfactory ;Pneumothorax/apex/right/moderate

Technical Quality of Image Unsatisfactory ;Pneumothorax

Xray Chest PA and Lateral

XXXX. MVC.

None. Clinical

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

Small to moderate right apical pneumothorax.

65

normal

Chest 2 views dated XXXX, XXXX.

Chest pain.

XXXX.

The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Deformity of the right clavicle related to remote XXXX is again seen. Visualized upper abdomen grossly unremarkable.

No evidence of acute cardiopulmonary process.

66

normal

Chest, 2 views; SPINE LUMBAR 3 VIEWS XXXX, XXXX XXXX PM

Hematemesis; BACK PAIN 724.5

XXXX, XXXX.

Chest. Both lungs are clear and expanded with no pleural air collections or parenchymal consolidations. Heart and mediastinum remain normal. Lumbosacral spine. XXXX, disc spaces, and alignment are normal. Sacrum and sacroiliac joints are normal.

1. Chest. No active disease. 2. Lumbar spine negative.

67

Lung/hypoinflation;Markings/bronchovascular

Lung;Markings

CHEST AP and lateral at XXXX XXXX/XXXX

XXXX-year-old, MVA, chest pain

None.

There are low volumes with bronchovascular crowding. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. No displaced fracture identified.

Low volumes with bronchovascular crowding. No acute abnormality.

68

normal

PA and lateral chest XXXX, XXXX at XXXX for comparisXXXX/XXXX. Additional rib films were taken to seen the left side ribs. Three views.

rib pain. Left rib left chest pain.

null

Rib films. No fractures or dislocations. Chest. Heart size normal. Lungs are clear. No effusion or pneumothorax. Minimal degenerative disease thoracic spine

69

normal

Xray Chest PA and Lateral

XXXX year old chest pain, XXXX, sore throat.

PA and lateral chest XXXX.

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

No acute cardiopulmonary disease.

70

Granulomatous Disease

PA and lateral views of the chest XXXX, XXXX XXXX PM

chest pain

None

Sequelae of old granulomatous disease. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.

Clear lungs.

71

normal

Xray Chest PA and Lateral

XXXX year old right shoulder and back pain after a XXXX vehicle XXXX..

None.

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

No acute cardiopulmonary disease.

72

normal

Chest x-XXXX XXXX and lateral, XXXX.

XXXX-year-old female with chest pain

Chest x-XXXX, XXXX.

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

Negative acute cardiopulmonary abnormality.

73

Pleural Effusion/bilateral/small;Pulmonary Atelectasis/base/left;Emphysema

Pleural Effusion;Pulmonary Atelectasis;Emphysema

Xray Chest PA and Lateral

cirrhosis.

Comparison XXXX.

null

Improved basilar aeration. Persistent small bilateral pleural effusions, XXXX on the right, small on the left with some associated left basilar atelectasis. Lungs otherwise clear. Unremarkable mediastinal contour. Changes of emphysema. No XXXX acute abnormalities since the previous chest radiograph.

74

Calcified Granuloma/lung/left;Atherosclerosis/aorta;Kyphosis/thoracic vertebrae;Deformity/thoracic vertebrae/multiple;Osteoporosis;Implanted Medical Device

Calcified Granuloma;Atherosclerosis;Kyphosis;Deformity;Osteoporosis;Implanted Medical Device

PA and lateral chest XXXX, XXXX.

Bilateral rib pain and shortness of breath.

null

Lungs appear to be clear other than a calcified granuloma on left. Heart is not enlarged. There are atherosclerotic changes of the aorta. There is increased kyphosis of the thoracic spine and there are multiple XXXX deformities. A stimulator is seen.

No acute pulmonary disease. Multiple thoracic XXXX deformities XXXX due to osteoporosis.

