filename,findings 2015_IM-0664-2001.dcm.png,"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." 3591_IM-1770-1001-0002.dcm.png,the heart and mediastinal contours are unchanged. there is a moderate hiatal hernia. the lungs are clear without focal infiltrate. no effusion or pneumothorax. 1242_IM-0164-1001.dcm.png,the heart is normal in size. the mediastinum is stable with tortuous aorta. there are chronic changes particularly noted in the lung apices. the are mildly prominent but stable. no acute infiltrate is seen. there is no pleural effusion. 1051_IM-0039-6001.dcm.png,heart size and mediastinal contour are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusions or pneumothoraces. 388_IM-1968-2001.dcm.png,"cardiomegaly is unchanged. stable superior mediastinal contour with tortuous calcified aorta. normal pulmonary vascularity. no focal air space consolidation, pleural effusion, or pneumothorax. no acute bony abnormality. changes of prior right mastectomy." 1621_IM-0403-1001.dcm.png,"the trachea is midline. negative for pneumothorax, pleural effusion or focal airspace consolidation. the heart size is at the upper limits of normal. calcified granuloma in the right lower lobe is stable in appearance compared to the previous examinations." 2056_IM-0694-1001-0001.dcm.png,the heart size is upper limits of normal. the pulmonary and mediastinum are within normal limits. there is no pleural effusion or pneumothorax. there is no focal air space opacity to suggest a pneumonia. 2950_IM-1348-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 3433_IM-1662-1001.dcm.png,"heart size normal. no pneumothorax, pleural effusion, or focal airspace disease. bony structures intact." 15_IM-0324-1001.dcm.png,cardiomediastinal silhouette and pulmonary vasculature are within normal limits. lungs are clear. no pneumothorax or pleural effusion. evidence of prior granulomatous disease. no acute osseous findings. 575_IM-2173-2001.dcm.png,the heart size and mediastinal silhouette are within normal limits for contour. the lungs are clear. no pneumothorax or pleural effusions. the are intact. stable calcified granuloma in the left lung. 1415_IM-0264-2001.dcm.png,"heart size normal. lungs are clear. are normal. no pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses." 3819_IM-1926-2001.dcm.png,frontal on two cassettes and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. the cardiac silhouette remains markedly enlarged. there is aortic vascular calcification. no focal airspace consolidation or pleural effusion. 2506_IM-1029-1001.dcm.png,cardiomegaly. there is no pulmonary edema. there is no focal consolidation. there are no of pleural effusion. there is no evidence of pneumothorax. 1407_IM-0260-1001.dcm.png,cardiac and mediastinal contours are within normal limits. right lung base granuloma. the lungs are otherwise clear. thoracic spondylosis. 208_IM-0711-1002.dcm.png,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 are grossly normal. there is no visible free intraperitoneal air under the diaphragm. 505_IM-2123-2001.dcm.png,"no focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. heart size and pulmonary vascularity within normal limits, visualized osseous structures appear intact." 3571_IM-1754-3001.dcm.png,heart size and pulmonary vascularity normal. the stomach contour normal. there is right hemidiaphragm elevation. lungs are clear. degenerative changes in the thoracic spine. 134_IM-0219-1001.dcm.png,calcified granulomata are present in the right middle lobe and right upper lobe. these are unchanged since the previous examination. both lungs are free of active infiltrates. heart size normal. 3004_IM-1388-1001.dcm.png,"frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. and scattered calcified granulomas. left greater than right basilar opacity, probable atelectasis andor scarring. no pleural effusion." 1317_IM-0205-1001.dcm.png,lungs are clear. there is minimal atelectasis in the left base. no effusion or pneumothorax. heart and mediastinal contours within normal limits. density foreign body present in the soft tissues overlying the left lateral chest wall. visualized osseous structures intact. 2860_IM-1268-1002.dcm.png,"no acute osseous abnormality. scattered degenerative changes of the thoracic spine. surgical clips overlying the right upper quadrant. anterior cervical fusion . tortuous and ectatic aorta. no focal area of consolidation, pleural effusion, or pneumothorax." 810_IM-2343-2001.dcm.png,"normal heart size, mediastinal and aortic contours. normal pulmonary vascularity. the lungs are clear. no focal consolidation, visible pneumothorax or large pleural effusion. scattered calcified granuloma. degenerative changes the spine." 103_IM-0023-1001.dcm.png,"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 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." 563_IM-2164-2001.dcm.png,"the examination consists of frontal and lateral radiographs of the chest. cardiac silhouette is at top limits of normal. aortic and mediastinal contours are within normal limits. pulmonary vascularity is within normal limits. no focal consolidation, pleural effusion, or pneumothorax identified. partially visualized orif involving the left proximal humerus. deformity of the left distal clavicle compatible with remote . no displaced rib fractures on this chest examination." 1170_IM-0115-3001.dcm.png,"no pneumothorax, pleural effusion, or focal airspace disease. mild cardiomegaly. cardio mediastinal silhouette unremarkable. bony structures appear intact." 1136_IM-0092-2001.dcm.png,lungs are clear. there is no pneumothorax or pleural effusion. the heart and mediastinum are within normal limits. bony structures are intact. 1532_IM-0344-1001.dcm.png,both lungs are clear and expanded. heart and mediastinum normal. 48_IM-2103-2001.dcm.png,"the cardiac and mediastinal contours are within normal limits. the lungs are wellinflated and clear. there is an mm nodule in the left lower lobe, calcified granuloma. there is no pneumothorax or effusion. bony structures of the thorax are intact with minimal early degenerative change." 3306_IM-1581-1002.dcm.png,the heart is borderline size. aorta is atherosclerotic. the mediastinum is stable. the lungs are clear. 3546_IM-1738-4004.dcm.png,unchanged cardiomegaly. there is continued interstitial prominence bilaterally. unchanged vascular appearance. there is patchy retrocardiac opacity. negative for pneumothorax. 3898_IM-1978-3001.dcm.png,"the cardiomediastinal silhouette is normal in size and contour. no focal consolidation, pneumothorax or large pleural effusion. normal ." 2233_IM-0832-2001.dcm.png,"hyperinflated lungs with flattened diaphragm and increased retrosternal airspace. scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation, no definite pleural effusion seen. no typical findings of pulmonary edema." 64_IM-2218-2001.dcm.png,"images. heart size upper limits of normal. mediastinal contours are maintained. the patient is mildly rotated. there is a small to moderate sized right apical pneumothorax which measures approximately . cm. no focal airspace consolidation is seen. left chest is clear. no definite displaced bony injury is seen. results called . p.m. , ." 2695_IM-1166-2001.dcm.png,the cardiac contours are normal. the lungs are hyperinflated with flattened diaphragms. no acute pulmonary findings. thoracic spondylosis. 906_IM-2411-1001.dcm.png,"heart size mildly enlarged, stable mediastinal and hilar contours. no focal alveolar consolidation, no definite pleural effusion seen. no typical findings of pulmonary edema. no pneumothorax." 2277_IM-0864-1001.dcm.png,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 are unremarkable. 2034_IM-0679-2001.dcm.png,normal heart size and mediastinal contours. no focal airspace consolidation. opacities in the right lower lung representing atelectasis versus scarring. significantly decreased subcutaneous soft tissue since comparison radiograph. probable pectus deformity. negative for acute bony abnormality. 2491_IM-1017-2001.dcm.png,the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. 2259_IM-0850-2001.dcm.png,"bilateral glenohumeral degenerative joint disease. scattered degenerative changes of the thoracic spine. stable mild heart enlargement.prominence of soft tissue density in the upper mediastinum. it is increased from most recent prior exam on . however, it appears similar compared to exams performed in . no focal area of consolidation, pleural effusion, or pneumothorax. focal opacity in the left upper lobe represents scarring or related to overlying rib opacity." 2351_IM-0917-3001.dcm.png,"the heart is normal in size and contour. scattered calcifications are noted, compatible with prior granulomatous disease. the lungs are clear, without evidence of infiltrate. there is no pneumothorax or effusion." 2255_IM-0847-3001.dcm.png,"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." 277_IM-1213-2001.dcm.png,"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 of . however, additional foci in the right upper lung are questioned. there is no acute infiltrate or pleural effusion." 977_IM-2465-1001.dcm.png,"the heart is normal in size and contour. the lungs are clear, without evidence of infiltrate. there is no pneumothorax or effusion." 2989_IM-1376-1001.dcm.png,"mediastinal contours are within normal limits. heart size is within normal limits. no focal consolidation, pneumothorax or pleural effusion. cervical fusion . degenerative changes of the spine and the acromioclavicular joints." 702_IM-2267-1001.dcm.png,"the left lung is grossly clear. the right lung demonstrates a large right pleural effusion with associated atelectatic collapse of the right middle lobe and partial collapse of the right lower lobe. opacities are seen within the aerated right lung, subsegmental atelectasis. no focal consolidation or pneumothorax identified. no acute osseous abnormality. cardio mediastinal silhouette is stable compared to prior examinations." 3245_IM-1537-4001.dcm.png,"moderate bilateral interstitial edema, with cardiomegaly and bilateral effusion consistent with moderate cardiac failure. a large calcified right mediastinal adenopathy, chronic fungal. no pneumothorax." 2923_IM-1326-3001.dcm.png,clear lungs. heart and pulmonary appear normal. pleural spaces are clear. mediastinal contours are normal. 2743_IM-1197-1001.dcm.png,"there are no acute osseous abnormalities. degenerative changes throughout the thoracic spine. normal heart size. calcific aorta. normal vascular markings. no focal area of consolidation, pleural effusion, or pneumothorax." 1717_IM-0473-2001.dcm.png,the cardiac contours are normal. prior granulomatous disease. the lungs are clear. thoracic spondylosis. 2594_IM-1085-1001.dcm.png,the heart size is normal. tortuous aorta. otherwise the mediastinal contour is within normal limits. low lung volumes. mild elevation of the right hemidiaphragm. there is streaky opacity within the right lower lobe. there are no nodules or masses. no visible pneumothorax. no visible pleural fluid. the are grossly normal. there is no visible free intraperitoneal air under the diaphragm. 2928_IM-1330-1001.dcm.png,"mediastinum is stable. retrocardiac lucency represents a large hiatal hernia, unchanged from prior. the lungs are clear, without focal infiltrate or pleural effusion. there is no pneumothorax. visualized bony structures reveal no acute abnormalities. stable thoracic deformity." 3189_IM-1505-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are hypoinflated but grossly clear. 2397_IM-0946-1001.dcm.png,"stable normal cardiac size and contour, normal mediastinal silhouette. normal pulmonary . lungs clear, no airspace disease. no pleural effusion or pneumothorax." 2855_IM-1263-1001.dcm.png,"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." 3191_IM-1505-2001.dcm.png,borderline cardiac enlargement. enlarged calcified thoracic aorta. emphysema. no acute pulmonary abnormality. mild spondylosis. 3144_IM-1478-2001.dcm.png,and lateral views of the chest were obtained on . the lung volumes are normal. the lungs are clear and there are no pleural effusions. the mediastinum and pulmonary are normal. the bony elements are not remarkable. 55_IM-2154-1001.dcm.png,"lung lines remain low. however, no focal infiltrates are identified. heart and pulmonary are normal." 1004_IM-0005-1001.dcm.png,"the heart, pulmonary and mediastinum are within normal limits. there is no pleural effusion or pneumothorax. there is no focal air space opacity to suggest a pneumonia. the aorta is tortuous and ectatic. there are degenerative changes of the acromioclavicular joints. there degenerative changes of the spine. there is an ivc identified." 3501_IM-1706-2001.dcm.png,"heart size, mediastinal contour, and pulmonary vascularity are within normal limits. no focal consolidation, pleural effusion, or pneumothorax is identified. no acute osseous abnormality identified." 3545_IM-1737-2002.dcm.png,opacities in the lung bases are slightly worse compared to prior study. lung volumes are low. heart size and pulmonary are normal. there no focal airspace opacities to suggest pneumonia. the patient is status post sternotomy. there calcifications of the thoracic aorta. 1188_IM-0127-1001.dcm.png,both lungs are clear and expanded. heart and mediastinum normal. 1881_IM-0570-2001.dcm.png,"the cardiomediastinal silhouette is normal in size and contour. aortic atherosclerosis. no focal consolidation, pneumothorax or large pleural effusion. negative for acute bone abnormality." 732_IM-2292-1001-0002.dcm.png,"heart size within normal limits. negative for focal pulmonary consolidation, pleural effusion or pneumothorax. there is hyperexpansion of the lungs. mild degenerative changes are present in the spine." 3610_IM-1783-1002.dcm.png,"heart size normal. lungs are clear. are normal. no pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses." 1129_IM-0085-1001.dcm.png,"there is mild cardiomegaly. pulmonary vasculature is normal in caliber. there are mild opacities bilaterally, favoring scar or atelectasis. the lungs are otherwise clear. there is no pneumothorax or pleural effusion. no acute, displaced rib fractures are demonstrated. visualized vertebral body are grossly intact." 3993_IM-2044-1002.dcm.png,the heart is mildly enlarged. left hemidiaphragm is elevated. there is no acute infiltrate or pleural effusion. the mediastinum is unremarkable. 2615_IM-1106-1001.dcm.png,"moderate cardiomegaly. mild bilateral costophrenic blunting and fissural thickening, interstitial opacities greatest in the central lungs and bases with indistinct vascular margination. dense right lower lobe nodule and right hilar calcifications suggest a previous granulomatous process." 2100_IM-0731-2001.dcm.png,"the heart size and mediastinal contours appear within normal limits. atherosclerotic calcification of the aorta. no focal airspace consolidation, pleural effusions or pneumothorax. questionable thinwalled cavitary lesion in the right lower lobe, only seen on the ap view and may represent artifact. no acute bony abnormalities." 1327_IM-0211-1001.dcm.png,"the heart is normal size with normal appearance the cardiomediastinal silhouette. there is no focal air space opacity, pleural effusion, or pneumothorax. the osseous structures are intact with degenerative changes in thoracic spine." 3766_IM-1885-2001.dcm.png,the lungs are clear. there is no pleural effusion or pneumothorax. the heart is not significantly enlarged. there are atherosclerotic changes of the aorta. there are severe arthritic changes of the with mild arthritic changes of the thoracic spine. 1847_IM-0550-2001.dcm.png,"the cardiac and mediastinal silhouettes are unremarkable. the lungs are well expanded and clear. there is no focal air space opacity, pneumothorax, or effusion. there are large calcified mediastinal and right hilar granulomas. the bony structures of the thorax are intact with no evidence of acute abnormality." 190_IM-0583-3001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. there is no obvious lytic or destructive lesion. no displaced rib fracture is evident. 1464_IM-0301-2001.dcm.png,"the heart, pulmonary 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 a calcified granuloma in the left lung base." 623_IM-2205-2002.dcm.png,"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, related to subpleural fat. the appearance is stable from multiple previous studies. the lungs are clear. there is no pleural effusion." 636_IM-2215-2001.dcm.png,heart size is normal. right lung is clear. granulomatous disease in the bilateral. subsegmental atelectasis in the left lower lung. no pneumothorax. no pleural effusion. 1413_IM-0263-4004.dcm.png,heart size is within normal limits for ap technique. low lung volumes with bronchovascular crowding. no focal infiltrate. no visible pneumothorax. no pleural effusion. 3525_IM-1722-1001.dcm.png,"heart size normal. no pneumothorax, pleural effusion, or focal airspace disease. the visualized bony structures appear intact. there is a radiodensity overlying the right shoulder which is external to the patient however clinical correlation recommended. scattered calcified granulomas." 3896_IM-1977-2001.dcm.png,there are low lung volumes. the lungs are clear. no focal airspace consolidation. no pleural effusion or pneumothorax. heart size and mediastinal contour appear within normal limits. 2438_IM-0978-4004.dcm.png,the lungs and pleural spaces show no acute abnormality. heart size and pulmonary vascularity within normal limits. 1622_IM-0404-1001.dcm.png,"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 osseus abnormality.." 3657_IM-1818-1001.dcm.png,the heart size is normal. there is vascular congestion in bilateral hilar areas. the lungs are hyperexpanded with flattened diaphragms. no acute bony abnormalities. no effusion or infiltrate. no pneumothorax or pneumomediastinum. 2568_IM-1070-2001.dcm.png,sternotomy appear intact. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. the pulmonary vasculature is within normal limits. there is no focal lung opacity. clips overlie the right upper quadrant. 1851_IM-0553-2001.dcm.png,heart size is normal. no focal airspace consolidations. no pneumothorax or effusion. no acute osseous findings. 974_IM-2463-2001.dcm.png,"stable cardiomediastinal silhouette. mild congestion without edema. lungs are expanded and clear of airspace disease. negative for pneumothorax or pleural effusion. redemonstrated are endplate depressions of the vertebral bodies, compatible with cell changes." 1953_IM-0621-2001.dcm.png,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 are unremarkable. 3792_IM-1906-1002.dcm.png,"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." 375_IM-1874-1001.dcm.png,"the cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. there is no acute air space infiltrate, pleural effusion or pneumothorax." 8_IM-2333-1001.dcm.png,"the heart, pulmonary 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 interim cervical spinal fusion partly evaluated." 1535_IM-0346-1001.dcm.png,"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." 