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normal | normal | Both lungs are clear and expanded. Heart and mediastinum normal. | No active disease. |
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 | Heart size within normal limits. No focal airspace disease. No cavitations. No pneumothorax or pleural effusion. | No acute cardiopulmonary findings. Specifically, no radiographic evidence of tuberculosis. |
Implanted Medical Device/humerus/right;Spinal Fusion/lumbar vertebrae | Implanted Medical Device;Spinal Fusion | The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Interval placement of right humeral prosthesis, incompletely evaluated. Incompletely evaluated the lumbar spine fusion XXXX. XXXX cholecystectomy. | Interval placement of right humeral orthopedic XXXX, incompletely evaluated. If attention is desired to this area, consider dedicated shoulder x-XXXX. |
normal | normal | Stable cardiomediastinal silhouette. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony 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 displaced rib fracture. No discrete XXXX projectile visualized. Contrast within the bilateral renal collecting systems. Contrast also probably within the left colon. | Negative for acute abnormality. Discrete XXXX projectile not seen. |
Cardiomegaly;Lung/hypoinflation;Costophrenic Angle/right/blunted/mild;Pleural Effusion/right | Cardiomegaly;Lung;Costophrenic Angle;Pleural Effusion | Cardiomegaly. Prominent XXXX are stable. Low lung volumes. No pneumothorax. Minimal right costophrenic XXXX blunting. No focal infiltrates. | Cardiomegaly with XXXX right pleural effusion. |
Calcinosis/lung/hilum/lymph nodes/left;Calcified Granuloma/lung/lower lobe/left | Calcinosis;Calcified Granuloma | Cardiomediastinal silhouettes are within normal limits. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Calcified left hilar lymph XXXX. A calcified granuloma is seen in the left lower lobe. Bony thorax is unremarkable. | No acute cardiopulmonary abnormalities. |
Fractures, Bone/ribs/left/multiple/healed | Fractures, Bone | Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. old left rib fractures. | Lungs are clear without suspicious pulmonary nodules or masses. |
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 | The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal XXXX. | Negative for acute abnormality. |
Density/thorax/round/multiple;Granulomatous Disease/chronic | Density;Granulomatous Disease | Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact. | Negative for acute cardiopulmonary disease. |
Lung/hypoinflation | Lung | Lung volumes are low. No focal infiltrates. Heart size normal. | Hypoinflation with no visible active cardiopulmonary disease. |
Opacity/lung/base/mild;Cicatrix/lung;Pulmonary Atelectasis | Opacity;Cicatrix;Pulmonary Atelectasis | The heart is normal in size. The mediastinum is stable. The previously visualized bilateral pneumothoraces have resolved. Right chest wall surgical XXXX have been removed. There is improved aeration in the lung bases with mild residual XXXX opacities compatible with scarring or atelectasis. | Mild XXXX XXXX opacities compatible with residual atelectasis/scarring. |
normal | normal | Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. | Normal chest |
Airspace Disease/lung/middle lobe/right;Diaphragm/right/elevated | Airspace Disease;Diaphragm | The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. There is right middle lobe airspace disease, may reflect atelectasis or pneumonia. No pleural effusion. No pneumothorax. Elevated right hemidiaphragm. | Right middle lobe airspace disease may reflect atelectasis or pneumonia. . |
normal | normal | Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion. | No acute cardiopulmonary abnormality. |
normal | normal | Heart size is normal and the lungs are clear. | Heart size is normal and the lungs are clear. |
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. . |
Cicatrix/lung/apex/bilateral/mild;Scoliosis/right | Cicatrix;Scoliosis | There is minimal scarring in the lung apices. The lungs are otherwise clear. Heart size is normal. No pneumothorax. There is dextrocurvature within the spine. | No acute cardiopulmonary abnormality. . |
