IndianaUniversityDatasetsModels/Medical_reports_Splits

MeSH stringlengths 6 372	Problems stringlengths 4 171	findings stringlengths 33 1.05k	impression stringlengths 5 837
Lung/hyperdistention;Breast Implants/bilateral;Pulmonary Disease, Chronic Obstructive	Lung;Breast Implants;Pulmonary Disease, Chronic Obstructive	There is hyperinflation of the lungs but they are clear. The heart and mediastinum are normal. The skeletal structures are normal. There are bilateral breast prostheses.	COPD.
Thoracic Vertebrae/degenerative	Thoracic Vertebrae	Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes of thoracic spine.	No acute cardiopulmonary abnormality, specifically no evidence for acute tuberculosis.
Thoracic Vertebrae/degenerative	Thoracic Vertebrae	Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.	No acute cardiopulmonary process.
Opacity/lung/lower lobe/right/diffuse;Pneumonia/lower lobe/right	Opacity;Pneumonia	XXXX diffuse right lower lobe airspace opacity is present. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.	Probable right lower lobe pneumonia.
Thoracic Vertebrae/degenerative/mild	Thoracic Vertebrae	The heart size and cardiomediastinal silhouette are normal. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact with mild degenerative changes in thoracic spine.	No acute cardiopulmonary finding.
normal	normal	PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or focal air space consolidation.	No acute cardiopulmonary disease.
Atherosclerosis/aorta;Calcified Granuloma/bilateral/multiple;Thoracic Vertebrae/degenerative	Atherosclerosis;Calcified Granuloma;Thoracic Vertebrae	Heart size and mediastinal contour within normal limits. Atherosclerotic calcification within the aorta. Calcified granulomas in bilateral XXXX and overlying the T9 vertebral body(lateral view). No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes of thoracic spine. No acute osseous abnormality.	No acute cardiopulmonary abnormality.
normal	normal	The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion.	Negative for acute abnormality.
Calcinosis/mediastinum;Thoracic Vertebrae/degenerative	Calcinosis;Thoracic Vertebrae	Calcified mediastinal XXXX. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.	No acute cardiopulmonary abnormality. .
Calcified Granuloma/lung/upper lobe/left	Calcified Granuloma	Both lungs are clear and expanded. An old calcified granuloma is present in the left upper lobe. Heart and mediastinum normal.	No active disease.
normal	normal	The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal.	No acute cardiopulmonary disease
normal	normal	Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.	No acute 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.
Opacity/lung/base/bilateral/interstitial;Opacity/lung/base/left;Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left;Pulmonary Emphysema;Pulmonary Disease, Chronic Obstructive;Pulmonary Fibrosis/base	Opacity;Opacity;Pulmonary Atelectasis;Cicatrix;Pulmonary Emphysema;Pulmonary Disease, Chronic Obstructive;Pulmonary Fibrosis	Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is bibasal interstitial opacity and left basal platelike opacity XXXX due to discoid atelectasis and/or XXXX scarring. There are emphysematous changes, particularly within the right upper lobe. No XXXX focal airspace consolidation or pleural effusion.	1. COPD. Basilar probable pulmonary fibrosis and scarring. 2. No acute cardiac or pulmonary disease process identified.
Deformity/thoracic vertebrae/mild	Deformity	The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is slight wedge XXXX deformity of the mid to lower thoracic vertebral body unchanged from the comparison study.	No acute cardiopulmonary disease.
Calcinosis/aorta;Opacity/lung/base/left;Pulmonary Atelectasis/base/left;Pleural Effusion/left/small;Thickening/pleura/apex/bilateral	Calcinosis;Opacity;Pulmonary Atelectasis;Pleural Effusion;Thickening	Normal heart size and mediastinal contours. Calcified aortic XXXX. XXXX opacities in the left lung base, XXXX atelectasis. The lateral view shows a XXXX left pleural effusion. No focal airspace consolidation. No pneumothorax. Stable bilateral apical pleural capping.	1. Small left pleural effusion.
Aorta, Thoracic/tortuous;Cicatrix/lung/base/right	Aorta, Thoracic;Cicatrix	Stable cardiomediastinal silhouette with tortuous thoracic aorta. No pneumothorax, pleural effusion or suspicious focal air space opacity. Stable right lung base scarring.	Stable exam with no acute abnormality seen.
Implanted Medical Device/left;Cardiac Shadow/enlarged/mild;Opacity/lung/bilateral/interstitial/diffuse/mild;Opacity/lung/base/left;Cardiomegaly;Pulmonary Edema/interstitial/mild	Implanted Medical Device;Cardiac Shadow;Opacity;Opacity;Cardiomegaly;Pulmonary Edema	There is a left-sided biventricular pacemaker. Leads overlie the right ventricle and a lateral cardiac vein. The leads appear intact. The cardiac silhouette is mildly enlarged. There are mild diffuse bilateral interstitial opacities, XXXX pulmonary edema. There are XXXX opacities overlying the left lung base on the frontal view. No large pleural effusion is seen on the lateral view. No pneumothorax is identified.	1. Left-sided biventricular cardiac pacemaker. Leads appear intact. No pneumothorax. 2. Cardiomegaly and mild interstitial pulmonary edema. 3. XXXX opacities overlying the left lung base on the frontal view, possibly lingular atelectasis or infiltrate. No large pleural effusion.
Spine/degenerative/mild	Spine	Heart size and vascularity normal. Lungs clear. No effusions or pneumothorax. Limited degenerative change of the spine	No radiographic evidence for thoracic metastases.
normal	normal	The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal.	No acute cardiopulmonary disease
Airspace Disease/lung/upper lobe/right;Opacity/lung/upper lobe/left/round;Pneumonia/upper lobe/right;Nodule/lung/upper lobe/left/round	Airspace Disease;Opacity;Pneumonia;Nodule	The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. There is right upper lobe airspace disease.. There is a rounded nodular opacity in the left upper lung measuring approximately 7 mm which may represent further sequela of infectious process versus other pathology. Osseous structures are within normal limits for patient age.	1. Right upper lobe pneumonia. 2. Rounded nodular opacity in the peripheral left upper lung which may represent further sequela infectious process versus other pathology including metastatic disease in a patient with thyroid cancer. Follow up to resolution recommended.
Fractures, Bone/ribs/right/multiple/healed	Fractures, Bone	Heart size within normal limits. No focal airspace disease. No pneumothorax. No effusions. Multiple old right-sided rib fractures again noted.	No acute cardiopulmonary findings.
