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Pneumonia/upper lobe/left;Airspace Disease/lung/upper lobe/left | Pneumonia;Airspace Disease | XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate left upper lobe airspace disease most XXXX pneumonia. There is no effusion or pneumothorax. | 1. Left upper lobe pneumonia. |
Calcinosis/lung/hilum;Nodule/lung/hilum;Granulomatous Disease | Calcinosis;Nodule;Granulomatous Disease | XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. There are calcified mediastinal perihilar pulmonary nodules consistent with sequela of old granulomatous infection. No acute lung infiltrates. Aortic XXXX appear unremarkable. There is no effusion or pneumothorax. | 1. No acute pulmonary disease. |
Lung/hyperdistention;Arthritis/spine;Pulmonary Disease, Chronic Obstructive;Lung Diseases, Interstitial | Lung;Arthritis;Pulmonary Disease, Chronic Obstructive;Lung Diseases, Interstitial | There your regular interstitial changes and possibly fibrosis in the left mid and lower lung zone and region of the right middle lobe. Hyperinflation is present. No focal consolidation is seen. There is no evidence for pleural effusion. The heart is not enlarged. Mediastinum is normal. There are arthritic changes of the spine. | XXXX of COPD and interstitial lung disease. No definite pneumonia. There does appear to be progression of changes since XXXX. |
Lung/hyperdistention;Cicatrix/lung/upper lobe/right;Pulmonary Atelectasis/upper lobe/right;Calcinosis/aorta | Lung;Cicatrix;Pulmonary Atelectasis;Calcinosis | The cardiomediastinal silhouette is normal in size and contour. Hyperexpanded lungs, without focal consolidation, pneumothorax or large pleural effusion. XXXX right upper lobe scarring/atelectasis. Aortic calcifications. | Hyperexpanded lungs. XXXX right upper lobe scarring/atelectasis. No focal pneumonia. |
normal | normal | Cardiac silhouette is normal in size. Normal mediastinal contour and pulmonary vasculature. The lungs are without focal airspace consolidation, large pleural effusion, or pneumothoraces. | No acute cardiopulmonary findings. |
Lung/hyperdistention;Diaphragm/bilateral/flattened/mild;Emphysema;Contrast Media/abdomen | Lung;Diaphragm;Emphysema;Contrast Media | There is hyperexpansion with mild flattening of diaphragm. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal. Contrast retained within the renal collecting XXXX. | 1. No acute cardiopulmonary disease. 2. Emphysematous changes 3. Retained contrast within the renal collecting XXXX. |
Cardiomegaly/borderline;Calcinosis/aorta, thoracic;Aorta, Thoracic/enlarged;Emphysema;Spondylosis/mild | Cardiomegaly;Calcinosis;Aorta, Thoracic;Emphysema;Spondylosis | Borderline cardiac enlargement. Enlarged calcified thoracic aorta. Emphysema. No acute pulmonary abnormality. Mild spondylosis. | Emphysema. No acute pulmonary findings. |
Calcinosis/lung/hilum/lymph nodes/left;Calcified Granuloma/lung/hilum/left;Fractures, Bone/clavicle/right/healed | Calcinosis;Calcified Granuloma;Fractures, Bone | The cardiomediastinal silhouette is normal in size and contour. Calcified left hilar lymph XXXX/granulomas. No focal consolidation, pneumothorax or large pleural effusion. Old fracture, right mid clavicle. | Negative for acute abnormality. |
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. No acute bone abnormality. | No acute cardiopulmonary process. |
Spine/degenerative/mild | Spine | The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are normal. There are minimal degenerative changes of the spine. | No evidence of active disease. |
normal | normal | XXXX XXXX and lateral chest examination was obtained. The heart silhouette and mediastinal contours are not enlarged. Lungs demonstrate no acute findings. There is no effusion or pneumothorax. | 1. No acute pulmonary disease. |