75

Atherosclerosis/aorta, thoracic;Aorta, Thoracic/tortuous;Cicatrix/lung/lower lobe/left;Opacity/lung/bilateral/interstitial/prominent/mild;Pulmonary Emphysema;Calcified Granuloma

Atherosclerosis;Aorta, Thoracic;Cicatrix;Opacity;Pulmonary Emphysema;Calcified Granuloma

PA and lateral views of the chest XXXX, XXXX at XXXX hours

XXXX-year-old XXXX with chest pain.

XXXX, XXXX

The heart size is stable. The aorta is ectatic and atherosclerotic but stable. XXXX sternotomy XXXX are again noted. The scarring in the left lower lobe is again noted and unchanged from prior exam. There are mild bilateral prominent lung interstitial opacities consistent with emphysematous disease. The calcified granulomas are stable.

1. Changes of emphysema and left lower lobe scarring, both stable. 2. Unchanged degenerative and atherosclerotic changes of the thoracic aorta.

76

Cicatrix/lung/lingula

Cicatrix

PA and LAT view CHEST XXXX, XXXX XXXX PM

Pilonidal cyst, preop evaluation.

None.

Apparent scarring within the lingula. Lungs are otherwise clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.

Apparent scarring within the lingula, otherwise unremarkable.

77

Thickening/pleura/apex/bilateral;Bone Diseases, Metabolic/degenerative/mild

Thickening;Bone Diseases, Metabolic

Xray Chest PA and Lateral

PAIN;

null

Stable XXXX silhouette. No pneumothorax. No focal consolidation. No large pleural effusion. Unchanged pleural thickening at the visualized lung apices. Mild osteopenia, degenerative changes. No fractures.

78

Pulmonary Atelectasis/base/left/mild

Pulmonary Atelectasis

XXXX PA and lateral chest 3 images XXXX, XXXX there comparison 20 XXXX

History of XXXX.

null

Heart size normal. Right lung clear. Minimal basilar atelectasis on the left

79

normal

Xray Chest PA and Lateral

Flank pain and dyspnea

None available.

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

1. No acute radiographic cardiopulmonary process.

80

normal

PA and Lateral Chest Radiograph

XXXX

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

No acute cardiopulmonary abnormality.

81

normal

Xray Chest PA and Lateral

XXXX and XXXX.

null

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

No acute cardiopulmonary abnormality identified.

82

Surgical Instruments/left

Surgical Instruments

Xray Chest PA and Lateral

PAIN IN THORACIC SPINE Pain started in leg area two weeks ago now having severe pain in upper XXXX back area rt side. HF

Chest x-XXXX XXXX

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

No acute cardiopulmonary abnormality.

83

normal

PA and lateral chest, thoracic spine 3 views, and lumbar spine 3 views.

pain and spine and chest after XXXX

None

null

Lumbar spine. No fractures. No dislocations. Disc spaces are normal. No degenerative disease. Clips in the gallbladder region. Thoracic spine. No XXXX fractures or dislocations. No significant degenerative disease. Chest. Heart size is normal. Lungs are clear. No effusion or pneumothorax.

84

Lung/hypoinflation;Markings/bronchovascular

Lung;Markings

PA and Lateral views of the Chest performed on XXXX, XXXX.

XXXX year-old male with dyspnea, chemical exposure.

None.

There are low lung volumes with bronchovascular crowding as a result. No pleural effusion, pneumothorax or focal airspace disease. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.

Low lung volumes. No acute pulmonary disease.

85

Calcified Granuloma/scattered;Spine/degenerative

Calcified Granuloma;Spine

Xray Chest PA and Lateral

Status post cardiac catheterization.

None

There are scattered calcified granulomas. No focal infiltrate. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.

No evidence of active disease.

86

normal

PA and lateral views of the chest.

XXXX year old male, preoperative evaluation for hemorrhoidectomy.

None available.

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

No acute cardiopulmonary findings.

87

normal

PA and Lateral views of the Chest performed on XXXX, XXXX.

XXXX-year-old male with wheezing.

None.

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

No acute pulmonary disease.