normal | normal | Chest. Normal heart size. Mediastinal silhouette is unremarkable. No focal infiltrates or masses. No pneumothorax or visible pleural fluid. No free intraperitoneal air in the diaphragm. Osseous structures unremarkable. Abdomen: There are no dilated loops of bowel to suggest obstruction. No air-fluid levels or free intraperitoneal air. No suspicious calcifications. There is XXXX XXXX curvature of the thoracolumbar spine. Otherwise the osseous structures are grossly unremarkable. | 1. Chest. No radiographic evidence of acute cardiopulmonary abnormality. 2. Abdomen. Nonobstructive bowel XXXX pattern. |
Fractures, Bone/ribs/bilateral/multiple/healed | Fractures, Bone | 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 demonstrate healed, remote bilateral rib fractures without acute abnormality. | No acute cardiopulmonary abnormality.. |
No Indexing | No Indexing | There may be a subtle airspace opacity in the right base near the midclavicular line. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. | Possible area of pneumonitis right lower lobe. |
normal | normal | Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact. | Negative preoperative chest x-XXXX. |
normal | normal | Lungs are clear. Heart size normal. The XXXX are unremarkable. | No acute cardiopulmonary finding. |
normal | normal | Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. | Normal chest |
normal | normal | The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. | No acute cardiopulmonary disease. |
normal | normal | The 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. . |
Lung/hypoinflation;Markings/bronchovascular/mild;Opacity/lung/base/left/mild;Diaphragm/left/obscured;Thoracic Vertebrae/degenerative;Lung/hypoinflation;Pulmonary Atelectasis/base/left/mild | Lung;Markings;Opacity;Diaphragm;Thoracic Vertebrae;Lung;Pulmonary Atelectasis | Cardiac silhouette is within normal limits in size. The lungs are hypoinflated with mild bronchovascular crowding. There is mild, XXXX opacity projected over the left lung base. This is partly due to overlying soft tissues, however, there is partial obscuration of the lateral left hemidiaphragm. The lungs are otherwise grossly clear. There is no pneumothorax or pleural effusion. There are no acute bony findings. There are degenerative endplate changes throughout the thoracic spine. | Low lung volumes with mild, XXXX left basilar opacity, atelectasis versus infiltrate. . |
Calcinosis/abdomen/right | Calcinosis | The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact. Calcification in the right upper quadrant of the abdomen XXXX consistent with gallstone. | No acute cardiopulmonary abnormalities. |
Atherosclerosis/aorta;Density/lung/base/right;Adipose Tissue/lung/base/right | Atherosclerosis;Density;Adipose Tissue | The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aorta. There is again a pleural based density in the right lung base, XXXX related to subpleural fat. The appearance is stable from multiple previous studies. The lungs are clear. There is no pleural effusion. | No acute disease. |
Calcified Granuloma/lung/apex/right/small | Calcified Granuloma | The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. No change in a small calcified right apical granuloma. Heart and mediastinum normal. | No active disease. |
Costophrenic Angle/right/blunted/mild;Heart/right/obscured/mild;Airspace Disease/lung/middle lobe/right;Spine/degenerative | Costophrenic Angle;Heart;Airspace Disease;Spine | Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. There is mild blunting of the right costophrenic XXXX on the frontal view. There is also mild obscuration of the right cardiac XXXX. Airspace disease in expected location of right middle lobe also noted on the lateral view to No pleural effusion. Left lung clear. Degenerative changes spine. No pneumothorax. | Right middle lobe airspace disease, which could represent pneumonia in the appropriate clinical setting. |