Markings/lung/interstitial/prominent;Opacity/lung/base/bilateral/focal/streaky;Pulmonary Atelectasis	Markings;Opacity;Pulmonary Atelectasis	Cardiomediastinal silhouette is within normal limits in size and appearance. Pulmonary vascularity is unremarkable. There are prominent coarse interstitial markings throughout the lungs, with more focal streaky bibasilar opacities, seen only on the frontal XXXX, XXXX atelectasis. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX are grossly intact.	1. No acute cardiopulmonary abnormality.
Density/lung/right/round/multiple;Calcinosis/lung/right/round;Granulomatous Disease	Density;Calcinosis;Granulomatous Disease	The trachea is midline. Cardiomediastinal silhouette is normal and unchanged from prior examination. There are round calcific densities in the right lung consistent with prior granulomatous disease. Otherwise, the lungs are clear without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.	No acute cardiopulmonary abnormalities.
Deformity/heart/right;Deformity/mediastinum/right	Deformity;Deformity	The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal suggests possible right XXXX versus dextrocardia. Visualized osseous structures of the thorax are without acute abnormality.	1. No acute cardiopulmonary abnormality.. 2. Abnormal configuration of the heart and mediastinum suggestive of right aortic XXXX versus dextrocardia.
Spine/degenerative/mild	Spine	The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Mild degenerative endplate changes of the spine.	1. No acute radiographic cardiopulmonary process.
Lung/hypoinflation;Opacity/lung/upper lobe/left/streaky/mild;Cicatrix/lung/upper lobe/left;Pulmonary Atelectasis/upper lobe/left	Lung;Opacity;Cicatrix;Pulmonary Atelectasis	The lungs demonstrate low lung volumes but are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Mild streaky opacities in the left upper lobe on frontal projection are XXXX atelectatic or scar. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.	Low lung volumes without acute cardiopulmonary abnormality.
Nodule/lung/lingula;Spine/degenerative/mild	Nodule;Spine	The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is an 8mm nodule identified within the left lateral midlung partially overlying the posterior left 7th rib. There are mild degenerative changes of the spine.	Left midlung pulmonary nodule. Comparison to a previous XXXX would be most helpful alternatively a noncontrast chest CT could be performed in the nonemergent setting for further characterization. No acute disease.
Granuloma/scattered/multiple;Aorta, Thoracic/tortuous/mild	Granuloma;Aorta, Thoracic	Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Scattered granulomatous changes. Mild unfolding of the thoracic aorta. Bony thorax is unremarkable	Negative for acute cardiopulmonary abnormality.
Catheters, Indwelling/right	Catheters, Indwelling	The pulmonary nodules and masses masses on previous exam are smaller and not definitely seen. The lungs are otherwise clear. Heart size normal. No pneumothorax. There is a right chest XXXX with tip projecting over the lower SVC.	Interval decrease in size of numerous pulmonary nodules and masses. No nodules or masses are definitely seen on XXXX radiograph. .
normal	normal	The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.	No acute cardiopulmonary abnormality.
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. .
Osteophyte/thoracic vertebrae/multiple/small	Osteophyte	The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Small T-spine osteophytes.	No acute cardiopulmonary abnormality.
Calcified Granuloma/lung/upper lobe/left	Calcified Granuloma	2 images. Calcified granuloma left upper lobe. 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.
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.
Density/lung/round/multiple;Granulomatous Disease/chronic	Density;Granulomatous Disease	No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Heart size normal.	Negative for acute cardiopulmonary disease.
Implanted Medical Device	Implanted Medical Device	The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Note is XXXX of an XXXX closure device which appears grossly appropriate The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.	1. No acute radiographic cardiopulmonary process.
Lung/hyperdistention;Spine/degenerative	Lung;Spine	Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.	Hyperexpanded but clear lungs.
Calcinosis/lung/hilum/right;Granulomatous Disease	Calcinosis;Granulomatous Disease	Cardiomediastinal silhouette is within normal limits. Lungs are clear without areas of focal consolidation. Right hilar calcifications XXXX sequela of prior granulomatous disease. No pneumothorax or large pleural effusion. No acute bone abnormality.	No acute cardiopulmonary process.
Diaphragm/right/elevated;Consolidation/lung/base/right;Pulmonary Atelectasis/base/right;Airspace Disease/lung/lower lobe/right	Diaphragm;Consolidation;Pulmonary Atelectasis;Airspace Disease	Chest. Right hemidiaphragm remains elevated. Consolidation and atelectasis are present in the right lung base. Left lung is clear. No pleural air collections. Shoulder and clavicle. Fractures present in the right scapula the base of the glenoid process. It is attached to the coracoid process and a portion of the spine. The humeral head is located within the glenoid articular surface. Cutaneous air is present. Fracture is present in the posterior portion of the right 3rd rib. The acromioclavicular joint and coracoclavicular joints are widened.	1. Chest. Continued right hemidiaphragm elevation with right lower lobe airspace disease. 2. Right shoulder. Scapular fracture. 3. Clavicle. Acromioclavicular separation.
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. .
normal	normal	The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.	No radiographic evidence of acute cardiopulmonary disease.
Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive	Lung;Pulmonary Disease, Chronic Obstructive	The lungs remain hyperexpanded. No XXXX infiltrates or masses. Heart and mediastinum are normal.	XXXX change COPD with no acute findings.
normal	normal	Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.	1. No evidence of active disease.
Density/lung/middle lobe/right;Costophrenic Angle/right/posterior/blunted/mild;Pleural Effusion/right/small;Cicatrix/pleura/right;Cardiomegaly/mild;Thoracic Vertebrae/degenerative;Scoliosis/thoracic vertebrae/right/mild;Pulmonary Atelectasis/middle lobe/right/mild	Density;Costophrenic Angle;Pleural Effusion;Cicatrix;Cardiomegaly;Thoracic Vertebrae;Scoliosis;Pulmonary Atelectasis	Again observed is a curvilinear density in the right midlung zone which may represent some pulmonary scarring or thickening of the right XXXX fissure. There is minimal blunting of the right posterior costophrenic XXXX, consistent with a small effusion and/or pleural scarring. The lung parenchyma is otherwise clear. There is mild cardiomegaly. There are degenerative changes and a mild dextroscoliosis in the thoracic spine.	1. Minimal XXXX atelectasis in the right midlung zone versus pleural scarring in the right XXXX fissure. 2. Minimal blunting of the posterior right costophrenic XXXX, consistent with a small pleural effusion and/or pleural scarring. 3. Cardiomegaly. 4. No XXXX abnormalities as compared to prior study of earlier the same XXXX
Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive	Lung;Pulmonary Disease, Chronic Obstructive	Lungs are hyperexpanded. No infiltrates or masses in the lungs. Heart size normal.	XXXX change COPD. No acute findings.
normal	normal	The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear.	No acute disease.
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	Heart size normal. No focal airspace disease. No pneumothorax or effusions.	No acute cardiopulmonary findings.
Surgical Instruments/mediastinum;Deformity/thoracic vertebrae	Surgical Instruments;Deformity	Sternotomy XXXX mediastinal clips noted. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is XXXX deformity of T6, XXXX since X-XXXX thoracic spine XXXX, XXXX. Mild XXXX deformity of T12, stable. Prior cholecystectomy.	1. No definite evidence of metastatic disease. 2. Age-indeterminate XXXX deformity of T6, XXXX since study dated XXXX, XXXX. .
Calcified Granuloma/lung/multiple/small;Pulmonary Disease, Chronic Obstructive;Granulomatous Disease	Calcified Granuloma;Pulmonary Disease, Chronic Obstructive;Granulomatous Disease	Some hyperinflation appears to be present. There are small calcified granulomas. The lungs are otherwise clear. The heart is normal. The mediastinum is normal. The skeletal structures and soft tissues are normal.	Probable COPD and old granulomatous disease.
Cardiomegaly	Cardiomegaly	Cardiomegaly. No pneumothorax or pleural effusion. Clear lung XXXX bilaterally.	1. Cardiomegaly.
normal	normal	The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Limited lateral view, given overlapping silhouettes. Negative for acute displaced rib fracture.	Negative for acute abnormality.
normal	normal	The cardiomediastinal silhouette is within normal limits. The lungs are well expanded without consolidation or edema. No pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.	No radiographic evidence of active cardiopulmonary disease.
Diaphragm/right/elevated/mild;Thoracic Vertebrae/degenerative/mild	Diaphragm;Thoracic Vertebrae	Heart size and mediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. No focal airspace consolidation. There is mild elevation right hemidiaphragm. No visible pleural effusion or pneumothorax. There are mild degenerative changes along the thoracic spine.	1. Mildly elevated right hemidiaphragm. Otherwise no acute cardiopulmonary abnormality seen.
Lung/hypoinflation;Aorta, Thoracic/tortuous	Lung;Aorta, Thoracic	There are low lung volumes. The cardiac silhouette and mediastinal contours are within normal limits. There is tortuosity of the thoracic aorta. No pneumothorax. No large pleural effusion.	Low lung volumes without acute cardiopulmonary disease.
Calcinosis/blood vessels;Calcified Granuloma/lung/lower lobe/right	Calcinosis;Calcified Granuloma	The heart size and pulmonary vascularity appear within normal limits. Vascular calcification is identified. Calcified granuloma is present in the right lower lobe. No XXXX nodules are seen. No pneumothorax or pleural effusion is seen. No focal airspace disease is identified.	1. No evidence of active disease.
Aorta, Thoracic/tortuous;Calcinosis/lung/hilum/lymph nodes;Density/lung/lower lobe/left/irregular;Calcinosis/lung/lower lobe/left/irregular;Thoracic Vertebrae/degenerative	Aorta, Thoracic;Calcinosis;Density;Calcinosis;Thoracic Vertebrae	The heart size is within normal limits. There is ectasia/tortuosity of the thoracic aorta. Calcified hilar lymph XXXX. Irregular calcific density projecting over the left lower lobe, stable since XXXX and may represent mitral annular calcifications. No focal airspace consolidation, pleural effusions or pneumothorax. Degenerative changes of the thoracic spine. No acute bony abnormalities.	No acute cardiopulmonary findings.
Cardiomegaly/mild;Thoracic Vertebrae/degenerative	Cardiomegaly;Thoracic Vertebrae	There are no focal areas of consolidation. No suspicious bony opacities. Heart size slightly enlarged. No pleural effusions. There is no evidence of pneumothorax. Degenerative changes of the thoracic spine.	1. No acute cardiopulmonary abnormality. 2. Mild cardiomegaly, stable.
normal	normal	PA and lateral views. The cardiomediastinal silhouette is normal. The lungs are clear. No effusions, consolidation or pneumothorax.	Normal chest xray.
Atherosclerosis/aorta;Arthritis	Atherosclerosis;Arthritis	The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.	No acute pulmonary disease.
Aorta/tortuous;Markings/bronchovascular/mild;Deformity/clavicle	Aorta;Markings;Deformity	Stable cardiomediastinal silhouette with normal heart size and aortic ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. Mild bronchovascular crowding without typical findings of pulmonary edema. Distal clavicle shortening also present on the previous exam, possibly posttraumatic or postsurgical.	No acute findings
normal	normal	The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.	1. No acute pulmonary abnormality.
normal	normal	Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.	No acute findings.
normal	normal	The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.	No acute cardiopulmonary abnormality.
normal	normal	There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No pneumothorax.	No acute cardiopulmonary abnormality.
Cardiomegaly/borderline;Opacity/lung/base/left/retrocardiac;Airspace Disease/lung/base/left	Cardiomegaly;Opacity;Airspace Disease	There is no acute osseous abnormality. Soft tissues are within normal limits. Borderline enlargement of the heart. Normal vascular markings. Left basilar retrocardiac opacity. No pneumothorax.	Findings consistent with left base airspace disease.
Cardiomegaly/borderline;Calcinosis/aorta;Lung/hyperdistention;Markings/lung/interstitial/chronic;Emphysema;Opacity/lung/base/bilateral/streaky;Pulmonary Congestion	Cardiomegaly;Calcinosis;Lung;Markings;Emphysema;Opacity;Pulmonary Congestion	Borderline enlarged heart. Stable mediastinal contours. Aortic XXXX calcifications. Hyperinflated lungs with chronic appearing interstitial markings, compatible with emphysema. Bilateral streaky opacities. Increased vascularity compatible with pulmonary vascular congestion. No focal airspace disease. No acute bony abnormality.	1. Pulmonary vascular congestion. 2. Emphysema. 3. Bibasilar streaky airspace opacities.
Thoracic Vertebrae/degenerative;Calcinosis/mild	Thoracic Vertebrae;Calcinosis	The heart is normal in size and contour. There is mild calcification of the transverse XXXX. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. Degenerative changes of the midthoracic spine are noted.	No acute cardiopulmonary disease.