Cicatrix/lung/apex/bilateral/mild;Granuloma/lung/middle lobe/right;Density/lung/upper lobe/right/round;Density/lung/middle lobe/right/round | Cicatrix;Granuloma;Density;Density | The heart is normal in size. The mediastinum is stable. Mild biapical scarring is identified. There is a nodular density in the right midlung which is stable from prior studies and noted to represent a granuloma on XXXX of XXXX. However, additional foci in the right upper lung are questioned. There is no acute infiltrate or pleural effusion. | No acute disease. Vague right upper/mid lung nodular densities versus scarring and superimposed structures. CT may be warranted given patient's history. |
Catheters, Indwelling/right;Implanted Medical Device/humerus/right;Deformity/thoracic vertebrae;Deformity/lumbar vertebrae;Kyphosis/thoracic vertebrae;Kyphosis/lumbar vertebrae | Catheters, Indwelling;Implanted Medical Device;Deformity;Deformity;Kyphosis;Kyphosis | Right chest XXXX tip low SVC. Cardiac and mediastinal contours are within normal limits. The lungs are clear. Prosthetic right humeral head. Prior lower cervical spine surgery. XXXX deformity at the thoracolumbar junction with an acute kyphosis. | No acute pulmonary findings. |
normal | normal | The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute 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 bone abnormality. | Negative for acute abnormality. |
normal | normal | The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. No displaced rib fractures identified. | No acute cardiopulmonary abnormality. |
normal | normal | The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. | No acute disease. |
normal | normal | 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. | 1. No acute pulmonary disease. |
Density/lung/base/left/round;Thoracic Vertebrae/degenerative;Density/costophrenic angle/left/round | Density;Thoracic Vertebrae;Density | There is a XXXX 7 XXXX nodular density at the left lung base. Lungs are otherwise clear. The CT scan without IV contrast could be performed for further evaluation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine. | XXXX 7 XXXX nodular density at the left costophrenic XXXX. Recommend CT scan for further evaluation. |
normal | normal | Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions. | No acute cardiopulmonary findings. |
normal | normal | Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact. | No acute preoperative findings. |
Pulmonary Emphysema | Pulmonary Emphysema | 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. | No acute cardiopulmonary abnormalities. Emphysematous changes of the lungs. |
Thoracic Vertebrae/degenerative | Thoracic Vertebrae | No focal areas of consolidation. Heart size normal limits. No pleural effusions. No evidence of pneumothorax. Degenerative changes thoracic spine. | No acute cardiopulmonary abnormality. . |
Lung/hyperdistention;Pulmonary Disease, Chronic Obstructive | Lung;Pulmonary Disease, Chronic Obstructive | The lungs are clear. There is hyperinflation of the lungs. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. | COPD. No acute pulmonary disease. |
normal | normal | The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. 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. | 1. No acute radiographic cardiopulmonary process. |
normal | normal | Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. | No acute cardiopulmonary abnormality. |
normal | normal | Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. | No evidence of active disease. |
Spine/degenerative | Spine | Heart size is at the upper limits of normal. The pulmonary vascularity appears 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. No non-calcified nodules are identified. | 1. No evidence of active disease. |
Cardiomegaly/moderate;Opacity/lung/lingula;Pulmonary Atelectasis/lingula;Opacity/lung/base/left;Pulmonary Atelectasis/base/left;Opacity/lung/middle lobe/right;Spine/degenerative/mild;Atherosclerosis/severe | Cardiomegaly;Opacity;Pulmonary Atelectasis;Opacity;Pulmonary Atelectasis;Opacity;Spine;Atherosclerosis | The heart size is moderately enlarged. The pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. Again noted is XXXX and left midlung airspace opacity XXXX atelectasis. There is left basilar opacity XXXX atelectasis as well. There is improved right midlung opacity. There are mild degenerative changes of the spine. XXXX sternotomy XXXX are intact. Extensive atherosclerotic disease. | Probable left midlung and left basilar atelectasis. Cardiomegaly. |
