IndianaUniversityDatasetsModels/Medical_reports_Splits

MeSH stringlengths 6 372	Problems stringlengths 4 171	findings stringlengths 33 1.05k	impression stringlengths 5 837
Opacity/lung/lower lobe/left/large;Pleural Effusion/left/large;Technical Quality of Image Unsatisfactory ;Cardiac Shadow/obscured/severe	Opacity;Pleural Effusion;Technical Quality of Image Unsatisfactory ;Cardiac Shadow	Large left lower lobe opacity is present. There does not appear to be significant mediastinal shift. There is no pneumothorax. The cardiac silhouette is not definitively identified and not fully evaluated. The mediastinal contours are unremarkable.	Large left lower lobe opacity XXXX represents a large layering pleural effusion. Right lung is clear.
Nodule/lung/lower lobe/left/multiple;Nodule/lung/hilum/right;Nodule/lung/right/multiple	Nodule;Nodule;Nodule	Three noncalcified lung nodules are present in the left lower lobe. The largest measures 3.5 mm in diameter. Another nodule is present near the right hilum. It is approximately 2 cm in diameter. The XXXX and mediastinum appear normal. Heart size normal.	Multiple nodules in both the left and right lungs consistent with neoplasm. Further workup could be initiated with contrasted CT of the chest, abdomen, and pelvis. Dr. XXXX XXXX I discussed the findings and further workup suggestions by telephone approximately XXXX hours XXXX, XXXX.
normal	normal	Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact.	No acute cardiopulmonary abnormality.
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	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.
Funnel Chest/mild	Funnel Chest	The heart is normal in size. The mediastinum is unremarkable. Mild pectus excavatum deformity is noted. The lungs are clear.	No acute disease.
Aorta/tortuous/mild;Atherosclerosis/aorta;Lung/hypoinflation/mild;Markings/lung/upper lobe/right;Markings/lung/lower lobe/right;Diaphragmatic Eventration/left/mild;Opacity/thorax/scattered	Aorta;Atherosclerosis;Lung;Markings;Markings;Diaphragmatic Eventration;Opacity	The heart is normal in size. The mediastinal contours are within normal limits. Aorta is mildly tortuous and demonstrates atherosclerotic calcifications. The lungs are mildly hypoinflated with increased peripheral lung markings noted predominantly in the right upper and lower lung. There is no acute infiltrate or significant pleural effusion. Mild eventration of left hemidiaphragm is noted.	Scattered XXXX opacities may be secondary to scarring and underlying emphysematous changes versus mild interstitial lung disease. No acute infiltrate.
normal	normal	The trachea is midline. Negative for pneumothorax, pleural effusion, or focal airspace consolidation. The heart size is normal.	1. No acute cardiopulmonary abnormality.
normal	normal	Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.
Calcified Granuloma;Spine/degenerative	Calcified Granuloma;Spine	The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma are present. Degenerative changes are present in the spine.	1. No evidence of active disease.
Lung, Hyperlucent/bilateral/mild;Scoliosis/lumbar vertebrae	Lung, Hyperlucent;Scoliosis	The heart is normal in size. The mediastinum is unremarkable. The lungs are mildly hyperlucent but clear. There is denser lumbar scoliosis.	No acute disease.
Hernia, Hiatal/large;Bone Diseases, Metabolic/spine;Spine/degenerative;Calcinosis/blood vessels;Shoulder/right/degenerative	Hernia, Hiatal;Bone Diseases, Metabolic;Spine;Calcinosis;Shoulder	The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Large hiatal hernia is present. Osteopenia and degenerative changes are present in the spine. Vascular calcification is noted. Degenerative changes are present in the right shoulder.	1. Large hiatal hernia. 2. Clear lungs.
Cardiomegaly;Costophrenic Angle/right/blunted;Cicatrix/pleura/right;Granuloma/lung/upper lobe/left;Kyphosis/thoracic vertebrae;Osteophyte/thoracic vertebrae/anterior/multiple;Aorta/tortuous	Cardiomegaly;Costophrenic Angle;Cicatrix;Granuloma;Kyphosis;Osteophyte;Aorta	Heart size is enlarged. Cardiomediastinal contours are unchanged since previous exam. There is blunting of the right costophrenic XXXX XXXX old pleural scar. Lungs are otherwise clear bilaterally. A left upper lobe granuloma appears unchanged. There is kyphosis of the thoracic spine with anterior osteophyte formations. Aortic ectasia is seen in the ascending aorta and the XXXX.	1. Cardiomegaly without failure 2. Ectatic aorta
Calcinosis/aorta, thoracic;Osteophyte/thoracic vertebrae/multiple/mild;Calcified Granuloma/lung/upper lobe/left	Calcinosis;Osteophyte;Calcified Granuloma	The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal osteophytes of the thoracic spine. No acute, displaced rib fractures. A calcified granuloma is demonstrated in the left upper lobe.	1. No acute intrathoracic abnormality. .
Thoracic Vertebrae/degenerative	Thoracic Vertebrae	Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion. There are degenerative changes of the midthoracic spine.	No acute cardiopulmonary findings.
Diaphragm/left/elevated;Cicatrix/costophrenic angle/left;Foreign Bodies/thoracic vertebrae;Foreign Bodies/lung/lower lobe/left;Foreign Bodies/lung/upper lobe/left;Thoracic Vertebrae/degenerative/mild	Diaphragm;Cicatrix;Foreign Bodies;Foreign Bodies;Foreign Bodies;Thoracic Vertebrae	Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Elevated left hemidiaphragm with scarring at the left costophrenic XXXX. There is a bullet fragment overlying the left T7 vertebra. Retained XXXX bullet fragments noted within the left upper and lower lobes. No focal consolidation, visible pneumothorax or large pleural effusion. Mild degenerative changes of the thoracic spine.	1. No evidence of active cardiopulmonary disease. 2. Posttraumatic changes compatible with prior gunshot wound.
normal	normal	The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.	Unremarkable radiographs of the chest.
Aorta/tortuous/mild;Spine/degenerative	Aorta;Spine	Heart size and vascularity are normal. Mild tortuosity of the aorta. No focal airspace disease or effusion. Degenerative change of the spine. No pneumothorax.	No acute cardiopulmonary process.
Lucency/retrocardiac;Hernia, Hiatal/large;Deformity/thoracic vertebrae	Lucency;Hernia, Hiatal;Deformity	Mediastinum is stable. Retrocardiac lucency XXXX represents a large hiatal hernia, unchanged from prior. The lungs are clear, without focal infiltrate or pleural effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities. Stable thoracic XXXX deformity.	1. No acute cardiopulmonary abnormalities. 2. Multiple chronic changes as described above. .
No Indexing	No Indexing	Normal cardiomediastinal silhouette. Left-sided aortic XXXX. Pulmonary vasculatures are within normal limits. Central airways are XXXX. No focal consolidation, pleural effusion or pneumothorax. Bony structure are grossly unremarkable.	No acute pulmonary findings. .