1473_IM-0306-1001.dcm.png,"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." 2160_IM-0778-2001.dcm.png,"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 osseus abnormality." 1192_IM-0129-1001.dcm.png,"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." 980_IM-2468-1001.dcm.png,"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." 3090_IM-1445-2001.dcm.png,normal cardiac contour. right sided pleural effusion. clear left lung . no pneumothorax. 622_IM-2204-1001.dcm.png,both lungs are clear and expanded. heart and mediastinum normal. 233_IM-0899-2001.dcm.png,"atrial septal occluder artifact. rotated frontal position, overall heart size within normal limits, no typical findings of pulmonary edema. densities in the left base, small focal opacity in the right base with focal posterior right hemidiaphragm elevation and obscured right costophrenic . biapical pleuroparenchymal irregularities most compatible with scarring, chronic appearing right th rib contour deformity. no pneumothorax seen." 119_IM-0128-1001.dcm.png,"frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. no pleural effusion." 2737_IM-1191-4004.dcm.png,the heart is normal in size. the mediastinum is unremarkable. there is slight elevation of left hemidiaphragm with left basilar subsegmental atelectasis. the lungs are otherwise grossly clear. 3251_IM-1541-1001.dcm.png,"right mid lung nodule stable etiology not determined. this is noncalcified, and is stable since a ct examination from and is benign etiology. the lungs are well inflated and without focal consolidation. the cardiomediastinal silhouette appears unremarkable. costophrenic clear. visualized spine vertebrae appear normal in and alignment. overlying leads." 183_IM-0537-1002.dcm.png,heart size within normal limits. there are low lung volumes with bronchovascular crowding. there is mild increased airspace opacity within the right lung base which may represent atelectasis or infiltrate.. no visualized pneumothorax or large pleural effusion. multilevel degenerative disease of the spine. 128_IM-0186-82592001.dcm.png,sequelae of old granulomatous disease. lungs are overall hyperexpanded with flattening of the diaphragms. no focal consolidation. prominent interstitial markings are again noted which are predominantly lower lobe and peripheral suggesting pulmonary fibrosis. this appearance is overall not significantly . no pleural effusions or pneumothoraces. heart and mediastinum are stable with atherosclerotic vascular disease. degenerative changes in the thoracic spine. 1086_IM-0059-1001.dcm.png,"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 is corticated irregularity of the right posterior th rib, secondary to old rib fracture. there are no gross acute bony findings." 585_IM-2181-1001.dcm.png,"there are prominent epicardial fat pads, unchanged from prior. the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. there is atherosclerosis of the aortic . unchanged streaky opacities in the bilateral costophrenic sulci represent chronic scarring or atelectasis." 3466_IM-1683-1001.dcm.png,"the cardiomediastinal silhouette is normal in size and contour. streaky perihilar opacities. peribronchial cuffing also noted. no focal consolidation, pneumothorax or large pleural effusion. normal ." 3869_IM-1962-2001.dcm.png,"there are changes of prior midline sternotomy with surgical clips consistent with cabg, and stable mild cardiomegaly. no focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. visualized osseous structures appear intact." 131_IM-0202-2001.dcm.png,there is a calcified granuloma in the right midlung zone. lungs are otherwise clear. there is no pleural effusion or pneumothorax. the heart and mediastinum are normal. the skeletal structures are normal. surgical clips are present in the right upper quadrant. 2935_IM-1337-2001.dcm.png,"scoliosis and focal eventration of the posterior left hemidiaphragm. no focal alveolar consolidation. rotated position, considering technical factors heart size within normal limits. no definite pleural effusion seen, left bronchovascular crowding without typical findings of pulmonary edema. exaggerated kyphosis with increased ap dimension of the thorax." 2791_IM-1225-3001.dcm.png,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. 184_IM-0544-1001.dcm.png,pa and lateral views were obtained. lungs are clear. there is no pneumothorax or pleural effusion. the heart and mediastinum are within normal limits. bony structures are intact. a mm stable right apical nodule. 2195_IM-0805-2001.dcm.png,"the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. the lungs are mildly hyperinflated, without evidence of focal airspace disease, pneumothorax, or pleural effusion. incidental note is of an azygos fissure. there are no acute bony findings." 2851_IM-1260-0001-0001.dcm.png,"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." 3317_IM-1587-2001.dcm.png,"the heart, pulmonary and mediastinum are within normal limits. there is no pleural effusion or pneumothorax. there is no focal air space opacity to suggest a pneumonia." 3441_IM-1666-1002.dcm.png,"heart size and mediastinal contour within normal limits. no focal airspace consolidation, pneumothorax, or large pleural effusion. no acute osseous abnormality." 2320_IM-0894-2001.dcm.png,"the cardio mediastinal silhouette, pulmonary vascular pattern are within normal limits. no pneumothorax. no pneumonia. no pleural effusion. mild degenerative changes mid thoracic spine." 1760_IM-0497-1001.dcm.png,mild cardiomegaly. small area of platelike atelectasis in left mid lung. no pneumothorax or pleural effusion. soft tissue and bony structures unremarkable. 3445_IM-1668-3001.dcm.png,"no gross consolidation, atelectasis or infiltrate. no pleural fluid collection or pneumothorax. cardiomediastinal silhouette is within normal limits. is intact." 428_IM-2070-1001.dcm.png,"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. visualized bony structures reveal no acute abnormalities." 792_IM-2330-1001.dcm.png,the lungs appear clear. the heart and pulmonary are normal. the pleural spaces are clear. mediastinal contours are normal. 2496_IM-1022-2001.dcm.png,"there is stable marked cardiomegaly and mediastinal contour. pulmonary vascularity is within normal limits. the left chest pacemaker is unchanged from comparison exam with fractured proximal lateral and both tips overlying the right ventricle. no focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. the visualized osseous structures appear intact." 745_IM-2299-1001.dcm.png,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. 3325_IM-1591-1002.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 2192_IM-0802-2002.dcm.png,no focal lung consolidation. no pneumothorax or pleural effusion.heart size and pulmonary vascularity are within normal limits.minimal degenerative changes of the thoracic spine. the previouslydescribed deformity in the midthoracic spine is again seen. there is subcutaneous shunt catheter tubing along the anterior chest wall 416_IM-2059-2001.dcm.png,"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." 1519_IM-0335-1001.dcm.png,"lungs are mildly hypoinflated with asymmetric elevation of the right hemidiaphragm, of uncertain chronicity. there is mild basilar bronchovascular crowding, without evidence of focal airspace disease. heart is within normal limits for low lung volumes and ap technique. there is no pneumothorax or large pleural effusion." 3220_IM-1522-2001.dcm.png,lungs are clear. there is no pneumothorax or pleural effusion. the heart and mediastinum are within normal limits. bony structures are intact. 3757_IM-1881-2001.dcm.png,the lungs and pleural spaces show no acute abnormality. heart size and pulmonary vascularity within normal limits. mild tortuosity of the descending thoracic aorta. sternotomy noted. inferior sternotomy is disrupted. 3156_IM-1486-2001.dcm.png,"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." 3483_IM-1692-2001.dcm.png,heart size and pulmonary vascularity appear within normal limits. lungs are free of focal airspace disease. no pleural effusion or pneumothorax is seen. 141_IM-0260-1001.dcm.png,"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." 1883_IM-0572-1001.dcm.png,"frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. normal mediastinal contour, pulmonary and vasculature, central airways and lung volumes. no pleural effusion. there are right upper quadrant surgical clips, perhaps from cholecystectomy." 2467_IM-0997-2001.dcm.png,"negative for cardiac enlargement. negative for vascular congestion. there are several small circular opacities in the right upper lung, some of which are centrally lucent. negative for bony abnormality." 270_IM-1168-1001.dcm.png,"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." 1953_IM-0621-1001.dcm.png,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 are unremarkable. 2108_IM-0738-1002.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. heart and mediastinum normal. 2425_IM-0967-3001.dcm.png,lung volumes are low. no infiltrates. heart and mediastinum are normal. 260_IM-1090-1001.dcm.png,lungs are clear bilaterally. cardiac and mediastinal silhouettes are normal. pulmonary vasculature is normal. no pneumothorax or pleural effusion. no acute bony abnormality. there is a stable the electronic device any left anterior chest wall. there are advanced degenerative changes in the bilaterally. there is a mm lucency in the right humeral head with geographic a margins. 1860_IM-0558-2001.dcm.png,the cardiac and mediastinal silhouettes are normal. the lungs are wellexpanded and clear. there is no focal airspace opacity. there is no pneumothorax or effusion. there is dextrocurvature of the thoracic spine. there is deformity of the t vertebral body. levocurvature of the lumbar spine with significant degenerative change is also noted. 3147_IM-1480-1001.dcm.png,the lungs are clear. the cardiomediastinal silhouette is within normal limits. no pneumothorax or pleural effusion. 1780_IM-0509-2001.dcm.png,"lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable." 270_IM-1168-2001.dcm.png,"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." 3222_IM-1522-1001.dcm.png,"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." 2195_IM-0805-1001.dcm.png,"the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. the lungs are mildly hyperinflated, without evidence of focal airspace disease, pneumothorax, or pleural effusion. incidental note is of an azygos fissure. there are no acute bony findings." 3607_IM-1781-1001.dcm.png,"heart size and pulmonary vascularity appear within normal limits. the patient is status post cabg. a few opacities are present in the left base, the appearance which scarring or atelectasis. no pneumothorax or pleural effusion is seen. degenerative changes are present in the spine." 1200_IM-0134-1001.dcm.png,the heart is not enlarged. the central pulmonary vasculature is not engorged. visualized osseous structures are unremarkable. no pneumothorax or pleural effusion. small right juxtahilar opacity may represent infiltrate. lungs are otherwise well aerated. 3062_IM-1428-1001.dcm.png,normal heart size and mediastinal contours. no focal airspace consolidation. minimal blunting of the left costophrenic . no pneumothorax. visualized bony structures are unremarkable in appearance. 2205_IM-0814-1001.dcm.png,"heart size is normal. tortuous aorta. irregular . cm opacity in the left upper lung is identified both on pa and lateral views and 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 t, t, t and t." 1308_IM-0201-2001.dcm.png,normal heart size and mediastinal contours. clear lungs. no pneumothorax or pleural effusion. unremarkable . 1417_IM-0266-1002.dcm.png,"cardiac and mediastinal contours are unremarkable. pulmonary vascularity is within normal limits. no focal air space opacities, pleural effusion, or pneumothorax. there are increased lucencies in the bilateral apices along with horizontal oblique scarring in the left upper lobe. this could suggest emphysematous bullae. are grossly unremarkable." 3687_IM-1838-1001.dcm.png,heart size and mediastinal contours are within normal limits given ap projection. the right lung appears clear. there is minimal patchy atelectasis or early infiltrate in left lung base. no visible pleural effusion or pneumothorax. there is a partially visualized ivc on the lateral view. there are partially visualized surgical changes the cervical spine compatible with prior fusion procedure. 2044_IM-0687-2001.dcm.png,low lung volumes with bronchovascular crowding at the bases. no focal opacity. no pneumothorax. no large pleural effusion. cardiac silhouette mediastinal contours within normal limits. 1660_IM-0436-1001.dcm.png,there are low lung volumes. the lungs are otherwise clear. heart size is normal. no pneumothorax. 1597_IM-0388-2001.dcm.png,"heart and mediastinum within normal limits. negative for focal pulmonary consolidation, pleural effusion, or pneumothorax." 82_IM-2350-3001.dcm.png,"no airspace disease, effusion or noncalcified nodule. normal heart size and mediastinum. left axillary surgical clips unchanged visualized of the chest are within normal limits." 2136_IM-0758-2001.dcm.png,mediastinal contours are normal. lungs are clear. there is no pneumothorax or large pleural effusion. 726_IM-2286-1001.dcm.png,"heart size within normal limits. prominent right perihilar density consistent with lymphadenopathy, previously partially demonstrated abdomen and pelvis , . negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. tips noted." 3620_IM-1791-1001-0001.dcm.png,"the cardiac silhouette is near upper limits of normal in size. pulmonary vasculature is normal in caliber. there is minimal 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." 1472_IM-0305-2001.dcm.png,normal cardiac contour. clear hyperexpanded lungs bilaterally with no pneumothorax or pleural effusion. 161_IM-0394-1001.dcm.png,low lung volumes are present. the heart size and pulmonary vascularity appear within normal limits. no pleural effusion or pneumothorax is seen. scattered of left base atelectasis are noted. left a is in with the tip projecting over the caval atrial junction. 621_IM-2203-1001.dcm.png,"the heart, pulmonary 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." 118_IM-0123-1001.dcm.png,the heart is normal in size and contour. there is focal airspace disease in the right middle lobe. there is no pneumothorax or effusion. 2835_IM-1251-2001.dcm.png,heart size is within normal limits. low lung volumes. no focal airspace consolidations. no pneumothorax or pleural effusion. 3734_IM-1866-2001.dcm.png,lungs are clear bilaterally. cardiac and mediastinal silhouettes are normal. pulmonary vasculature is normal. no pneumothorax or pleural effusion. no acute bony abnormality. 3575_IM-1757-2001.dcm.png,"heart size normal. no pneumothorax, pleural effusion, or focal airspace disease. central left midlung granuloma with calcified left hilar adenopathy. bony structures appear intact." 3616_IM-1789-2002.dcm.png,"the heart is normal in size. the mediastinum is stable. the aorta is atherosclerotic. there are emphysematous changes with increased interstitial markings, particularly in the periphery and lung bases. the lungs are clear of focal infiltrates. there is no pleural effusion." 3428_IM-1657-1001.dcm.png,there is a prominent calcified head to the right anterior first rib. the aorta is tortuous. there are tspine osteophytes. the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. 3166_IM-1491-2001.dcm.png,"heart size normal. no pneumothorax, pleural effusion, or focal airspace disease. nodular densities consistent with chronic granulomatous disease. bony structures appear intact." 113_IM-0086-3001.dcm.png,"the heart and mediastinum are unremarkable. there are two subcentimeter hyperdense nodular opacities are noted within the right lung. these may represent on end or alternatively, calcified granulomas. the lungs are clear without infiltrate. there is no effusion or pneumothorax." 147_IM-0303-1001.dcm.png,the lungs are clear. heart and pulmonary appear normal. the pleural spaces are clear and mediastinal contours are normal. nodular density overlying the anterior left th rib represents a healing rib fracture. 353_IM-1726-1001.dcm.png,and lateral chest examination was obtained. there is improvement in bilateral pulmonary edema with mild residual. there is minimal rightsided pleural effusion. heart silhouette is not enlarged. there is calcified mediastinal lymph . there is no pneumothorax 2032_IM-0677-2002.dcm.png,the lungs are clear. no focal air space consolidation. no pleural effusion or pneumothorax. normal cardiomediastinal silhouette. 3307_IM-1582-1004003.dcm.png,"the cardiomediastinal silhouette is normal size and configuration. pulmonary vasculature within normal limits. the lungs are wellaerated. there is no pneumothorax, pleural effusion, or focal consolidation." 2168_IM-0784-2001.dcm.png,"the heart size is within normal limits. negative for focal pulmonary consolidation, pleural effusion, or pneumothorax." 3582_IM-1761-2001.dcm.png,heart size is normal. the lungs are clear. there is no pneumothorax or large pleural effusion. 3970_IM-2031-1001.dcm.png,"lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable." 2376_IM-0936-1001.dcm.png,"the examination consists of frontal and lateral radiographs of the chest. the cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal." 3455_IM-1677-2001.dcm.png,central vascular prominence and diffuse bilateral interstitial and alveolar opacities. left basilar airspace opacities. no pneumothorax. heart size large. unremarkable. no large pleural effusion. 2530_IM-1045-1001.dcm.png,heart size and pulmonary vascularity appear within normal limits. the ascending aorta is prominent and descending thoracic aorta is is tortuous. aorta appears unchanged as compared to the study. lungs are free of focal airspace disease. no pleural effusion or pneumothorax is seen. no discrete nodules are identified. there is an oblong density projecting over the anterior left th rib. appearance suggests an old rib fracture. 1524_IM-0339-2001.dcm.png,"heart size is normal. the aorta is tortuous, and cannot exclude ascending aortic aneurysm. the pulmonary vascularity is normal. there residual to prior granulomatous infection. lungs are otherwise clear. degenerative change of the spine." 3832_IM-1935-1002001.dcm.png,the lungs are clear. there is no pleural effusion or pneumothorax. the heart is not enlarged. there are calcified mediastinal lymph . the skeletal structures are normal. 1514_IM-0333-1001.dcm.png,"cardiomediastinal silhouette is within normal limits of size and appearance. the pulmonary vascularity is unremarkable. there are opacities in the left , subsegmental atelectasis or scar. otherwise, the lungs are expanded and clear of airspace disease. negative for pneumothorax or pleural effusion. limited bone evaluation reveals no acute abnormality." 