IndianaUniversityDatasetsModels/Medical_reports_Splits

MeSH stringlengths 6 372	Problems stringlengths 4 171	findings stringlengths 33 1.05k	impression stringlengths 5 837
Nodule/lung/upper lobe/right/multiple	Nodule	Cardiomediastinal silhouettes are within normal limits. There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.	Right upper lobe lung nodules. Recommend XXXX.
normal	normal	Heart size is within normal limits. Cardiomediastinal silhouette is normal. Lungs are clear bilaterally without effusion or pneumothorax. No bony or soft tissue abnormalities.	No cardiopulmonary abnormality.
Markings/lung/interstitial/prominent;Bronchiolitis	Markings;Bronchiolitis	Prominent interstitial markings. There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.	Prominent interstitial markings, XXXX represent XXXX bronchiolitis. No focal areas of consolidation. .
Cavitation/lung/apex/right;Deformity/lung/apex/right/irregular	Cavitation;Deformity	Irregularity within the right apex is consistent with patient's known cavitary lesion as a sequela of prior tuberculosis. No evidence of active infection. No focal consolidations, pneumothorax, or effusions identified. Paramediastinal silhouette is stable and within normal limits and no acute bony abnormality is identified.	Right apical cavitary lesion consistent with history of tuberculosis without active infectious process identified.
normal	normal	Chest. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Pelvis. There are numerous clips overlying the pelvis and lower abdomen. Nonobstructive bowel XXXX pattern. No pathologic calcifications. Hip joint spaces are symmetric and normal. Sacroiliac joints are unremarkable. No fractures or dislocations.	1. Chest. No acute cardiopulmonary findings. 2. Pelvis. No acute osseous findings.
normal	normal	The lungs are clear. The heart pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.	No acute cardiopulmonary disease
No Indexing	No Indexing	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.
Catheters, Indwelling/right	Catheters, Indwelling	The heart is normal in size. The mediastinum is unremarkable. The right chest XXXX tip is visualized in the mid SVC. There is no pneumothorax. The lungs are clear.	No acute disease.
Nodule/lung/bilateral/multiple;Nodule/lung/lower lobe/left	Nodule;Nodule	The heart is normal in size. The mediastinal contours are within normal limits. There are numerous bilateral pulmonary nodules of varying sizes. The largest is noted in the left lower lobe, posteriorly measuring approximately 7.0 cm. No acute infiltrate or pleural effusion are appreciated.	Numerous bilateral pulmonary nodules with dominant nodule/mass in the left lower lung. Diagnostic considerations would include primary lung carcinoma with metastatic nodules versus secondary metastatic disease from known brain tumor. Suggest clinical correlation and further imaging XXXX examination.
Lung/hypoinflation;Pulmonary Atelectasis/base	Lung;Pulmonary Atelectasis	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.
Osteophyte/spine/multiple	Osteophyte	Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. No pleural effusion. There are XXXX spine marginal osteophytes.	Stable chest. No acute disease process identified.
normal	normal	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.
Cardiomegaly/borderline;Lung/hypoinflation;Density/thorax/round;Granulomatous Disease/chronic;Thoracic Vertebrae/degenerative/mild	Cardiomegaly;Lung;Density;Granulomatous Disease;Thoracic Vertebrae	Heart size borderline enlarged. Stable cardiomediastinal silhouette. No pneumothorax or large pleural effusion. No focal airspace disease. Low lung volumes. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Mild degenerative disease of the thoracic spine.	Negative for acute cardiopulmonary disease.
Airspace Disease/lung/lower lobe/left	Airspace Disease	Two views of chest was obtained in AP projection. The cardiomediastinal silhouette is not enlarged. Lungs demonstrate segmental air space disease within the left lower lobe. There is no effusion or pneumothorax. There is evidence of CABG.	1. Left lower lobe airspace disease suspicious for pneumonia.
Lung/bilateral/hypoinflation	Lung	Low lung volumes bilaterally, with lungs otherwise grossly clear. No focal consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal silhouette is unremarkable. No acute osseous abnormalities identified.	Low lung volumes without acute cardiopulmonary abnormality.
Markings/lung/interstitial/diffuse;Pulmonary Fibrosis	Markings;Pulmonary Fibrosis	There are diffuse increased interstitial markings, suggestive of pulmonary fibrosis in bilateral lung XXXX. The fibrosis appears to slightly increased XXXX compared to previous examination, in XXXX. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal.	1. Redemonstrated pulmonary fibrosis without evidence for acute infiltrate.
Osteophyte/thoracic vertebrae/multiple/small;Thickening/pleura/apex/bilateral;Lung/hyperdistention/mild	Osteophyte;Thickening;Lung	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.
normal	normal	In the interval, bibasilar interstitial infiltrates and pulmonary venous engorgement have resolved. Heart size is now normal. No XXXX infiltrates.	Chest. Resolving pulmonary interstitial edema and pulmonary venous hypertension.
Aorta, Thoracic/tortuous/mild	Aorta, Thoracic	Heart size is normal. There is mild tortuosity of the thoracic aorta. No consolidating airspace disease is seen. No pleural effusion or pneumothorax.	No acute abnormality identified.
normal	normal	Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.
normal	normal	The lungs are clear. Heart size is normal. No pneumothorax.	Clear lungs. No acute cardiopulmonary abnormality. .
normal	normal	Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.	No acute preoperative findings.
Markings/lung/middle lobe/bilateral/interstitial/prominent;Markings/lung/base/bilateral/interstitial/prominent;Lung/hypoinflation;Markings/bronchovascular;Technical Quality of Image Unsatisfactory	Markings;Markings;Lung;Markings;Technical Quality of Image Unsatisfactory	Mild hypoventilation with bronchovascular crowding and prominent central and basilar interstitial markings. No focal alveolar consolidation, no pleural effusion demonstrated. Considering technical factors heart size XXXX within normal limits.	Prominent interstitial markings in the central lungs and bases which may be secondary to low lung volumes with bronchovascular crowding, differential considerations include interstitial infiltrates of inflammatory or infectious etiology and mild pulmonary edema. Clinical correlation is recommended.
normal	normal	Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.	Normal chest No evidence of tuberculosis.