Thoracic Vertebrae/degenerative/mild	Thoracic Vertebrae	The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. The mediastinal contours are normal. There are mild degenerative changes of the thoracic spine.	1. No evidence of pneumonia or post primary tuberculosis infection 2. No acute cardiopulmonary disease
normal	normal	Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.	Normal chest.
Spondylosis/thoracic vertebrae;Scoliosis/thoracic vertebrae/mild;Scoliosis/lumbar vertebrae/mild	Spondylosis;Scoliosis;Scoliosis	The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Mild XXXX XXXX curvature thoracolumbar junction.	No active pulmonary disease.
normal	normal	The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.	No acute cardiopulmonary findings.
normal	normal	Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity.	Normal exam.
normal	normal	The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..	No acute radiographic cardiopulmonary process.
normal	normal	Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.	Negative chest x-XXXX.
Lung/hypoinflation;Markings/bronchovascular;Surgical Instruments/abdomen/right	Lung;Markings;Surgical Instruments	Cardiac and mediastinal XXXX appear normal. Low lung volumes and bronchovascular crowding. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. Surgical clips are seen within the right upper abdomen.	No acute radiographic cardiopulmonary process. .
Implanted Medical Device/left;Emphysema;Calcified Granuloma/multiple	Implanted Medical Device;Emphysema;Calcified Granuloma	Stable left chest cardiac XXXX generator with 2 distal leads in right atrium and right ventricle. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Emphysema. Stable calcified granulomas. Bony structures appear intact.	Emphysema without acute cardiopulmonary findings.
normal	normal	The lungs are clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is within normal limits.	Clear lungs.
Lung/hyperdistention;Calcified Granuloma/lung/lower lobe/right/small	Lung;Calcified Granuloma	The cardiomediastinal silhouette is normal. Lungs are hyperexpanded but clear without evidence of effusion or infiltrate. There is a small right lower lobe calcified granuloma that is unchanged from prior examinations. No acute bony abnormality. No pneumothorax or pneumomediastinum.	1. Hyperexpanded lungs.
Lung/bilateral/hyperdistention	Lung	Normal cardiac contour. Clear hyperexpanded lungs bilaterally with no pneumothorax or pleural effusion.	1. No acute cardiopulmonary abnormalities.
Scoliosis/thoracic vertebrae/severe;Scoliosis/lumbar vertebrae/severe;Atherosclerosis/aorta;Lung/hypoinflation	Scoliosis;Scoliosis;Atherosclerosis;Lung	The heart is normal in size. The mediastinum is stable. There is again significant thoracolumbar rotatory scoliosis. The aorta is atherosclerotic. The lungs are hypoinflated but clear.	Hypoinflation without acute disease.
normal	normal	Cardiac and mediastinal contours are unremarkable. Pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion, or pneumothorax. XXXX are grossly unremarkable.	1. Clear lungs.
Cardiomegaly;Opacity/lung/middle lobe/right;Cicatrix/lung/middle lobe/right	Cardiomegaly;Opacity;Cicatrix	The heart is large. Lung volumes are XXXX. XXXX opacity persists in the right midlung. No focal infiltrates.	Persistent cardiomegaly. Right midlung scar. No visible acute failure or pneumonia.
Cardiomegaly	Cardiomegaly	Cardiomegaly. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax.	Cardiomegaly similar to prior examination. Negative for evidence of acute pulmonary disease.
normal	normal	The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.	No acute cardiopulmonary disease. .
Calcinosis/lymph nodes;Spine/degenerative	Calcinosis;Spine	The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified lymph XXXX are present. Degenerative changes are present in the spine.	No evidence of active disease.
normal	normal	The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. The bony structures of the thorax are intact with no evidence of acute osseous abnormality.	No evidence of acute cardiopulmonary process. Stable appearance of the chest.
Lung/hyperdistention;Calcified Granuloma/lung/upper lobe/right	Lung;Calcified Granuloma	The lungs and pleural spaces show no acute abnormality. Hyperexpanded lungs. Calcified right upper lobe granuloma, unchanged. Heart size and pulmonary vascularity within normal limits. No displaced rib fractures.	1. Hyperexpansion without acute pulmonary abnormality.
normal	normal	XXXX XXXX and lateral views of the chest were obtained XXXX/XXXX. The lung volumes are low normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.	No acute cardiopulmonary abnormalities are seen. END OF REPORT.
normal	normal	Cardiomediastinal silhouette and pulmonary vasculature are stable and within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.	No acute cardiopulmonary findings. Specifically, no radiographic evidence of active tuberculosis.
Lung/hyperdistention;Foreign Bodies/breast/left	Lung;Foreign Bodies	Normal heart size. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Left nipple silhouette visualized. Negative for acute bone abnormality.	Hyperexpanded lungs, otherwise clear.
normal	normal	This study is limited secondary to patient body habitus. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.	Limited study but no acute pulmonary disease identified.
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..
Lung/hypoinflation	Lung	AP and lateral views of the chest were obtained. The heart is normal size. Mediastinum is unremarkable. Lungs are hypoinflated but clear. No focal consolidation is seen.	No acute disease
Humerus/bilateral/degenerative;Thoracic Vertebrae/scattered/degenerative;Cardiomegaly/mild;Density/mediastinum/prominent;Opacity/lung/upper lobe/left/focal;Cicatrix/lung/upper lobe/left;Opacity/ribs/left	Humerus;Thoracic Vertebrae;Cardiomegaly;Density;Opacity;Cicatrix;Opacity	Bilateral glenohumeral degenerative joint disease. Scattered degenerative changes of the thoracic spine. Stable mild heart enlargement.Prominence of soft tissue density in the upper mediastinum. It is increased from most recent prior exam on XXXX. However, it appears similar compared to XXXX exams performed in XXXX. No focal area of consolidation, pleural effusion, or pneumothorax. Focal opacity in the left upper lobe XXXX represents scarring or related to overlying rib opacity.	1. No acute cardiopulmonary abnormality. 2. Prominent soft tissue density in the upper mediastinum. Recommend follow PA and lateral radiograph XXXX XXXX or CT thorax for further evaluation.
normal	normal	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.
normal	normal	Trachea is midline. Normal heart. Clear lungs. No pneumothorax. No pleural effusion.	Normal chest exam.
normal	normal	Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.	Clear lungs.