Mediastinum/right/paratracheal/prominent | Mediastinum | Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Heart size is normal. Stable right paratracheal prominence, consistent with known calcified lymph node, seen on prior CT chest dated XXXX. XXXX are unremarkable. | No acute cardiopulmonary abnormality. |
Costophrenic Angle/left/blunted;Pneumonectomy/lung/left;Markings/lung/base/right/interstitial/chronic;Blister/lung/upper lobe/bilateral | Costophrenic Angle;Pneumonectomy;Markings;Blister | There is stable left costophrenic XXXX blunting. The patient has undergone prior left lobectomy. There are chronic appearing right basilar interstitial markings. Heart size normal. No visualized pneumothorax. There is stable appearing left upper and right upper lobe bullous disease. | 1. No acute cardiopulmonary findings. 2. Unchanged chronic appearance of the left lung. |
Opacity/lung/upper lobe/right/round/small;Granuloma/lung/upper lobe/right/round/small | Opacity;Granuloma | Heart size within normal limits. Small, nodular opacity in the right upper lobe. This does not look like an acute infiltrate, and more XXXX represents a granuloma. No pneumothorax or effusions. | No acute findings, no evidence for active TB. |
No Indexing | No Indexing | The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. | No active disease. |
Cardiomegaly/mild;Calcinosis;Hernia, Hiatal/moderate;Thoracic Vertebrae/degenerative | Cardiomegaly;Calcinosis;Hernia, Hiatal;Thoracic Vertebrae | There is mild cardiomegaly. The transverse XXXX is calcified. There is a moderate hiatal hernia. The lungs are clear without focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes of the thoracic spine are noted. | 1. Mild cardiomegaly and moderate hiatal hernia. |
normal | normal | The lungs are clear. There is no pleural effusion. The heart and mediastinum are normal as are the skeletal structures and soft tissues. | No active disease. |
Lung/hyperdistention;Cicatrix/lung/apex/bilateral | Lung;Cicatrix | Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are hyperexpanded but clear. Biapical scarring noted. No pleural effusions or pneumothoraces. | Hyperexpanded lungs without focal air space disease. |
Calcified Granuloma/lung/lower lobe/right;Thoracic Vertebrae/degenerative | Calcified Granuloma;Thoracic Vertebrae | Right lower lobe XXXX calcified granuloma. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine. | No acute cardiopulmonary inability. . |
normal | normal | PA and lateral views of the chest were obtained. The heart is normal in size. Mediastinal contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax. | No acute disease. |
Cardiomegaly;Pulmonary Congestion/mild | Cardiomegaly;Pulmonary Congestion | Cardiomegaly is present. This is unchanged. There is mild prominence of the pulmonary vascularity which is unchanged. No XXXX focal airspace disease is seen. No pleural effusion or pneumothorax is identified. | 1. Cardiomegaly with mild vascular prominence. No change. |
Markings/lung/interstitial/chronic;Spine/degenerative | Markings;Spine | The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Chronic appearing interstitial markings The lungs are normally inflated and clear. Degenerative changes of the spine. | 1. No acute radiographic cardiopulmonary process. |
Cardiomegaly/moderate;Implanted Medical Device;Lung/lingula/obscured | Cardiomegaly;Implanted Medical Device;Lung | The lungs and pleural spaces show no acute abnormality. Heart size is moderately enlarged, pulmonary vascularity within normal limits. There is a XXXX ICD generator obscuring the left lateral midlung with the leads projecting over the expected location of the right atrium, right ventricle, and coronary sinus. | 1. No acute pulmonary abnormality. 2. Moderate cardiomegaly without pulmonary edema. |
Lung/hypoinflation/mild | Lung | Heart size is within normal limits. Trachea is midline. The lung volumes are slightly on the low side. Lungs are otherwise clear without pleural effusion or pneumothorax. No focal consolidations. No bony or soft tissue abnormalities. | No acute cardiopulmonary abnormality. |