Technical Quality of Image Unsatisfactory ;Costophrenic Angle/obscured;Costophrenic Angle/sulcus/posterior/obscured;Cardiomegaly/mild	Technical Quality of Image Unsatisfactory ;Costophrenic Angle;Costophrenic Angle;Cardiomegaly	Examination is somewhat limited, the costophrenic XXXX and posterior costophrenic sulci are excluded. Patient is rotated to the right. Heart size upper limits normal, but stable. Mediastinal contour is grossly unremarkable. Lung parenchyma is clear, no focal airspace consolidation. No large effusion, no visible pneumothorax within the limits of the study.	1. Exam somewhat limited, costophrenic XXXX excluded. 2. Stable mild cardiomegaly. 3. Clear lungs.
normal	normal	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.
normal	normal	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.
normal	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.	1. No evidence of active disease.
normal	normal	The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax.	No acute process.
Lung/hyperdistention/mild	Lung	The lungs are mildly hyperexpanded. There is no focal airspace consolidation to suggest pneumonia. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.	No acute abnormality demonstrated.
Pulmonary Edema/bilateral/interstitial/moderate;Cardiomegaly;Pleural Effusion/bilateral;Heart Failure/moderate;Calcinosis/mediastinum/lymph nodes/right/large/chronic	Pulmonary Edema;Cardiomegaly;Pleural Effusion;Heart Failure;Calcinosis	Moderate bilateral interstitial edema, with cardiomegaly and bilateral effusion consistent with moderate cardiac failure. A large calcified right mediastinal adenopathy, XXXX chronic fungal. No pneumothorax.	Moderate congestive cardiac failure.
Technical Quality of Image Unsatisfactory	Technical Quality of Image Unsatisfactory	Patient is slightly rotated. Normal heart size. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a pleural effusion. There is no evidence of pneumothorax.	There is no evidence of acute cardiopulmonary disease. .
Thoracic Vertebrae/degenerative/mild	Thoracic Vertebrae	The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. Mild degeneration of the thoracic spine without acute bony abnormality.	No acute cardiopulmonary abnormality.
No Indexing	No Indexing	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.
Surgical Instruments/abdomen	Surgical Instruments	The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present.	No acute cardiopulmonary abnormality.
normal	normal	Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.
Opacity/lung/base/left;Diaphragm/left/elevated;Thickening/pleura;Pulmonary Atelectasis/base/left;Airspace Disease/lung/base/left	Opacity;Diaphragm;Thickening;Pulmonary Atelectasis;Airspace Disease	KUB. Centered over the mid abdomen there are multiple air-filled dilated loops of small bowel measuring the XXXX of which measure up to about 3.7 cm in diameter. There is also an extremely dilated XXXX in the same region which measures 5.9 cm in diameter. There is extensive soft tissue pannus. Prior abdominal surgery. Chest. There is XXXX left basilar opacity. No visualized pneumothorax. The heart size is normal. There is mild elevation of the left hemidiaphragm. There are no large pleural effusions. There is thickening of the fissure.	KUB 1. There are numerous air-filled dilated loops of small bowel over the mid abdomen. These findings are consistent with small bowel obstruction. Chest 1. Left basilar airspace disease, XXXX atelectasis. .
normal	normal	The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.	No acute disease.
Lung/hyperdistention;Density/sternum	Lung;Density	Normal heart size. Clear, hyperaerated lungs. No pneumothorax. No pleural effusion. XXXX substernal density may be related to a pectus deformity.	No acute cardiopulmonary abnormality.
normal	normal	Heart size and cardiomediastinal contours are normal. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. No displaced rib fracture.	Negative for acute cardiopulmonary findings.
Calcinosis/aorta	Calcinosis	The lungs are clear. No pleural effusion is identified. The heart is normal. There are calcifications of the aortic XXXX. The skeletal structures are normal.	No active disease.
Lung/hyperdistention	Lung	The lungs are clear. There is hyperexpansion of the lungs suggesting underlying emphysema. The heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.	No acute cardiopulmonary disease
Medical Device;Cardiac Shadow/enlarged/severe;Calcinosis/aorta;Cardiomegaly/severe;Pericardial Effusion/severe	Medical Device;Cardiac Shadow;Calcinosis;Cardiomegaly;Pericardial Effusion	Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains markedly enlarged. There is aortic XXXX vascular calcification. No XXXX focal airspace consolidation or pleural effusion.	Continued severe cardiomegaly and/or pericardial effusion. No acute pulmonary disease process identified.
normal	normal	Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No nodules or adenopathy is identified.	No evidence of active disease.
Lung/hyperdistention	Lung	The lungs are hyperexpanded. Cardiomediastinal silhouette is within normal limits. No pleural effusion, focal airspace opacities or pneumothorax. No free subdiaphragmatic air.	Lung hyperexpansion. No focal air space disease.
normal	normal	Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.
normal	normal	The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.	No acute cardiopulmonary findings. .
normal	normal	The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.	1. No acute pulmonary abnormality.
Cardiomegaly/mild	Cardiomegaly	Status post midline sternotomy with intact XXXX XXXX. Stable mild cardiomegaly. Normal lung vascularity. The lungs are clear.	Stable postop changes with stable mild cardiomegaly and normal lung vascularity.
Aorta/tortuous;Granulomatous Disease	Aorta;Granulomatous Disease	Normal heart size. Stable tortuous aorta. No pneumothorax, pleural effusion or suspicious focal airspace opacity. Prior granulomatous disease.	Unchanged exam without acute abnormality.
Diaphragm/left/elevated;Density/lung/base/right;Opacity/lung/base/left;Surgical Instruments/mediastinum;Density/pleura/right/severe;Sutures/mediastinum	Diaphragm;Density;Opacity;Surgical Instruments;Density;Sutures	The heart size and pulmonary vascularity appear within normal limits. The left hemidiaphragm remains elevated. Right base densities are again noted which appear improved. Previously seen left pleural effusion has resolved. There continues to be some left base opacities which may represent atelectasis. Surgical clips and suture lines are noted in the mediastinum. An air-fluid level is seen in the upper right abdomen immediately below the right hemidiaphragm. Extensive pleural densities are present on the right which may represent localized fluid or pleural thickening. No definite pneumothorax is seen.	1. Continued elevation of the left hemidiaphragm. 2. Extensive post-op changes. 3. Right pleural densities which may represent thickening or localized fluid. 4. Air-fluid level below the right hemidiaphragm medially. Although this could represent air-fluid within a XXXX of bowel, a subpulmonic process is a consideration. If clinically indicated, XXXX scan would better define this.