Contrast Media/abdomen | Contrast Media | Cardiomediastinal silhouette is within normal limits. No focal consolidation. No pneumothorax or large pleural effusion. No acute bony abnormalities. Contrast is seen within the bilateral kidneys, from prior examination. | No acute cardiopulmonary abnormality. . |
normal | normal | The lungs appear clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal. | No acute acute cardiopulmonary disease. |
normal | normal | Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. | Normal chest No evidence of tuberculosis |
Aorta/tortuous;Opacity/lung/upper lobe/left/irregular;Cicatrix/lung/upper lobe/left/chronic;Deformity/ribs/posterior;Deformity/thoracic vertebrae/anterior/multiple;Thickening/pleura/upper lobe/left | Aorta;Opacity;Cicatrix;Deformity;Deformity;Thickening | Heart size is normal. Tortuous aorta. Irregular 1.2 cm opacity in the left upper lung is identified both on PA and lateral views and XXXX represents chronic scarring. She has a partial resection of the posterior fourth rib. No pneumothorax. No pleural effusion. No focal infiltrate. Anterior wedging of multiple vertebral bodies including T6, T8, T11 and T12. | XXXX scarring or pleural plaque in the left upper lobe with partial resection of the posterior fourth rib. No acute findings. |
Opacity/lung/base/bilateral;Colonic Interposition/mediastinum;Airspace Disease/lung/base/bilateral | Opacity;Colonic Interposition;Airspace Disease | Redemonstration of colonic interposition overlying the mediastinum. There are increased bibasilar airspace opacities, left greater than right. No pneumothorax or large pleural effusion. | 1. Bibasilar airspace disease left greater than right. 2. Stable postsurgical changes with colonic interposition overlying the mediastinum. |
normal | normal | Heart size and pulmonary vascularity within normal limits. No focal infiltrate, pneumothorax or pleural effusion identified. | No acute cardiopulmonary disease. |
Airspace Disease/lung/costophrenic angle/left/mild;Pleural Effusion/costophrenic angle/left/mild;Aorta/tortuous;Spine/degenerative | Airspace Disease;Pleural Effusion;Aorta;Spine | Minimal left costophrenic XXXX airspace disease and/or pleural effusion. Lungs are otherwise clear. No pneumothorax. Heart and mediastinum are stable with normal sized heart. There is tortuosity and ectasia of the aorta. Degenerative changes in the spine. | Minimal left costophrenic XXXX airspace disease and/or pleural effusion. |
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. | Negative for acute abnormality. |
Spondylosis/thoracic vertebrae | Spondylosis | The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. | No acute process. |
Foreign Bodies | Foreign Bodies | The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The Heart and mediastinum are normal size and shape. XXXX and soft tissues are unremarkable. Probable nerve stimulator noted. | No Acute cardiopulmonary disease. |
Markings/lung/interstitial/chronic;Thickening/pleura/apex/bilateral;Deformity/thoracic vertebrae;Fractures, Bone/humerus/right | Markings;Thickening;Deformity;Fractures, Bone | Chronic increased interstitial markings without evidence of focal infiltrate. Bilateral apical pleural thickening. No pneumothorax. No pleural effusion. Stable heart size. Marked degenerative change of the XXXX, status post remote right humerus fracture. XXXX deformity of a midthoracic vertebral body, also XXXX chronic. | Chronic lung disease without acute findings. |
Catheters, Indwelling/left;Bronchiectasis/bilateral/severe;Cicatrix/lung/bilateral/severe;Cysts/lung/bilateral/severe;Cystic Fibrosis | Catheters, Indwelling;Bronchiectasis;Cicatrix;Cysts;Cystic Fibrosis | Left-sided medication injection XXXX has its tip projecting at the cavoatrial junction. The trachea is midline. Extensive bilateral bronchiectasis, cystic changes, and scarring represents sequela from the patient's cystic fibrosis. No evidence of focal pulmonary infiltrate or pleural effusion. No large pneumothorax has developed in the interim. The overlying bony structures reveal no acute abnormalities. The heart size is normal. | 1. Extensive pulmonary bronchiectasis and scarring from cystic fibrosis, not significantly XXXX from prior. 2. Left-sided medication injection XXXX has its tip projecting over the cavoatrial junction. . |