Surgical Instruments/mediastinum;Cardiomegaly;Aorta/tortuous;Markings/lung/interstitial/prominent;Pulmonary Edema/interstitial;Spine/degenerative/multiple | Surgical Instruments;Cardiomegaly;Aorta;Markings;Pulmonary Edema;Spine | There are midline sternotomy XXXX and mediastinal clips consistent with prior CABG. The heart is enlarged with unfolding of the aorta. There is prominence of the interstitial markings with fluid in the fissures consistent with interstitial edema. There is no focal airspace opacity, large pleural effusion, or pneumothorax. There multilevel degenerative spine changes. | 1. Interstitial pulmonary edema. 2. Cardiomegaly. |
normal | normal | The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. | 1. No acute cardiopulmonary disease. |
Tube, Inserted/trachea, carina | Tube, Inserted | Normal heart size and mediastinal contours. No focal airspace consolidation. Tracheostomy tip approximately 5 cm above the carina. No pleural effusion or pneumothorax. | No acute cardiopulmonary abnormality. |
normal | normal | The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. No acute bony abnormality. | No acute cardiopulmonary abnormality. |
normal | normal | Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable. | No acute cardiopulmonary abnormality. . |
Calcified Granuloma/scattered;Calcinosis/mediastinum/lymph nodes | Calcified Granuloma;Calcinosis | The lungs appear clear. Scattered calcified granulomas are stable as are calcified mediastinal lymph XXXX. The heart and pulmonary XXXX are normal. Mediastinal contours are normal. Pleural spaces are clear. | No acute cardiopulmonary disease |
Calcinosis/mediastinum/lymph nodes | Calcinosis | XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. There is calcified mediastinal lymph XXXX. Lungs demonstrate no acute findings. There is no effusion or pneumothorax. | 1. No acute pulmonary disease. |
Spine/degenerative/mild | Spine | The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Mild degenerative changes of the spine. | 1. No acute radiographic cardiopulmonary process. |
normal | normal | Frontal and lateral views of the chest demonstrate the cardiomediastinal silhouette normal. There is normal distribution of the pulmonary vascularity. The lungs are clear. No effusion, consolidation, or pneumothorax. | Stable chest x-XXXX, without acute cardiopulmonary findings. |
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. |
Cardiomegaly | Cardiomegaly | There is persistent cardiomegaly with suggestion of left atrial enlargement as evidenced by cardiac contour the lateral image and XXXX density on the frontal image. The lungs are clear. No visible pleural effusion or pneumothorax. | 1. Persistent cardiomegaly. 2. Clear lungs. |
normal | normal | Chest. The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen are unremarkable. Thoracic spine. The XXXX examination consists of frontal, lateral and swimmers lateral radiographs of the thoracic spine. There is no evidence of fracture or malalignment. The vertebral body XXXX and disc spaces are maintained. Sternum. The XXXX examination consists of 2 oblique and one lateral radiograph of the sternum. No displaced XXXX fracture demonstrated. | 1. No radiographic evidence of acute thoracic XXXX. |
Lung/bilateral/hyperdistention;Lung, Hyperlucent/bilateral;Diaphragm/flattened;Pulmonary Emphysema/chronic;Costophrenic Angle/bilateral/blunted;Calcinosis/mediastinum/lymph nodes;Calcinosis/lung/hilum/lymph nodes;Calcified Granuloma/lung/base/left | Lung;Lung, Hyperlucent;Diaphragm;Pulmonary Emphysema;Costophrenic Angle;Calcinosis;Calcinosis;Calcified Granuloma | There is hyperexpansion, hyperlucency of both lungs, as well as flattening of the diaphragm consistent with chronic emphysematous lung disease. No focal consolidation, pneumothorax, or large pleural effusion identified (blunting of costophrenic recesses bilaterally may represent small effusions or pleural thickening/scar. Stable calcified mediastinal and hilar lymph XXXX and a left basilar calcified granuloma. Acute osseous abnormality. The mediastinal silhouette stable. | Changes of chronic emphysematous lung disease without acute cardiopulmonary abnormality identified. |