normal	normal	Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.	No acute cardiopulmonary abnormality.
normal	normal	Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality.	No acute cardiopulmonary abnormality.
Atherosclerosis/aorta;Density/lung/base/left/multiple/mild;Lung/hyperdistention	Atherosclerosis;Density;Lung	The cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic XXXX. Minimal XXXX densities, left lung base. Hyperexpanded lungs. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.	Chronic lung changes without acute abnormality.
normal	normal	The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.	No acute disease.
Catheters, Indwelling/left	Catheters, Indwelling	The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Left-sided PICC line has been placed in the interval with tip XXXX in the innominate vein.	1. No acute cardiopulmonary abnormality.. 2. Interval placement of left-sided PICC line with tip XXXX in the innominate vein.
Spondylosis/thoracic vertebrae	Spondylosis	The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.	No acute preoperative findings.
Calcified Granuloma/lung/base/left/small	Calcified Granuloma	Stable postsurgical changes. Heart XXXX, mediastinum and lung XXXX are unremarkable. Stable calcified small granuloma in left base.	No radiographic evidence of acute cardiopulmonary disease
normal	normal	Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.	No acute findings
normal	normal	Lungs are clear without focal consolidation. No suspicious pulmonary nodules identified. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.	Clear lungs.
Hernia, Hiatal/large;Fractures, Bone/thoracic vertebrae;Scoliosis/thoracic vertebrae;Scoliosis/lumbar vertebrae	Hernia, Hiatal;Fractures, Bone;Scoliosis;Scoliosis	Lumbar and are low. No infiltrates. Heart size normal. A large hiatal hernia is present. An age-indeterminate XXXX fracture is present in the lower thoracic vertebra. Scoliosis is present in the thoracic and thoracolumbar spine.	No visible active cardiopulmonary disease.
normal	normal	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.
normal	normal	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.
normal	normal	The lungs appear clear. There are no suspicious pulmonary nodules or masses. The heart and pulmonary XXXX appear normal. Mediastinal contours appear normal. There's no pneumothorax.	No acute cardiopulmonary disease.
normal	normal	The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings.	No acute cardiopulmonary findings.
normal	normal	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.
normal	normal	Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.	No acute findings
Lung/hypoinflation	Lung	Lung volumes are low. No focal infiltrates. Heart size normal. Mediastinum normal.	Hypoinflation with no visible active cardiopulmonary disease.
Catheters, Indwelling/right;Lung, Hyperlucent/upper lobe/right	Catheters, Indwelling;Lung, Hyperlucent	There is a dual-lumen right internal jugular central venous catheter, the distal tip projects over the right atrium. There is no apparent pneumothorax. There is no focal lung opacity or pleural effusion. There is stable right upper lung lucency. The cardiopulmonary mediastinal silhouettes are stable. The visualized osseous structures appear within normal limits.	1. Distal tip of the dual-lumen right internal jugular central venous catheter projects over the right atrium. 2. No apparent pneumothorax. 3. Stable right upper lung lucency. CT chest may be helpful to further characterize.
Diaphragm/left/elevated/mild;Pulmonary Atelectasis/base/left	Diaphragm;Pulmonary Atelectasis	The heart is normal in size. The mediastinum is unremarkable. There is slight elevation of left hemidiaphragm with XXXX left basilar subsegmental atelectasis. The lungs are otherwise grossly clear.	No acute disease.
Aorta/tortuous/mild;Lung/hypoinflation	Aorta;Lung	Heart size and cardiomediastinal silhouette are normal. Mild tortuosity of the aorta. Low lung volumes, however lungs are grossly clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures grossly intact.	Negative for acute cardiopulmonary findings.
Spine/degenerative/mild	Spine	Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. There are minimal degenerative changes of the spine.	No evidence of active disease.
Osteophyte/thoracic vertebrae/multiple	Osteophyte	No The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There are T-spine osteophytes.	No acute cardiopulmonary abnormality.
normal	normal	No pneumothorax or pleural effusion. Normal cardiac contours. Clear lungs bilaterally. Redemonstration of transmetatarsal amputation. No evidence of acute fracture-dislocations. No evidence of any bony erosions or osseous infections.	Right foot 1. No evidence of the bony erosions or osseous infection. Chest radiograph 1. No acute cardiopulmonary abnormalities.
Calcified Granuloma/lung/lower lobe/left/multiple	Calcified Granuloma	The lungs are clear without evidence of focal airspace disease. There are calcified granulomas in the left lower lobe. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.	No radiographic evidence of acute cardiopulmonary disease.
normal	normal	The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.	No acute cardiopulmonary abnormality.. Specifically, no evidence of active tuberculous process.
Opacity/lung/hilum/left/round;Density/lung/hilum/left/round;Technical Quality of Image Unsatisfactory ;Lung/azygos lobe	Opacity;Density;Technical Quality of Image Unsatisfactory ;Lung	Redemonstration of azygos lobe. Redemonstrated left perihilar nodular opacity, similar in size from previous examination. Dense appearing, may be granulomatous. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. XXXX. Limited exam, for evaluation of fractures. However, no evidence for displaced rib fracture.	1. Left perihilar nodular opacity redemonstrated, appears dense, may be granulomatous, if desired one may consider CT for further characterization. 2. No acute cardiopulmonary abnormality. Redemonstrated azygos lobe. 3. No fracture visible. If clinical concern persists, consider dedicated rib series.
Mediastinum/right/paratracheal/prominent;Opacity/lung/base/bilateral/streaky/mild;Lung/hypoinflation;Airspace Disease/lung/base/bilateral/streaky/mild;Pulmonary Atelectasis	Mediastinum;Opacity;Lung;Airspace Disease;Pulmonary Atelectasis	Heart size within normal limits. Right paratracheal prominence XXXX represents tortuous XXXX. XXXX lung volumes. Mild streaky bibasilar opacities. No pleural effusion or pneumothorax.	1. No evidence of pulmonary tuberculosis. 2. Low lung volumes with minimal streaky basilar airspace disease, XXXX atelectasis. 3. Right paratracheal prominence XXXX represents tortuous XXXX. Comparison with prior imaging studies could confirm this if available. .
Thoracic Vertebrae/degenerative	Thoracic Vertebrae	No focal areas of consolidation. No pleural effusions. No pneumothorax. Degenerative changes thoracic spine. Heart size normal limits. Cholecystectomy clips.	No acute cardiopulmonary abnormality. .