Markings/lung/bilateral/diffuse/reticular/round	Markings	Cardiomediastinal silhouettes are within normal limits. The there is a diffuse reticulonodular pattern the lungs bilaterally. Pulmonary vasculature is within normal limits. Negative for pneumothorax or large pleural effusion. Bony thorax is unremarkable	Diffuse reticulonodular pattern bilaterally. The this may represent heart failure, opportunistic infection, or idiopathic interstitial pneumonitis. XXXX of chest for further characterization.
Scoliosis/thoracic vertebrae/left/mild;Shoulder/right/prominent/mild	Scoliosis;Shoulder	The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is a mild levoscoliosis of the thoracic spine. There is mild widening of the right acromioclavicular joint which may be postsurgical or posttraumatic in XXXX.	1. No acute cardiopulmonary disease.
Lung/hypoinflation	Lung	The lungs are hypoventilated. There is no focal airspace opacity. The cardiomediastinal silhouette is normal in size. There is no pneumothorax or large pleural effusion.	No acute cardiopulmonary abnormality.
normal	normal	The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours are within normal limits. The XXXX are unremarkable.	No radiographic evidence of acute cardiopulmonary disease.
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.
Mediastinum/prominent;Thoracic Vertebrae/degenerative/mild	Mediastinum;Thoracic Vertebrae	The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac contour is within normal limits. Compared to prior exam, there is XXXX prominence of the mediastinal contour near the right hilum. This may represent the ascending aorta or mediastinal lymphadenopathy. CT chest with contrast may be helpful for further evaluation. There are mild degenerative changes of the thoracic spine.	XXXX prominence of the mediastinal contour near the right hilum possibly representing the ascending aorta or mediastinal lymphadenopathy. CT chest with contrast may be helpful for further evaluation.
normal	normal	No focal airspace disease, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air.	No acute pulmonary 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. .
Cardiomegaly;Aorta, Thoracic/tortuous/mild	Cardiomegaly;Aorta, Thoracic	Cardiomegaly. No focal consolidation, effusion, or pneumothorax. Mild unfolding of the thoracic aorta. Bony thorax and soft tissues grossly unremarkable.	Cardiomegaly without acute cardiopulmonary abnormality.
Calcinosis/aorta, thoracic;Aorta, Thoracic/tortuous;Lung/hyperdistention;Pulmonary Emphysema	Calcinosis;Aorta, Thoracic;Lung;Pulmonary Emphysema	The heart is normal size. The mediastinum is unremarkable. A tortuous, calcified thoracic aorta is present. The lungs are hyperexpanded, consistent with emphysema. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.	No acute cardiopulmonary abnormality.
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	No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.	No acute cardiopulmonary process.
Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left/mild;Calcified Granuloma/lung/lower lobe/right/posterior/multiple	Pulmonary Atelectasis;Cicatrix;Calcified Granuloma	There is a small area of scarring or atelectasis in the left base. Calcified granulomas seen in the posterior right lower lobe. Lungs are otherwise clear. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.	Minimal small area scarring of the left base.
Lung/hypoinflation/mild;Diaphragm/right/elevated/mild;Spine/degenerative	Lung;Diaphragm;Spine	Mildly low lung volumes. Lungs are clear without focal air space disease. Persistent mild elevation right hemidiaphragm. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.	Stable appearance of the chest without focal air space disease.
normal	normal	Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.	No acute cardiopulmonary abnormality.
No Indexing	No Indexing	No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.	No acute cardiopulmonary abnormality.
normal	normal	Heart size is normal. The lungs and costophrenic XXXX are clear. The bony thorax is grossly intact.	Normal chest.
Medical Device	Medical Device	Portable frontal view of the chest with overlying external cardiac monitor leads shows normal cardiomediastinal silhouette, central airways, pulmonary vasculature and lung volumes without focal air space consolidation or pleural effusion.	No acute intrathoracic disease.
normal	normal	The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.	No acute cardiopulmonary abnormality.
Surgical Instruments/right	Surgical Instruments	The lungs are clear. No pleural effusion is seen. The heart and mediastinum are normal. The skeletal structures are normal. There are surgical clips in the right axilla region.	No active 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.
normal	normal	Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.	No lobar pneumonia
Calcinosis/lymph nodes/right/paratracheal	Calcinosis	The heart size is normal with stable appearance of the cardiomediastinal silhouette. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. There are stable calcified right peritracheal lymph XXXX. The osseous structures are intact.	No acute cardiopulmonary finding.
Aorta, Thoracic/tortuous;Calcinosis/aorta;Bone Diseases, Metabolic	Aorta, Thoracic;Calcinosis;Bone Diseases, Metabolic	Heart size is normal. The lungs are clear. There are no XXXX focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Again noted is tortuosity and unfolding of the thoracic aorta. Aortic vascular calcifications. Normal pulmonary vascularity. Bone demineralization.	No acute abnormality.
normal	normal	No pneumothorax. No large pleural effusions. Heart size is normal. No acute focal space opacities.	No acute cardiopulmonary abnormalities.
Cardiomegaly;Pulmonary Congestion;Pulmonary Edema/base/bilateral/interstitial;Infiltrate/lung/base/bilateral/interstitial;Heart Failure	Cardiomegaly;Pulmonary Congestion;Pulmonary Edema;Infiltrate;Heart Failure	The heart is large. In the interval, pulmonary venous engorgement has developed. Also, bibasilar interstitial infiltrates are present.	Developing heart failure with pulmonary venous engorgement and bibasilar pulmonary interstitial edema.
normal	normal	Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.	No evidence of active disease.
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.
Atherosclerosis/aorta;Arthritis	Atherosclerosis;Arthritis	The lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.	No acute pulmonary disease.
Diaphragm/right/elevated/mild;Spine/degenerative	Diaphragm;Spine	Postsurgical changes of the right chest. Mild elevation of the right hemidiaphragm. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.	Clear lungs.
Opacity/posterior	Opacity	Midline sternotomy XXXX identified. Heart size and cardiomediastinal silhouette are grossly normal. Airspace opacity in posterior segment on the lateral view. Osseous structures are grossly intact.	Posterior airspace opacity consistent with developing infection.