Lung/hyperdistention;Markings/lung/interstitial/mild;Calcinosis/lung/hilum/lymph nodes/right;Shoulder/right/degenerative | Lung;Markings;Calcinosis;Shoulder | The lungs are hyperinflated with mildly coarsened interstitial markings consistent with chronic lung disease. No focal consolidation, pneumothorax, or effusion identified. The mediastinal silhouette is stable and within normal limits for size. There is redemonstration without significant change in right hilar calcified lymph XXXX. The bony structures of the thorax demonstrate degenerative changes of the right shoulder and a XXXX right humerus consistent with distal humeral amputation. No acute bony abnormality identified. | Changes of chronic lung disease without acute cardiopulmonary abnormality identified. |
Cardiomegaly/mild;Lung/hypoinflation | Cardiomegaly;Lung | The heart is mildly enlarged. Lung volumes are low. There is no focal consolidation, pneumothorax, or large pleural effusion. Bony structures are within normal limits. There is no free air under the diaphragm. There is a mild amount of XXXX seen in the transverse colon. | No acute cardiopulmonary findings. |
Nodule/lung/base;Calcinosis/lung/hilum/lymph nodes/right;Granuloma/right | Nodule;Calcinosis;Granuloma | There is a 1 cm nodule within one of the lung bases, seen only on the lateral view. There is a calcified right hilar lymph node and right granuloma. Heart size is normal. No pneumothorax. | 1 cm nodule within the lung base, seen only on the lateral view. Consider imaging correlation with XXXX abdomen study, if available. . |
normal | normal | The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified. | Normal chest film. |
Cardiomegaly;Opacity/lung/bilateral/interstitial;Pulmonary Atelectasis/bilateral;Calcinosis/aorta;Calcified Granuloma/lung/hilum/right;Costophrenic Angle/bilateral/blunted;Pleural Effusion/bilateral | Cardiomegaly;Opacity;Pulmonary Atelectasis;Calcinosis;Calcified Granuloma;Costophrenic Angle;Pleural Effusion | The heart size is enlarged. The mediastinal contour is within normal limits. Calcification is seen within the aortic XXXX. XXXX interstitial opacities. There are no nodules or masses. Stable appearing right perihilar calcified granulomas. No visible pneumothorax. Bilateral costophrenic XXXX blunting, left worse than right. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm. | 1. Cardiomegaly with bilateral interstitial opacities. 2. Bilateral effusions and/or atelectasis, right worse than left. |
normal | normal | This study is limited by the patient body habitus. Lungs appear to be clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. | Limited study but no evidence for acute pulmonary disease. |
Fractures, Bone/ribs/right/multiple;Pleural Effusion/right/small;Pulmonary Atelectasis/base/right;Pleural Effusion/left;Scoliosis/thoracic vertebrae/mild | Fractures, Bone;Pleural Effusion;Pulmonary Atelectasis;Pleural Effusion;Scoliosis | There is a minimally displaced fracture of the right lateral 7th rib. There is a small right pleural effusion with associated atelectasis of the right lower lobe. There appears to be a healing fracture of the posterolateral right 8th rib. There is questionable cortical defect involving the sternum seen XXXX on lateral view. XXXX would be XXXX to evaluate this finding. As the small right-sided pleural effusion is visible on both PA and lateral views. There is a XXXX left-sided pleural effusion as well. The left lung appears grossly clear. Heart size and pulmonary XXXX appear normal. There is a mild scoliosis involving the thoracic spine. | 1. Minimally displaced fracture involving the lateral right 7th rib, XXXX acute. There is and associated small right pleural effusion and right basilar atelectasis. 2. Questionable anterior XXXX cortical disruption seen XXXX on lateral view. XXXX would be needed to evaluate this. 3. XXXX left-sided pleural effusion |
Technical Quality of Image Unsatisfactory | Technical Quality of Image Unsatisfactory | Heart XXXX, mediastinum, XXXX, bony structures are unremarkable. Possible subtle increased opacity in right apex versus technique. Otherwise no significant interval change compared to prior study | Possible subtle increased opacity in right apex otherwise unremarkable appearance of lung XXXX |