Thoracic Vertebrae/degenerative/multiple;Arthritis/shoulder/bilateral/mild	Thoracic Vertebrae;Arthritis	The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Multilevel degenerative changes are seen throughout the thoracic spine. XXXX anchors XXXX over the left humeral head. There is mild bilateral acromioclavicular joint osteoarthritis. Visualized upper abdomen is grossly unremarkable in appearance.	No evidence of acute cardiopulmonary process.
normal	normal	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.
Implanted Medical Device;Lung/hypoinflation	Implanted Medical Device;Lung	The lungs and pleural spaces show no acute abnormality. Lower lung volumes on the AP projection. Heart size is upper limits of normal, pulmonary vascularity within normal limits. Implantable cardiac XXXX are visualized on the lateral projection in the region of the expected location of the mitral valve XXXX. XXXX sternotomy XXXX noted.	1. No acute pulmonary abnormality.
normal	normal	The heart and mediastinum are stable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.	1. No acute cardiopulmonary disease.
Shoulder/degenerative	Shoulder	Normal cardiomediastinal silhouette. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen. Acromioclavicular joint degenerative change.	There is no radiographic evidence of acute cardiopulmonary disease.
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.
Nodule/lung/hilum/right/prominent;Lung/hypoinflation;Markings/lung/mild;Deformity/clavicle/left	Nodule;Lung;Markings;Deformity	PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Mild nodular prominence of the right hilum, without significant change. Lung volumes are decreased, with crowding. There is no pneumothorax, pleural effusion, or focal air space consolidation.	1. Low lung volumes with mild crowding.
Diaphragm/left/elevated;Spondylosis/thoracic vertebrae/mild	Diaphragm;Spondylosis	Stable appearance of chest with no findings of disease progression. Heart and mediastinum stable configuration. Stable elevation of left hemidiaphragm. Lungs clear of consolidation. No pneumothorax or pleural effusion. Bony thorax intact. Minimal spondylosis of the lower thoracic spine.	Stable appearance of chest without active process evident and without evidence of progression of disease in patient with history of Hodgkin's lymphoma . If one would like to discuss this case further, please XXXX. XXXX at XXXX. Thanks.
normal	normal	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
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.
Opacity/lung/base/interstitial/reticular;Lung/hypoinflation;Calcinosis/aorta, thoracic;Implanted Medical Device/left;Lung Diseases, Interstitial	Opacity;Lung;Calcinosis;Implanted Medical Device;Lung Diseases, Interstitial	There is increasing primarily basilar interstitial reticular opacity. Lung volumes are low. There are no focal airspace opacities to suggest lobar pneumonia. Heart size appears normal. The thoracic aorta is calcified. Since the prior study, there has been placement of an electronic cardiac device overlying the left chest wall, the distal leads overlying the right heart. There's no pneumothorax.	1. Findings consistent with worsening interstitial lung disease. High resolution XXXX is recommended to confirm this. Prior XXXX from XXXX reveals no evidence of interstitial lung disease.
Calcified Granuloma/bilateral/multiple;Calcinosis/lymph nodes/bilateral/multiple;Foreign Bodies/thorax/left/posterior	Calcified Granuloma;Calcinosis;Foreign Bodies	No focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette unremarkable. Stable bilateral calcified granulomas/lymph XXXX. A bullet is present in the posterior soft tissues of the left chest wall, stable compared to prior examination.	No acute cardiopulmonary abnormality..
Atherosclerosis/aorta;Density/thorax/right;Mass/breast/large;Technical Quality of Image Unsatisfactory ;Mass/thorax/right	Atherosclerosis;Density;Mass;Technical Quality of Image Unsatisfactory ;Mass	The heart is normal in size. Atherosclerotic calcifications of the aorta. The mediastinum is stable. There is again soft tissue density projected over the right mid chest, XXXX patient's known large breast mass. The appearance is grossly stable to decreased from prior study. The lateral projection is suboptimal as patient could not raise XXXX. There is no pleural effusion.	Redemonstration of right chest wall mass compatible with patient's known breast carcinoma.
Implanted Medical Device/cervical vertebrae	Implanted Medical Device	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Note XXXX of placement of a retention XXXX in the lower cervical spine.	No active disease.
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	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	Postsurgical changes of XXXX sternotomy with screw fixation of anterior XXXX plates. Heart size and cardiomediastinal silhouette are normal. No focal consolidation, suspicious bony opacity, pneumothorax, or pleural effusion. No acute osseous abnormality.	Interval postsurgical changes of XXXX sternotomy without acute cardiopulmonary abnormality.
Density/retrocardiac;Calcinosis/blood vessels;Calcified Granuloma;Opacity/lung/base/left;Bone Diseases, Metabolic/spine	Density;Calcinosis;Calcified Granuloma;Opacity;Bone Diseases, Metabolic	Heart size and pulmonary vascularity appear within normal limits. Retrocardiac soft tissue density is present. There appears to be air within this which could suggest that this represents a hiatal hernia. Vascular calcification is noted. Calcified granuloma is seen. There has been interval development of bandlike opacity in the left lung base. This may represent atelectasis. No pneumothorax or pleural effusion is seen. Osteopenia is present in the spine.	1. Retrocardiac soft tissue density. The appearance suggests hiatal hernia. 2. XXXX left base bandlike opacity. The appearance suggests atelectasis.
Cardiomegaly/mild;Calcinosis/mediastinum	Cardiomegaly;Calcinosis	Heart size mildly enlarged, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.	Mild cardiomegaly, no acute pulmonary findings
Tube, Inserted/thorax/left;Pleural Effusion/left;Tube, Inserted/trachea, carina;Catheters, Indwelling;Airspace Disease/lung/left/patchy	Tube, Inserted;Pleural Effusion;Tube, Inserted;Catheters, Indwelling;Airspace Disease	Two left-sided chest tubes again noted. Interval improved aeration of the left lung compared to prior. Interval improvement in left lung pleural fluid. Right lung clear. Endotracheal tube noted with tip approximately 4.5 cm above the carina. Left internal jugular central venous catheter with tip approximating the high SVC. No evidence of pneumothorax.	Interval improvement in aeration of left lung with interval reduction in size of left pleural effusion. Persistent patchy left lung airspace disease is noted. Stable left-sided chest tubes. .