Atherosclerosis/aorta;Lung/hyperdistention/mild;Spine/degenerative/diffuse | Atherosclerosis;Lung;Spine | There are postoperative changes of sternotomy. Heart size is within normal limits. There is aortic atherosclerotic vascular calcification. The lungs are mildly hyperexpanded. There is no focal airspace consolidation. No pleural effusion or pneumothorax. There are diffuse degenerative changes of the spine. | 1. No focal airspace consolidation. 2. Hyperexpanded lungs, suggestive of obstructive lung disease. |
Catheters, Indwelling/right;Lung/hypoinflation/moderate;Opacity/lung/base/bilateral;Pulmonary Atelectasis/base/bilateral;Density/ribs/left/anterior | Catheters, Indwelling;Lung;Opacity;Pulmonary Atelectasis;Density | The heart is normal in size. The mediastinum is within normal limits. Dual-lumen right IJ catheter is identified without pneumothorax. The lungs are moderately hypoinflated with bibasilar XXXX opacities XXXX adjacent atelectasis. There is ill-defined density overlying the anterior left 5th rib, possibly healing deformity versus superimposition of structures. | Moderate hypoinflation with associated bibasilar atelectasis. |
Opacity/lung/interstitial/reticular/mild | Opacity | Increased interstitial opacities non-specific. Question edema or atypical infection? | Heart size normal. Stable mediastinal silhouette. No lobar consolidation, large pleural effusion or pneumothorax. Mild increased reticular interstitial opacity. |
Pneumothorax/apex/left/small | Pneumothorax | Interval removal of left-sided chest tube. Small residual left apical pneumothorax has increased slightly in size the prior exam, now measuring approximately 0.9 cm from the thoracic apex. Stable cardiomediastinal silhouette. No focal airspace consolidation. No pleural effusion. | No acute cardiopulmonary abnormality. |
Arthritis | Arthritis | The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. The mediastinum is normal. Arthritic changes of the skeletal structures are noted. | No acute pulmonary disease. No gross evidence for rib fracture. |
Cardiac Shadow/enlarged;Pulmonary Atelectasis/base/bilateral/mild;Cardiomegaly | Cardiac Shadow;Pulmonary Atelectasis;Cardiomegaly | The cardiac silhouette is enlarged and has a globular appearance. Mild bibasilar dependent atelectasis. No pneumothorax or large pleural effusion. No acute bone abnormality. | Cardiomegaly with globular appearance of the cardiac silhouette. Considerations would include pericardial effusion or dilated cardiomyopathy. |
Lung/hyperdistention/mild;Thoracic Vertebrae/degenerative;Emphysema | Lung;Thoracic Vertebrae;Emphysema | Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are mildly hyperexpanded but clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine. | Emphysema without acute cardiopulmonary process. |
Pulmonary Atelectasis/base/left/patchy;Nodule/lung/upper lobe/left/focal;Calcinosis/lung/upper lobe/left | Pulmonary Atelectasis;Nodule;Calcinosis | Redemonstration of the left basilar patchy atelectasis, unchanged from last exam. Lungs are otherwise clear. No evidence of pneumothorax or pleural effusions present. There is a focal calcified nodules in the left upper lung, stable in appearance from XXXX of XXXX. The cardiomediastinal silhouette is unremarkable. No suspicion bony destruction identified. | No acute cardiopulmonary abnormality. |
Calcinosis/aorta;Calcinosis/mediastinum/lymph nodes;Lung/hyperdistention;Diaphragm/flattened;Spine/degenerative | Calcinosis;Calcinosis;Lung;Diaphragm;Spine | Sternotomy XXXX appear intact. Borderline heart size. Aortic calcification noted. Calcified mediastinal lymph XXXX unchanged. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is hyperexpansion of the lungs with flattening of the diaphragms. Degenerative changes are present in the spine. | No acute abnormality. . |