3887_IM-1972-2001.dcm.png,"the lungs are clear bilaterally. specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. cardio mediastinal suggests possible right versus dextrocardia. visualized osseous structures of the thorax are without acute abnormality." 3531_IM-1726-1002.dcm.png,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. 3952_IM-2020-2001.dcm.png,"unchanged elevation of the right hemidiaphragm. the trachea is midline. negative for pneumothorax, pleural effusion or focal airspace consolidation. the heart size is mildly enlarged. mild degenerative changes throughout the thoracic spine anterior osteophytes noted inferiorly. pulmonary artery prominence." 1378_IM-0242-1001.dcm.png,heart size is normal. cardiomediastinal silhouette is normal in contour. the lungs are clear bilaterally without pleural effusion or pneumothorax. no pulmonary nodules. bony structures are intact. 877_IM-2392-2001.dcm.png,"sternotomy appear intact. surgical clips overlying the mediastinum. mitral valve replacement seen. low lung volumes. the interstitial markings appear prominent, which may represent interstitial edema. there is mild blunting of the posterior sulcus on the lateral view, which could represent a small effusion. no pneumothorax. no acute bony abnormality." 2360_IM-0925-2001.dcm.png,the lungs are clear. the cardiomediastinal silhouette is within normal limits. no pleural effusion is identified. 1459_IM-0297-2001.dcm.png,"no stable cardiomegaly, without focal consolidation, pneumothorax, or pleural effusion. stable right basilar calcified granuloma. no acute osseous abnormality identified." 173_IM-0481-2001.dcm.png,"low lung volumes. cardiomediastinal silhouette and pulmonary vasculature are within normal limits. lungs are clear. no pneumothorax or pleural effusion. calcified bilateral hilar lymph , greater on the left. no acute osseous findings." 1377_IM-0242-2001.dcm.png,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 are grossly normal. there is no visible free intraperitoneal air under the diaphragm. 3106_IM-1456-1001.dcm.png,cardiac and mediastinal contours are within normal limits. the lungs are clear. bony structures are intact. 3456_IM-1678-2001.dcm.png,"the cardiomediastinal silhouette is normal in size and contour. low lung volumes without focal consolidation, pneumothorax or large pleural effusion. negative for acute bone abnormality." 2708_IM-1174-1001.dcm.png,"the cardiac and mediastinal contours are within normal limits. there are calcified mediastinal lymph , with a calcified right lower lobe pulmonary nodule. the lungs are wellinflated and clear. there is no focal consolidation, pneumothorax, or effusion. there are degenerative changes of the first costochondral joints bilaterally. no acute bony abnormalities are seen." 1046_IM-0036-1001.dcm.png,"heart and mediastinum within normal limits. negative for focal pulmonary consolidation, pleural effusion, or pneumothorax." 305_IM-1420-2001.dcm.png,heart size is mildly enlarged. the pulmonary and mediastinum are within normal limits. there is no pleural effusion or pneumothorax. there is no focal air space opacity to suggest a pneumonia. 62_IM-2202-1001.dcm.png,status post sternotomy and cabg. heart size is normal. coronary vascular stent. the lungs are clear. there are no focal air space consolidations. no pleural effusions or pneumothoraces. the hilar and mediastinal contours are stable. calcified mediastinal lymph . normal pulmonary vascularity. degenerative changes of the spine. 644_IM-2223-2001.dcm.png,the cardiac contours are normal. the lungs are clear. thoracic spondylosis. 1777_IM-0509-1002.dcm.png,"the patient is rotated to left. the cardiomediastinal silhouette is normal in size. lucency along the left ventricular related to interface between the heart and aerated lung. patchy right perihilarupper lobe opacities, which abut the fissure on lateral projection. no pneumothorax or large pleural effusion. exaggerated thoracic kyphosis. no definite acute bone abnormality." 1197_IM-0131-1002.dcm.png,"and lateral chest examination was obtained. the heart silhouette is normal in size and contour. aortic appear unremarkable. lungs demonstrate no acute findings. there is no effusion or pneumothorax. bilateral prominent lung vascularity medially, unchanged." 897_IM-2406-2001.dcm.png,there are patchy alveolar and interstitial opacities within the lung bases bilaterally representing an infectious etiology versus chronic lung disease. there is no evidence of pneumothorax or large pleural effusion. the cardiac silhouette is enlarged. there are atherosclerotic calcifications of the aortic . there are degenerative changes throughout the thoracic spine. 1235_IM-0158-1001.dcm.png,lung volumes are . opacities are present in the angulate. no focal infiltrates. heart size normal. 247_IM-1000-1001.dcm.png,the cardiomediastinal silhouette is normal in size and contour. lungs are clear without focal areas of consolidation. no pneumothorax or large pleural effusion. no acute bone abnormality. 2956_IM-1353-2001.dcm.png,heart size and mediastinal contour are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusions or pneumothoraces. 474_IM-2101-2001.dcm.png,the lungs are clear. there is no pleural effusion or pneumothorax. the heart and mediastinum are normal. the skeletal structures are normal. 3935_IM-2006-1001.dcm.png,left picc line remains in . the tip projects over the upper svc. it has moved outward since the previous study. the heart size and pulmonary vascularity appear within normal limits. previously present left base airspace disease has cleared. there is blunting of the right costophrenic which may represent small amount of pleural effusion or pleural reaction. some scattered bandlike opacities are present which appear to represent scars. degenerative changes are present in the right shoulder. 2818_IM-1242-2001.dcm.png,"there is stable cavity in the right apex, related to prior tuberculosis infection. there is increased opacity in the left upper lobe, peripherally. there is pulmonary hyperexpansion. there is no large effusion or pneumothorax." 3951_IM-2019-2001.dcm.png,the cardiomediastinal silhouette is normal in size and contour. masslike opacification of right apex. no pneumothorax or large pleural effusion. are grossly normal. 3136_IM-1475-2001.dcm.png,"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." 2197_IM-0807-2001.dcm.png,heart size is normal. there are opacities which appear to above the right fissure. there is mild thickening in the fissure. no pneumothorax. no large pleural effusions. 746_IM-2300-2001.dcm.png,there is stable scarring or atelectasis in the left midlung. the lungs are otherwise grossly clear. the heart size is near the upper limits of normal. mediastinal silhouette is normal. there is no pneumothorax or pleural effusion. tspine osteophytes are noted. 2662_IM-1143-2002.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 729_IM-2288-1001.dcm.png,"no focal consolidation, pneumothorax, or pleural effusion identified. however, there is a . cm nodular opacity within the right hilum, which may represent partially calcified granuloma or lymphadenopathy. scattered calcified granulomas also seen. heart size is upper limit normal. no acute bony abnormality." 782_IM-2324-1001.dcm.png,frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. no focal airspace consolidation or pleural effusion. 639_IM-2218-1001.dcm.png,heart size and pulmonary vascularity appear within normal limits. lungs are free of focal airspace disease. no pleural effusion or pneumothorax is seen. 551_IM-2154-2001.dcm.png,"lungs are hyperinflated with flattening of the diaphragms and increased ap chest diameter, compatible with emphysema. there is no evidence of focal infiltrate, pneumothorax, pleural effusion, or identified mass lesion. there is normal cardiomediastinal contours." 3639_IM-1804-1001.dcm.png,the cardiac and mediastinal silhouette is normal there is no evidence of pneumomediastinum or pneumothorax. clear lungs there are no large pleural effusions no evidence of displaced fractures. 3647_IM-1809-2001.dcm.png,lungs are clear. heart is normal size. trachea is midline. no pneumothorax. no large pleural effusion. 744_IM-2299-2001.dcm.png,"the heart size and pulmonary vascularity appear within normal limits. left a is in . no pleural effusion or pneumothorax is seen. right upper lobe area of dense opacity is seen in the medial right apex. on a previous outside scan , the right upper lobe was consolidated. comparison to the from that exam shows this opacity to have decreased. no films were available, however, for direct comparison." 3874_IM-1966-2001.dcm.png,"the heart and mediastinum are unremarkable. there is mild calcification of the aortic , consistent with atherosclerosis. the lung volumes are low, with bronchovascular crowding. the lungs are clear without infiltrate. there is no effusion or pneumothorax. moderate degenerative changes of the spine." 3234_IM-1531-2001.dcm.png,the lungs are clear. the cardiomediastinal silhouette is within normal limits. no pneumothorax or pleural effusion. 2312_IM-0887-2001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 153_IM-0343-2001.dcm.png,"there is a right ij central venous catheter with tip overlying the inferior svc. cardiac silhouette is normal size. normal mediastinal contour and pulmonary vasculature. there is a small right pleural effusion. otherwise, lungs are without focal airspace disease." 168_IM-0448-1001.dcm.png,"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 leftsided rib fractures without acute abnormality." 1702_IM-0463-1001.dcm.png,"no acute osseous abnormality. soft tissues are within normal limits. borderline enlargement of the heart. normal hilar vasculature. no focal area of consolidation, pleural effusion, or pneumothorax." 3709_IM-1852-4001.dcm.png,"the mediastinal silhouette is widened with overlying sternotomy . the heart size is normal. the lungs are clear without evidence of effusion, infiltrate or pneumothorax. visualized bony structures are intact with no acute abnormalities." 2967_IM-1360-1001.dcm.png,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. 1770_IM-0504-1001.dcm.png,no pneumothorax or pleural effusion. normal cardiac contours. clear lungs bilaterally. redemonstration of transmetatarsal amputation. no evidence of acute fracturedislocations. no evidence of any bony erosions or osseous infections. 3318_IM-1587-1001.dcm.png,cardiac and mediastinal contours are within normal limits. prior granulomatous disease. the lungs are otherwise clear. bony structures are intact. 1292_IM-0191-2001.dcm.png,"borderline enlarged heart. torturousectatic thoracic aorta. no focal pulmonary opacity, pleural effusion or pneumothorax. there are degenerative changes of the spine. there is fracture of distal right clavicle, better seen on the right shoulder radiographs dated . small round lucency in the distal left clavicle, appears benign. degenerative changes of both joints." 671_IM-2245-1001.dcm.png,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 appear unremarkable. there is no effusion or pneumothorax. 1309_IM-0201-1001-0002.dcm.png,"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." 3772_IM-1891-2001.dcm.png,the heart size and pulmonary vascularity appear within normal limits. the lungs are free of focal airspace disease. no pleural effusion or pneumothorax is seen. calcified granuloma are present. degenerative changes are present in the spine. 3373_IM-1623-1001.dcm.png,"the heart is normal size. the mediastinum is unremarkable. there is no pleural effusion, pneumothorax, or focal airspace disease. the are unremarkable." 63_IM-2210-0001-0001.dcm.png,"stable flattening of the posterior diaphragm and scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation. stable cardiomediastinal silhouette with normal heart size and aortic ectasiatortuosity, stable mediastinal contours. no definite pleural effusion seen, no typical findings of pulmonary edema. following spine ossifications and marginal osteophytes again noted." 491_IM-2111-1001.dcm.png,"cardiomediastinal silhouette is stable and within normal limits. there is improved lung volumes bilaterally with persistent bibasilar atelectatic opacities, without focal consolidation, pneumothorax, or effusion. no acute bony abnormality identified." 3233_IM-1530-1001.dcm.png,"the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. the lungs are mildly hyperinflated with flattening of the hemidiaphragms. coarsened interstitial testes appear chronic and compatible with emphysema. there is minimal scarring or atelectasis in the left lung base. the lungs are otherwise clear of focal infiltrate, pneumothorax, or pleural effusion. there are no acute bony findings." 1918_IM-0597-3001.dcm.png,"there is a . 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 of pleural effusion. there is no evidence of pneumothorax. opacities representing surgical clips, in the midline at the level of the thoracic inlet." 9_IM-2407-1001.dcm.png,"the examination consists of frontal and lateral radiographs of the chest. the cardiac silhouette is not enlarged. there has been apparent interval increase in low density convexity at the left cardiophrenic . calcified granuloma is again seen in the right upper lobe. there is no consolidation, pleural effusion or pneumothorax." 556_IM-2156-1001-0002.dcm.png,the lungs are clear. the heart and pulmonary are normal. the pleural spaces are clear. mediastinal contours are normal. 2403_IM-0951-1001.dcm.png,the heart size and mediastinal silhouette are within normal limits for contour. the lungs are clear. no pneumothorax or pleural effusions. the are intact. stable left basilar atelectasis versus scarring. 1423_IM-0270-1001.dcm.png,heart size upper limits normal. vascularity normal.calcified breast implants obscure some detail. lungs are clear. vascular calcifications aorta. no pleural effusions or pneumothoraces. 3393_IM-1637-2001.dcm.png,"lateral view, over the lingula, there is a mm diameter uncalcified nodule of uncertain origin. the trachea is midline. negative for pneumothorax, pleural effusion or focal airspace consolidation. the heart size is normal. mild tortuosity aorta is redemonstrated." 158_IM-0377-1001.dcm.png,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 are intact. 2262_IM-0852-2001.dcm.png,right basal airspace opacity. the heart size and mediastinal silhouette are within normal limits for contour. no pneumothorax or pleural effusions. the are intact. 2027_IM-0672-0001-0001.dcm.png,heart size and pulmonary vascularity appear within normal limits. lungs are free of focal airspace disease. no pleural effusion or pneumothorax is seen. in the left midlung zone there is identified a . cm nodule. this appears somewhat dense and may contain calcium although this cannot be stated with certainty. 2097_IM-0727-1001-0001.dcm.png,the trachea is midline. cardiomediastinal silhouette is normal. the lungs are clear without evidence of acute infiltrate or effusion. there is no pneumothorax. the visualized bony structures reveal no abnormalities. 988_IM-2474-1001.dcm.png,lungs are clear. no focal infiltrate. no pleural effusion or pneumothorax. normal cardiomediastinal silhouette. 3513_IM-1715-1001.dcm.png,"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." 280_IM-1232-1001.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. heart and mediastinum normal. 459_IM-2090-2001.dcm.png,"the cardiac and mediastinal contours are normal. the lungs are wellinflated and clear. there is no focal consolidation, pneumothorax or effusion. no acute bony abnormalities are seen. no radiopaque foreign bodies are present." 827_IM-2356-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. scarring and emphysematous changes noted. the lungs are grossly clear. 2112_IM-0742-1002.dcm.png,"there is . cm interruption of the tunneled left central venous catheter, at the level of the overlap of the clavicle and first rib. catheter tip may be within the proximal svc or azygos vein. normal heart size. left perihilar and midlung densities. no pneumothorax or large pleural effusion." 1551_IM-0359-2001.dcm.png,"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." 3466_IM-1683-2001.dcm.png,"the cardiomediastinal silhouette is normal in size and contour. streaky perihilar opacities. peribronchial cuffing also noted. no focal consolidation, pneumothorax or large pleural effusion. normal ." 3439_IM-1664-1001.dcm.png,normal heart size. clear lungs. no pneumothorax or pleural effusion. 3882_IM-1970-2001.dcm.png,eventration of the left diaphragm is noted. question left basilar atelectasis versus infiltrate. no evidence of pneumothorax. generalized lung volumes. no definite pleural effusions. heart size within normal limits. osseous structures intact. 3186_IM-1503-1001.dcm.png,the lungs are hypoventilated. there is no focal consolidation. cardiomediastinal silhouette is normal in size and contour. there is no pneumothorax or large pleural effusion. 1592_IM-0385-1001.dcm.png,stable cardiomediastinal silhouette with borderline cardiomegaly. no pneumothorax or large pleural effusion. no focal airspace disease. diffuse interstitial opacities. bony structures appear intact. nodular densities consistent with chronic granulomatous disease. 2596_IM-1086-1001.dcm.png,"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." 1323_IM-0209-1001.dcm.png,the heart size and mediastinal silhouette are within normal limits for contour. the lungs are clear. no pneumothorax or pleural effusions. the are intact. 2799_IM-1231-2001.dcm.png,lungs are clear bilaterally. cardiac and mediastinal silhouettes are normal. pulmonary vasculature is normal. no pneumothorax or pleural effusion. no acute bony abnormality. 3907_IM-1985-1001.dcm.png,"there is stable, mild enlargement of the cardiac silhouette. stable mediastinal silhouette. there are low lung volumes with bronchovascular crowding. scattered opacities in the right lung base representing foci of subsegmental atelectasis with scattered airspace opacities in the medial left lower lobe. no pneumothorax. no pleural effusion. degenerative changes of the thoracic spine possibly consistent with dish." 1634_IM-0414-3003.dcm.png,calcified granulomas. calcified hilar . no focal areas of consolidation. heart size within normal limits. no pleural effusions. no evidence of pneumothorax. question large pulmonary arteries. lung are hyperexpanded. prominent substernal air space. aortic calcifications. degenerative changes thoracic spine. 2968_IM-1360-2001.dcm.png,right paratracheal stripe is denser and than normal. the are normal. heart size normal. lungs clear and expanded with no infiltrates. 3505_IM-1707-2001.dcm.png,heart size is normal and the lungs are clear. 3665_IM-1823-2001.dcm.png,"heart size within normal limits. negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. no upper lobe airspace disease or cavitary lesions identified." 2659_IM-1140-1001.dcm.png,no focal lung consolidation. no pneumothorax or large pleural effusion. heart size and pulmonary vascularity are within normal limits. osseous structures are grossly intact. 