Lung/hypoinflation;Pulmonary Atelectasis/base/bilateral/mild;Aorta, Thoracic/tortuous/moderate;Spondylosis/thoracic vertebrae	Lung;Pulmonary Atelectasis;Aorta, Thoracic;Spondylosis	The XXXX examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes with XXXX XXXX atelectasis. The cardiac silhouette is unchanged. There is mild to moderate tortuosity of the thoracic aorta. No focal consolidation, pleural effusion, or pneumothorax identified. Thoracic spondylosis is again seen.	Low lung volumes with minimal bibasilar atelectasis. Overall no significant interval change.
normal	normal	Heart size is normal. Cardiomediastinal contour is normal without mediastinal widening. Lungs are clear bilaterally. No pleural effusions or pneumothorax. No bony or soft tissue abnormalities.	No acute cardiopulmonary abnormality.
Spine/degenerative/multiple	Spine	The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are multilevel degenerative changes of the spine.	No evidence of active disease.
normal	normal	The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.	No acute cardiopulmonary abnormalities.
Calcified Granuloma/scattered/multiple;Implanted Medical Device/humerus/right	Calcified Granuloma;Implanted Medical Device	There are scattered calcified granulomas. The lungs are otherwise clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour. Right humeral internal fixation XXXX is noted.	No evidence of active disease.
Hernia, Hiatal/large	Hernia, Hiatal	Both lungs remain clear and expanded. Heart and pulmonary XXXX are normal. No change in the large hiatus hernia.	No change. No visible active cardiopulmonary disease.
Cardiomegaly/borderline;Calcinosis/aorta;Aorta/tortuous;Spondylosis/mild	Cardiomegaly;Calcinosis;Aorta;Spondylosis	Borderline heart size. Tortuous calcified aorta. No active pulmonary disease. Mild spondylosis.	No acute process.
normal	normal	The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..	1. No acute radiographic cardiopulmonary process.
normal	normal	The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal.	Unremarkable radiographs of the chest.
normal	normal	The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures identified.	1. No acute intrathoracic abnormality.
Catheters, Indwelling/right	Catheters, Indwelling	The heart is normal in size. The mediastinum is unremarkable. Right chest XXXX is visualized with tip at cavoatrial junction. There is no pneumothorax. The lungs are clear.	No acute disease.
normal	normal	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
No Indexing	No Indexing	The aortic XXXX, cardiac apex, and stomach are left-sided. Cardiomediastinal silhouette is within normal limits in overall size and appearance. Pulmonary vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. No acute bony abnormality.	1. No acute cardiopulmonary process.
Calcified Granuloma/lung/bilateral/multiple;Diaphragm/right/elevated;Thoracic Vertebrae/degenerative;Implanted Medical Device/thoracic vertebrae	Calcified Granuloma;Diaphragm;Thoracic Vertebrae;Implanted Medical Device	No airspace disease, effusion or noncalcified nodule. Calcified granuloma seen bilaterally. Normal heart size. Elevated right hemidiaphragm, with a nodular soft tissue contour, containing liver. Degenerative changes demonstrated within the visualized thoracic spine. There is neurostimulator, overlying the mid and lower thoracic spine.	1. No acute cardiopulmonary abnormality. 2. Elevation of the right XXXX diaphragm, containing liver.
Atherosclerosis/aorta	Atherosclerosis	The XXXX examination consists of frontal and lateral radiographs of the chest. Atherosclerotic calcifications of the aortic XXXX are again seen. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.	No evidence of acute cardiopulmonary process.
Medical Device/thorax	Medical Device	The XXXX examination consists of frontal and lateral radiographs of the chest. External monitor leads XXXX the thorax. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable.	No evidence of acute cardiopulmonary process.
normal	normal	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.
normal	normal	The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no evidence of pneumothorax.	There is no evidence of acute cardiopulmonary disease. .
Opacity/lung/upper lobe/left/patchy;Lung/hyperdistention;Infiltrate/lung/upper lobe/left	Opacity;Lung;Infiltrate	The heart is normal in size. The mediastinum is unremarkable. There is XXXX patchy opacity in the left upper lobe. Possibility of tuberculosis should be excluded. No pleural effusion is seen. There is no pneumothorax the lungs are hyperinflated.	XXXX left upper lobe infiltrate.
normal	normal	Heart size and vascularity normal. These contour normal. Lungs clear. No pleural effusions or pneumothoraces.	Normal chest.
Calcified Granuloma/mediastinum/multiple	Calcified Granuloma	Cardiac and mediastinal contours are within normal limits. Granulomatous calcifications and mediastinum. The lungs are clear. Bony structures are intact.	No acute findings.
normal	normal	The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.	No evidence of active disease.
Cardiomegaly;Pulmonary Congestion;Opacity/lung/interstitial/diffuse/patchy/mild;Pulmonary Edema	Cardiomegaly;Pulmonary Congestion;Opacity;Pulmonary Edema	The heart is enlarged. There is pulmonary vascular congestion with diffusely increased interstitial and mild patchy airspace opacities. The distribution XXXX pulmonary edema. There is no pneumothorax or large pleural effusion. There are no acute bony findings.	Cardiomegaly with vascular congestion and suspected pulmonary edema. .
normal	normal	The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified.	No acute cardiopulmonary abnormality.
normal	normal	Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.	Negative chest x-XXXX.
Spondylosis/thoracic vertebrae	Spondylosis	The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.	No acute findings.
normal	normal	Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.
Lung/hyperdistention;Opacity/lung/middle lobe/right;Pulmonary Congestion;Pulmonary Disease, Chronic Obstructive;Cicatrix/lung/middle lobe/right/chronic;Pulmonary Atelectasis/middle lobe/right/chronic;Hypertension, Pulmonary	Lung;Opacity;Pulmonary Congestion;Pulmonary Disease, Chronic Obstructive;Cicatrix;Pulmonary Atelectasis;Hypertension, Pulmonary	Lungs remain hyperexpanded. No change in the right middle lobe opacification. No XXXX infiltrates or masses. Pulmonary arteries are prominent centrally.	XXXX change COPD. Chronic right middle lobe scar and atelectasis. Pulmonary arterial hypertension.
normal	normal	The lungs appear clear. There are no suspicious appearing pulmonary nodules or masses. There is no evidence of pneumonia. The heart pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.	No acute cardiopulmonary disease
normal	normal	The heart size is upper limits of normal. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.	No acute cardiopulmonary disease.