normal | normal | No pneumothorax, pleural effusion , or focal airspace disease. Heart size within normal limits. Cardiomediastinal silhouette is clear. Bony structures appear intact. | Negative for acute cardiopulmonary disease. No fractures identified. |
Calcified Granuloma/lung/upper lobe/right/multiple | Calcified Granuloma | The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Calcific granulomas are present in the right upper lobe. The XXXX are unremarkable. | No acute cardiopulmonary abnormality. |
normal | normal | The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. | No acute disease. |
Thoracic Vertebrae/degenerative/multiple/mild;Lumbar Vertebrae/degenerative/multiple/mild;Fractures, Bone/ribs/left/chronic | Thoracic Vertebrae;Lumbar Vertebrae;Fractures, Bone | 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 demonstrates stable mild multilevel degenerative disc disease of the thoracolumbar spine as well as chronic left-sided rib fractures without acute abnormality. | No acute cardiopulmonary abnormality. |
No Indexing | No Indexing | Interval resolution of the left pleural effusion. Lungs are grossly clear. Postsurgical changes from CABG are noted. No pneumothorax or pleural effusion. No acute bony abnormalities are visualized. | No acute cardiopulmonary abnormality. |
Cardiomegaly;Pulmonary Congestion;Aorta/tortuous;Thoracic Vertebrae/degenerative;Hypertension, Pulmonary | Cardiomegaly;Pulmonary Congestion;Aorta;Thoracic Vertebrae;Hypertension, Pulmonary | The heart is large. Pulmonary XXXX are engorged. No infiltrates. Aorta is somewhat tortuous. Degenerative disc disease is present in the thoracic spine. | Cardiomegaly and pulmonary venous hypertension |
Lung/hypoinflation;Pleural Effusion/bilateral/large;Pulmonary Atelectasis/base/bilateral;Airspace Disease/lung/base/bilateral;Catheters, Indwelling/left;Tube, Inserted;Lucency/diaphragm/left;Pneumoperitoneum | Lung;Pleural Effusion;Pulmonary Atelectasis;Airspace Disease;Catheters, Indwelling;Tube, Inserted;Lucency;Pneumoperitoneum | There is a left subphrenic crescentic lucency, this is concerning for pneumoperitoneum. There are low lung volumes and bilateral moderate to large pleural effusions with bibasilar atelectasis/airspace disease that are larger in size in comparison to the prior exam. No pneumothorax. Heart size upper limits of normal. The left central venous catheter tip overlies the lower SVC. The feeding tube has been placed in the interval and extends below the diaphragm and below the XXXX-of-view. | 1. Concern for left subphrenic free air. Verification with abdominal decubitus views is recommended for further evaluation. 2. Interval increase in size of the moderate to large bilateral pleural effusions with bibasilar atelectasis/airspace disease. 3. Left central venous catheter in unchanged position. 4. Interval placement of feeding tube the courses beneath the diaphragm and out of the XXXX-of-view. |
Lung/hypoinflation;Markings/bronchovascular;Airspace Disease/lung/lower lobe/left/patchy;Opacity/lung/middle lobe/right;Pulmonary Atelectasis/middle lobe/right;Atherosclerosis/aorta | Lung;Markings;Airspace Disease;Opacity;Pulmonary Atelectasis;Atherosclerosis | There are low lung volumes with bronchovascular crowding. There is patchy left lower lobe airspace disease. There are XXXX opacities in the right mid lung, XXXX subsegmental atelectasis. No significant pleural effusion. No pneumothorax. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. | 1. Patchy left lower lobe airspace disease, possibly atelectasis or pneumonia. 2. Right mid lung subsegmental atelectasis. |
Opacity/lung/upper lobe/right;Pulmonary Atelectasis/upper lobe/right;Opacity/lung/lingula | Opacity;Pulmonary Atelectasis;Opacity | There is XXXX increased opacity within the right upper lobe with possible mass and associated area of atelectasis or focal consolidation. The cardiac silhouette is within normal limits. XXXX opacity in the left midlung overlying the posterior left 5th rib may represent focal airspace disease. No pleural effusion or pneumothorax. No acute bone abnormality. | 1. Increased opacity in the right upper lobe with XXXX associated atelectasis may represent focal consolidation or mass lesion with atelectasis. Recommend chest CT for further evaluation. 2. XXXX opacity overlying the left 5th rib may represent focal airspace disease. |