Lung/hyperdistention;Breast Implants/bilateral;Pulmonary Disease, Chronic Obstructive

Lung;Breast Implants;Pulmonary Disease, Chronic Obstructive

There is hyperinflation of the lungs but they are clear. The heart and mediastinum are normal. The skeletal structures are normal. There are bilateral breast prostheses.

COPD.

Thoracic Vertebrae/degenerative

Thoracic Vertebrae

Heart size and mediastinal contour within normal limits. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes of thoracic spine.

No acute cardiopulmonary abnormality, specifically no evidence for acute tuberculosis.

Thoracic Vertebrae/degenerative

Thoracic Vertebrae

Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.

No acute cardiopulmonary process.

Opacity/lung/lower lobe/right/diffuse;Pneumonia/lower lobe/right

Opacity;Pneumonia

XXXX diffuse right lower lobe airspace opacity is present. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal.

Probable right lower lobe pneumonia.

Thoracic Vertebrae/degenerative/mild

Thoracic Vertebrae

The heart size and cardiomediastinal silhouette are normal. There is no focal air space opacity, pleural effusion, or pneumothorax. The osseous structures are intact with mild degenerative changes in thoracic spine.

No acute cardiopulmonary finding.

normal

PA and lateral views the chest were obtained. The cardiomediastinal silhouette is normal in size and configuration. The lungs are well aerated. No pneumothorax, pleural effusion, or focal air space consolidation.

No acute cardiopulmonary disease.

Atherosclerosis/aorta;Calcified Granuloma/bilateral/multiple;Thoracic Vertebrae/degenerative

Atherosclerosis;Calcified Granuloma;Thoracic Vertebrae

Heart size and mediastinal contour within normal limits. Atherosclerotic calcification within the aorta. Calcified granulomas in bilateral XXXX and overlying the T9 vertebral body(lateral view). No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes of thoracic spine. No acute osseous abnormality.

No acute cardiopulmonary abnormality.

normal

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

Negative for acute abnormality.

Calcinosis/mediastinum;Thoracic Vertebrae/degenerative

Calcinosis;Thoracic Vertebrae

Calcified mediastinal XXXX. No focal areas of consolidation. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine.

No acute cardiopulmonary abnormality. .

Calcified Granuloma/lung/upper lobe/left

Calcified Granuloma

Both lungs are clear and expanded. An old calcified granuloma is present in the left upper lobe. Heart and mediastinum normal.

No active disease.

normal

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

No acute cardiopulmonary disease

normal

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

No acute findings.

normal

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

1. No acute pulmonary abnormality.

Opacity/lung/base/bilateral/interstitial;Opacity/lung/base/left;Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left;Pulmonary Emphysema;Pulmonary Disease, Chronic Obstructive;Pulmonary Fibrosis/base

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

Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is bibasal interstitial opacity and left basal platelike opacity XXXX due to discoid atelectasis and/or XXXX scarring. There are emphysematous changes, particularly within the right upper lobe. No XXXX focal airspace consolidation or pleural effusion.

1. COPD. Basilar probable pulmonary fibrosis and scarring. 2. No acute cardiac or pulmonary disease process identified.

Deformity/thoracic vertebrae/mild

Deformity

The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is slight wedge XXXX deformity of the mid to lower thoracic vertebral body unchanged from the comparison study.

No acute cardiopulmonary disease.

Calcinosis/aorta;Opacity/lung/base/left;Pulmonary Atelectasis/base/left;Pleural Effusion/left/small;Thickening/pleura/apex/bilateral

Calcinosis;Opacity;Pulmonary Atelectasis;Pleural Effusion;Thickening

Normal heart size and mediastinal contours. Calcified aortic XXXX. XXXX opacities in the left lung base, XXXX atelectasis. The lateral view shows a XXXX left pleural effusion. No focal airspace consolidation. No pneumothorax. Stable bilateral apical pleural capping.

1. Small left pleural effusion.

Aorta, Thoracic/tortuous;Cicatrix/lung/base/right

Aorta, Thoracic;Cicatrix

Stable cardiomediastinal silhouette with tortuous thoracic aorta. No pneumothorax, pleural effusion or suspicious focal air space opacity. Stable right lung base scarring.

Stable exam with no acute abnormality seen.

Implanted Medical Device/left;Cardiac Shadow/enlarged/mild;Opacity/lung/bilateral/interstitial/diffuse/mild;Opacity/lung/base/left;Cardiomegaly;Pulmonary Edema/interstitial/mild

Implanted Medical Device;Cardiac Shadow;Opacity;Opacity;Cardiomegaly;Pulmonary Edema

There is a left-sided biventricular pacemaker. Leads overlie the right ventricle and a lateral cardiac vein. The leads appear intact. The cardiac silhouette is mildly enlarged. There are mild diffuse bilateral interstitial opacities, XXXX pulmonary edema. There are XXXX opacities overlying the left lung base on the frontal view. No large pleural effusion is seen on the lateral view. No pneumothorax is identified.

1. Left-sided biventricular cardiac pacemaker. Leads appear intact. No pneumothorax. 2. Cardiomegaly and mild interstitial pulmonary edema. 3. XXXX opacities overlying the left lung base on the frontal view, possibly lingular atelectasis or infiltrate. No large pleural effusion.