88

Cardiomegaly/mild;Markings/lung/interstitial/diffuse/mild;Spine/degenerative;Heart Failure/mild

Cardiomegaly;Markings;Spine;Heart Failure

Xray Chest PA and Lateral

Worsening dyspnea, history of coronary artery disease

None

Heart is mildly heart enlarged. Mediastinal contour normal. There is mild diffuse interstitial prominence suggestive of edema. No focal airspace consolidation or pleural effusion. Degenerative changes of the the spine.

1. Findings consistent with mild congestive heart failure.

89

normal

Chest x-XXXX XXXX and lateral on XXXX XXXX hours.

XXXX-year-old female chest pain.

Chest x-XXXX on XXXX

The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact.

No acute cardiopulmonary abnormalities.

90

Spine/degenerative

Spine

Xray Chest PA and Lateral

XXXX-year-old female, preoperative evaluation.

None

The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are degenerative changes of the spine.

No evidence of active disease.

91

Pneumothorax/apex/right/moderate;Shift/mediastinum/mild

Pneumothorax;Shift

Xray Chest PA and Lateral

Chest pain, right arm numbness

None

Minimal right-to-left cardiomediastinal shift. The cardiomediastinal silhouette is otherwise normal size and configuration. Pulmonary vasculature within normal limits. There is a moderate sized right pneumothorax. This measures 3.2 cm at the level the right apex.

Moderate sized right pneumothorax. There is minimal right-to-left cardiomediastinal shift, suggesting XXXX.

92

Markings/bronchovascular

Markings

Xray Chest PA and Lateral

XXXX-year-old female, XXXX bleed

None

null

Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusions seen. Bronchovascular crowding without typical findings of pulmonary edema.

93

Thoracic Vertebrae/degenerative/mild

Thoracic Vertebrae

Chest x-XXXX XXXX and lateral, XXXX

XXXX-year-old female with chest pain

Chest CT, XXXX.

Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Negative for pneumoperitoneum. Mild degenerative changes of the thoracic spine.

Negative for acute cardiopulmonary abnormality.

94

normal

PA and lateral chest radiograph on XXXX at 02: 33 hours.

XXXX-year-old XXXX with chest pain.

XXXX.

Heart size, mediastinal contour, and pulmonary vascularity are similar to comparison exam and within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.

No acute cardiopulmonary abnormalities.

95

Calcified Granuloma/lung/base/right;Osteophyte/thoracic vertebrae/multiple/small

Calcified Granuloma;Osteophyte

PA and lateral chest radiograph (2 views) (2 images)

Dyspnea

XXXX, XXXX

There is a single calcified granuloma in the right lung base. The lungs are otherwise grossly clear bilaterally. There is no pneumothorax or pleural effusion. Cardiac and mediastinal silhouettes are normal. There are cholecystectomy clips in the right upper quadrant of the abdomen. Small T-spine osteophytes are noted.

No acute cardiopulmonary abnormality.

96

normal

Xray Chest PA and Lateral

,786.2

None

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

No acute cardiopulmonary disease

97

Spondylosis/thoracic vertebrae

Spondylosis

Xray Chest PA and Lateral

XXXX

None.

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

No acute process.

98

Lung/hypoinflation;Pulmonary Atelectasis/base

Lung;Pulmonary Atelectasis

Xray Chest PA and Lateral

Chest pain shortness of breath for 3 days. The patient's lower abdomen was shielded for this exam.

XXXX, XXXX.

Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Reduced lung volumes with basilar atelectasis. No XXXX focal airspace consolidation or pleural effusion.

No acute or active cardiac, pulmonary or pleural disease.

99

Foreign Bodies/thorax/left

Foreign Bodies

Chest 2 views.

XXXX-year-old with increasing dyspnea.

None.

Normal heart and mediastinum. Clear lungs. Trachea is midline. No pneumothorax. No pleural effusion. Radiopaque foreign body overlying left chest.

No acute abnormality.

100

normal

CHEST 2V FRONTAL/LATERAL XXXX, XXXX XXXX PM

null

None.

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

No active disease.