Fractures, Bone/clavicle/left/healed;Fractures, Bone/ribs/left/anterior/multiple;Fractures, Bone/thoracic vertebrae	Fractures, Bone;Fractures, Bone;Fractures, Bone	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.
normal	normal	No pleural effusions. No pneumothorax. No focal areas of consolidation. Heart size within normal limits. Osseous structures intact.	No acute cardiopulmonary abnormality. .
Spine/degenerative	Spine	Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.	1. No evidence of active disease.
Lung/hilum/lymph nodes/bilateral/enlarged;Mediastinum/lymph nodes/bilateral/enlarged	Lung;Mediastinum	The mediastinal and hilar lymph XXXX are less prominent than previously. Heart size remains normal. Lungs are clear.	Decreasing bilateral hilar adenopathy. Continued clear lungs.
Lung/hyperdistention;Diaphragm/bilateral/flattened;Spondylosis/thoracic vertebrae	Lung;Diaphragm;Spondylosis	The cardiac contours are normal. The lungs are hyperinflated with flattened diaphragms. No acute pulmonary findings. Thoracic spondylosis.	No acute process.
normal	normal	Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissue is unremarkable.	Negative for acute cardiopulmonary abnormality.
Aorta/tortuous;Deformity/clavicle/left/chronic	Aorta;Deformity	Apical lordotic frontal view. Heart size within normal limits, mild aortic ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Chronic appearing contour irregularity of the distal left clavicle and XXXX XXXX widening may be posttraumatic or postsurgical, verterbroplasty noted at the thoracolumbar junction.	No acute cardiopulmonary findings
Diaphragm/right/elevated;Pulmonary Atelectasis/base/right;Consolidation/lung/base/left;Pleural Effusion/base/left;Catheters, Indwelling/left;Tube, Inserted/large;Airspace Disease/lung/base/left	Diaphragm;Pulmonary Atelectasis;Consolidation;Pleural Effusion;Catheters, Indwelling;Tube, Inserted;Airspace Disease	Stable cardiomediastinal silhouette. There has been interval removal of right chest tube with increased elevation of the right hemidiaphragm and XXXX right basilar atelectasis. Left basilar consolidation and pleural effusions seen. No XXXX focal consolidation or pneumothorax. There is a stable left PICC with tip overlying the mid SVC and large XXXX feeding tube courses below the diaphragm.	1. Increased elevation right hemidiaphragm with right basilar atelectasis. Left basilar airspace disease and pleural effusion unchanged. 2. Interval removal of right chest tube, no pneumothorax. .
normal	normal	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.
Cardiomegaly/mild	Cardiomegaly	There is stable mild cardiac enlargement. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.	Stable mild cardiomegaly. No acute cardiopulmonary findings.
Granulomatous Disease	Granulomatous Disease	Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. XXXX are grossly unremarkable. There is evidence of granulomatous disease.	1. Clear lungs.
Lung/hypoinflation;Implanted Medical Device/humerus/left	Lung;Implanted Medical Device	Low lung volumes. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact. Left humeral head bone anchors.	No acute cardiopulmonary abnormality.
Lung/hypoinflation;Opacity/lung/base/bilateral;Pulmonary Atelectasis/base/right	Lung;Opacity;Pulmonary Atelectasis	Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. There has been interval development of bibasilar opacities. The appearance of the right base opacity XXXX atelectasis. The left base opacities could represent early pneumonia or areas of atelectasis. No pneumothorax or pleural effusion is seen.	1. Low lung volumes. 2. XXXX XXXX opacities. Right base appears to represent atelectasis. Left base could be atelectasis or pneumonia.
Scoliosis/mild	Scoliosis	Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mild spine curvature again noted.	No acute findings
normal	normal	Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.
Cardiomegaly/mild	Cardiomegaly	The lungs and pleural spaces show no acute abnormality. Heart size is mildly enlarged, pulmonary vascularity within normal limits.	1. No acute pulmonary abnormality. 2. Mild cardiomegaly.
Calcified Granuloma/scattered;Lung/hyperdistention;Spine/degenerative	Calcified Granuloma;Lung;Spine	Normal heart size and mediastinal contours. Scattered calcified granulomas. Hyperexpanded lungs. No focal airspace disease. No pneumothorax or pleural effusion. Degenerative changes in the spine without acute bony abnormalities.	No acute cardiopulmonary process. .
Catheters, Indwelling/left;Thoracic Vertebrae/degenerative	Catheters, Indwelling;Thoracic Vertebrae	Left XXXX XXXX noted with tip approximating the high SVC, stable. No pleural effusions. No pneumothorax. Heart size is normal limits. Degenerative changes thoracic spine.	No acute cardiopulmonary abnormality. .
normal	normal	Chest. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Abdomen. No pneumoperitoneum. There is a normal bowel XXXX pattern. Air and stool visible throughout the entire large colon including the rectum. No abnormally dilated small bowel loops. No evidence for intussusception or small bowel obstruction. No pathologic calcifications XXXX over the abdomen or pelvis. XXXX XXXX are without fracture or destructive lesion, though there are mild degenerative changes throughout the lumbar spine. Small hiatal hernia is not as well demonstrated on this exam.	Chest. 1. No acute cardiopulmonary abnormality. Abdomen. 1. No acute intra-abdominal process. Negative for obstruction.
Cicatrix/lung/base/left/mild	Cicatrix	There is minimal scarring within the left lung base. The lungs are otherwise clear. Heart size is normal. No pneumothorax.	No acute cardiopulmonary abnormality. .
Funnel Chest/mild	Funnel Chest	Chest: 2 images. Heart size is normal. Mediastinal contours are maintained. There is a mild pectus excavatum deformity. The lungs are clear of focal infiltrate. There is no evidence for pleural effusion or pneumothorax. No convincing acute bony findings. Right shoulder: 3 images. There has been XXXX and screw fixation of the midshaft right clavicle. The lateral most screw is fractured. This is age-indeterminate as no prior studies are available for comparison. Otherwise, the surgical XXXX appears intact. The humeral head is seen within the glenoid, without evidence for dislocation. No bony fractures are seen. The visualized right ribs appear intact. Right clavicle: 2 images. No clavicle fracture is seen. Once again noted is the surgical fixation XXXX, with fracture of the lateral most fixation screw.	Chest: 1. No acute cardiopulmonary abnormality identified. 2. Pectus excavatum. Right shoulder and right clavicle: 1. No acute bony abnormality identified. 2. The lateral most screw of the clavicular fixation XXXX is fractured. This is age-indeterminate as no prior studies are available for comparison. Clinical correlation is XXXX.