Opacity/lung/lower lobe/left/large;Pleural Effusion/left/large;Technical Quality of Image Unsatisfactory ;Cardiac Shadow/obscured/severe

Opacity;Pleural Effusion;Technical Quality of Image Unsatisfactory ;Cardiac Shadow

Large left lower lobe opacity is present. There does not appear to be significant mediastinal shift. There is no pneumothorax. The cardiac silhouette is not definitively identified and not fully evaluated. The mediastinal contours are unremarkable.

Large left lower lobe opacity XXXX represents a large layering pleural effusion. Right lung is clear.

Nodule/lung/lower lobe/left/multiple;Nodule/lung/hilum/right;Nodule/lung/right/multiple

Nodule;Nodule;Nodule

Three noncalcified lung nodules are present in the left lower lobe. The largest measures 3.5 mm in diameter. Another nodule is present near the right hilum. It is approximately 2 cm in diameter. The XXXX and mediastinum appear normal. Heart size normal.

Multiple nodules in both the left and right lungs consistent with neoplasm. Further workup could be initiated with contrasted CT of the chest, abdomen, and pelvis. Dr. XXXX XXXX I discussed the findings and further workup suggestions by telephone approximately XXXX hours XXXX, XXXX.

normal

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

No acute cardiopulmonary abnormality.

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

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.

Funnel Chest/mild

Funnel Chest

The heart is normal in size. The mediastinum is unremarkable. Mild pectus excavatum deformity is noted. The lungs are clear.

No acute disease.

Aorta/tortuous/mild;Atherosclerosis/aorta;Lung/hypoinflation/mild;Markings/lung/upper lobe/right;Markings/lung/lower lobe/right;Diaphragmatic Eventration/left/mild;Opacity/thorax/scattered

Aorta;Atherosclerosis;Lung;Markings;Markings;Diaphragmatic Eventration;Opacity

The heart is normal in size. The mediastinal contours are within normal limits. Aorta is mildly tortuous and demonstrates atherosclerotic calcifications. The lungs are mildly hypoinflated with increased peripheral lung markings noted predominantly in the right upper and lower lung. There is no acute infiltrate or significant pleural effusion. Mild eventration of left hemidiaphragm is noted.

Scattered XXXX opacities may be secondary to scarring and underlying emphysematous changes versus mild interstitial lung disease. No acute infiltrate.

normal

The trachea is midline. Negative for pneumothorax, pleural effusion, or focal airspace consolidation. The heart size is normal.

1. No acute cardiopulmonary abnormality.

normal

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

No active disease.

Calcified Granuloma;Spine/degenerative

Calcified Granuloma;Spine

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

1. No evidence of active disease.

Lung, Hyperlucent/bilateral/mild;Scoliosis/lumbar vertebrae

Lung, Hyperlucent;Scoliosis

The heart is normal in size. The mediastinum is unremarkable. The lungs are mildly hyperlucent but clear. There is denser lumbar scoliosis.

No acute disease.

Hernia, Hiatal/large;Bone Diseases, Metabolic/spine;Spine/degenerative;Calcinosis/blood vessels;Shoulder/right/degenerative

Hernia, Hiatal;Bone Diseases, Metabolic;Spine;Calcinosis;Shoulder

The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Large hiatal hernia is present. Osteopenia and degenerative changes are present in the spine. Vascular calcification is noted. Degenerative changes are present in the right shoulder.

1. Large hiatal hernia. 2. Clear lungs.

Cardiomegaly;Costophrenic Angle/right/blunted;Cicatrix/pleura/right;Granuloma/lung/upper lobe/left;Kyphosis/thoracic vertebrae;Osteophyte/thoracic vertebrae/anterior/multiple;Aorta/tortuous

Cardiomegaly;Costophrenic Angle;Cicatrix;Granuloma;Kyphosis;Osteophyte;Aorta

Heart size is enlarged. Cardiomediastinal contours are unchanged since previous exam. There is blunting of the right costophrenic XXXX XXXX old pleural scar. Lungs are otherwise clear bilaterally. A left upper lobe granuloma appears unchanged. There is kyphosis of the thoracic spine with anterior osteophyte formations. Aortic ectasia is seen in the ascending aorta and the XXXX.

1. Cardiomegaly without failure 2. Ectatic aorta

Calcinosis/aorta, thoracic;Osteophyte/thoracic vertebrae/multiple/mild;Calcified Granuloma/lung/upper lobe/left

Calcinosis;Osteophyte;Calcified Granuloma

The cardiomediastinal silhouette is within normal limits for appearance. The thoracic aorta is calcified. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal osteophytes of the thoracic spine. No acute, displaced rib fractures. A calcified granuloma is demonstrated in the left upper lobe.

1. No acute intrathoracic abnormality. .

Thoracic Vertebrae/degenerative

Thoracic Vertebrae

Heart size is within normal limits. No focal airspace consolidations. No pneumothorax or pleural effusion. There are degenerative changes of the midthoracic spine.

No acute cardiopulmonary findings.

Diaphragm/left/elevated;Cicatrix/costophrenic angle/left;Foreign Bodies/thoracic vertebrae;Foreign Bodies/lung/lower lobe/left;Foreign Bodies/lung/upper lobe/left;Thoracic Vertebrae/degenerative/mild

Diaphragm;Cicatrix;Foreign Bodies;Foreign Bodies;Foreign Bodies;Thoracic Vertebrae

Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Elevated left hemidiaphragm with scarring at the left costophrenic XXXX. There is a bullet fragment overlying the left T7 vertebra. Retained XXXX bullet fragments noted within the left upper and lower lobes. No focal consolidation, visible pneumothorax or large pleural effusion. Mild degenerative changes of the thoracic spine.