208_IM-0711-1001.dcm.png,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 are grossly normal. there is no visible free intraperitoneal air under the diaphragm. 1857_IM-0556-4004.dcm.png,mild cardiomegaly. normal size and mediastinal contours. clear lungs. no pneumothorax or pleural effusion. unremarkable . 1088_IM-0061-2001.dcm.png,"heart is within normal limits. negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. mild streaky opacity lateral right lung, atelectasis versus scarring." 34_IM-1644-2001.dcm.png,"the heart is normal in size and contour. the lungs are clear, without evidence of infiltrate. there is no pneumothorax or effusion." 1134_IM-0091-2001.dcm.png,there is a left chest with tip in the mid svc. the heart size and mediastinal silhouette are within normal limits for contour. the lungs are clear. no pneumothorax or pleural effusions. the are intact. 578_IM-2176-1001.dcm.png,"normal cardiomediastinal silhouette and hilar contours. the lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax. findings compatible with prior granulomatous disease. the visualized are intact without acute osseous abnormality." 54_IM-2145-1001.dcm.png,"the lungs are clear bilaterally. specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. minimal right basilar subsegmental atelectasis noted. cardio mediastinal silhouette is unremarkable. tortuosity of the thoracic aorta noted. scattered calcified granulomas are seen without evidence of active granulomatoustuberculous process. visualized osseous structures of the thorax are without acute abnormality." 3283_IM-1564-1001.dcm.png,lungs are clear. no pleural effusions or pneumothoraces. heart and mediastinum of normal size and contour. 2021_IM-0668-2001.dcm.png,"stable borderline cardiomegaly, stable mediastinal and hilar contours. no alveolar consolidation, no findings of pleural effusion or pulmonary edema. no pneumothorax." 2887_IM-1289-1001.dcm.png,the cardiomediastinal silhouette is normal in size and contour. there are a few opacities in the lung bases bilaterally. no definitive pneumothorax or pleural effusion. displaced fracture of the mid onethird of the right clavicle. 507_IM-2125-2001.dcm.png,"no airspace disease, effusion or noncalcified nodule. normal heart size and mediastinum. visualized of the chest are within normal limits." 3315_IM-1586-1001.dcm.png,the lungs are clear. there is no pleural effusion or pneumothorax. the heart and mediastinum are normal. the skeletal structures are normal. 3366_IM-1618-1002.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. heart and mediastinum normal. 2739_IM-1193-1001.dcm.png,heart size within normal limits. no focal airspace disease. no pneumothorax or effusions. 3206_IM-1513-1001.dcm.png,heart size is normal. no large effusions. no focal airspace opacities. no pneumothorax. 3056_IM-1423-2001.dcm.png,there is a moderate layering right pleural effusion with air fluid level noted. airspace opacity at the superior segment of the right lower lobe. no visualized pneumothorax. the right lateral heart is obscured. the left lung is clear without focal consolidation. no visualized pneumothorax. no acute bone abnormality. 1488_IM-0315-3003.dcm.png,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. 3705_IM-1851-1001-0001.dcm.png,the lungs are clear. there is no pleural effusion or pneumothorax. there has been a sternotomy. the heart is not significantly enlarged. there are atherosclerotic changes of the aorta. arthritic changes of the skeletal structures are noted. 884_IM-2398-1002.dcm.png,"the lungs are clear bilaterally. specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. right basilar calcified granuloma noted. cardio mediastinal silhouette is unremarkable. visualized osseous structures of the thorax are without acute abnormality." 3359_IM-1612-3001.dcm.png,heart size normal. no focal airspace disease. no pneumothorax or effusions. 1233_IM-0157-1001.dcm.png,"enlarged cardiomediastinal silhouette. low lung volumes. relative elevation of right hemidiaphragm. left base density. no focal consolidation, pneumothorax or large pleural effusion. negative for acute bone abnormality." 1640_IM-0420-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. small nodule in the right upper lung is stable. the lungs are otherwise clear. 913_IM-2417-2001.dcm.png,"heart size normal. stable cardiomediastinal silhouette. no pneumothorax, pleural effusion, or focal airspace disease. bony structures are in alignment without fracture." 1897_IM-0581-1001.dcm.png,the heart is normal in size. the mediastinum is within normal limits. pectus deformity is noted. left ij duallumen catheter is visualized without pneumothorax. the lungs are clear. 331_IM-1584-2001.dcm.png,the heart size and mediastinal silhouette are within normal limits for contour. the lungs are clear. no pneumothorax or pleural effusions. the are intact. 3996_IM-2047-1001.dcm.png,the lungs are clear. heart size is normal. no pneumothorax. there are endplate changes in the spine. 234_IM-0906-0001-0002.dcm.png,"the trachea is midline. the cardiomediastinal silhouette is normal. the lungs are clear, without focal consolidation or effusion. there is no pneumothorax. the visualized bony structures reveal no acute abnormalities. lateral view reveals mild degenerative changes of the thoracic spine. no layering pleural effusion or pneumothorax seen on decubitus exam." 257_IM-1072-1001.dcm.png,midline sternotomy identified. heart size and cardiomediastinal silhouette are grossly normal. airspace opacity in posterior segment on the lateral view. osseous structures are grossly intact. 3235_IM-1532-2001.dcm.png,heart size is normal. the lungs are clear. no pneumothorax or pleural effusion. 3339_IM-1599-2001.dcm.png,there are no focal areas of consolidation. no suspicious pulmonary opacities. heart size within normal limits. no pleural effusions. there is no evidence of pneumothorax. osseous structures are intact. 627_IM-2207-3001.dcm.png,stable cardiomegaly. thoracic aortic atherosclerotic calcifications are noted. there is a prominence of the pulmonary vasculature. no consolidating airspace disease is seen. no pleural effusion or pneumothorax. 19_IM-0583-3003.dcm.png,"heart size is normal. there is tortuosity of the thoracic aorta, stable compared with prior. no focal airspace disease or effusion. no pleural effusions or pneumothoraces. degenerative changes in the thoracic spine." 1914_IM-0595-1001.dcm.png,stable heart size. diffuse bilateral interstitial opacities. no pneumothorax. no effusions. no acute bony abnormalities. 2304_IM-0882-1001.dcm.png,cardiomediastinal silhouette and pulmonary vasculature are within normal limits. lungs are clear. no pneumothorax or pleural effusion. no acute osseous findings. 2762_IM-1208-1001.dcm.png,"cardiac and mediastinal contours are unremarkable. pulmonary vascularity is within normal limits. no focal air space opacities, pleural effusion, or pneumothorax. are grossly unremarkable. there is evidence of granulomatous disease." 1987_IM-0644-1001.dcm.png,"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." 1935_IM-0605-0001-0001.dcm.png,the heart is borderline in size. the aorta is mildly tortuous. right ij catheter is in with tip in proximal right atriumcavoatrial junction. there is no pneumothorax. lungs are grossly clear. there is no large effusion. 2579_IM-1078-2001.dcm.png,"the lungs are clear without focal consolidation, effusion, or pneumothorax. normal heart size. bony thorax unremarkable." 2693_IM-1165-1001.dcm.png,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. 1034_IM-0028-1001.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. right middle lobe calcified granuloma is unchanged. heart and mediastinum unchanged. no change hiatus hernia. 542_IM-2148-1002.dcm.png,trachea is midline. the cardiomediastinal silhouette is normal. the lungs are clear without evidence of acute infiltrate or effusion. there is no pneumothorax. the visualized bony structures reveal no acute abnormality. 1470_IM-0303-2001.dcm.png,mediastinal contours are normal. lungs are clear. there is no pneumothorax or large pleural effusion. 3658_IM-1819-1001.dcm.png,"the cardiomediastinal silhouette is normal in size and contour. no focal consolidation, pneumothorax or large pleural effusion. biapical fibronodular pleural thickeningscarring. there is a like deformity of the anterior cortex of the body lateral view. negative for retrosternal density. prior cholecystectomy. critical result notification documented through primordial." 1538_IM-0348-2001.dcm.png,normal heart size is prominent left ventricular contour. unfolding of the thoracic aorta. no focal airspace consolidation. no pleural effusion or pneumothorax. visualized osseous structures are unremarkable appearance. 660_IM-2237-0001-0001.dcm.png,"no focal consolidation, suspicious pulmonary opacity or definite pleural effusion. heart size and pulmonary vascularity within normal limits. stable mediastinal contour. calcified hilar lymph . visualized osseous structures unremarkable." 2966_IM-1359-1001.dcm.png,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. scoliosis and degenerative changes are present in the spine. 713_IM-2275-2001.dcm.png,"central venous catheter tip in the right atrium. heart size and shape are normal. trachea and bronchi appear normal. the lungs are reasonably well expanded. there and patchy nodular densities in both lower lung more marked on the right than the left. there is scattered areas of bronchial wall thickening, wellseen in the left upper lobe. there is loss of definition of part of the left heart . no effusions no pneumothorax." 1102_IM-0069-3001.dcm.png,"there is stable cardiomegaly with pulmonary vascular congestion and probable mild interstitial edema. there are bilateral pleural effusions with bibasilar airspace disease, right greater than left. there is no pneumothorax. there are no acute bony findings." 513_IM-2128-1001.dcm.png,"there is prominence of the right heart , consistent with right atrial enlargement. a density is demonstrated on the frontal view with exaggerated posterior projection of the cardiac silhouette, suggesting left atrial enlargement. the cardiac silhouette is overall enlarged. the mediastinal contours are otherwise within normal limits for appearance. no focal areas of pulmonary consolidation. no pneumothorax. no pleural effusion. mild pulmonary hyperexpansion. mild left apical pleural thickening. moderate degenerative changes of the thoracic spine. ." 1015_IM-0001-1001.dcm.png,"streaky and patchy bibasilar opacities, triangular density projected over the heart on the lateral view. no definite pleural effusion seen, no typical findings of pulmonary edema. considering differences in technical factors stable cardiomediastinal silhouette with normal heart size." 2066_IM-0701-2001.dcm.png,"there is mild cardiomegaly. the aorta is tortuous. there is opacities noted in the right lower lobe, subsegmental atelectasis. there is no pneumothorax or effusion. no displaced rib fractures. if there is high clinical concern, consider dedicated rib views for further evaluation." 30_IM-1385-1001.dcm.png,"lungs are clear without focal consolidation, effusion, or pneumothorax. normal heart size. negative for pneumoperitoneum. bony thorax and soft tissue grossly unremarkable" 946_IM-2441-1001.dcm.png,heart size is normal. the lungs are clear. there are no focal air space consolidations. no pleural effusions or pneumothoraces. the hilar and mediastinal contours are normal. normal pulmonary vascularity. 139_IM-0248-3003.dcm.png,"the cardiac silhouette is mildly enlarged. a lobulated opacity is identified superior to the heart, in the anterior mediastinum on the lateral view, possibly consistent with a tortuousectatic thoracic aorta versus an anterior mediastinal mass. the thoracic aorta is tortuous and calcified. no focal areas of pulmonary consolidation. the lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. no pneumothorax or pleural effusion. severe degenerative changes of the thoracic spine." 1087_IM-0060-1004003.dcm.png,there is a calcified granuloma in the left upper lobe. lungs otherwise are believed to be clear. the heart is normal. there are calcified left hilar and mediastinal lymph . the skeletal structures show some senescent changes. 3069_IM-1432-2001.dcm.png,right upper lobe airspace disease consistent with pneumonia given patients history. the lungs are otherwise clear. no pleural effusions or pneumothoraces. heart and mediastinum of normal size and contour. 757_IM-2308-1001.dcm.png,heart size is normal. the lungs are clear. there are no focal air space consolidations. no pleural effusions or pneumothoraces. the hilar and mediastinal contours are unchanged. normal pulmonary vascularity. stable postsurgical changes of the lower cervical spine. 2623_IM-1111-2001.dcm.png,"lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. cardiomediastinal silhouette is within normal limits. no acute bony or soft tissue abnormality." 3261_IM-1547-2001.dcm.png,"heart size normal. lungs are clear. are normal. no pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses." 3361_IM-1614-1001.dcm.png,"cardiomediastinal silhouettes are within normal limits. lungs are clear without focal consolidation, pneumothorax, or pleural effusion. bony thorax is unremarkable." 3941_IM-2012-0001-0001.dcm.png,cardiomegaly. no focal consolidation. no pleural effusions. no evidence of pneumothorax. osseous structures intact. levocurvature of the thoracic spine. lumbar vertebral body stabilization . 1542_IM-0352-1001.dcm.png,the heart is top normal in size. the mediastinum is stable. the aorta is atherosclerotic. opacities are noted in the lung bases compatible with scarring or atelectasis. there is no acute infiltrate or pleural effusion. 3774_IM-1892-1001.dcm.png,heart size is within normal limits. tortuous aorta. clear lungs. no pneumothorax. no pleural effusion. atherosclerotic calcification within the aorta. right lower lung granuloma. 489_IM-2110-2001.dcm.png,"cardiomediastinal silhouette is a within normal limits. no focal consolidation, pneumothorax, or pleural effusion. multiple granulomas. no acute bony abnormalities." 1563_IM-0368-1001.dcm.png,heart size within normal limits. no focal airspace opacities. no pneumothorax. no effusions. mild degenerative changes of the thoracic spine. no deformities. emphysematous changes. 3797_IM-1910-0001-0001.dcm.png,and lateral chest examination was obtained. the heart silhouette and mediastinal contours are not enlarged. lungs demonstrate left lower lobe air space opacity with atelectasis without significant change. there is no effusion or pneumothorax. 2358_IM-0922-0001-0002.dcm.png,"the heart is normal in size. the pulmonary vascularity is within normal limits in appearance. no focal air space opacities, pleural effusion or pneumothorax. no acute bony abnormalities." 3982_IM-2039-1001.dcm.png,"normal heart size. no focal airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. no focal bony abnormality." 2097_IM-0727-2001-0001.dcm.png,the trachea is midline. cardiomediastinal silhouette is normal. the lungs are clear without evidence of acute infiltrate or effusion. there is no pneumothorax. the visualized bony structures reveal no abnormalities. 3431_IM-1660-2001.dcm.png,"heart size normal. no pneumothorax, pleural effusion, or focal airspace disease. bony structures grossly intact." 3112_IM-1461-2001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 2276_IM-0863-1001-0001.dcm.png,this radiograph was available for my interpretation at hours . there are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. 1406_IM-0259-2001.dcm.png,the heart and mediastinum are unremarkable. the lungs are hyperexpanded. the lungs are clear without infiltrate. there is no effusion or pneumothorax. 1046_IM-0036-2001.dcm.png,"heart and mediastinum within normal limits. negative for focal pulmonary consolidation, pleural effusion, or pneumothorax." 1630_IM-0411-1001.dcm.png,"images. there is a poorly defined lung nodule in the right upper lobe measuring approximately mm and partially superimposed upon anterior right second rib. otherwise, the lungs are clear. no pleural effusion or pneumothorax. heart size is normal. critical result notification documented through primordial." 288_IM-1284-1001.dcm.png,"heart size appears within normal limits. pulmonary vasculature appears within normal limits. radiodensity overlying the middle cardiac silhouette, representing a hiatal hernia. no focal consolidation, pleural effusion or pneumothorax. no acute bony abnormality." 3407_IM-1647-1001.dcm.png,"intact sternotomy and cabg markers. calcified granulomas. heart size is normal. no focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. tspine degenerative changes." 1579_IM-0376-1001.dcm.png,the lungs are clear. there is no pleural effusion or pneumothorax. the heart and mediastinum are normal. the skeletal structures are normal. 2865_IM-1273-2001.dcm.png,"the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. the lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. closure device demonstrated projecting over the right heart. there are no acute bony findings." 801_IM-2335-1001.dcm.png,"heart is normal in size. no focal consolidation, pleural effusion or pneumothorax. no acute or destructive bone abnormality." 3517_IM-1716-2001.dcm.png,"normal heart size. aortic atherosclerotic calcifications. right ij central venous catheter tip in region of mid svc. there are aicd leads, one tip in expected region of right atrium and one tip in expected region of right ventricle. there is no pulmonary edema. there is no focal consolidation. there are no of a large pleural effusion. there is no evidence of pneumothorax." 317_IM-1493-2001.dcm.png,normal heart size. normal mediastinal silhouette. no pneumothorax or pleural effusion. no suspicious focal air space opacity. 3818_IM-1925-2001.dcm.png,"heart and mediastinum within normal limits. negative for focal pulmonary consolidation, pleural effusion, or pneumothorax." 3908_IM-1985-2001.dcm.png,"the examination consists of frontal and lateral radiographs of the chest. the cardiomediastinal contours are within normal limits. pulmonary vascularity is within normal limits. no focal consolidation, pleural effusion, or pneumothorax identified. multilevel thoracic spondylosis is again demonstrated.." 3539_IM-1731-3001.dcm.png,normal heart size. the lungs are clear without pneumothorax or large pleural effusion. the trachea is midline and . 3915_IM-1990-2001.dcm.png,"there is a in the left chest with catheter tip terminating in the superior . the cardiac silhouette is mildly enlarged, similar to prior study. there is minimal pulmonary vascular congestion. there is no acute pulmonary consolidation, pleural effusion or pneumothorax. there are stable mild interstitial lung changes, which could be related to chronic edema or fibrosis." 2116_IM-0745-1001.dcm.png,"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." 2576_IM-1076-1001.dcm.png,no change in the appearance of the left upper lobectomy. left parahilar scar is unchanged. no infiltrates or masses in the lungs. heart size remains normal. 