normal | normal | Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. | Normal chest |
Lung/hypoinflation;Surgical Instruments/abdomen | Lung;Surgical Instruments | Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Surgical clips are present in the abdomen. | No evidence of active disease. |
Thoracic Vertebrae/degenerative/mild | Thoracic Vertebrae | The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. There are mild degenerative changes along the thoracic spine. No acute bony abnormality is identified. | No acute cardiopulmonary abnormality. |
Cicatrix/lung/lower lobe/left/streaky | Cicatrix | The heart and lungs have XXXX XXXX in the interval. Both lungs are free of acute infiltrates and expanded. Strandy scarring in the left lower lobe is unchanged. Heart and mediastinum normal. | No active disease. |
Calcified Granuloma/lung/lower lobe/left;Airspace Disease/lung/base/bilateral/mild;Thoracic Vertebrae/degenerative | Calcified Granuloma;Airspace Disease;Thoracic Vertebrae | Stable cardiomediastinal silhouette. Calcified granuloma in the left lower lobe. Minimal bibasilar airspace disease. No pneumothorax. Degenerative changes of the thoracic spine. | Minimal bibasilar airspace disease. |
normal | normal | Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact. | No acute cardiopulmonary abnormalities. |
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. |
Pulmonary Atelectasis/upper lobe/left;Cysts/lung/upper lobe/left;Thickening/pleura/apex/left;Cicatrix/lung/upper lobe/left;Tuberculosis/lung/healed | Pulmonary Atelectasis;Cysts;Thickening;Cicatrix;Tuberculosis | The left hilum is retracted superiorly. In the collapsed left upper lobe are stranding and pneumatoceles. Additionally, pleural thickening is present in the left apex. No infiltrates are present in the left lower lobe or in the right lung. Heart size is normal. These findings are similar to the previous outside examination. | Stable left upper lobe collapse associated with parenchymal scarring and pleural thickening. Findings consistent with previous active pulmonary tuberculosis pneumonia. |
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. |
Fractures, Bone/ribs/left/multiple;Calcinosis/lung/hilum/lymph nodes/right;Calcified Granuloma/lung/base/multiple;Spine/degenerative/mild | Fractures, Bone;Calcinosis;Calcified Granuloma;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 several age-indeterminate left-sided rib fractures noted. There is a calcified right hilar lymph node. There basilar calcified granulomas. There minimal degenerative changes of the spine. | Multiple age-indeterminate left-sided rib fractures. |
Technical Quality of Image Unsatisfactory | Technical Quality of Image Unsatisfactory | The lateral images limited secondary to motion artifact. No focal consolidation, large pneumothorax or large pleural effusion. Heart size normal. XXXX unremarkable. | Limited exam, no definite acute intrathoracic finding. |
normal | normal | The lungs are grossly clear without focal pneumonic consolidation, large effusion or pneumothorax. Heart size is within normal limits. | Clear lungs |
normal | normal | The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. | 1. No acute pulmonary abnormality. |
Thoracic Vertebrae/degenerative/mild | Thoracic Vertebrae | The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is mild degenerative changes of the thoracic spine. | 1. No acute cardiopulmonary disease. |
Aorta, Thoracic/tortuous/mild | Aorta, Thoracic | Normal heart size. Mild unfolding of the thoracic aorta. No focal airspace opacity. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance. | No acute cardiopulmonary abnormalities. |