Nodule/lung/upper lobe/right/multiple

Nodule

Cardiomediastinal silhouettes are within normal limits. There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable.

Right upper lobe lung nodules. Recommend XXXX.

normal

Heart size is within normal limits. Cardiomediastinal silhouette is normal. Lungs are clear bilaterally without effusion or pneumothorax. No bony or soft tissue abnormalities.

No cardiopulmonary abnormality.

Markings/lung/interstitial/prominent;Bronchiolitis

Markings;Bronchiolitis

Prominent interstitial markings. There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.

Prominent interstitial markings, XXXX represent XXXX bronchiolitis. No focal areas of consolidation. .

Cavitation/lung/apex/right;Deformity/lung/apex/right/irregular

Cavitation;Deformity

Irregularity within the right apex is consistent with patient's known cavitary lesion as a sequela of prior tuberculosis. No evidence of active infection. No focal consolidations, pneumothorax, or effusions identified. Paramediastinal silhouette is stable and within normal limits and no acute bony abnormality is identified.

Right apical cavitary lesion consistent with history of tuberculosis without active infectious process identified.

normal

Chest. Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. Pelvis. There are numerous clips overlying the pelvis and lower abdomen. Nonobstructive bowel XXXX pattern. No pathologic calcifications. Hip joint spaces are symmetric and normal. Sacroiliac joints are unremarkable. No fractures or dislocations.

1. Chest. No acute cardiopulmonary findings. 2. Pelvis. No acute osseous findings.

normal

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

No acute cardiopulmonary disease

No Indexing

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

No active disease.

Catheters, Indwelling/right

Catheters, Indwelling

The heart is normal in size. The mediastinum is unremarkable. The right chest XXXX tip is visualized in the mid SVC. There is no pneumothorax. The lungs are clear.

No acute disease.

Nodule/lung/bilateral/multiple;Nodule/lung/lower lobe/left

Nodule;Nodule

The heart is normal in size. The mediastinal contours are within normal limits. There are numerous bilateral pulmonary nodules of varying sizes. The largest is noted in the left lower lobe, posteriorly measuring approximately 7.0 cm. No acute infiltrate or pleural effusion are appreciated.

Numerous bilateral pulmonary nodules with dominant nodule/mass in the left lower lung. Diagnostic considerations would include primary lung carcinoma with metastatic nodules versus secondary metastatic disease from known brain tumor. Suggest clinical correlation and further imaging XXXX examination.

Lung/hypoinflation;Pulmonary Atelectasis/base

Lung;Pulmonary Atelectasis

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.

Osteophyte/spine/multiple

Osteophyte

Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. No pleural effusion. There are XXXX spine marginal osteophytes.

Stable chest. No acute disease process identified.

normal

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.

Cardiomegaly/borderline;Lung/hypoinflation;Density/thorax/round;Granulomatous Disease/chronic;Thoracic Vertebrae/degenerative/mild

Cardiomegaly;Lung;Density;Granulomatous Disease;Thoracic Vertebrae

Heart size borderline enlarged. Stable cardiomediastinal silhouette. No pneumothorax or large pleural effusion. No focal airspace disease. Low lung volumes. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Mild degenerative disease of the thoracic spine.

Negative for acute cardiopulmonary disease.

Airspace Disease/lung/lower lobe/left

Airspace Disease

Two views of chest was obtained in AP projection. The cardiomediastinal silhouette is not enlarged. Lungs demonstrate segmental air space disease within the left lower lobe. There is no effusion or pneumothorax. There is evidence of CABG.

1. Left lower lobe airspace disease suspicious for pneumonia.

Lung/bilateral/hypoinflation

Lung

Low lung volumes bilaterally, with lungs otherwise grossly clear. No focal consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal silhouette is unremarkable. No acute osseous abnormalities identified.

Low lung volumes without acute cardiopulmonary abnormality.

Markings/lung/interstitial/diffuse;Pulmonary Fibrosis

Markings;Pulmonary Fibrosis

There are diffuse increased interstitial markings, suggestive of pulmonary fibrosis in bilateral lung XXXX. The fibrosis appears to slightly increased XXXX compared to previous examination, in XXXX. The trachea is midline. Negative for pneumothorax, pleural effusion. The heart size is normal.

1. Redemonstrated pulmonary fibrosis without evidence for acute infiltrate.

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

Osteophyte;Thickening;Lung

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.

normal

In the interval, bibasilar interstitial infiltrates and pulmonary venous engorgement have resolved. Heart size is now normal. No XXXX infiltrates.

Chest. Resolving pulmonary interstitial edema and pulmonary venous hypertension.

Aorta, Thoracic/tortuous/mild

Aorta, Thoracic

Heart size is normal. There is mild tortuosity of the thoracic aorta. No consolidating airspace disease is seen. No pleural effusion or pneumothorax.

No acute abnormality identified.

normal

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

No active disease.

normal

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

Clear lungs. No acute cardiopulmonary abnormality. .

normal

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

No acute preoperative findings.

Markings/lung/middle lobe/bilateral/interstitial/prominent;Markings/lung/base/bilateral/interstitial/prominent;Lung/hypoinflation;Markings/bronchovascular;Technical Quality of Image Unsatisfactory

Markings;Markings;Lung;Markings;Technical Quality of Image Unsatisfactory

Mild hypoventilation with bronchovascular crowding and prominent central and basilar interstitial markings. No focal alveolar consolidation, no pleural effusion demonstrated. Considering technical factors heart size XXXX within normal limits.

Prominent interstitial markings in the central lungs and bases which may be secondary to low lung volumes with bronchovascular crowding, differential considerations include interstitial infiltrates of inflammatory or infectious etiology and mild pulmonary edema. Clinical correlation is recommended.

normal

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

Normal chest No evidence of tuberculosis.