628_IM-2208-3001.dcm.png,frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. cardiac silhouette at the upper limits of normal in size. tortuous ectatic aorta. the aortic is near cm in diameter. there is a retrocardiac left paraspinal bulge concerning for a descending thoracic aortic aneurysm. there is biapical scarring. no focal airspace consolidation or pleural effusion. spine spondylitic changes. 3115_IM-1463-1001.dcm.png,"the heart is normal in size and contour. the lungs are clear, without evidence of infiltrate. there is no pneumothorax or effusion." 1679_IM-0448-1002.dcm.png,"heart size normal. lungs are clear. are normal. no pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses." 1411_IM-0261-0001-0001.dcm.png,the cardiomediastinal silhouette is within normal limits for appearance. no focal areas of pulmonary consolidation. no pneumothorax. no pleural effusion. mild degenerative changes of the thoracic spine. 1961_IM-0628-2001.dcm.png,"stable cardiomegaly with significantly low lung volumes and associated bronchovascular crowding and bibasilar atelectasis. no definite pleural effusion, consolidation, or pneumothorax identified. no acute bony abnormality." 1547_IM-0357-2001.dcm.png,the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. prominent left epicardial fat . 3436_IM-1663-1001.dcm.png,the lungs appear hyperexpanded suggesting emphysema. the heart size and pulmonary vascularity appear within normal limits. the lungs are free of focal airspace disease. calcified granuloma is identified. no pneumothorax or pleural effusion is seen. 947_IM-2442-1001.dcm.png,"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." 1885_IM-0574-1001.dcm.png,"heart size is normal. mediastinal contour and pulmonary vascularity within normal limits. no focal airspace consolidation, pneumothorax, or pleural effusion. no acute bony abnormality." 2551_IM-1058-1001.dcm.png,heart size and mediastinal contour are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusions or pneumothoraces. 771_IM-2316-2001.dcm.png,"heart size and pulmonary vascularity within normal limits. no focal infiltrate, pneumothorax or pleural effusion identified." 3978_IM-2037-0001-0002.dcm.png,the heart is normal in size and contour. there is no mediastinal widening. the lungs are clear bilaterally. no pleural effusion or pneumothorax. are intact. 295_IM-1348-2001.dcm.png,"limited lateral projection. 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. healed distal left clavicular fracture noted." 1469_IM-0303-1001.dcm.png,there is no focal airspace consolidation or pleural effusion. heart size is normal. no pneumothorax. 3342_IM-1603-1001.dcm.png,the patchy right lower lobe and left lower lobe interstitial infiltrates are largely unchanged in the interval. no infiltrates. heart size remains large. tracheostomy tube remains in the trachea. a right central line has its tip at the superior . 3808_IM-1918-1002.dcm.png,"heart size and mediastinal contour within normal limits. atherosclerotic calcification of the aorta. stable scattered calcified granulomas are noted. no focal airspace consolidation, pneumothorax, or large pleural effusion. no acute osseous abnormality." 2313_IM-0888-1004003.dcm.png,the lungs are clear. there is no pleural effusion or pneumothorax. there has been sternotomy. the heart and mediastinum are normal. the skeletal structures are normal. 1820_IM-0532-1002.dcm.png,"heart size and mediastinal contours appear within normal limits. eventration of the right hemidiaphragm. no focal lung consolidation, pleural effusion or pneumothorax. no acute bony abnormality." 1695_IM-0456-1002001.dcm.png,"chest. the heart, pulmonary 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 a calcified granuloma in the left lung base. soft tissue neck. there is reversal of the normal cervical lordosis which may indicate muscle spasm versus a positional phenomenon. there is no prevertebral soft tissue . the epiglottis is within normal limits. there is a mm x mm density identified on the lateral exam only, possibly within one of the piriform sinuses." 3386_IM-1633-1001.dcm.png,"the trachea is midline. the cardiomediastinal silhouette appears normal. there are no acute infiltrates, effusions. there is no evidence of pneumothorax. visualized bony structures are intact with no acute abnormalities." 2509_IM-1031-1001.dcm.png,"the lungs are hyperexpanded, with increased ap diameter of the chest. the cardiomediastinal silhouette is stable and normal. there is no pneumothorax or large pleural effusion." 3957_IM-2022-1001.dcm.png,cardiac and mediastinal contours are within normal limits. the lungs are clear. bony structures are intact. 2081_IM-0713-2001.dcm.png,the lungs are wellexpanded and clear. no pleural effusion or pneumothorax is seen. the cardiomediastinal contour is normal. no acute osseous lesions are identified. 1056_IM-0040-1003.dcm.png,normal heart size. stable tortuous aorta. no pneumothorax or pleural effusion. no suspicious focal air space opacities. levoscoliosis of the thoracolumbar spine. hyperinflated lungs with flattened diaphragms are consistent with emphysematous lung changes. prior granulomatous disease. 721_IM-2282-2001.dcm.png,lungs are clear. no pleural effusions or pneumothoraces. heart and mediastinum of normal size and contour. 3843_IM-1944-1001.dcm.png,a rightsided chest remains in with the distal tip at the level of the mid svc. the cardiomediastinal silhouette is within normal limits for appearance. no focal areas of pulmonary consolidation. no pulmonary nodules or mass lesions identified. no pneumothorax or pleural effusion. mild degenerative changes of the thoracic spine. 2029_IM-0674-1001.dcm.png,normal heart size and mediastinal contours. no focal airspace consolidation. no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable in appearance. 198_IM-0637-1002.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. heart and mediastinum normal. 984_IM-2471-2001.dcm.png,"the cardiomediastinal silhouette is within normal limits for appearance. there are low lung volumes with bronchovascular crowding and scattered opacities in the bilateral lung bases. no focal areas of pulmonary consolidation. no pneumothorax. no large pleural effusion. no acute, displaced rib fractures identified." 1753_IM-0494-1001.dcm.png,the heart size is persistently enlarged. lung volumes are low. lungs are clear. there is no pleural line to suggest pneumothorax or costophrenic blunting to suggest large pleural effusion. bony structures are within normal limits. 3987_IM-2041-1001.dcm.png,"no acute osseous abnormality. stable scattered endplate degenerative changes and osteophyte formation in the thoracic spine. normal cardiomediastinal silhouette and hilar contours. no focal area of consolidation, pleural effusion, or pneumothorax." 903_IM-2409-1001.dcm.png,"there is interstitial thickening bilaterally, more prominent in the bases. the cardiomediastinal silhouette is normal in size and appearance. there is hyperexpansion. no infiltrates. two bullae are seen in the right upper lung. small calcified granuloma stable from prior exam." 1257_IM-0174-1001.dcm.png,"mild cardiomegaly. hypoinflation of the lungs. right basilar opacity may represent atelectasis. lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. sclerosis of the humeral bilateral, from prior avn. sclerotic vertebral body endplates with central depression. calcifications in the right hemiabdomen may represent calcified gallstones." 3347_IM-1605-2001.dcm.png,"the lungs and pleural spaces show no acute abnormality. lower lung volumes on the ap projection. heart size is upper limits of normal, pulmonary vascularity within normal limits. implantable cardiac are visualized on the lateral projection in the region of the expected location of the mitral valve . sternotomy noted." 3997_IM-2048-1001.dcm.png,"heart size within normal limits. small, nodular opacity in the right upper lobe. this does not look like an acute infiltrate, and more represents a granuloma. no pneumothorax or effusions." 1006_IM-0007-3003.dcm.png,the lungs appear clear. there are no focal airspace opacities to suggest pneumonia. the pleural spaces are clear. the heart and pulmonary are normal. mediastinal contours are normal. there is no pneumothorax. 11_IM-0067-2001.dcm.png,cardiomediastinal silhouette and pulmonary vasculature are within normal limits. lungs are clear. no pneumothorax or pleural effusion. no acute osseous findings. 2231_IM-0831-1001.dcm.png,"heart , mediastinum, , bony structures are unremarkable. possible subtle increased opacity in right apex versus technique. otherwise no significant interval change compared to prior study" 2637_IM-1122-2001.dcm.png,"moderatetomarked enlargement of the cardiac silhouette, mediastinal contours appear similar to prior. mild bilateral posterior sulcus blunting, interstitial and alveolar opacities greatest in the central lungs and bases with indistinct vascular margination." 1318_IM-0205-2001.dcm.png,the lungs are clear. no pleural effusion is seen. the heart and mediastinum are normal. arthritic changes of the spine are present. 720_IM-2281-2001.dcm.png,"the cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. there is no acute air space infiltrate, pleural effusion or pneumothorax." 1032_IM-0026-1001-0001.dcm.png,"the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. there are calcifications projecting of the left midlung, unchanged from prior, this is is sequela of prior granulomatous disease. there are small tspine osteophytes." 1057_IM-0041-1001.dcm.png,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. no discrete nodules or adenopathy identified. 1265_IM-0179-2001.dcm.png,"normal heart size. there is a round density in the ap . study performed in is not available for review at this time. lungs are hyperinflated with flattened diaphragms. calcified right lower lobe granuloma. no focal airspace consolidation, pneumothorax, or pleural effusion. no pulmonary edema. no acute bony abnormality." 623_IM-2205-3003.dcm.png,"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, related to subpleural fat. the appearance is stable from multiple previous studies. the lungs are clear. there is no pleural effusion." 2450_IM-0986-1001.dcm.png,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. 3025_IM-1400-2001.dcm.png,"the lungs are clear bilaterally. specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. cardio mediastinal silhouette is unremarkable. visualized osseous structures of the thorax are without acute abnormality. no acute displaced rib fractures." 2398_IM-0947-2001.dcm.png,"patient is rotated. mild cardiomegaly. low lung volumes with elevated hemidiaphragms, greater on the right. this is identified on a thoracic study from as well. no pneumothorax. no large pleural effusion. no focal infiltrate." 1126_IM-0082-2001.dcm.png,sternotomy and mediastinal surgical clips remain in . the cardiomediastinal silhouette is stable in appearance. the thoracic aorta is tortuous and calcified with stable appearance since exam. no focal areas of pulmonary consolidation. scattered right basilar subsegmental atelectasis. the left lung appears clear. no pneumothorax or pleural effusion present. moderate degenerative changes of the thoracic spine. osteopenia. mild loss of of a mid thoracic vertebral body. 2020_IM-0668-2001.dcm.png,no focal lung consolidation. heart size and pulmonary vascularity are within normal limits. no pneumothorax or pleural effusion. osseous structures are grossly intact. 3775_IM-1893-1001.dcm.png,no focal lung consolidation. heart size and pulmonary vascularity are within normal limits. no pneumothorax or pleural effusion. osseous structures are grossly intact. 3612_IM-1785-2001.dcm.png,the heart is normal in size. the mediastinum is stable. calcified right paratracheal lymph are seen. aorta is atherosclerotic. the lungs are mildly hypoinflated without focal consolidation. there is no pleural effusion. 492_IM-2112-3003.dcm.png,"no pneumothorax, pleural effusion or airspace consolidation. heart size and pulmonary vasculature appear within normal limits. are intact." 335_IM-1606-1001.dcm.png,a leftsided hemodialysis catheter is in with its distal tip at the right atrium. the cardiac silhouette and mediastinal contours are within normal limits. there is no focal opacity. there is no pneumothorax. no large pleural effusion. 2668_IM-1147-2001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 1524_IM-0339-1001.dcm.png,"heart size is normal. the aorta is tortuous, and cannot exclude ascending aortic aneurysm. the pulmonary vascularity is normal. there residual to prior granulomatous infection. lungs are otherwise clear. degenerative change of the spine." 1830_IM-0537-2001.dcm.png,"left anterior chest wall pacemakerdefibrillator. stable cardiomediastinal silhouette. no focal consolidation, pneumothorax or large pleural effusion. exaggerated thoracic kyphosis. spurring of thoracic spine." 2817_IM-1241-1001.dcm.png,"evaluation is limited due to obscuration by the patients arm on the lateral view. cardiomediastinal silhouette is within normal limits of size and appearance. pulmonary vascular is unremarkable. are chronic, coarse interstitial lung markings. peripheral opacity along the right mid lung reflects scar or a small amount of loculated pleural fluid or thickening. otherwise negative for focal airspace disease or consolidation. hyperlucent lungs with apical . negative for pneumothorax or pleural effusion. limited evaluation reveals the to be grossly intact." 1563_IM-0368-2001.dcm.png,heart size within normal limits. no focal airspace opacities. no pneumothorax. no effusions. mild degenerative changes of the thoracic spine. no deformities. emphysematous changes. 1898_IM-0581-2001.dcm.png,"the aortic , cardiac apex, and stomach are leftsided. the cardiomediastinal silhouette is significantly enlarged. pulmonary vascular markings centrally are within normal limits and symmetric. increased interstitial markings bilaterally at the lung bases. this may be related to chronic interstitial changes or edema. no focal airspace disease. no pleural effusion or pneumothorax. no acute bony abnormality." 2078_IM-0710-2001.dcm.png,the lungs and pleural spaces show no acute abnormality. heart size and pulmonary vascularity within normal limits. 435_IM-2075-2001.dcm.png,lungs are clear. there is no pneumothorax or pleural effusion. the heart and mediastinum are within normal limits. bony structures are intact. 1591_IM-0384-3001.dcm.png,the trachea is midline. the cardio mediastinal silhouette is of normal size and contour. no evidence of focal infiltrate or effusion. low lung volumes atelectasis and bronchovascular crowding. there is no pneumothorax. the visualized bony structures reveal no acute abnormalities. lateral view reveals degenerative changes of the thoracic spine. 3327_IM-1593-1001.dcm.png,there is enlargement of the cardiac silhouette. there is a focal opacity within the right upper lung. there is dense calcification of the thoracic aorta. there is no pneumothorax. there is no large pleural effusion. 2796_IM-1228-1001.dcm.png,cardiac and mediastinal contours are within normal limits. the lungs are clear. bony structures are intact. 2210_IM-0817-1001.dcm.png,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.. 478_IM-2101-1001-0001.dcm.png,the cardiac contours are normal. the lungs are clear. thoracic spondylosis. 1409_IM-0260-1001.dcm.png,no focal consolidation. no visualized pneumothorax. heart size and cardiomediastinal silhouette are grossly unremarkable. no large pleural effusions. 2889_IM-1291-1001.dcm.png,"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.." 2655_IM-1137-2001.dcm.png,the cardiomediastinal silhouette is normal in size in appearance and stable from . the lungs are clear. soft tissues and bony structures are unremarkable. no pneumothorax or pleural effusion. 86_IM-2380-3001.dcm.png,heart size is within normal limits. no focal airspace consolidations. no pneumothorax or pleural effusion. 1303_IM-0199-2001-0001.dcm.png,"in the interval, a cm uncalcified mass has developed in the posterior segment of the right upper lobe. in addition, on the pa view, an mm opacity is adjacent to the left of the heart. this opacity cannot be well identified on the lateral view. it may be artifactual, but another mass on the left cannot be excluded. mediastinum is normal with no evidence for adenopathy. heart size normal. note of an unchanged hiatal hernia." 2808_IM-1238-2001.dcm.png,sequelae of old granulomatous disease. lungs are clear without focal consolidation. no pleural effusions or pneumothoraces. heart and mediastinum of normal size and contour. 2865_IM-1273-1001.dcm.png,"the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. the lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. closure device demonstrated projecting over the right heart. there are no acute bony findings." 779_IM-2321-1001.dcm.png,"the cardiomediastinal silhouette is normal in size and contour. no focal consolidation, pneumothorax or large pleural effusion. negative for acute displaced rib fracture." 3628_IM-1796-2001.dcm.png,"the examination consists of frontal and lateral radiographs of the chest. the cardiomediastinal contours are within normal limits. pulmonary vascularity is within normal limits. no focal consolidation, pleural effusion, or pneumothorax identified. there are multilevel degenerative changes of the thoracic spine." 1739_IM-0487-1001.dcm.png,"there is a cortical irregularity along the anterior margin of the sternum. in addition, there is a focal retrosternal hypodense convexity. the cardiac silhouette is within normal limits. the thoracic aorta is torturous however the mediastinal contours are within normal limits. there is no pneumothorax. there is no large pleural effusion. there is streaky opacity within the left lung base representing atelectasis. otherwise, the lungs are clear. there is thoracic kyphosis. there is hyperinflation of the lungs." 2754_IM-1204-3003.dcm.png,the lungs are clear. the heart and pulmonary are normal. the pleural spaces are clear. mediastinal contours are normal. 1452_IM-0291-2001.dcm.png,"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." 864_IM-2384-1001.dcm.png,"stable cardiomediastinal silhouette with tortuous thoracic aorta. no pneumothorax, pleural effusion or suspicious focal air space opacity. stable right lung base scarring." 1991_IM-0648-1001.dcm.png,the heart is normal in size. the mediastinum is stable. the lungs are hypoinflated. there are streaky opacities predominantly in the left lung base possibly related to scarring and atelectasis. blines are also noted. definite infiltrate is not excluded. there is no large effusion. 3184_IM-1503-2001.dcm.png,the aortic is mildly tortuous. the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. there are tspine osteophytes. large body habitus. 