Atherosclerosis/aorta;Costophrenic Angle/left/blunted/mild;Spondylosis/thoracic vertebrae | Atherosclerosis;Costophrenic Angle;Spondylosis | Cardiac and mediastinal contours are within normal limits. Atherosclerotic aorta. Mild blunting left costophrenic recess, possibly mild atelectasis or scarring. No confluent lobar consolidation or large volume pleural effusion. Thoracic spondylosis. | Mild blunting left costophrenic recess, possibly mild atelectasis or scarring. |
normal | normal | Heart size and vascularity normal. Mediastinal contour normal. Lungs are clear. No pleural effusions or pneumothoraces. | Normal chest. |
normal | normal | Frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and lung volumes. No pleural effusion. | No acute or active cardiac, pulmonary or pleural disease. |
Lung/hyperdistention;Lung, Hyperlucent;Diaphragm/bilateral/flattened;Pulmonary Atelectasis/base/bilateral/mild;Airspace Disease/lung/base/bilateral/mild;Pulmonary Emphysema/chronic | Lung;Lung, Hyperlucent;Diaphragm;Pulmonary Atelectasis;Airspace Disease;Pulmonary Emphysema | Hyperexpansion of the lungs with hyperlucency and flattening of hemidiaphragms suggestive of chronic emphysematous lung disease. Heart size within normal limits. Bibasilar, right greater than left atelectasis/airspace disease noted. No pneumothorax or large pleural effusion. No acute bony abnormality. | Chronic emphysematous lung disease with mild bibasilar, right greater than left airspace disease/atelectasis. |
Lucency/ribs/right/posterior | Lucency | The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion. There is an obliquely oriented XXXX lucency through the posterior right 12th rib. | Acute obliquely oriented lucency through the right 12th posterior rib, concerning for acute fracture. Recommend correlation with side of XXXX tenderness. No other fractures are XXXX identified. If there is high clinical concern, recommend further evaluation with dedicated views of the right ribs. |
Pulmonary Artery/enlarged;Atherosclerosis/aorta;Lung/hyperdistention/moderate;Pulmonary Disease, Chronic Obstructive;Markings/lung/apex/bilateral | Pulmonary Artery;Atherosclerosis;Lung;Pulmonary Disease, Chronic Obstructive;Markings | Normal heart size. Dilated pulmonary arteries. Atherosclerotic calcifications of the aorta. No focal airspace consolidation. Decreased biapical vascular markings with moderate hyperexpansion the lungs, consistent with obstructive pulmonary disease. No pleural effusion or pneumothorax. | 1. Moderate hyperinflation of the lungs. 2. Dilated pulmonary arteries. This may reflect pulmonary hypertension. |
normal | normal | No pneumothorax or pleural effusion. Normal cardiac contour. Clear lungs bilaterally. | 1. No acute cardiopulmonary abnormalities. |
Aorta/tortuous;Calcinosis/aorta;Calcified Granuloma/lung/lingula;Surgical Instruments/abdomen/right | Aorta;Calcinosis;Calcified Granuloma;Surgical Instruments | The heart size is normal. Tortuous aorta. Calcifications are seen within the aortic XXXX. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. Stable calcified granuloma within the lingula. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm. Surgical clips are seen within the right upper abdomen. | 1. No acute radiographic cardiopulmonary process. |
Lung/hyperdistention;Calcinosis/lung/hilum/left;Granuloma/left/small;Pulmonary Disease, Chronic Obstructive | Lung;Calcinosis;Granuloma;Pulmonary Disease, Chronic Obstructive | Lungs are hyperexpanded. No infiltrates or masses in the lungs. Heart size normal. No change calcified left hilar XXXX and left small granuloma. | XXXX change. COPD with no acute disease. |
normal | normal | Both lungs are clear and expanded. Heart and mediastinum normal. | No active disease. |