Spine/degenerative/mild

Spine

Heart size and vascularity normal. Lungs clear. No effusions or pneumothorax. Limited degenerative change of the spine

No radiographic evidence for thoracic metastases.

normal

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

No acute cardiopulmonary disease

Airspace Disease/lung/upper lobe/right;Opacity/lung/upper lobe/left/round;Pneumonia/upper lobe/right;Nodule/lung/upper lobe/left/round

Airspace Disease;Opacity;Pneumonia;Nodule

The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. There is right upper lobe airspace disease.. There is a rounded nodular opacity in the left upper lung measuring approximately 7 mm which may represent further sequela of infectious process versus other pathology. Osseous structures are within normal limits for patient age.

1. Right upper lobe pneumonia. 2. Rounded nodular opacity in the peripheral left upper lung which may represent further sequela infectious process versus other pathology including metastatic disease in a patient with thyroid cancer. Follow up to resolution recommended.

Fractures, Bone/ribs/right/multiple/healed

Fractures, Bone

Heart size within normal limits. No focal airspace disease. No pneumothorax. No effusions. Multiple old right-sided rib fractures again noted.

No acute cardiopulmonary findings.

Markings/lung/interstitial/prominent;Opacity/lung/base/bilateral/focal/streaky;Pulmonary Atelectasis

Markings;Opacity;Pulmonary Atelectasis

Cardiomediastinal silhouette is within normal limits in size and appearance. Pulmonary vascularity is unremarkable. There are prominent coarse interstitial markings throughout the lungs, with more focal streaky bibasilar opacities, seen only on the frontal XXXX, XXXX atelectasis. Negative for focal airspace disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals the XXXX XXXX are grossly intact.

1. No acute cardiopulmonary abnormality.

Density/lung/right/round/multiple;Calcinosis/lung/right/round;Granulomatous Disease

Density;Calcinosis;Granulomatous Disease

The trachea is midline. Cardiomediastinal silhouette is normal and unchanged from prior examination. There are round calcific densities in the right lung consistent with prior granulomatous disease. Otherwise, the lungs are clear without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.

No acute cardiopulmonary abnormalities.

Deformity/heart/right;Deformity/mediastinum/right

Deformity;Deformity

The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal suggests possible right XXXX versus dextrocardia. Visualized osseous structures of the thorax are without acute abnormality.

1. No acute cardiopulmonary abnormality.. 2. Abnormal configuration of the heart and mediastinum suggestive of right aortic XXXX versus dextrocardia.

Spine/degenerative/mild

Spine

The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Mild degenerative endplate changes of the spine.

1. No acute radiographic cardiopulmonary process.

Lung/hypoinflation;Opacity/lung/upper lobe/left/streaky/mild;Cicatrix/lung/upper lobe/left;Pulmonary Atelectasis/upper lobe/left

Lung;Opacity;Cicatrix;Pulmonary Atelectasis

The lungs demonstrate low lung volumes but are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Mild streaky opacities in the left upper lobe on frontal projection are XXXX atelectatic or scar. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.

Low lung volumes without acute cardiopulmonary abnormality.

Nodule/lung/lingula;Spine/degenerative/mild

Nodule;Spine

The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is an 8mm nodule identified within the left lateral midlung partially overlying the posterior left 7th rib. There are mild degenerative changes of the spine.

Left midlung pulmonary nodule. Comparison to a previous XXXX would be most helpful alternatively a noncontrast chest CT could be performed in the nonemergent setting for further characterization. No acute disease.

Granuloma/scattered/multiple;Aorta, Thoracic/tortuous/mild

Granuloma;Aorta, Thoracic

Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Scattered granulomatous changes. Mild unfolding of the thoracic aorta. Bony thorax is unremarkable

Negative for acute cardiopulmonary abnormality.

Catheters, Indwelling/right

Catheters, Indwelling

The pulmonary nodules and masses masses on previous exam are smaller and not definitely seen. The lungs are otherwise clear. Heart size normal. No pneumothorax. There is a right chest XXXX with tip projecting over the lower SVC.

Interval decrease in size of numerous pulmonary nodules and masses. No nodules or masses are definitely seen on XXXX radiograph. .

normal

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

No acute cardiopulmonary abnormality.

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. .

Osteophyte/thoracic vertebrae/multiple/small

Osteophyte

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

No acute cardiopulmonary abnormality.

Calcified Granuloma/lung/upper lobe/left

Calcified Granuloma

2 images. Calcified granuloma left upper lobe. 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.

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.

Density/lung/round/multiple;Granulomatous Disease/chronic

Density;Granulomatous Disease

No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. Heart size normal.

Negative for acute cardiopulmonary disease.

Implanted Medical Device

The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Note is XXXX of an XXXX closure device which appears grossly appropriate The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.

1. No acute radiographic cardiopulmonary process.

Lung/hyperdistention;Spine/degenerative

Lung;Spine

Lungs are hyperexpanded but clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

Hyperexpanded but clear lungs.

Calcinosis/lung/hilum/right;Granulomatous Disease

Calcinosis;Granulomatous Disease

Cardiomediastinal silhouette is within normal limits. Lungs are clear without areas of focal consolidation. Right hilar calcifications XXXX sequela of prior granulomatous disease. No pneumothorax or large pleural effusion. No acute bone abnormality.

No acute cardiopulmonary process.

Diaphragm/right/elevated;Consolidation/lung/base/right;Pulmonary Atelectasis/base/right;Airspace Disease/lung/lower lobe/right

Diaphragm;Consolidation;Pulmonary Atelectasis;Airspace Disease

Chest. Right hemidiaphragm remains elevated. Consolidation and atelectasis are present in the right lung base. Left lung is clear. No pleural air collections. Shoulder and clavicle. Fractures present in the right scapula the base of the glenoid process. It is attached to the coracoid process and a portion of the spine. The humeral head is located within the glenoid articular surface. Cutaneous air is present. Fracture is present in the posterior portion of the right 3rd rib. The acromioclavicular joint and coracoclavicular joints are widened.

1. Chest. Continued right hemidiaphragm elevation with right lower lobe airspace disease. 2. Right shoulder. Scapular fracture. 3. Clavicle. Acromioclavicular separation.

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. .

normal

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

No radiographic evidence of acute cardiopulmonary disease.

Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive

Lung;Pulmonary Disease, Chronic Obstructive

The lungs remain hyperexpanded. No XXXX infiltrates or masses. Heart and mediastinum are normal.