1808_IM-0524-2001.dcm.png,"the cardiac silhouette and mediastinum size are within normal limits. there is no pulmonary edema. there is no focal consolidation. there are no of a pleural effusion. there is no evidence of pneumothorax. multilevel flowing anterior thoracic spine osteophytes, which could represent changes of diffuse idiopathic skeletal hyperostosis dish." 1751_IM-0494-1001.dcm.png,"heart size normal. lungs are clear. are normal. no pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses." 2259_IM-0850-1001.dcm.png,"bilateral glenohumeral degenerative joint disease. scattered degenerative changes of the thoracic spine. stable mild heart enlargement.prominence of soft tissue density in the upper mediastinum. it is increased from most recent prior exam on . however, it appears similar compared to exams performed in . no focal area of consolidation, pleural effusion, or pneumothorax. focal opacity in the left upper lobe represents scarring or related to overlying rib opacity." 306_IM-1426-2001.dcm.png,the lungs are clear. heart size is normal. no pneumothorax. 2969_IM-1360-2001.dcm.png,"heart size and mediastinal contours are stable. atherosclerotic calcifications of the aorta. moderate severe hyperexpansion of the lungs and decreased peripheral vascular markings, consistent with emphysema. stable biapical pleuralparenchymal scarring. scattered granulomas. no abnormal airspace consolidation. no pneumothorax or pleural effusion." 1336_IM-0216-2001.dcm.png,"leftsided icd device and leads are stable. stable enlarged cardiac silhouette. no focal airspace consolidation, pneumothorax, or pleural effusion. no acute bony abnormality." 443_IM-2078-1002.dcm.png,"heart size and mediastinal contour within normal limits. no focal airspace consolidation, pneumothorax, or large pleural effusion. degenerative changes of thoracic spine." 3250_IM-1540-1001-0001.dcm.png,lungs are relatively clear. heart size normal. unfolded aorta. moderate hiatal hernia. tspine osteophytes and dish. 658_IM-2234-12001.dcm.png,the lungs are clear. the heart and pulmonary are normal. the pleural spaces are clear. mediastinal contours are normal. 2257_IM-0849-1001.dcm.png,no focal areas of consolidation. heart size normal limits. no pleural effusions. no evidence of pneumothorax. degenerative changes thoracic spine. 1276_IM-0184-1001.dcm.png,"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 are unremarkable." 3126_IM-1470-1001.dcm.png,"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." 2639_IM-1124-2001.dcm.png,"the cardiomediastinal silhouette is within normal limits of size and appearance. the pulmonary vascularity is unremarkable. lungs are expanded and clear of airspace disease. negative for pneumothorax or pleural effusion. there is mild midthoracic dextroscoliosis, with the otherwise grossly intact." 2291_IM-0874-2001.dcm.png,heart size is normal. the lungs are clear. there are no focal air space consolidations. no pleural effusions or pneumothoraces. the hilar and mediastinal contours are normal. normal pulmonary vascularity. umbilical piercing. 1153_IM-0104-2001.dcm.png,"no pneumothorax, pleural effusion or airspace consolidation. heart size and pulmonary vasculature appear within normal limits. are intact." 1548_IM-0357-1001.dcm.png,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 tspine osteophytes. 950_IM-2446-1004003.dcm.png,the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. 66_IM-2236-1001.dcm.png,"chest. both lungs are clear and expanded with no pleural air collections or parenchymal consolidations. heart and mediastinum remain normal. lumbosacral spine. , disc spaces, and alignment are normal. sacrum and sacroiliac joints are normal." 2324_IM-0895-2001.dcm.png,the lungs are clear. the cardiomediastinal silhouette is within normal limits. no pneumothorax or pleural effusion. 1894_IM-0581-2001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. subtle increased opacity of right mid hemithorax related to superimposed soft tissues. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. 336_IM-1613-2001.dcm.png,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. 3433_IM-1662-2001.dcm.png,"heart size normal. no pneumothorax, pleural effusion, or focal airspace disease. bony structures intact." 309_IM-1444-2001.dcm.png,normal and stable cardiomediastinal contours. no pneumothorax or pleural effusions. no focal lung consolidation. 278_IM-1218-1001.dcm.png,"no pneumothorax, pleural effusion, or focal airspace disease. heart size normal. stable cardiomediastinal silhouette. nodular opacities consistent with chronic granulomatous disease. bony structures intact." 3355_IM-1609-1002.dcm.png,"cardiomediastinal silhouettes are within normal limits. lungs are hyperexpanded. lungs are clear without focal consolidation, pneumothorax, or pleural effusion. bony thorax is unremarkable." 3867_IM-1960-1001.dcm.png,"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." 2894_IM-1296-4001-0002.dcm.png,the tracheostomy tube is in stable position. right subclavian catheter tip is in the lower svc. the left upper extremity picc tip is in the mid svc. surgical overlie the soft tissues of the neck. the lungs are clear. heart size is normal. no pneumothorax. 1282_IM-0188-2001.dcm.png,normal heart size and mediastinal contours. patchy right lower lobe airspace opacities. no pleural effusion or pneumothorax. visualized osseous structures are unremarkable in appearance. 2899_IM-1301-2001.dcm.png,"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." 1687_IM-0450-1001.dcm.png,feeding tube noted with tip distal to the gastroesophageal junction. no focal areas of consolidation. heart size within normal limits. no pleural effusions. osseous structures intact. 3442_IM-1667-2001.dcm.png,normal cardiomediastinal contours. low lung volumes with minimal left basilar opacities. no pneumothorax or pleural effusions. 901_IM-2409-1001.dcm.png,"heart size is enlarged but stable. stable sequela prior granulomatous disease. stable sternotomy with fracture of the superiormost sternotomy .. the lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. degenerative endplate changes of the spine." 950_IM-2446-1003002.dcm.png,the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. 95_IM-2445-1001.dcm.png,there is a single calcified granuloma in the right lung base. the lungs are otherwise grossly clear bilaterally. there is no pneumothorax or pleural effusion. cardiac and mediastinal silhouettes are normal. there are cholecystectomy clips in the right upper quadrant of the abdomen. small tspine osteophytes are noted. 2401_IM-0950-2001.dcm.png,"cardiomediastinal silhouette is within normal limits of size and appearance. the pulmonary vascularity is unremarkable. lungs are expanded and clear airspace disease. negative for pneumothorax, pleural effusion, or pneumoperitoneum. limited bone evaluation reveals no acute abnormality." 714_IM-2276-3001.dcm.png,stable scarring near the right lung apex along the lateral aspect. lungs are otherwise clear. no pleural effusions or pneumothoraces. heart and mediastinum of normal size and contour. degenerative changes in the spine. 992_IM-2477-0001-0001.dcm.png,"there are bilateral pulmonary nodules whose appearances suggest metastatic disease to lungs. in the right lung, there is a . x . cm nodule overlying the posterior right th rib. there is a . x . cm nodule above this in the interspace between the posterior th and th ribs on the right. there is a . x . cm nodule projecting through the left th and th interspaces on the pa view. if not already performed, contrastenhanced would be suited to evaluate these findings. there are no focal airspace opacities to suggest pneumonia. to the stomach contours appear grossly clear. heart size and pulmonary appear normal. there are leftsided axillary clips. there is a right internal jugular central catheter, the distal tip in right atrium." 2254_IM-0846-1001.dcm.png,lungs are clear. heart size is normal. no pneumothorax. there are surgical clips seen within the upper abdomen. 48_IM-2103-1001.dcm.png,"the cardiac and mediastinal contours are within normal limits. the lungs are wellinflated and clear. there is an mm nodule in the left lower lobe, calcified granuloma. there is no pneumothorax or effusion. bony structures of the thorax are intact with minimal early degenerative change." 2655_IM-1137-1001.dcm.png,the cardiomediastinal silhouette is normal in size in appearance and stable from . the lungs are clear. soft tissues and bony structures are unremarkable. no pneumothorax or pleural effusion. 3389_IM-1634-2001.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. heart and mediastinum normal. 991_IM-2476-2001.dcm.png,the heart size is upper limits of normal. the pulmonary and mediastinum are within normal limits. there is no pleural effusion or pneumothorax. there is mild streaky perihilar opacity without confluent airspace opacity to suggest a bacterial pneumonia. 1381_IM-0245-2001.dcm.png,"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.." 1338_IM-0217-1002.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. heart and mediastinum normal. 2209_IM-0816-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. emphysematous changes are identified. the lungs are otherwise grossly clear. 181_IM-0524-1001.dcm.png,normal heart size mediastinal contours. eventration of the right hemidiaphragm. no focal airspace consolidation. no pleural effusion or pneumothorax. 2003_IM-0654-1001.dcm.png,"borderline enlarged heart. pulmonary vasculature appears within normal limits. no focal pulmonary opacity, pleural effusion or pneumothorax. no acute bony abnormality. possible right shoulder calcific tendinitis. calcifications of the abdominal aorta are seen." 1133_IM-0090-1001.dcm.png,lungs are hyperexpanded. no infiltrates or masses. the eventration of the left hemidiaphragm identified previously is largely unchanged since the previous computed tomogram. pulmonary are normal. 3250_IM-1540-2001.dcm.png,lungs are relatively clear. heart size normal. unfolded aorta. moderate hiatal hernia. tspine osteophytes and dish. 1366_IM-0237-1001.dcm.png,lungs are clear. heart size normal. the are unremarkable. 1131_IM-0088-0001-0002.dcm.png,"images. calcified granuloma, right lung base. 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." 1170_IM-0115-1001.dcm.png,"no pneumothorax, pleural effusion, or focal airspace disease. mild cardiomegaly. cardio mediastinal silhouette unremarkable. bony structures appear intact." 1136_IM-0092-1001.dcm.png,lungs are clear. there is no pneumothorax or pleural effusion. the heart and mediastinum are within normal limits. bony structures are intact. 662_IM-2238-2001.dcm.png,"heart , mediastinum, , bony structures and lung are unremarkable." 3608_IM-1781-1001.dcm.png,chest the heart is enlarged. there may be a pericardial effusion. no definite pulmonary edema is seen. lungs appear clear. there is no pleural effusion. the skeletal structures and soft tissues are unremarkable. kub single view of the abdomen was obtained. the bowel pattern is nonspecific. there is no evidence for obstruction or free intraperitoneal air. no large soft tissue masses or organomegaly are identified. the skeletal structures appear normal. 1572_IM-0373-1001.dcm.png,the heart size is normal. the mediastinal contour is within normal limits. the lungs are free of any focal infiltrates. there is redemonstration of a calcified granuloma within the left upper lobe. there are no nodules or masses. no visible pneumothorax. no visible pleural fluid. the are grossly normal. there is no visible free intraperitoneal air under the diaphragm. 2676_IM-1151-1001.dcm.png,"nasogastric tube tip within the stomach body, stable. low lung volumes. stable enlarged cardiomediastinal silhouette. atherosclerosis of the thoracic aorta. no focal consolidation, pneumothorax or large pleural effusion. relative elevation of right hemidiaphragm. stable obscuration of lateral left diaphragm." 2660_IM-1142-2001.dcm.png,"heart size normal. lungs are clear. are normal. no pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses." 3116_IM-1464-1001.dcm.png,the cardiac silhouette is enlarged. there are bibasilar airspace opacities left greater than right with small right pleural effusion. no visualized pneumothorax. 2629_IM-1116-1001.dcm.png,mediastinal contours are normal. lungs are clear. there is no pneumothorax or large pleural effusion. 164_IM-0419-2001.dcm.png,the cardiopulmonary silhouette is normal. the heart size is normal. the lungs are clear with no pulmonary effusions or pneumothorax. 2394_IM-0944-2001.dcm.png,"cardiac and mediastinal appear normal. no visible pneumothorax, focal airspace opacity, or pleural effusion is seen. no visible free air under the diaphragm. the osseous structures appear intact." 2590_IM-1083-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 455_IM-2086-4004.dcm.png,"there are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. there is stable prominence of the right cardiac silhouette. the mediastinum is unremarkable. there is no pleural effusion, pneumothorax, or focal airspace disease. there are stable chronic degenerative changes of the thoracic spine." 1435_IM-0280-2001.dcm.png,the heart and mediastinum are unremarkable. the lungs are clear without infiltrate. there is no effusion or pneumothorax. 3031_IM-1406-1001.dcm.png,the lungs are clear. the cardiomediastinal silhouette is within normal limits. no pneumothorax or pleural effusion. 3787_IM-1900-1001.dcm.png,"heart size is normal. no pneumothorax, pleural effusion, or focal airspace disease. bony structures appear intact." 3246_IM-1538-1001.dcm.png,the cardiac contours are normal. prominent pulmonary arteries. the lungs are clear. thoracic spondylosis. 1873_IM-0565-1001.dcm.png,"cardiomediastinal silhouette is within normal limits. no focal consolidation, pneumothorax, or pleural effusion. no acute bony abnormalities. degenerative changes of the thoracic spine." 3667_IM-1824-2001.dcm.png,density in the left upper lung on pa represents superimposed bony and vascular structures. there is calcification of the first rib costicartilage junction which contributes to this appearance. the lungs otherwise appear clear. the heart and pulmonary appear normal. in the pleural spaces are clear. the mediastinal contour is normal. there are degenerative changes of thoracic spine. there is an electronic cardiac device overlying the left chest wall with intact distal leads in the right heart. 3541_IM-1733-0001-0001.dcm.png,lung volumes are mildly decreased. the cardiac silhouette and pulmonary vascularity are normal. there is bilateral lower lobe airspace opacities compatible with discoid atelectasis. there is no evidence of pleural effusion or pneumothorax. 2349_IM-0914-1001.dcm.png,heart size and vascularity normal. these contour normal. lungs clear. no pleural effusions or pneumothoraces. 1468_IM-0303-2001.dcm.png,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 are unremarkable. 3984_IM-2040-1001.dcm.png,the lungs appear clear. the thoracic aorta remains tortuous. the presence of an aortic aneurysm cannot be excluded on this study . a there are calcified mediastinal and hilar lymph suggesting prior histoplasmosis infection. the pleural spaces are clear. 2866_IM-1273-2001.dcm.png,"heart size normal. lungs are clear. are normal. no pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses." 3070_IM-1432-1001.dcm.png,heart size is within normal limits. no focal airspace consolidations. no pneumothorax or pleural effusion. 2624_IM-1111-1001.dcm.png,"heart size and mediastinal contour are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusions or pneumothoraces. there is a mild anterior wedge deformity of l, ageindeterminate." 2533_IM-1047-2001.dcm.png,cardiomediastinal silhouette and central pulmonary vasculature are within normal limits. there is no focal air space opacity. no pleural effusion or pneumothorax is seen. no acute bony abnormality is demonstrated. 1433_IM-0278-1001.dcm.png,the cardiac contours are normal. mild atherosclerosis. the lungs are clear. thoracic spondylosis. 139_IM-0248-1001.dcm.png,"the cardiac silhouette is mildly enlarged. a lobulated opacity is identified superior to the heart, in the anterior mediastinum on the lateral view, possibly consistent with a tortuousectatic thoracic aorta versus an anterior mediastinal mass. the thoracic aorta is tortuous and calcified. no focal areas of pulmonary consolidation. the lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. no pneumothorax or pleural effusion. severe degenerative changes of the thoracic spine." 567_IM-2167-2001.dcm.png,"heart size upper normal but stable. mediastinal contours within normal limits.. minimal right middle lobe atelectasis. no focal airspace consolidation, pleural effusion, or pneumothorax. degenerative endplate changes of the spine." 3545_IM-1737-3003.dcm.png,opacities in the lung bases are slightly worse compared to prior study. lung volumes are low. heart size and pulmonary are normal. there no focal airspace opacities to suggest pneumonia. the patient is status post sternotomy. there calcifications of the thoracic aorta. 1993_IM-0650-1001.dcm.png,"lungs are clear without focal consolidation, effusion, or pneumothorax. hyperexpanded lungs. normal heart size. bony thorax and soft tissues grossly unremarkable." 1070_IM-0050-2001.dcm.png,"there is abnormal separation of the right . this is ageindeterminate. corticated bony density over the lateral aspect of the clavicle may reflect sequela of old remote . the cardia mediastinal silhouette, pulmonary vascular pattern are normal. no pneumothorax. no pleural effusion. no pulmonary edema . there is minimal endplate degenerative changes of the midthoracic spine. partial obscuration retrosternal space due to overlying ." 260_IM-1090-2001.dcm.png,lungs are clear bilaterally. cardiac and mediastinal silhouettes are normal. pulmonary vasculature is normal. no pneumothorax or pleural effusion. no acute bony abnormality. there is a stable the electronic device any left anterior chest wall. there are advanced degenerative changes in the bilaterally. there is a mm lucency in the right humeral head with geographic a margins. 869_IM-2389-1001.dcm.png,"the heart is normal size. the mediastinum is unremarkable. there is no pleural effusion, pneumothorax, or focal airspace disease. the are unremarkable." 2207_IM-0815-1001.dcm.png,heart size is within normal limits. tortuous thoracic aorta. there is patchy right base airspace disease. no pneumothorax or pleural effusion. there mild degenerative changes throughout the thoracic spine. 2437_IM-0977-2002.dcm.png,the lungs appear clear. the heart and pulmonary are normal. mediastinal contours are normal. the pleural spaces are clear. 2939_IM-1339-1002.dcm.png,"there are no acute osseous abnormalities. there are surgical clips in the right upper abdomen, from cholecystectomy. normal heart size. normal hilar vascular markings. the lungs are grossly clear without focal area of consolidation, pleural effusion, pneumothorax." 