Technical Quality of Image Unsatisfactory ;Costophrenic Angle/obscured;Costophrenic Angle/sulcus/posterior/obscured;Cardiomegaly/mild

Technical Quality of Image Unsatisfactory ;Costophrenic Angle;Costophrenic Angle;Cardiomegaly

Examination is somewhat limited, the costophrenic XXXX and posterior costophrenic sulci are excluded. Patient is rotated to the right. Heart size upper limits normal, but stable. Mediastinal contour is grossly unremarkable. Lung parenchyma is clear, no focal airspace consolidation. No large effusion, no visible pneumothorax within the limits of the study.

1. Exam somewhat limited, costophrenic XXXX excluded. 2. Stable mild cardiomegaly. 3. Clear lungs.

normal

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.

normal

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.

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.

1. No evidence of active disease.

normal

The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax.

No acute process.

Lung/hyperdistention/mild

Lung

The lungs are mildly hyperexpanded. There is no focal airspace consolidation to suggest pneumonia. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.

No acute abnormality demonstrated.

Pulmonary Edema/bilateral/interstitial/moderate;Cardiomegaly;Pleural Effusion/bilateral;Heart Failure/moderate;Calcinosis/mediastinum/lymph nodes/right/large/chronic

Pulmonary Edema;Cardiomegaly;Pleural Effusion;Heart Failure;Calcinosis

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

Moderate congestive cardiac failure.

Technical Quality of Image Unsatisfactory

Patient is slightly rotated. Normal heart size. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a pleural effusion. There is no evidence of pneumothorax.

There is no evidence of acute cardiopulmonary disease. .

Thoracic Vertebrae/degenerative/mild

Thoracic Vertebrae

The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. Mild degeneration of the thoracic spine without acute bony abnormality.

No acute cardiopulmonary abnormality.

No Indexing

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

No active disease.

Surgical Instruments/abdomen

Surgical Instruments

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

No acute cardiopulmonary abnormality.

normal

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

No active disease.

Opacity/lung/base/left;Diaphragm/left/elevated;Thickening/pleura;Pulmonary Atelectasis/base/left;Airspace Disease/lung/base/left

Opacity;Diaphragm;Thickening;Pulmonary Atelectasis;Airspace Disease

KUB. Centered over the mid abdomen there are multiple air-filled dilated loops of small bowel measuring the XXXX of which measure up to about 3.7 cm in diameter. There is also an extremely dilated XXXX in the same region which measures 5.9 cm in diameter. There is extensive soft tissue pannus. Prior abdominal surgery. Chest. There is XXXX left basilar opacity. No visualized pneumothorax. The heart size is normal. There is mild elevation of the left hemidiaphragm. There are no large pleural effusions. There is thickening of the fissure.

KUB 1. There are numerous air-filled dilated loops of small bowel over the mid abdomen. These findings are consistent with small bowel obstruction. Chest 1. Left basilar airspace disease, XXXX atelectasis. .

normal

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

No acute disease.

Lung/hyperdistention;Density/sternum

Lung;Density

Normal heart size. Clear, hyperaerated lungs. No pneumothorax. No pleural effusion. XXXX substernal density may be related to a pectus deformity.

No acute cardiopulmonary abnormality.

normal

Heart size and cardiomediastinal contours are normal. Lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. No displaced rib fracture.

Negative for acute cardiopulmonary findings.

Calcinosis/aorta

Calcinosis

The lungs are clear. No pleural effusion is identified. The heart is normal. There are calcifications of the aortic XXXX. The skeletal structures are normal.

No active disease.

Lung/hyperdistention

Lung

The lungs are clear. There is hyperexpansion of the lungs suggesting underlying emphysema. The heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.

No acute cardiopulmonary disease

Medical Device;Cardiac Shadow/enlarged/severe;Calcinosis/aorta;Cardiomegaly/severe;Pericardial Effusion/severe

Medical Device;Cardiac Shadow;Calcinosis;Cardiomegaly;Pericardial Effusion

Frontal (on two cassettes) and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. The cardiac silhouette remains markedly enlarged. There is aortic XXXX vascular calcification. No XXXX focal airspace consolidation or pleural effusion.

Continued severe cardiomegaly and/or pericardial effusion. No acute pulmonary disease process identified.

normal

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

No evidence of active disease.

Lung/hyperdistention

Lung

The lungs are hyperexpanded. Cardiomediastinal silhouette is within normal limits. No pleural effusion, focal airspace opacities or pneumothorax. No free subdiaphragmatic air.

Lung hyperexpansion. No focal air space disease.

normal

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

No active disease.

normal

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

No acute cardiopulmonary findings. .

normal

The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.

1. No acute pulmonary abnormality.

Cardiomegaly/mild

Cardiomegaly

Status post midline sternotomy with intact XXXX XXXX. Stable mild cardiomegaly. Normal lung vascularity. The lungs are clear.

Stable postop changes with stable mild cardiomegaly and normal lung vascularity.

Aorta/tortuous;Granulomatous Disease

Aorta;Granulomatous Disease

Normal heart size. Stable tortuous aorta. No pneumothorax, pleural effusion or suspicious focal airspace opacity. Prior granulomatous disease.

Unchanged exam without acute abnormality.

Diaphragm/left/elevated;Density/lung/base/right;Opacity/lung/base/left;Surgical Instruments/mediastinum;Density/pleura/right/severe;Sutures/mediastinum

Diaphragm;Density;Opacity;Surgical Instruments;Density;Sutures

The heart size and pulmonary vascularity appear within normal limits. The left hemidiaphragm remains elevated. Right base densities are again noted which appear improved. Previously seen left pleural effusion has resolved. There continues to be some left base opacities which may represent atelectasis. Surgical clips and suture lines are noted in the mediastinum. An air-fluid level is seen in the upper right abdomen immediately below the right hemidiaphragm. Extensive pleural densities are present on the right which may represent localized fluid or pleural thickening. No definite pneumothorax is seen.

1. Continued elevation of the left hemidiaphragm. 2. Extensive post-op changes. 3. Right pleural densities which may represent thickening or localized fluid. 4. Air-fluid level below the right hemidiaphragm medially. Although this could represent air-fluid within a XXXX of bowel, a subpulmonic process is a consideration. If clinically indicated, XXXX scan would better define this.

normal

Heart size and mediastinal contours are normal in appearance. No consolidative airspace opacities. No radiographic evidence of pleural effusion or pneumothorax. Visualized osseous structures appear intact.