Cardiac Shadow/enlarged;Surgical Instruments;Density/lung/base/left;Cicatrix/lung/base/left;Pulmonary Atelectasis/base/left/chronic;Calcinosis/lung/hilum/right | Cardiac Shadow;Surgical Instruments;Density;Cicatrix;Pulmonary Atelectasis;Calcinosis | Stable enlargement of the cardiac silhouette, stable mediastinal and hilar contours, surgical clips and CABG markers. Stable XXXX densities in the left base compatible with scarring or chronic subsegmental atelectasis. No focal alveolar consolidation, no definite pleural effusion seen. Right hilar calcifications suggest a previous granulomatous process. No typical findings of pulmonary edema. | No acute findings |
normal | normal | The cardiac and mediastinal contours are normal. The lungs are well-inflated and clear. There is no focal consolidation, pneumothorax or effusion. No acute bony abnormalities are seen. No radiopaque foreign bodies are present. | No evidence of acute cardiopulmonary process. Negative examination of the chest. |
normal | normal | The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. No acute bony abnormality is identified. | No acute cardiopulmonary abnormality. |
Airspace Disease/lung/lower lobe/right/patchy;Pulmonary Emphysema/severe;Calcinosis/aorta;Spondylosis;Pneumonia/lower lobe/right | Airspace Disease;Pulmonary Emphysema;Calcinosis;Spondylosis;Pneumonia | Patchy airspace disease is present in the lateral view probably within the right lower lobe. There is severe underlying emphysema. The aorta is calcified. There is spondylosis. | Patchy airspace disease on the lateral view, probably within the right lower lobe, XXXX a pneumonia superimposed on XXXX severe underlying emphysema. Recommend following this process to resolution. |
normal | normal | Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. | No acute cardiopulmonary abnormality. |
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. |
Catheters, Indwelling/left;Scoliosis/thoracic vertebrae;Scoliosis/lumbar vertebrae;Cardiomegaly | Catheters, Indwelling;Scoliosis;Scoliosis;Cardiomegaly | A right internal jugular XXXX this catheter has been exchanged for a large XXXX left internal jugular central venous catheter with the tip at the cavoatrial junction. No pneumothorax, pleural effusion or airspace consolidation. Stable thoracolumbar scoliosis. No acute bone findings. Stable cardiomegaly. | 1. Interval central catheter exchange. No acute cardiopulmonary abnormality. 2. Stable cardiomegaly. . |
normal | normal | Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax. | No acute findings |
Opacity/lung/base/left/streaky;Costophrenic Angle/sulcus/left/blunted;Pleural Effusion/left/small;Pulmonary Atelectasis/base/left | Opacity;Costophrenic Angle;Pleural Effusion;Pulmonary Atelectasis | The heart size and mediastinal contours appear within normal limits. There are streaky left basilar opacities and blunting of the left costophrenic sulcus XXXX secondary to a small effusion. No pneumothorax. No acute bony abnormalities. | Small left pleural effusion with left basilar atelectasis. |
normal | normal | The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures. | 1. No acute intrathoracic abnormality. |
Calcified Granuloma/lung/lower lobe/left;Thoracic Vertebrae/degenerative | Calcified Granuloma;Thoracic Vertebrae | Calcified left lower lobe granuloma. No focal areas of consolidation. No pleural effusions. No pneumothorax. Degenerative changes noted of the thoracic spine. | No acute cardiopulmonary abnormality. |
Opacity/lung/hilum/left/round;Surgical Instruments/thorax;Lung/hilum/left/prominent | Opacity;Surgical Instruments;Lung | There is a 1.5 cm nodular opacity projecting over left hilum. The cardiac silhouette is within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of pleural effusion. There is no evidence of pneumothorax. XXXX opacities XXXX representing surgical clips, in the midline at the level of the thoracic inlet. | 1. Prominence of left hilum which could be due to nodule/lymph node or superimposing blood XXXX. In the absence of prior studies for comparison, XXXX chest for further evaluation. Result notification XXXX Primordial. |
Cardiomegaly/moderate;Opacity/lung/base/bilateral;Opacity/lung/hilum/interstitial;Pulmonary Edema/interstitial/mild | Cardiomegaly;Opacity;Opacity;Pulmonary Edema | Moderate cardiomegaly. Bibasilar and perihilar interstitial opacities. No pneumothorax. No pleural effusions. | Cardiomegaly and mild interstitial pulmonary edema. |