1. No evidence of active cardiopulmonary disease. 2. Posttraumatic changes compatible with prior gunshot wound.

normal

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

Unremarkable radiographs of the chest.

Aorta/tortuous/mild;Spine/degenerative

Aorta;Spine

Heart size and vascularity are normal. Mild tortuosity of the aorta. No focal airspace disease or effusion. Degenerative change of the spine. No pneumothorax.

No acute cardiopulmonary process.

Lucency/retrocardiac;Hernia, Hiatal/large;Deformity/thoracic vertebrae

Lucency;Hernia, Hiatal;Deformity

Mediastinum is stable. Retrocardiac lucency XXXX represents a large hiatal hernia, unchanged from prior. The lungs are clear, without focal infiltrate or pleural effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities. Stable thoracic XXXX deformity.

1. No acute cardiopulmonary abnormalities. 2. Multiple chronic changes as described above. .

No Indexing

Normal cardiomediastinal silhouette. Left-sided aortic XXXX. Pulmonary vasculatures are within normal limits. Central airways are XXXX. No focal consolidation, pleural effusion or pneumothorax. Bony structure are grossly unremarkable.

No acute pulmonary findings. .

Thoracic Vertebrae/degenerative/mild

Thoracic Vertebrae

The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. The mediastinal contours are normal. There are mild degenerative changes of the thoracic spine.

1. No evidence of pneumonia or post primary tuberculosis infection 2. No acute cardiopulmonary disease

normal

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

Normal chest.

Spondylosis/thoracic vertebrae;Scoliosis/thoracic vertebrae/mild;Scoliosis/lumbar vertebrae/mild

Spondylosis;Scoliosis;Scoliosis

The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. Mild XXXX XXXX curvature thoracolumbar junction.

No active pulmonary disease.

normal

The heart size and mediastinal contours appear within normal limits. No focal airspace consolidation, pleural effusions or pneumothorax. No acute bony abnormalities.

No acute cardiopulmonary findings.

normal

Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity.

Normal exam.

normal

The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..

No acute radiographic cardiopulmonary process.

normal

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

Negative chest x-XXXX.

Lung/hypoinflation;Markings/bronchovascular;Surgical Instruments/abdomen/right

Lung;Markings;Surgical Instruments

Cardiac and mediastinal XXXX appear normal. Low lung volumes and bronchovascular crowding. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. Surgical clips are seen within the right upper abdomen.

No acute radiographic cardiopulmonary process. .

Implanted Medical Device/left;Emphysema;Calcified Granuloma/multiple

Implanted Medical Device;Emphysema;Calcified Granuloma

Stable left chest cardiac XXXX generator with 2 distal leads in right atrium and right ventricle. Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Emphysema. Stable calcified granulomas. Bony structures appear intact.

Emphysema without acute cardiopulmonary findings.

normal

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

Clear lungs.

Lung/hyperdistention;Calcified Granuloma/lung/lower lobe/right/small

Lung;Calcified Granuloma

The cardiomediastinal silhouette is normal. Lungs are hyperexpanded but clear without evidence of effusion or infiltrate. There is a small right lower lobe calcified granuloma that is unchanged from prior examinations. No acute bony abnormality. No pneumothorax or pneumomediastinum.

1. Hyperexpanded lungs.

Lung/bilateral/hyperdistention

Lung

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

1. No acute cardiopulmonary abnormalities.

Scoliosis/thoracic vertebrae/severe;Scoliosis/lumbar vertebrae/severe;Atherosclerosis/aorta;Lung/hypoinflation

Scoliosis;Scoliosis;Atherosclerosis;Lung

The heart is normal in size. The mediastinum is stable. There is again significant thoracolumbar rotatory scoliosis. The aorta is atherosclerotic. The lungs are hypoinflated but clear.

Hypoinflation without acute disease.

normal

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

1. Clear lungs.

Cardiomegaly;Opacity/lung/middle lobe/right;Cicatrix/lung/middle lobe/right

Cardiomegaly;Opacity;Cicatrix

The heart is large. Lung volumes are XXXX. XXXX opacity persists in the right midlung. No focal infiltrates.

Persistent cardiomegaly. Right midlung scar. No visible acute failure or pneumonia.

Cardiomegaly

Cardiomegaly. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax.

Cardiomegaly similar to prior examination. Negative for evidence of acute pulmonary disease.

normal

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

No acute cardiopulmonary disease. .

Calcinosis/lymph nodes;Spine/degenerative

Calcinosis;Spine

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

No evidence of active disease.

normal

The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. The bony structures of the thorax are intact with no evidence of acute osseous abnormality.

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

Lung/hyperdistention;Calcified Granuloma/lung/upper lobe/right

Lung;Calcified Granuloma

The lungs and pleural spaces show no acute abnormality. Hyperexpanded lungs. Calcified right upper lobe granuloma, unchanged. Heart size and pulmonary vascularity within normal limits. No displaced rib fractures.

1. Hyperexpansion without acute pulmonary abnormality.

normal

XXXX XXXX and lateral views of the chest were obtained XXXX/XXXX. The lung volumes are low normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.

No acute cardiopulmonary abnormalities are seen. END OF REPORT.

normal

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

No acute cardiopulmonary findings. Specifically, no radiographic evidence of active tuberculosis.

Lung/hyperdistention;Foreign Bodies/breast/left

Lung;Foreign Bodies

Normal heart size. Hyperexpanded lungs without focal consolidation, pneumothorax or large pleural effusion. Left nipple silhouette visualized. Negative for acute bone abnormality.

Hyperexpanded lungs, otherwise clear.

normal

This study is limited secondary to patient body habitus. The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.

Limited study but no acute pulmonary disease identified.

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..

Lung/hypoinflation

Lung

AP and lateral views of the chest were obtained. The heart is normal size. Mediastinum is unremarkable. Lungs are hypoinflated but clear. No focal consolidation is seen.

No acute disease

Humerus/bilateral/degenerative;Thoracic Vertebrae/scattered/degenerative;Cardiomegaly/mild;Density/mediastinum/prominent;Opacity/lung/upper lobe/left/focal;Cicatrix/lung/upper lobe/left;Opacity/ribs/left

Humerus;Thoracic Vertebrae;Cardiomegaly;Density;Opacity;Cicatrix;Opacity

Bilateral glenohumeral degenerative joint disease. Scattered degenerative changes of the thoracic spine. Stable mild heart enlargement.Prominence of soft tissue density in the upper mediastinum. It is increased from most recent prior exam on XXXX. However, it appears similar compared to XXXX exams performed in XXXX. No focal area of consolidation, pleural effusion, or pneumothorax. Focal opacity in the left upper lobe XXXX represents scarring or related to overlying rib opacity.