No acute cardiopulmonary abnormality.

normal

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

No acute cardiopulmonary abnormality.

Atherosclerosis/aorta;Density/lung/base/left/multiple/mild;Lung/hyperdistention

Atherosclerosis;Density;Lung

The cardiomediastinal silhouette is normal in size and contour. Atherosclerosis of the aortic XXXX. Minimal XXXX densities, left lung base. Hyperexpanded lungs. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality.

Chronic lung changes without acute abnormality.

normal

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

No acute disease.

Catheters, Indwelling/left

Catheters, Indwelling

The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Left-sided PICC line has been placed in the interval with tip XXXX in the innominate vein.

1. No acute cardiopulmonary abnormality.. 2. Interval placement of left-sided PICC line with tip XXXX in the innominate vein.

Spondylosis/thoracic vertebrae

Spondylosis

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

No acute preoperative findings.

Calcified Granuloma/lung/base/left/small

Calcified Granuloma

Stable postsurgical changes. Heart XXXX, mediastinum and lung XXXX are unremarkable. Stable calcified small granuloma in left base.

No radiographic evidence of acute cardiopulmonary disease

normal

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

No acute findings

normal

Lungs are clear without focal consolidation. No suspicious pulmonary nodules identified. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.

Clear lungs.

Hernia, Hiatal/large;Fractures, Bone/thoracic vertebrae;Scoliosis/thoracic vertebrae;Scoliosis/lumbar vertebrae

Hernia, Hiatal;Fractures, Bone;Scoliosis;Scoliosis

Lumbar and are low. No infiltrates. Heart size normal. A large hiatal hernia is present. An age-indeterminate XXXX fracture is present in the lower thoracic vertebra. Scoliosis is present in the thoracic and thoracolumbar spine.

No visible active cardiopulmonary disease.

normal

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.

normal

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.

normal

The lungs appear clear. There are no suspicious pulmonary nodules or masses. The heart and pulmonary XXXX appear normal. Mediastinal contours appear normal. There's no pneumothorax.

No acute cardiopulmonary disease.

normal

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

No acute cardiopulmonary findings.

normal

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.

normal

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

No acute findings

Lung/hypoinflation

Lung

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

Hypoinflation with no visible active cardiopulmonary disease.

Catheters, Indwelling/right;Lung, Hyperlucent/upper lobe/right

Catheters, Indwelling;Lung, Hyperlucent

There is a dual-lumen right internal jugular central venous catheter, the distal tip projects over the right atrium. There is no apparent pneumothorax. There is no focal lung opacity or pleural effusion. There is stable right upper lung lucency. The cardiopulmonary mediastinal silhouettes are stable. The visualized osseous structures appear within normal limits.

1. Distal tip of the dual-lumen right internal jugular central venous catheter projects over the right atrium. 2. No apparent pneumothorax. 3. Stable right upper lung lucency. CT chest may be helpful to further characterize.

Diaphragm/left/elevated/mild;Pulmonary Atelectasis/base/left

Diaphragm;Pulmonary Atelectasis

The heart is normal in size. The mediastinum is unremarkable. There is slight elevation of left hemidiaphragm with XXXX left basilar subsegmental atelectasis. The lungs are otherwise grossly clear.

No acute disease.

Aorta/tortuous/mild;Lung/hypoinflation

Aorta;Lung

Heart size and cardiomediastinal silhouette are normal. Mild tortuosity of the aorta. Low lung volumes, however lungs are grossly clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures grossly intact.

Negative for acute cardiopulmonary findings.

Spine/degenerative/mild

Spine

Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. There are minimal degenerative changes of the spine.

No evidence of active disease.

Osteophyte/thoracic vertebrae/multiple

Osteophyte

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

No acute cardiopulmonary abnormality.

normal

No pneumothorax or pleural effusion. Normal cardiac contours. Clear lungs bilaterally. Redemonstration of transmetatarsal amputation. No evidence of acute fracture-dislocations. No evidence of any bony erosions or osseous infections.

Right foot 1. No evidence of the bony erosions or osseous infection. Chest radiograph 1. No acute cardiopulmonary abnormalities.

Calcified Granuloma/lung/lower lobe/left/multiple

Calcified Granuloma

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

No radiographic evidence of acute cardiopulmonary disease.

normal

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

No acute cardiopulmonary abnormality.. Specifically, no evidence of active tuberculous process.

Opacity/lung/hilum/left/round;Density/lung/hilum/left/round;Technical Quality of Image Unsatisfactory ;Lung/azygos lobe

Opacity;Density;Technical Quality of Image Unsatisfactory ;Lung

Redemonstration of azygos lobe. Redemonstrated left perihilar nodular opacity, similar in size from previous examination. Dense appearing, may be granulomatous. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. XXXX. Limited exam, for evaluation of fractures. However, no evidence for displaced rib fracture.

1. Left perihilar nodular opacity redemonstrated, appears dense, may be granulomatous, if desired one may consider CT for further characterization. 2. No acute cardiopulmonary abnormality. Redemonstrated azygos lobe. 3. No fracture visible. If clinical concern persists, consider dedicated rib series.

Mediastinum/right/paratracheal/prominent;Opacity/lung/base/bilateral/streaky/mild;Lung/hypoinflation;Airspace Disease/lung/base/bilateral/streaky/mild;Pulmonary Atelectasis

Mediastinum;Opacity;Lung;Airspace Disease;Pulmonary Atelectasis

Heart size within normal limits. Right paratracheal prominence XXXX represents tortuous XXXX. XXXX lung volumes. Mild streaky bibasilar opacities. No pleural effusion or pneumothorax.

1. No evidence of pulmonary tuberculosis. 2. Low lung volumes with minimal streaky basilar airspace disease, XXXX atelectasis. 3. Right paratracheal prominence XXXX represents tortuous XXXX. Comparison with prior imaging studies could confirm this if available. .

Thoracic Vertebrae/degenerative

Thoracic Vertebrae

No focal areas of consolidation. No pleural effusions. No pneumothorax. Degenerative changes thoracic spine. Heart size normal limits. Cholecystectomy clips.