Calcified Granuloma | Calcified Granuloma | Stable calcified granulomas. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. | 1. No acute cardiopulmonary abnormality. |
Lung/hyperdistention/mild;Cicatrix/lung/base/bilateral;Opacity/lung/bilateral/interstitial/prominent/chronic;Emphysema | Lung;Cicatrix;Opacity;Emphysema | Normal cardiomediastinal silhouettes. Mild hyperexpansion of the lungs. Stable appearance of scarring at lung bases. Prominent bilateral interstitial opacities are chronic in XXXX. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality. | Chest radiograph. Stable emphysematous changes without acute cardiopulmonary abnormality. |
Catheters, Indwelling/right;Opacity/lung/base/left;Opacity/lung/lingula;Lung/hypoinflation;Thoracic Vertebrae/degenerative;Pulmonary Atelectasis/base/left;Cicatrix/lung/base/left | Catheters, Indwelling;Opacity;Opacity;Lung;Thoracic Vertebrae;Pulmonary Atelectasis;Cicatrix | Right-sided internal jugular central venous catheter with tip approximating the right atrium. Postsurgical changes of the mediastinum including sternotomy XXXX. Left base opacities again noted, stable. There is a left lung opacity, not well appreciated on prior. There is no evidence of pneumothorax. Low lung volumes. Degenerative changes thoracic spine. | 1. Left midlung opacity, not well seen on prior exam, may represent focus of airspace disease. 2. Stable left base opacities, XXXX scarring or atelectasis. 2. Postsurgical changes as above. . |
normal | normal | Three images submitted. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings. | No acute cardiopulmonary findings. |
Fractures, Bone/ribs/right/healed;Density/bilateral/round/small | Fractures, Bone;Density | Heart size within normal limits, stable mediastinal and hilar contours. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. No pneumothorax. Small rounded bilateral axillary densities not seen on the previous exam most suggestive of artifacts, healed right lateral 10th rib fracture noted.. | No acute cardiopulmonary findings |
normal | normal | Heart size is normal. No focal consolidations. No pneumothorax or pleural effusion. | Negative chest. . |
Granulomatous Disease | Granulomatous Disease | Cardiac and mediastinal contours are within normal limits. Prior granulomatous disease. The lungs are otherwise clear. Bony structures are intact. | Negative chest x-XXXX. |
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. |
Calcinosis/lung/hilum/lymph nodes/left;Granulomatous Disease | Calcinosis;Granulomatous Disease | Calcified left hilar lymph XXXX XXXX from prior granulomatous disease. 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. |
Lung/hypoinflation;Osteophyte/thoracic vertebrae;Kyphosis/thoracic vertebrae;Thoracic Vertebrae/degenerative;Catheters, Indwelling/right;Pulmonary Atelectasis/base | Lung;Osteophyte;Kyphosis;Thoracic Vertebrae;Catheters, Indwelling;Pulmonary Atelectasis | The cardiac contours are normal. The lungs are underinflated, but XXXX given the underinflation, the XXXX appear enlarged, more XXXX than on the exam and XXXX. Osteophytic degeneration kyphotic thoracic spine. Mid and lower thoracic vertebroplasty has been performed. A right-sided chest XXXX is present with its tip in the upper SVC. | 1. No active infiltrate. 2. Marked enlargement of the XXXX bilaterally, increased since the prior XXXX, XXXX adenopathy. 3. Underinflated lungs with basilar atelectasis. |
Lung/hypoinflation | Lung | Normal cardiomediastinal contours, given patient position and technique. No pneumothorax or large pleural effusions. The lung volumes. | Low lung volumes. No acute cardiopulmonary abnormalities. |
normal | normal | Heart size within normal limits. No focal airspace consolidations. No pneumothorax or effusions. | No acute cardiopulmonary findings. |
Calcified Granuloma | Calcified Granuloma | Cardiomediastinal silhouettes are within normal limits. Lungs are clear without focal consolidation, pneumothorax, or pleural effusion. Stable calcified granulomas. Bony thorax is unremarkable. | No acute cardiopulmonary abnormalities. |