Cardiac Shadow/enlarged;Lung/hypoinflation;Diaphragmatic Eventration/right/anterior;Markings/bronchovascular;Thoracic Vertebrae/degenerative | Cardiac Shadow;Lung;Diaphragmatic Eventration;Markings;Thoracic Vertebrae | The cardiac silhouette is enlarged with no comparison studies. Findings are XXXX accentuated by low lung volumes and eventration of the anterior right hemidiaphragm, however, cardiomegaly or less XXXX, pericardial effusion is suspected. The lungs are hypoinflated with central bronchovascular crowding but no evidence of overt pulmonary edema. The lungs are grossly clear of focal airspace disease, pneumothorax, pleural effusion. There are no acute bony findings. There are degenerative changes of the thoracic spine. Patient appears morbidly obese. | 1. Suspected cardiomegaly, less XXXX pericardial effusion. Prior comparison studies would be helpful. 2. Low lung volumes. No evidence of focal airspace disease. . |
Pleural Effusion/borderline | Pleural Effusion | 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 |
Pulmonary Congestion/bilateral | Pulmonary Congestion | XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax. Bilateral prominent lung vascularity medially, unchanged. | 1. No acute pulmonary disease. |
normal | normal | No pleural effusion, pneumothorax or focal airspace opacities. Cardiomediastinal silhouette is within normal limits. The trachea is midline. No free subdiaphragmatic air. The included osseous structures are grossly intact. | No acute pulmonary disease. |
Spine/degenerative/mild | 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 are mild degenerative changes of the spine. | No acute cardiopulmonary 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. |
Lung/hyperdistention;Diaphragm/bilateral/flattened;Pulmonary Edema;Scoliosis/right/mild | Lung;Diaphragm;Pulmonary Edema;Scoliosis | Hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. No focal alveolar consolidation, no definite pleural effusion seen. Heart size within normal limits, the typical findings of pulmonary edema. Mild spine dextrocurvature noted. | Hyperinflated lungs, air trapping versus inspiratory XXXX. |
Calcified Granuloma | Calcified Granuloma | The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified granuloma is identified. | 1. No evidence of active disease. |
normal | normal | The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion. | Negative chest . |
Thoracic Vertebrae/degenerative/mild;Atherosclerosis/aorta, thoracic | Thoracic Vertebrae;Atherosclerosis | There has been interval CABG. Sternotomy and XXXX cerclage XXXX appear intact. No focal air space opacity. No pleural effusion or pneumothorax. Stable, mild degenerative disc disease of the thoracic spine. Visualized bony structures are otherwise unremarkable in appearance. Atherosclerotic calcifications of the thoracic aorta. | 1. Clear lungs. No acute chest findings. 2. Peripheral vascular disease. |
Opacity/lung/upper lobe/hilum/left;Pneumonia/upper lobe/left | Opacity;Pneumonia | The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is a region of left upper lobe perihilar opacity identified. | Left upper lobe pneumonia. Followup radiographs after appropriate therapy in 8-12 weeks are indicated to exclude an underlying abnormality. |
normal | normal | The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pleural effusion or pneumothorax. The visualized bony structures reveal no acute abnormalities. | No acute cardiopulmonary abnormalities. . |
Infiltrate/lung/lower lobe/bilateral/interstitial/patchy;Cardiomegaly;Tube, Inserted/trachea;Catheters, Indwelling/right;Lung Diseases, Interstitial/base/bilateral/patchy | Infiltrate;Cardiomegaly;Tube, Inserted;Catheters, Indwelling;Lung Diseases, Interstitial | The patchy right lower lobe and left lower lobe interstitial infiltrates are largely unchanged in the interval. No XXXX infiltrates. Heart size remains large. Tracheostomy tube remains in the trachea. A right central line has its tip at the superior XXXX XXXX. | Persistent cardiomegaly and patchy bibasilar interstitial disease. |
Thoracic Vertebrae/degenerative | Thoracic Vertebrae | The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Degenerative changes of the thoracic spine. | Negative for acute cardiopulmonary abnormality. |