2744_IM-1197-1001.dcm.png,"heart size normal. lungs are clear. are normal. no pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses." 983_IM-2471-1001.dcm.png,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 . this was present previously and is most compatible with bronchiectasis. there is no focal airspace disease. no pneumothorax or pleural effusion. unremarkable . 3099_IM-1450-1001.dcm.png,"lungs are clear without focal consolidation, effusion, or pneumothorax. normal heart size. bony thorax and soft tissues grossly unremarkable. calcified left hilar ." 108_IM-0056-1001.dcm.png,the heart is normal in size. the mediastinum is within normal limits the lungs are hypoinflated. there is mild increase in perihilar markings related to patients history bronchitis. no acute infiltrate or pleural effusion are seen. 2722_IM-1184-1001.dcm.png,overall low lung volumes. lungs are grossly clear. pleural thickening along the inferior left lateral chest. this appears relatively stable compared to the prior examination. no pleural effusions or pneumothoraces. cardiomegaly. degenerative changes in the spine. 3820_IM-1928-1001.dcm.png,"the lungs and pleural spaces show no acute abnormality. heart size upper limits of normal, pulmonary vascularity within normal limits. straightening of the normal thoracic kyphosis. levocurvature the lumbar spine, incompletely imaged." 2433_IM-0975-2001.dcm.png,"low lung volumes with bibasilar subsegmental atelectasis. no focal consolidations, pleural effusions, or pneumothoraces. cardiomediastinal silhouette is within normal limits. degenerative changes of the thoracic spine." 2341_IM-0907-1001.dcm.png,the cardiac contours are normal. the lungs are clear. thoracic spondylosis. 3135_IM-1474-1001.dcm.png,"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." 1353_IM-0230-1001.dcm.png,"there is diffuse rightsided airspace disease, with dense consolidation in the right base. a right upper extremity picc is seen with the tip in the right brachiocephalic vein, representing an interval retraction of approximately cm. no pneumothorax or large effusions. heart size within normal limits." 237_IM-0930-2001.dcm.png,"the heart size and cardiomediastinal silhouette are normal. the lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. there are numerous calcified granuloma in the right perihilar region. there are multilevel degenerative changes in the thoracic spine." 624_IM-2206-2001.dcm.png,the cardiac contours are normal. the lungs are hyperinflated with flattening of the diaphragms and tapering of the distal pulmonary vasculature. there is no focal consolidation. thoracic spondylosis. mild dextroscoliosis of the spine. prior anterior cervical fusion. 3130_IM-1472-1001.dcm.png,"images. heart size is enlarged, stable. thoracic aortic atherosclerotic calcifications are present. there is dense consolidation within the retrocardiac left lower lobe. there is also patchy airspace opacity within the perihilar right lung. no pleural effusion or pneumothorax." 1437_IM-0281-2001.dcm.png,the heart is normal in size and contour. there is no mediastinal widening. the lungs are hyperexpanded. scattered granuloma. no focal airspace disease. no large pleural effusion or pneumothorax. the are intact. 948_IM-2443-1001.dcm.png,the heart is top normal in size. the mediastinum is stable. the lungs are clear. 2951_IM-1349-1001.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. no pleural air collections. heart and mediastinum normal. a vague lucency is present in left rib anteriorly. 3532_IM-1726-3001.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. heart and mediastinum normal. 3280_IM-1561-1001.dcm.png,right middle lobe opacity is present. the cardiac silhouette and mediastinal contours are within normal limits. there is no pneumothorax. no large pleural effusion. 2773_IM-1214-1001.dcm.png,"the heart is normal in size and contour. the lungs are clear, without evidence of infiltrate. there is no pneumothorax or effusion. mild degenerative changes at the lower thoracic spine." 3722_IM-1859-2001.dcm.png,the lungs are clear. heart size is normal. no pneumothorax. 587_IM-2182-3001.dcm.png,the cardiomediastinal silhouette is within normal limits for appearance. no focal areas of pulmonary consolidation. no interval change in the appearance of the opacities in the bilateral lower lobes. no pneumothorax. no pleural effusion. the thoracic spine appears intact. 251_IM-1032-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. mild hyperinflation is noted. there are granulomatous sequela. no acute infiltrate or significant pleural effusion are noted. the costophrenic are excluded. 444_IM-2079-2001.dcm.png,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 are grossly normal. there is no visible free intraperitoneal air under the diaphragm. 632_IM-2213-1002.dcm.png,"cardiac and mediastinal silhouette are unremarkable. lungs are clear. no focal consolidation, pneumothorax, or pleural effusion identified. and soft tissue are unremarkable." 1474_IM-0307-1001.dcm.png,no pneumothorax. heart size is normal. granulomas are seen within the right lung. no large pleural effusions. no focal airspace consolidation. 1652_IM-0428-1001.dcm.png,dextroscoliosis of the thoracic spine. clear lungs bilaterally. no pneumothorax or pleural effusion. no acute bony abnormalities. 1099_IM-0067-1001.dcm.png,"there are changes of sternotomy and cabg. heart size is within normal limits. no focal airspace consolidation, pleural effusions or pneumothorax. no acute bony abnormalities." 2017_IM-0665-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 1471_IM-0304-3001.dcm.png,the cardiomediastinal silhouette is within normal limits for appearance. the lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. mild increased lung markings due to chronic changes. no focal pulmonary consolidation. no pneumothorax. no pleural effusion. moderate degenerative changes of the thoracic spine. calcified left perihilar granuloma redemonstrated. 854_IM-2376-2001.dcm.png,the lungs appear clear. the heart and pulmonary appear normal. the pleural spaces are clear. these t contours appear normal. there is a fracture of the midthoracic vertebral body. this vertebral body does not appear sclerotic. the age of this fracture is unknown. there are healed fractures of several left anterior ribs. there is a healed left clavicle fracture. 2810_IM-1238-1001.dcm.png,"heart size and cardiomediastinal contours are normal. aorta is mildly tortuous. lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. mild degenerative changes in the spine." 3881_IM-1969-1001.dcm.png,the heart size and pulmonary vascularity appear within normal limits. right hemidiaphragm remains elevated. no pleural effusion is seen. no pneumothorax is identified. no discrete nodules or adenopathy are noted. degenerative changes are present in the spine. right a has been inserted since the previous study. the tip projects over the lower superior . 2000_IM-0654-1001.dcm.png,"the heart is normal in size and contour. the lungs are clear, without evidence of infiltrate. there is no pneumothorax or effusion." 288_IM-1284-1002.dcm.png,"heart size appears within normal limits. pulmonary vasculature appears within normal limits. radiodensity overlying the middle cardiac silhouette, representing a hiatal hernia. no focal consolidation, pleural effusion or pneumothorax. no acute bony abnormality." 1630_IM-0411-2001.dcm.png,"images. there is a poorly defined lung nodule in the right upper lobe measuring approximately mm and partially superimposed upon anterior right second rib. otherwise, the lungs are clear. no pleural effusion or pneumothorax. heart size is normal. critical result notification documented through primordial." 3336_IM-1598-2001.dcm.png,"the heart, pulmonary 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 ageindeterminate leftsided rib fractures noted. there is a calcified right hilar lymph node. there basilar calcified granulomas. there minimal degenerative changes of the spine." 2032_IM-0677-1001.dcm.png,the lungs are clear. no focal air space consolidation. no pleural effusion or pneumothorax. normal cardiomediastinal silhouette. 567_IM-2167-1001.dcm.png,"heart size upper normal but stable. mediastinal contours within normal limits.. minimal right middle lobe atelectasis. no focal airspace consolidation, pleural effusion, or pneumothorax. degenerative endplate changes of the spine." 72_IM-2280-1001.dcm.png,"lungs are clear without focal consolidation, effusion, or pneumothorax. normal heart size. bony thorax and soft tissues grossly unremarkable." 645_IM-2224-1001.dcm.png,"heart size and mediastinal contours appear normal limits. no focal pulmonary opacity, pleural effusion or pneumothorax. no acute bony abnormality. degenerative changes of the spine." 1059_IM-0041-1001.dcm.png,stable cardiomediastinal silhouette with tortuous aorta. prior granulomatous disease. no pneumothorax or pleural effusion. stable retrocardiac airspace opacity. 492_IM-2112-2002.dcm.png,"no pneumothorax, pleural effusion or airspace consolidation. heart size and pulmonary vasculature appear within normal limits. are intact." 2665_IM-1145-1001.dcm.png,no focal lung consolidation. heart size and pulmonary vascularity are within normal limits. no pneumothorax or pleural effusion. osseous structures are grossly intact. 922_IM-2423-2001.dcm.png,the heart is slightly large. pulmonary are normal. no infiltrates. 3740_IM-1868-1001.dcm.png,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. 1300_IM-0198-2001.dcm.png,"the heart, pulmonary and mediastinum are within normal limits. there is no pleural effusion or pneumothorax. there is no focal air space opacity to suggest a pneumonia. the patient is obese." 2171_IM-0786-2001.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. no change in the small calcified granuloma in the right upper lobe. heart and mediastinum normal. 2578_IM-1078-2001.dcm.png,"the lungs are clear. no suspicious pulmonary mass or nodule is identified. there is no pleural effusion or pneumothorax. heart size and mediastinal contour are normal. there are sclerotic lesions within the , better visualized on the comparison scan. there are several bilateral rib fractures with evidence of the callus formation. the appearance is similar to the prior chest radiograph." 1036_IM-0029-1001.dcm.png,"the cardiomediastinal silhouette is within normal limits for size. pulmonary vasculature is within normal limits. no focal consolidations, effusions, or pneumothoraces. mild degeneration of the thoracic spine without acute bony abnormality." 326_IM-1546-2002.dcm.png,the lungs are clear. heart size and mediastinal contours are normal. no osseous abnormalities. 215_IM-0769-2001.dcm.png,stable cardiomegaly. sternotomy are intact. no pneumothorax or pleural effusion. calcific density in the left mid to upper lung represents old granulomatous disease. no focal consolidation. stable moderate thoracic levoscoliosis and mild thoracolumbar dextroscoliosis. 2008_IM-0658-2001.dcm.png,no focal consolidation. no visualized pneumothorax. no pleural effusions. heart size normal. the cardiomediastinal silhouette is unremarkable. 2428_IM-0970-1001.dcm.png,"lungs mildly hyperinflated with flattened posterior diaphragm and increased retrosternal airspace. no focal alveolar consolidation, no definite pleural effusion seen. left hilar calcifications and dense left lower lobe nodules suggest a previous granulomatous process. overall heart size within normal limits with prominent right atrial convexity, no typical findings of pulmonary edema. no pneumothorax." 648_IM-2226-1001.dcm.png,"cardiomediastinal size and contour is grossly normal for ap technique. there is a calcified granuloma in the right lower lobe. the lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax or pleural effusion. no acute, displaced fractures are demonstrated." 408_IM-2054-2001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are hypoinflated. small bilateral pleural effusions are seen. 242_IM-0963-2001.dcm.png,"lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. cardiomediastinal silhouette is within normal limits. and soft tissues are unremarkable." 2536_IM-1049-1001.dcm.png,the lungs appear clear. the heart and pulmonary are normal. mediastinal contours are normal. surgical clips are identified in the mediastinum. pleural spaces are clear. soft tissue previously noted along the right lateral chest wall has resolved. 1058_IM-0041-1001.dcm.png,heart size and pulmonary vascularity appear within normal limits. innumerable bilateral lung nodules are present. these are seen diffusely throughout both lungs. no superimposed focal airspace disease is seen. no pleural effusion or pneumothorax is identified. scoliosis is present. 3067_IM-1430-1001.dcm.png,lungs are clear bilaterally. cardiac and mediastinal silhouettes are normal. pulmonary vasculature is normal. no pneumothorax or pleural effusion. no acute bony abnormality. 3125_IM-1469-2001.dcm.png,"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." 3717_IM-1856-2001.dcm.png,low lung volumes. normal heart size. no pneumothorax. no large effusion. no focal infiltrate. 3111_IM-1461-2001.dcm.png,stable appearance of previous sternotomy. stable cardiomegaly. stable mild bilateral interstitial opacities in which may represent mild pulmonary edema. no evidence of large pleural effusion or pneumothorax. 1287_IM-0188-2001.dcm.png,sequelae of old granulomatous disease. no suspicious pulmonary nodules or masses. no pleural effusions or pneumothoraces. heart and mediastinum of normal size and contour. degenerative changes in the thoracic spine. 3651_IM-1813-2001.dcm.png,blunting of the costophrenic represents scarring. no pleural effusion is identified on the lateral view. there is no focal consolidation. no pneumothorax is present. the cardiomediastinal silhouette is within normal limits are in the pulmonary vasculature is normal. 2226_IM-0830-12001.dcm.png,the cardiomediastinal silhouette and vasculature are within normal limits for size and contour. the lungs are normally inflated and clear. first rib fracture not well demonstrated on study.. 2273_IM-0861-1002.dcm.png,lungs are clear. no pleural effusions or pneumothoraces. heart and mediastinum of normal size and contour. 3353_IM-1609-2001.dcm.png,stable marked cardiomegaly. cardiac generator projects over the left mid hemithorax with a terminating in the right ventricle. no focal airspace disease. mild central pulmonary vascular congestion. the heart has the same configuration as seen previously with a pericardial effusion on an abdominal ct in . 1795_IM-0516-1001.dcm.png,there is moderate cardiomegaly. no interstitial edema or pleural effusion. no focal airspace consolidation. no pneumothorax. there is mild degenerative disc disease of the thoracic spine. 3535_IM-1728-0001-0001.dcm.png,the lungs are clear. the heart and pulmonary are normal. pleural spaces are clear. mediastinal contours are normal. 38_IM-1911-2001.dcm.png,lungs are clear. there is no pneumothorax or pleural effusion. the heart and mediastinum are within normal limits. bony structures are intact. 1234_IM-0157-4004.dcm.png,images. the cardiac silhouette is enlarged. thoracic aortic atherosclerotic calcifications are present. there are finding status post sternotomy and cabg. atelectasis or scar is noted within the left midlung. there is blunting of the left costophrenic . no pneumothorax. 3217_IM-1520-1002.dcm.png,"irregularity within the right apex is consistent with patients known cavitary lesion as a sequela of prior tuberculosis. no evidence of active infection. no focal consolidations, pneumothorax, or effusions identified. paramediastinal silhouette is stable and within normal limits and no acute bony abnormality is identified." 3448_IM-1671-3001.dcm.png,"the lungs are hyperexpanded. the heart is normal in size. the pulmonary vascularity is within normal limits in appearance. no focal airspace opacities, pneumothorax or pleural effusion. a calcific density in the left midlung zone represents old granulomatous disease. no acute bony abnormalities." 796_IM-2332-1001.dcm.png,"the cardiomediastinal silhouette is normal in size and contour. no focal consolidation, pneumothorax or large pleural effusion. normal ." 446_IM-2080-1001.dcm.png,the cardiac contours are normal. the lungs are clear. thoracic spondylosis. 290_IM-1303-2001.dcm.png,the lungs are clear. there are multiple surgical seen near the apical regions and lower cervical region bilaterally. the heart and mediastinum are normal. there is a screw in the right shoulder. the soft tissues are normal. 297_IM-1361-2001.dcm.png,"cardiac silhouette is within normal limits in size. the lungs are hypoinflated with mild bronchovascular crowding. there is mild, 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." 1261_IM-0177-2001.dcm.png,"mild cardiomegaly. normal pulmonary vascularity. tortuosity of the descending aorta. no focal infiltrate, pneumothorax or pleural effusion." 2723_IM-1185-1001.dcm.png,negative for cardiac enlargement or vascular congestion. minimal subsegmental atelectasis at the left base otherwise negative for focal confluent airspace disease. the visualized bony structures are intact. there are minimal degenerative disc changes of the midlower thoracic spine. no pneumothorax. 984_IM-2471-1001.dcm.png,"the cardiomediastinal silhouette is within normal limits for appearance. there are low lung volumes with bronchovascular crowding and scattered opacities in the bilateral lung bases. no focal areas of pulmonary consolidation. no pneumothorax. no large pleural effusion. no acute, displaced rib fractures identified." 2644_IM-1130-2001.dcm.png,"mild cardiomegaly. pulmonary vasculature is within normal limits. costophrenic are . there is increased kyphotic curvature of the thoracic spine. within the heart , there is a small area of ovalshaped density measuring . x . cm without correction for magnification. there is a calcified lymph node in the right hilum. no pneumothorax." 3937_IM-2008-1001.dcm.png,the heart size is upper limits of normal. the pulmonary 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 minimal degenerative changes of the spine. 861_IM-2382-1002.dcm.png,"stable appearance of the right aortic . normal heart size. no pneumothorax, pleural effusion or suspicious focal airspace opacity." 1543_IM-0353-2001.dcm.png,"the cardiomediastinal silhouette is within normal limits. the lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. no acute osseus abnormality. large hiatal hernia." 1045_IM-0036-1001.dcm.png,"heart size within normal limits, stable mediastinal and hilar contours. no alveolar consolidation, no findings of pleural effusion or pulmonary edema. chronic appearing contour deformity of the right posterolateral th rib again noted suggestive of old injury." 3000_IM-1386-0001-0002.dcm.png,"there are multiple bilateral pulmonary nodules. for example, there is a mm left lower lobe nodule, seen on the frontal view. there is no pleural effusion or pneumothorax. heart size is within normal limits. the left hilar contour is prominent. there are diffuse degenerative changes of the spine." 