Pulmonary Atelectasis/base/left/mild;Cicatrix/lung/base/left/mild;Calcified Granuloma/lung/upper lobe/left/small | Pulmonary Atelectasis;Cicatrix;Calcified Granuloma | The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is minimal XXXX atelectasis or scar in the left lung base. The lungs are otherwise grossly clear. There is a small calcified granuloma in the left upper lobe. There is no pneumothorax or pleural effusion. No acute, displaced rib fractures are demonstrated. | 1. Minimal left basilar atelectasis or scar. 2. No acute, displaced rib fractures demonstrated. . |
Calcinosis/lung/upper lobe/right;Nodule/lung/upper lobe/right;Surgical Instruments/mediastinum/left;Surgical Instruments/neck/right | Calcinosis;Nodule;Surgical Instruments;Surgical Instruments | The lungs appear clear. There are calcified nodules projecting in the right upper lung. Mediastinal contours appear normal. The heart pulmonary XXXX appear normal. Pleural spaces are clear. Surgical clips are identified in the right neck and left mediastinum. | No acute cardiopulmonary disease. |
Opacity/lung/middle lobe/right/reticular;Bronchiectasis/middle lobe/right;Heart/right/obscured | Opacity;Bronchiectasis;Heart | Normal heart size and mediastinal contours. There are reticular opacities in the medial right middle lobe with tubular airway ectasia which obscures the right heart XXXX. This was present previously and is most compatible with bronchiectasis. There is no XXXX focal airspace disease. No pneumothorax or pleural effusion. Unremarkable XXXX. | 1. No acute cardiopulmonary process. 2. Stable right middle lobe bronchiectasis, XXXX postinfectious/postinflammatory. . |
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 findings. . |
Cardiomegaly/mild;Aorta/tortuous;Lung/hypoinflation/mild;Thoracic Vertebrae/degenerative/mild | Cardiomegaly;Aorta;Lung;Thoracic Vertebrae | There is mild cardiomegaly and tortuous aorta. Mildly low lung volumes. No focal consolidation, pleural effusion, or pneumothorax. The XXXX XXXX are intact and without acute osseous abnormality. Mild degenerative changes of the thoracic spine. | Chest radiograph. No acute radiographic cardiopulmonary process. |
Cardiomegaly/mild;Aorta/tortuous;Deformity/ribs/bilateral/chronic;Fractures, Bone/ribs/bilateral/multiple/healed | Cardiomegaly;Aorta;Deformity;Fractures, Bone | Stable cardiomediastinal silhouette with mild cardiomegaly and aortic ectasia and tortuosity. No alveolar consolidation, no findings of pleural effusion. Chronic appearing bilateral rib contour deformities compatible with old fractures. No pneumothorax. | No acute findings. |
Opacity/ribs/left/anterior/round | Opacity | Heart size, aortic and mediastinal contours are within normal limits. The lungs are clear. No visible pneumothorax or large pleural effusion. 6 mm nodular opacity overlies the left anterior 5th rib on the frontal view. No focal bony abnormality identified. | 1. 6 mm left lung nodular opacity. Recommend comparison with prior images. If prior images are not available than further evaluation with CT chest is recommended. Old chest film from XXXX / XXXX from XXXX was reviewed and the questionable nodule was not XXXX seen. |
Cardiomegaly;Markings/bronchovascular;Markings/lung/interstitial;Lung/hypoinflation;Technical Quality of Image Unsatisfactory | Cardiomegaly;Markings;Markings;Lung;Technical Quality of Image Unsatisfactory | XXXX sternotomy XXXX and mediastinal postsurgical changes. Stable cardiomegaly. Crowded bronchovascular and interstitial markings XXXX related to low lung volumes and technique. Grossly stable appearance of the lungs compared to prior exam without overt edema or gross airspace consolidation. | XXXX sternotomy XXXX and mediastinal postsurgical changes. Stable cardiomegaly. Crowded bronchovascular and interstitial markings XXXX related to low lung volumes and technique. Grossly stable appearance of the lungs compared to prior exam without overt edema or gross airspace consolidation. |
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. |