No acute cardiopulmonary abnormality. .

Fractures, Bone/clavicle/left/healed;Fractures, Bone/ribs/left/anterior/multiple;Fractures, Bone/thoracic vertebrae

Fractures, Bone;Fractures, Bone;Fractures, Bone

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.

normal

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

No acute cardiopulmonary abnormality. .

Spine/degenerative

Spine

Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine.

1. No evidence of active disease.

Lung/hilum/lymph nodes/bilateral/enlarged;Mediastinum/lymph nodes/bilateral/enlarged

Lung;Mediastinum

The mediastinal and hilar lymph XXXX are less prominent than previously. Heart size remains normal. Lungs are clear.

Decreasing bilateral hilar adenopathy. Continued clear lungs.

Lung/hyperdistention;Diaphragm/bilateral/flattened;Spondylosis/thoracic vertebrae

Lung;Diaphragm;Spondylosis

The cardiac contours are normal. The lungs are hyperinflated with flattened diaphragms. No acute pulmonary findings. Thoracic spondylosis.

No acute process.

normal

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

Negative for acute cardiopulmonary abnormality.

Aorta/tortuous;Deformity/clavicle/left/chronic

Aorta;Deformity

Apical lordotic frontal view. Heart size within normal limits, mild aortic ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Chronic appearing contour irregularity of the distal left clavicle and XXXX XXXX widening may be posttraumatic or postsurgical, verterbroplasty noted at the thoracolumbar junction.

No acute cardiopulmonary findings

Diaphragm/right/elevated;Pulmonary Atelectasis/base/right;Consolidation/lung/base/left;Pleural Effusion/base/left;Catheters, Indwelling/left;Tube, Inserted/large;Airspace Disease/lung/base/left

Diaphragm;Pulmonary Atelectasis;Consolidation;Pleural Effusion;Catheters, Indwelling;Tube, Inserted;Airspace Disease

Stable cardiomediastinal silhouette. There has been interval removal of right chest tube with increased elevation of the right hemidiaphragm and XXXX right basilar atelectasis. Left basilar consolidation and pleural effusions seen. No XXXX focal consolidation or pneumothorax. There is a stable left PICC with tip overlying the mid SVC and large XXXX feeding tube courses below the diaphragm.

1. Increased elevation right hemidiaphragm with right basilar atelectasis. Left basilar airspace disease and pleural effusion unchanged. 2. Interval removal of right chest tube, no pneumothorax. .

normal

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.

Cardiomegaly/mild

Cardiomegaly

There is stable mild cardiac enlargement. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.

Stable mild cardiomegaly. No acute cardiopulmonary findings.

Granulomatous Disease

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

1. Clear lungs.

Lung/hypoinflation;Implanted Medical Device/humerus/left

Lung;Implanted Medical Device

Low lung volumes. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures appear intact. Left humeral head bone anchors.

No acute cardiopulmonary abnormality.

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

Lung;Opacity;Pulmonary Atelectasis

Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. There has been interval development of bibasilar opacities. The appearance of the right base opacity XXXX atelectasis. The left base opacities could represent early pneumonia or areas of atelectasis. No pneumothorax or pleural effusion is seen.

1. Low lung volumes. 2. XXXX XXXX opacities. Right base appears to represent atelectasis. Left base could be atelectasis or pneumonia.

Scoliosis/mild

Scoliosis

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

No acute findings

normal

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

No active disease.

Cardiomegaly/mild

Cardiomegaly

The lungs and pleural spaces show no acute abnormality. Heart size is mildly enlarged, pulmonary vascularity within normal limits.

1. No acute pulmonary abnormality. 2. Mild cardiomegaly.

Calcified Granuloma/scattered;Lung/hyperdistention;Spine/degenerative

Calcified Granuloma;Lung;Spine

Normal heart size and mediastinal contours. Scattered calcified granulomas. Hyperexpanded lungs. No focal airspace disease. No pneumothorax or pleural effusion. Degenerative changes in the spine without acute bony abnormalities.

No acute cardiopulmonary process. .

Catheters, Indwelling/left;Thoracic Vertebrae/degenerative

Catheters, Indwelling;Thoracic Vertebrae

Left XXXX XXXX noted with tip approximating the high SVC, stable. No pleural effusions. No pneumothorax. Heart size is normal limits. Degenerative changes thoracic spine.

No acute cardiopulmonary abnormality. .

normal

Chest. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. Abdomen. No pneumoperitoneum. There is a normal bowel XXXX pattern. Air and stool visible throughout the entire large colon including the rectum. No abnormally dilated small bowel loops. No evidence for intussusception or small bowel obstruction. No pathologic calcifications XXXX over the abdomen or pelvis. XXXX XXXX are without fracture or destructive lesion, though there are mild degenerative changes throughout the lumbar spine. Small hiatal hernia is not as well demonstrated on this exam.

Chest. 1. No acute cardiopulmonary abnormality. Abdomen. 1. No acute intra-abdominal process. Negative for obstruction.

Cicatrix/lung/base/left/mild

Cicatrix

There is minimal scarring within the left lung base. The lungs are otherwise clear. Heart size is normal. No pneumothorax.

No acute cardiopulmonary abnormality. .

Funnel Chest/mild

Funnel Chest

Chest: 2 images. Heart size is normal. Mediastinal contours are maintained. There is a mild pectus excavatum deformity. The lungs are clear of focal infiltrate. There is no evidence for pleural effusion or pneumothorax. No convincing acute bony findings. Right shoulder: 3 images. There has been XXXX and screw fixation of the midshaft right clavicle. The lateral most screw is fractured. This is age-indeterminate as no prior studies are available for comparison. Otherwise, the surgical XXXX appears intact. The humeral head is seen within the glenoid, without evidence for dislocation. No bony fractures are seen. The visualized right ribs appear intact. Right clavicle: 2 images. No clavicle fracture is seen. Once again noted is the surgical fixation XXXX, with fracture of the lateral most fixation screw.

Chest: 1. No acute cardiopulmonary abnormality identified. 2. Pectus excavatum. Right shoulder and right clavicle: 1. No acute bony abnormality identified. 2. The lateral most screw of the clavicular fixation XXXX is fractured. This is age-indeterminate as no prior studies are available for comparison. Clinical correlation is XXXX.