XXXX change COPD with no acute findings.

normal

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

1. No evidence of active disease.

Density/lung/middle lobe/right;Costophrenic Angle/right/posterior/blunted/mild;Pleural Effusion/right/small;Cicatrix/pleura/right;Cardiomegaly/mild;Thoracic Vertebrae/degenerative;Scoliosis/thoracic vertebrae/right/mild;Pulmonary Atelectasis/middle lobe/right/mild

Density;Costophrenic Angle;Pleural Effusion;Cicatrix;Cardiomegaly;Thoracic Vertebrae;Scoliosis;Pulmonary Atelectasis

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

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

Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive

Lung;Pulmonary Disease, Chronic Obstructive

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

XXXX change COPD. No acute findings.

normal

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

No acute disease.

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

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

No acute cardiopulmonary findings.

Surgical Instruments/mediastinum;Deformity/thoracic vertebrae

Surgical Instruments;Deformity

Sternotomy XXXX mediastinal clips noted. Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is XXXX deformity of T6, XXXX since X-XXXX thoracic spine XXXX, XXXX. Mild XXXX deformity of T12, stable. Prior cholecystectomy.

1. No definite evidence of metastatic disease. 2. Age-indeterminate XXXX deformity of T6, XXXX since study dated XXXX, XXXX. .

Calcified Granuloma/lung/multiple/small;Pulmonary Disease, Chronic Obstructive;Granulomatous Disease

Calcified Granuloma;Pulmonary Disease, Chronic Obstructive;Granulomatous Disease

Some hyperinflation appears to be present. There are small calcified granulomas. The lungs are otherwise clear. The heart is normal. The mediastinum is normal. The skeletal structures and soft tissues are normal.

Probable COPD and old granulomatous disease.

Cardiomegaly

Cardiomegaly. No pneumothorax or pleural effusion. Clear lung XXXX bilaterally.

1. Cardiomegaly.

normal

The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Limited lateral view, given overlapping silhouettes. Negative for acute displaced rib fracture.

Negative for acute abnormality.

normal

The cardiomediastinal silhouette is within normal limits. The lungs are well expanded without consolidation or edema. No pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.

No radiographic evidence of active cardiopulmonary disease.

Diaphragm/right/elevated/mild;Thoracic Vertebrae/degenerative/mild

Diaphragm;Thoracic Vertebrae

Heart size and mediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. No focal airspace consolidation. There is mild elevation right hemidiaphragm. No visible pleural effusion or pneumothorax. There are mild degenerative changes along the thoracic spine.

1. Mildly elevated right hemidiaphragm. Otherwise no acute cardiopulmonary abnormality seen.

Lung/hypoinflation;Aorta, Thoracic/tortuous

Lung;Aorta, Thoracic

There are low lung volumes. The cardiac silhouette and mediastinal contours are within normal limits. There is tortuosity of the thoracic aorta. No pneumothorax. No large pleural effusion.

Low lung volumes without acute cardiopulmonary disease.

Calcinosis/blood vessels;Calcified Granuloma/lung/lower lobe/right

Calcinosis;Calcified Granuloma

The heart size and pulmonary vascularity appear within normal limits. Vascular calcification is identified. Calcified granuloma is present in the right lower lobe. No XXXX nodules are seen. No pneumothorax or pleural effusion is seen. No focal airspace disease is identified.

1. No evidence of active disease.

Aorta, Thoracic/tortuous;Calcinosis/lung/hilum/lymph nodes;Density/lung/lower lobe/left/irregular;Calcinosis/lung/lower lobe/left/irregular;Thoracic Vertebrae/degenerative

Aorta, Thoracic;Calcinosis;Density;Calcinosis;Thoracic Vertebrae

The heart size is within normal limits. There is ectasia/tortuosity of the thoracic aorta. Calcified hilar lymph XXXX. Irregular calcific density projecting over the left lower lobe, stable since XXXX and may represent mitral annular calcifications. No focal airspace consolidation, pleural effusions or pneumothorax. Degenerative changes of the thoracic spine. No acute bony abnormalities.

No acute cardiopulmonary findings.

Cardiomegaly/mild;Thoracic Vertebrae/degenerative

Cardiomegaly;Thoracic Vertebrae

There are no focal areas of consolidation. No suspicious bony opacities. Heart size slightly enlarged. No pleural effusions. There is no evidence of pneumothorax. Degenerative changes of the thoracic spine.

1. No acute cardiopulmonary abnormality. 2. Mild cardiomegaly, stable.

normal

PA and lateral views. The cardiomediastinal silhouette is normal. The lungs are clear. No effusions, consolidation or pneumothorax.

Normal chest xray.

Atherosclerosis/aorta;Arthritis

Atherosclerosis;Arthritis

The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.

No acute pulmonary disease.

Aorta/tortuous;Markings/bronchovascular/mild;Deformity/clavicle

Aorta;Markings;Deformity

Stable cardiomediastinal silhouette with normal heart size and aortic ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. Mild bronchovascular crowding without typical findings of pulmonary edema. Distal clavicle shortening also present on the previous exam, possibly posttraumatic or postsurgical.

No acute findings

normal

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

1. No acute pulmonary abnormality.

normal

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

No acute findings.

normal

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

No acute cardiopulmonary abnormality.

normal

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

No acute cardiopulmonary abnormality.

Cardiomegaly/borderline;Opacity/lung/base/left/retrocardiac;Airspace Disease/lung/base/left

Cardiomegaly;Opacity;Airspace Disease

There is no acute osseous abnormality. Soft tissues are within normal limits. Borderline enlargement of the heart. Normal vascular markings. Left basilar retrocardiac opacity. No pneumothorax.

Findings consistent with left base airspace disease.

Cardiomegaly/borderline;Calcinosis/aorta;Lung/hyperdistention;Markings/lung/interstitial/chronic;Emphysema;Opacity/lung/base/bilateral/streaky;Pulmonary Congestion

Cardiomegaly;Calcinosis;Lung;Markings;Emphysema;Opacity;Pulmonary Congestion

Borderline enlarged heart. Stable mediastinal contours. Aortic XXXX calcifications. Hyperinflated lungs with chronic appearing interstitial markings, compatible with emphysema. Bilateral streaky opacities. Increased vascularity compatible with pulmonary vascular congestion. No focal airspace disease. No acute bony abnormality.