1. No acute cardiopulmonary abnormality. 2. Prominent soft tissue density in the upper mediastinum. Recommend follow PA and lateral radiograph XXXX XXXX or CT thorax for further evaluation.

normal

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.

normal

Trachea is midline. Normal heart. Clear lungs. No pneumothorax. No pleural effusion.

Normal chest exam.

normal

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

Clear lungs.

Thoracic Vertebrae/degenerative/multiple;Arthritis/shoulder/bilateral/mild

Thoracic Vertebrae;Arthritis

The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Multilevel degenerative changes are seen throughout the thoracic spine. XXXX anchors XXXX over the left humeral head. There is mild bilateral acromioclavicular joint osteoarthritis. Visualized upper abdomen is grossly unremarkable in appearance.

No evidence of acute cardiopulmonary process.

normal

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.

Implanted Medical Device;Lung/hypoinflation

Implanted Medical Device;Lung

The lungs and pleural spaces show no acute abnormality. Lower lung volumes on the AP projection. Heart size is upper limits of normal, pulmonary vascularity within normal limits. Implantable cardiac XXXX are visualized on the lateral projection in the region of the expected location of the mitral valve XXXX. XXXX sternotomy XXXX noted.

1. No acute pulmonary abnormality.

normal

The heart and mediastinum are stable. The lungs are clear without infiltrate. There is no effusion or pneumothorax.

1. No acute cardiopulmonary disease.

Shoulder/degenerative

Shoulder

Normal cardiomediastinal silhouette. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen. Acromioclavicular joint degenerative change.

There is no radiographic evidence of acute cardiopulmonary disease.

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.

Nodule/lung/hilum/right/prominent;Lung/hypoinflation;Markings/lung/mild;Deformity/clavicle/left

Nodule;Lung;Markings;Deformity

PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. Mild nodular prominence of the right hilum, without significant change. Lung volumes are decreased, with crowding. There is no pneumothorax, pleural effusion, or focal air space consolidation.

1. Low lung volumes with mild crowding.

Diaphragm/left/elevated;Spondylosis/thoracic vertebrae/mild

Diaphragm;Spondylosis

Stable appearance of chest with no findings of disease progression. Heart and mediastinum stable configuration. Stable elevation of left hemidiaphragm. Lungs clear of consolidation. No pneumothorax or pleural effusion. Bony thorax intact. Minimal spondylosis of the lower thoracic spine.

Stable appearance of chest without active process evident and without evidence of progression of disease in patient with history of Hodgkin's lymphoma . If one would like to discuss this case further, please XXXX. XXXX at XXXX. Thanks.

normal

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

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.

Opacity/lung/base/interstitial/reticular;Lung/hypoinflation;Calcinosis/aorta, thoracic;Implanted Medical Device/left;Lung Diseases, Interstitial

Opacity;Lung;Calcinosis;Implanted Medical Device;Lung Diseases, Interstitial

There is increasing primarily basilar interstitial reticular opacity. Lung volumes are low. There are no focal airspace opacities to suggest lobar pneumonia. Heart size appears normal. The thoracic aorta is calcified. Since the prior study, there has been placement of an electronic cardiac device overlying the left chest wall, the distal leads overlying the right heart. There's no pneumothorax.

1. Findings consistent with worsening interstitial lung disease. High resolution XXXX is recommended to confirm this. Prior XXXX from XXXX reveals no evidence of interstitial lung disease.

Calcified Granuloma/bilateral/multiple;Calcinosis/lymph nodes/bilateral/multiple;Foreign Bodies/thorax/left/posterior

Calcified Granuloma;Calcinosis;Foreign Bodies

No focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette unremarkable. Stable bilateral calcified granulomas/lymph XXXX. A bullet is present in the posterior soft tissues of the left chest wall, stable compared to prior examination.

No acute cardiopulmonary abnormality..

Atherosclerosis/aorta;Density/thorax/right;Mass/breast/large;Technical Quality of Image Unsatisfactory ;Mass/thorax/right

Atherosclerosis;Density;Mass;Technical Quality of Image Unsatisfactory ;Mass

The heart is normal in size. Atherosclerotic calcifications of the aorta. The mediastinum is stable. There is again soft tissue density projected over the right mid chest, XXXX patient's known large breast mass. The appearance is grossly stable to decreased from prior study. The lateral projection is suboptimal as patient could not raise XXXX. There is no pleural effusion.

Redemonstration of right chest wall mass compatible with patient's known breast carcinoma.

Implanted Medical Device/cervical vertebrae

Implanted Medical Device

The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Note XXXX of placement of a retention XXXX in the lower cervical spine.

No active disease.

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

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

Postsurgical changes of XXXX sternotomy with screw fixation of anterior XXXX plates. Heart size and cardiomediastinal silhouette are normal. No focal consolidation, suspicious bony opacity, pneumothorax, or pleural effusion. No acute osseous abnormality.

Interval postsurgical changes of XXXX sternotomy without acute cardiopulmonary abnormality.

Density/retrocardiac;Calcinosis/blood vessels;Calcified Granuloma;Opacity/lung/base/left;Bone Diseases, Metabolic/spine

Density;Calcinosis;Calcified Granuloma;Opacity;Bone Diseases, Metabolic

Heart size and pulmonary vascularity appear within normal limits. Retrocardiac soft tissue density is present. There appears to be air within this which could suggest that this represents a hiatal hernia. Vascular calcification is noted. Calcified granuloma is seen. There has been interval development of bandlike opacity in the left lung base. This may represent atelectasis. No pneumothorax or pleural effusion is seen. Osteopenia is present in the spine.

1. Retrocardiac soft tissue density. The appearance suggests hiatal hernia. 2. XXXX left base bandlike opacity. The appearance suggests atelectasis.

Cardiomegaly/mild;Calcinosis/mediastinum

Cardiomegaly;Calcinosis

Heart size mildly enlarged, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.