1. Pulmonary vascular congestion. 2. Emphysema. 3. Bibasilar streaky airspace opacities.

Thoracic Vertebrae/degenerative;Calcinosis/mild

Thoracic Vertebrae;Calcinosis

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

No acute cardiopulmonary disease.

Markings/lung/bilateral/diffuse/reticular/round

Markings

Cardiomediastinal silhouettes are within normal limits. The there is a diffuse reticulonodular pattern the lungs bilaterally. Pulmonary vasculature is within normal limits. Negative for pneumothorax or large pleural effusion. Bony thorax is unremarkable

Diffuse reticulonodular pattern bilaterally. The this may represent heart failure, opportunistic infection, or idiopathic interstitial pneumonitis. XXXX of chest for further characterization.

Scoliosis/thoracic vertebrae/left/mild;Shoulder/right/prominent/mild

Scoliosis;Shoulder

The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is a mild levoscoliosis of the thoracic spine. There is mild widening of the right acromioclavicular joint which may be postsurgical or posttraumatic in XXXX.

1. No acute cardiopulmonary disease.

Lung/hypoinflation

Lung

The lungs are hypoventilated. There is no focal airspace opacity. The cardiomediastinal silhouette is normal in size. There is no pneumothorax or large pleural effusion.

No acute cardiopulmonary abnormality.

normal

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

No radiographic evidence of acute cardiopulmonary disease.

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.

Mediastinum/prominent;Thoracic Vertebrae/degenerative/mild

Mediastinum;Thoracic Vertebrae

The lungs are clear without evidence of focal airspace disease. There is no evidence of pneumothorax or large pleural effusion. The cardiac contour is within normal limits. Compared to prior exam, there is XXXX prominence of the mediastinal contour near the right hilum. This may represent the ascending aorta or mediastinal lymphadenopathy. CT chest with contrast may be helpful for further evaluation. There are mild degenerative changes of the thoracic spine.

XXXX prominence of the mediastinal contour near the right hilum possibly representing the ascending aorta or mediastinal lymphadenopathy. CT chest with contrast may be helpful for further evaluation.

normal

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

No acute pulmonary 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. .

Cardiomegaly;Aorta, Thoracic/tortuous/mild

Cardiomegaly;Aorta, Thoracic

Cardiomegaly. No focal consolidation, effusion, or pneumothorax. Mild unfolding of the thoracic aorta. Bony thorax and soft tissues grossly unremarkable.

Cardiomegaly without acute cardiopulmonary abnormality.

Calcinosis/aorta, thoracic;Aorta, Thoracic/tortuous;Lung/hyperdistention;Pulmonary Emphysema

Calcinosis;Aorta, Thoracic;Lung;Pulmonary Emphysema

The heart is normal size. The mediastinum is unremarkable. A tortuous, calcified thoracic aorta is present. The lungs are hyperexpanded, consistent with emphysema. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.

No acute cardiopulmonary abnormality.

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

No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.

No acute cardiopulmonary process.

Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left/mild;Calcified Granuloma/lung/lower lobe/right/posterior/multiple

Pulmonary Atelectasis;Cicatrix;Calcified Granuloma

There is a small area of scarring or atelectasis in the left base. Calcified granulomas seen in the posterior right lower lobe. Lungs are otherwise clear. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.

Minimal small area scarring of the left base.

Lung/hypoinflation/mild;Diaphragm/right/elevated/mild;Spine/degenerative

Lung;Diaphragm;Spine

Mildly low lung volumes. Lungs are clear without focal air space disease. Persistent mild elevation right hemidiaphragm. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

Stable appearance of the chest without focal air space disease.

normal

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

No acute cardiopulmonary abnormality.

No Indexing

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

No acute cardiopulmonary abnormality.

normal

Heart size is normal. The lungs and costophrenic XXXX are clear. The bony thorax is grossly intact.

Normal chest.

Medical Device

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

No acute intrathoracic disease.

normal

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

No acute cardiopulmonary abnormality.

Surgical Instruments/right

Surgical Instruments

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

No active 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.

normal

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

No lobar pneumonia

Calcinosis/lymph nodes/right/paratracheal

Calcinosis

The heart size is normal with stable appearance of the cardiomediastinal silhouette. The lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. There are stable calcified right peritracheal lymph XXXX. The osseous structures are intact.

No acute cardiopulmonary finding.

Aorta, Thoracic/tortuous;Calcinosis/aorta;Bone Diseases, Metabolic

Aorta, Thoracic;Calcinosis;Bone Diseases, Metabolic

Heart size is normal. The lungs are clear. There are no XXXX focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged. Again noted is tortuosity and unfolding of the thoracic aorta. Aortic vascular calcifications. Normal pulmonary vascularity. Bone demineralization.

No acute abnormality.

normal

No pneumothorax. No large pleural effusions. Heart size is normal. No acute focal space opacities.

No acute cardiopulmonary abnormalities.

Cardiomegaly;Pulmonary Congestion;Pulmonary Edema/base/bilateral/interstitial;Infiltrate/lung/base/bilateral/interstitial;Heart Failure

Cardiomegaly;Pulmonary Congestion;Pulmonary Edema;Infiltrate;Heart Failure

The heart is large. In the interval, pulmonary venous engorgement has developed. Also, bibasilar interstitial infiltrates are present.

Developing heart failure with pulmonary venous engorgement and bibasilar pulmonary interstitial edema.

normal

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

No evidence of active disease.

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.

Atherosclerosis/aorta;Arthritis

Atherosclerosis;Arthritis

The lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.

No acute pulmonary disease.

Diaphragm/right/elevated/mild;Spine/degenerative

Diaphragm;Spine

Postsurgical changes of the right chest. Mild elevation of the right hemidiaphragm. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

Clear lungs.

Opacity/posterior

Opacity

Midline sternotomy XXXX identified. Heart size and cardiomediastinal silhouette are grossly normal. Airspace opacity in posterior segment on the lateral view. Osseous structures are grossly intact.

Posterior airspace opacity consistent with developing infection.