Mild cardiomegaly, no acute pulmonary findings

Tube, Inserted/thorax/left;Pleural Effusion/left;Tube, Inserted/trachea, carina;Catheters, Indwelling;Airspace Disease/lung/left/patchy

Tube, Inserted;Pleural Effusion;Tube, Inserted;Catheters, Indwelling;Airspace Disease

Two left-sided chest tubes again noted. Interval improved aeration of the left lung compared to prior. Interval improvement in left lung pleural fluid. Right lung clear. Endotracheal tube noted with tip approximately 4.5 cm above the carina. Left internal jugular central venous catheter with tip approximating the high SVC. No evidence of pneumothorax.

Interval improvement in aeration of left lung with interval reduction in size of left pleural effusion. Persistent patchy left lung airspace disease is noted. Stable left-sided chest tubes. .

Lung/hypoinflation;Pulmonary Atelectasis/base/bilateral/mild;Aorta, Thoracic/tortuous/moderate;Spondylosis/thoracic vertebrae

Lung;Pulmonary Atelectasis;Aorta, Thoracic;Spondylosis

The XXXX examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes with XXXX XXXX atelectasis. The cardiac silhouette is unchanged. There is mild to moderate tortuosity of the thoracic aorta. No focal consolidation, pleural effusion, or pneumothorax identified. Thoracic spondylosis is again seen.

Low lung volumes with minimal bibasilar atelectasis. Overall no significant interval change.

normal

Heart size is normal. Cardiomediastinal contour is normal without mediastinal widening. Lungs are clear bilaterally. No pleural effusions or pneumothorax. No bony or soft tissue abnormalities.

No acute cardiopulmonary abnormality.

Spine/degenerative/multiple

Spine

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

No evidence of active disease.

normal

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

No acute cardiopulmonary abnormalities.

Calcified Granuloma/scattered/multiple;Implanted Medical Device/humerus/right

Calcified Granuloma;Implanted Medical Device

There are scattered calcified granulomas. The lungs are otherwise clear. No focal airspace consolidation. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour. Right humeral internal fixation XXXX is noted.

No evidence of active disease.

Hernia, Hiatal/large

Hernia, Hiatal

Both lungs remain clear and expanded. Heart and pulmonary XXXX are normal. No change in the large hiatus hernia.

No change. No visible active cardiopulmonary disease.

Cardiomegaly/borderline;Calcinosis/aorta;Aorta/tortuous;Spondylosis/mild

Cardiomegaly;Calcinosis;Aorta;Spondylosis

Borderline heart size. Tortuous calcified aorta. No active pulmonary disease. Mild spondylosis.

No acute process.

normal

The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..

1. No acute radiographic cardiopulmonary process.

normal

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

Unremarkable radiographs of the chest.

normal

The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures identified.

1. No acute intrathoracic abnormality.

Catheters, Indwelling/right

Catheters, Indwelling

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

No acute disease.

normal

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

No Indexing

The aortic XXXX, cardiac apex, and stomach are left-sided. Cardiomediastinal silhouette is within normal limits in overall size and appearance. Pulmonary vascular markings are symmetric and within normal limits. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. No acute bony abnormality.

1. No acute cardiopulmonary process.

Calcified Granuloma/lung/bilateral/multiple;Diaphragm/right/elevated;Thoracic Vertebrae/degenerative;Implanted Medical Device/thoracic vertebrae

Calcified Granuloma;Diaphragm;Thoracic Vertebrae;Implanted Medical Device

No airspace disease, effusion or noncalcified nodule. Calcified granuloma seen bilaterally. Normal heart size. Elevated right hemidiaphragm, with a nodular soft tissue contour, containing liver. Degenerative changes demonstrated within the visualized thoracic spine. There is neurostimulator, overlying the mid and lower thoracic spine.

1. No acute cardiopulmonary abnormality. 2. Elevation of the right XXXX diaphragm, containing liver.

Atherosclerosis/aorta

Atherosclerosis

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

No evidence of acute cardiopulmonary process.

Medical Device/thorax

Medical Device

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

No evidence of acute cardiopulmonary process.

normal

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.

normal

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

There is no evidence of acute cardiopulmonary disease. .

Opacity/lung/upper lobe/left/patchy;Lung/hyperdistention;Infiltrate/lung/upper lobe/left

Opacity;Lung;Infiltrate

The heart is normal in size. The mediastinum is unremarkable. There is XXXX patchy opacity in the left upper lobe. Possibility of tuberculosis should be excluded. No pleural effusion is seen. There is no pneumothorax the lungs are hyperinflated.

XXXX left upper lobe infiltrate.

normal

Heart size and vascularity normal. These contour normal. Lungs clear. No pleural effusions or pneumothoraces.

Normal chest.

Calcified Granuloma/mediastinum/multiple

Calcified Granuloma

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

No acute findings.

normal

The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.

No evidence of active disease.

Cardiomegaly;Pulmonary Congestion;Opacity/lung/interstitial/diffuse/patchy/mild;Pulmonary Edema

Cardiomegaly;Pulmonary Congestion;Opacity;Pulmonary Edema

The heart is enlarged. There is pulmonary vascular congestion with diffusely increased interstitial and mild patchy airspace opacities. The distribution XXXX pulmonary edema. There is no pneumothorax or large pleural effusion. There are no acute bony findings.

Cardiomegaly with vascular congestion and suspected pulmonary edema. .

normal

The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified.

No acute cardiopulmonary abnormality.

normal

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

Negative chest x-XXXX.

Spondylosis/thoracic vertebrae

Spondylosis

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

No acute findings.

normal

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

No active disease.

Lung/hyperdistention;Opacity/lung/middle lobe/right;Pulmonary Congestion;Pulmonary Disease, Chronic Obstructive;Cicatrix/lung/middle lobe/right/chronic;Pulmonary Atelectasis/middle lobe/right/chronic;Hypertension, Pulmonary

Lung;Opacity;Pulmonary Congestion;Pulmonary Disease, Chronic Obstructive;Cicatrix;Pulmonary Atelectasis;Hypertension, Pulmonary

Lungs remain hyperexpanded. No change in the right middle lobe opacification. No XXXX infiltrates or masses. Pulmonary arteries are prominent centrally.

XXXX change COPD. Chronic right middle lobe scar and atelectasis. Pulmonary arterial hypertension.

normal

The lungs appear clear. There are no suspicious appearing pulmonary nodules or masses. There is no evidence of pneumonia. The heart pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal.

No acute cardiopulmonary disease

normal

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

No acute cardiopulmonary disease.