3742_IM-1869-1003002.dcm.png,cardiac and mediastinal contours are within normal limits. prior granulomatous disease. the lungs are clear. bony structures are intact. 3324_IM-1590-3001.dcm.png,"the heart is normal in size. atherosclerotic calcifications of the aorta. the mediastinum is stable. there is again soft tissue density projected over the right mid chest, patients known large breast mass. the appearance is grossly stable to decreased from prior study. the lateral projection is suboptimal as patient could not raise . there is no pleural effusion." 715_IM-2277-3001.dcm.png,"there is chronic asymmetric elevation of the right hemidiaphragm. compared with the prior study, there is mildly increased streaky airspace disease in the right lung base. hilar prominence appears stable. there is no pneumothorax or large pleural effusion. heart size is stable and grossly normal. there no acute bony findings." 2204_IM-0813-1002.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. heart and mediastinum normal. 834_IM-2359-1001.dcm.png,the cardiac silhouette pulmonary vascularity are normal. the lungs are clear. there is no evidence of pleural effusion or pneumothorax. mild degenerative changes are present in the spine. 3150_IM-1482-4001.dcm.png,"the trachea is midline. cardiomediastinal silhouette is normal. the there are opacities in the left lower lobe of the lung, which are most dependent atelectasis. there is no pneumothorax. visualized bony structures reveal no acute abnormalities." 3297_IM-1575-1002.dcm.png,the heart is normal in size. the mediastinum is unremarkable. mild emphysematous changes are noted. the lungs are otherwise clear. 1364_IM-0237-2001.dcm.png,"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." 620_IM-2202-1001.dcm.png,"there is no focal consolidation, pleural effusion, or pneumothorax. stable left lower lobe scarring. normal heart size and pulmonary vascularity. there are degenerative changes of the thoracic spine noted." 3495_IM-1700-3001.dcm.png,"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.." 3702_IM-1849-22001.dcm.png,lungs are overall hyperexpanded with flattening of the diaphragms. lungs are clear without focal airspace disease. no pleural effusions or pneumothoraces. heart and mediastinum of normal size and contour. degenerative changes within the spine. there are expansile changes within the right clavicle which were seen on the previous ct. findings are consistent with changes of multiple myeloma. 1432_IM-0278-2001.dcm.png,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. 3354_IM-1609-1001.dcm.png,"heart size and mediastinal contours appear within normal limits. hyperinflated lungs with flattening of diaphragms, compatible with emphysema. no focal consolidation, pleural effusion or pneumothorax. no acute bony abnormality." 520_IM-2131-1001.dcm.png,"no pneumothorax, pleural effusion or airspace consolidation. cardiomediastinal size is within normal limits. pulmonary vasculature is normal. old rib fractures, healed. stable increased density overlying the lower mediastinum, unchanged, is due to hiatal hernia seen on examination." 2551_IM-1058-2001.dcm.png,heart size and mediastinal contour are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusions or pneumothoraces. 3829_IM-1932-2001.dcm.png,stable moderate cardiomegaly. mediastinal contours are unchanged. stable prominence of the central pulmonary vasculature with coarse central interstitial markings. decreased left basilar airspace disease. no visible pleural effusion or pneumothorax. 952_IM-2447-3003.dcm.png,the heart size and pulmonary vascularity appear within normal limits. the lungs are free of focal airspace disease. no pleural effusion or pneumothorax is seen. calcified granuloma are noted. a few opacities are present consistent with of scarring or atelectasis. 2065_IM-0701-1001.dcm.png,"stable cardiomediastinal silhouette. no focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. changes of right mastectomy. sequelae of prior granulomatous disease. mild thoracic spine degenerative change" 1777_IM-0509-1001.dcm.png,"the patient is rotated to left. the cardiomediastinal silhouette is normal in size. lucency along the left ventricular related to interface between the heart and aerated lung. patchy right perihilarupper lobe opacities, which abut the fissure on lateral projection. no pneumothorax or large pleural effusion. exaggerated thoracic kyphosis. no definite acute bone abnormality." 3880_IM-1968-2001.dcm.png,unchanged cardiomegaly. negative for pneumothorax or focal consolidation. no large effusion. mildly prominent interstitial opacities. 2450_IM-0986-2001.dcm.png,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. 3058_IM-1425-3003.dcm.png,"left midlung opacity noted, not visualized on prior. heart size within normal limits. no pleural effusions. no evidence of pneumothorax. osseous structures intact." 291_IM-1313-2001.dcm.png,"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." 3731_IM-1865-2001.dcm.png,lungs are clear. heart and mediastinum appear normal. no pleural effusion or pneumothorax. 308_IM-1439-2001.dcm.png,stable appearing rightsided the opacities. there is persistent elevation of the right hemidiaphragm. the cardiac silhouette and mediastinal contours are within normal limits. there is no pneumothorax. 1909_IM-0590-1002.dcm.png,"consolidation, atelectasis, and costophrenic blunting in the left lower lobe have cleared in the interval. a persistent patchy infiltrate is present in the right middle lobe. no infiltrates. heart is slightly large. pulmonary are normal. aorta remains tortuous." 3061_IM-1427-2001.dcm.png,the heart size and pulmonary vascularity appear within normal units. no pleural effusion or pneumothorax is seen. bandlike opacities are present in the right base consistent with areas of atelectasis. remainder of the lungs appear clear. 1346_IM-0224-4001.dcm.png,there is a right chest with catheter tip at the cavoatrial junction. heart size is at the upper limits of normal. lungs are grossly clear. no pleural effusion or pneumothorax. there are diffuse degenerative changes of the spine. 406_IM-2054-1001.dcm.png,"heart size normal. no pneumothorax, large pleural effusion, or focal airspace disease. bony structures appear intact. calcified right hilar nodules consistent with chronic granulomatous disease." 3291_IM-1572-1001.dcm.png,the lungs are clear. the heart and pulmonary are normal. the pleural spaces are clear. mediastinal contours are normal. 666_IM-2241-1002.dcm.png,the heart is mildly enlarged. the aorta is atherosclerotic and ectatic. chronic parenchymal changes are noted with mild scarring andor subsegmental atelectasis in the right lung base. no focal consolidation or significant pleural effusion identified. costophrenic are blunted. 3759_IM-1883-2001.dcm.png,there is hyperexpansion of lungs and flattening of the diaphragm consistent with copd. no focal lung consolidation. no pneumothorax or pleural effusion. heart size and pulmonary vascularity are within normal limits. there is a kyphosis and osteopenia of the thoracic spine. no displaced rib fractures. 3520_IM-1718-1001.dcm.png,"heart size, mediastinal contour, and pulmonary vascularity are within normal limits. minimal streaky atelectasis the left lung base. no focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. thoracic spondylosis." 3451_IM-1674-1001.dcm.png,the heart is normal in size. the mediastinum is stable. calcified ap lymph are seen. a small rightsided pleural effusion versus thickening. right inferior rib deformities. 1965_IM-0629-1001.dcm.png,"there is moderate cardiomegaly. there are bilateral interstitial opacities, increased since the previous exam. no focal airspace consolidation, pleural effusions or pneumothorax. no acute bony abnormalities." 3551_IM-1740-1001.dcm.png,"heart size near top normal limits for technique. no focal alveolar consolidation, no definite pleural effusion seen. no typical findings of pulmonary edema. dense left lower lobe nodule suggests a previous granulomatous process." 3940_IM-2011-2001.dcm.png,"there is a stable closure device projected over the heart. the heart and mediastinum are otherwise normal. there is stable scarring of left mid lung. the lungs are otherwise clear. there is no infiltrate, effusion, mass or pneumothorax." 2354_IM-0918-1001.dcm.png,lungs are clear. no pneumothorax or pleural effusion. normal heart and mediastinal contours. normal pulmonary vasculature. bony thorax intact. 2700_IM-1169-1001.dcm.png,cardiac and mediastinal contours are within normal limits. granulomatous calcifications and mediastinum. the lungs are clear. bony structures are intact. 2544_IM-1054-2001.dcm.png,heart is mildly enlarged but stable. pulmonary vascularity is normal. the patient is status post valve replacement. sternotomy intact. no focal airspace disease or effusion. residuals of prior granulomatous infection. degenerative change of the spine. no pneumothorax. 1076_IM-0054-1001.dcm.png,there is opacity at posterior aspect of lower chest seen on lateral view which probably represents left lower lobe consolidation. there may also be small bilateral pleural effusion. upper limits of normal heart size. mild central vascular prominence. old fracture deformities of multiple right ribs. 110_IM-0067-2001.dcm.png,cardiac and mediastinal contours are within normal limits. the lungs are clear. bony structures are intact. 3918_IM-1992-1001.dcm.png,"hyperinflated lungs with mildly flattened posterior diaphragm and increased retrosternal airspace. no alveolar consolidation, no findings of pleural effusion or pulmonary edema. heart size within normal limits. no pneumothorax." 3943_IM-2013-1001.dcm.png,the bony thorax is intact and the heart size is normal. the lung are free of infiltrate and there is no pleural effusion. we again note the left hilar calcifications that are unchanged from the prior studies. 1402_IM-0257-1001.dcm.png,"the examination consists of frontal and lateral radiographs of the chest. the cardiomediastinal contours are within normal limits. pulmonary vascularity is within normal limits. no focal consolidation, pleural effusion, or pneumothorax identified. the visualized osseous structures and upper abdomen are unremarkable." 842_IM-2366-2001.dcm.png,cardiomediastinal silhouette and pulmonary vasculature are within normal limits. lungs are clear. no pneumothorax or pleural effusion. no radiodense foreign bodies noted. no acute osseous findings. 3105_IM-1456-1002.dcm.png,"heart and mediastinum within normal limits. negative for focal pulmonary consolidation, pleural effusion, or pneumothorax." 982_IM-2470-3003.dcm.png,lungs are clear. no focal airspace consolidation. no pleural effusion or pneumothorax. normal cardiomediastinal silhouette. there are postoperative changes of cervical spine fusion. 960_IM-2451-11001.dcm.png,"no focal consolidation, pneumothorax or definite pleural effusion. heart size within normal limits for technique, no mediastinal widening seen. no acute osseous injury demonstrated. dextroscoliosis noted." 101_IM-0011-2001.dcm.png,the heart is again mildly enlarged. mediastinal contours are stable. patient is somewhat rotated. the lungs are hypoinflated with elevated left hemidiaphragm. opacities compatible with atelectasis. no large effusion is seen. there is no focal consolidation. pulmonary vascularity is mildly accentuated. there are bilateral degenerative changes of the with probable chronic dislocation of the left humerus. correlate clinically. 2048_IM-0688-3001.dcm.png,"the lungs and pleural spaces show no acute abnormality. stable right lower lobe calcified granulomas. thin lingular scar, unchanged. heart size and pulmonary vascularity within normal limits. surgical clips are visualized in the right upper quadrant." 2890_IM-1293-22001.dcm.png,the cardiomediastinal silhouette and vasculature are within normal limits for size and contour. the lungs are normally inflated and clear. no definite pneumothorax. no displaced fracture. small rounded radiopaque density within the posterior superficial subcutaneous fat represents projectile fragment.. 1667_IM-0441-2001.dcm.png,the cardiac and mediastinal silhouettes are normal. the lungs are wellexpanded and clear. there is no focal airspace opacity. there is no pneumothorax or effusion. there is irregularity of the th posterior right rib with underlying pleural thickening. 1826_IM-0535-1001.dcm.png,"the central airway is midline and is . the cardiomediastinal silhouette is within normal limits. there is no focal lung consolidation, pleural effusion, or pneumothorax seen. the osseous structures appear within normal limits." 1752_IM-0494-2001.dcm.png,size is normal limits. cardiomediastinal silhouette has normal contour. there is a vague opacity in the right infrahilar region. there is also a mm well circumscribed nodule in the right upper lung . it is not well visualized on lateral view. 941_IM-2438-1001.dcm.png,"surgical at the distal left clavicle. no acute osseous abnormality. soft tissue structures are within normal limits. stable normal cardio mediastinal silhouettes and hilar structures. the lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. ." 3714_IM-1856-2001.dcm.png,"cardio mediastinal silhouette, pulmonary vascular pattern are within normal limits. mildly low lung volumes. no focal infiltrate, pleural effusion or pulmonary edema. no pneumothorax." 2389_IM-0944-1001.dcm.png,"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." 3986_IM-2041-1001.dcm.png,the cardiomediastinal silhouette and vasculature are within normal limits for size and contour. the lungs are normally inflated and clear. osseous structures are within normal limits for patient age. 522_IM-2133-1002001.dcm.png,there is hyperinflation of the lungs. a small area scarring is seen in the left cardiophrenic region. 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. 1399_IM-0255-1001.dcm.png,the cardiac contours are normal. the lungs are clear. thoracic spondylosis. partial fusion of vertebral bodies near the thoracolumbar junction. 1800_IM-0520-2001.dcm.png,"lungs are hyperexpanded bilaterally, with no focal consolidation, pleural effusion, or pneumothoraces. cardiomediastinal silhouette is within normal limits. are unremarkable." 1065_IM-0046-2001.dcm.png,"there has been interval cabg. sternotomy and cerclage 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." 1736_IM-0484-2001.dcm.png,"the cardiomediastinal contours are stable and normal. mid sternotomy again noted. mildly low lung volumes. no significant pulmonary edema, focal lung consolidation, pleural effusions or pneumothorax seen." 274_IM-1194-1001.dcm.png,"the cardiomediastinal silhouette is within normal limits for appearance. the thoracic aorta is tortuous and calcified. no focal areas of pulmonary consolidation. no pneumothorax. no pleural effusion. degenerative endplate changes of the thoracic spine with an ageindeterminate, mild wedge deformity of a midthoracic vertebral body." 3046_IM-1418-1001.dcm.png,"redemonstration of azygos lobe. redemonstrated left perihilar nodular opacity, similar in size from previous examination. dense appearing, may be granulomatous. the trachea is midline. negative for pneumothorax, pleural effusion or focal airspace consolidation. the heart size is normal. . limited exam, for evaluation of fractures. however, no evidence for displaced rib fracture." 3406_IM-1647-1001.dcm.png,"the heart size and mediastinal contours appear within normal limits. calcified granuloma in the left midlung. no focal airspace consolidation, pleural effusion or pneumothorax. no acute bony abnormalities." 1644_IM-0422-2001.dcm.png,the heart size and pulmonary vascularity appear within normal limits. the lungs are free of focal airspace disease. no pleural effusion or pneumothorax is seen. calcified lymph are present. degenerative changes are present in the spine. 1678_IM-0447-0001-0002.dcm.png,"the heart is normal in size. the mediastinum is stable. right chest tip is again seen at the cavoatrial junction. there is no pneumothorax. there is again elevation of right hemidiaphragm with rightsided pleural effusion. vague opacities are noted in the right upper lobe, from prior study. these may be related to overlying rib lesions versus true pulmonary nodules. the left lung appears grossly clear. drainage catheter seen overlying the right upper quadrant." 1255_IM-0172-1001-0001.dcm.png,rightsided chest tube tip now projects outside the thoracic cavity. no definite residual pneumothorax. stable cardiomediastinal silhouette. there are low lung volumes. no large pleural effusion. no focal airspace consolidation. small amount of subdiaphragmatic free air. 1442_IM-0286-1001.dcm.png,the cardiac contours are normal. the lungs are clear. thoracic spondylosis. 2306_IM-0882-1001.dcm.png,"no pneumothorax, pleural effusion or airspace consolidation. cardiomediastinal size is within normal limits. pulmonary vasculature is normal . intact. mild degenerative change of the lower thoracic spine, anterior osteophytes." 2528_IM-1044-1001.dcm.png,the cardiac contours are normal. the lungs are clear. thoracic spondylosis. 3180_IM-1500-3001.dcm.png,"the heart is normal in size and contour. the lungs are clear, without evidence of infiltrate. there is no pneumothorax or effusion." 2706_IM-1172-1001.dcm.png,the lungs are clear. there is no pleural effusion. the heart and mediastinum are normal. arthritic changes are seen throughout the spine and both . 1208_IM-0141-1001.dcm.png,"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." 2572_IM-1073-1001.dcm.png,lungs are clear without focal consolidation. no suspicious pulmonary nodules identified. no pleural effusions or pneumothoraces. heart and mediastinum of normal size and contour. 1927_IM-0600-1001.dcm.png,cardiac and mediastinal contours are within normal limits. prior granulomatous disease. the lungs are otherwise clear. bony structures are intact. 3892_IM-1974-0001-0001.dcm.png,"normal heart size. bibasilar patchy opacities, left greater than right. no pneumothorax or large pleural effusions. leftsided subclavian central venous catheter with tip in the right atrium. no significant pulmonary edema. low lung volumes. exaggeration of the thoracic kyphosis with evidence of lower thoracic vertebral body the deep opacities. multiple mild vertebral body wedge deformities in the mid thoracic spine. moderate degenerative changes of the thoracic spine. multiple bilateral rib fractures, some of which appear old. interval deformity of the vertebral body the level of the two vertebroplasty ." 3077_IM-1438-2001.dcm.png,heart size and pulmonary vascularity appear within normal limits. the lungs are free of focal airspace disease. no pleural effusion or pneumothorax is seen. low left paraspinalretrocrural adenopathy is present. this appears unchanged. 2886_IM-1288-0001-0001.dcm.png,low lung volumes. question patchy opacity left base. no pneumothorax. osseous structures intact. small right effusion. 1799_IM-0519-1001.dcm.png,heart size within normal limits. no focal airspace disease. no pneumothorax or pleural effusion. 2891_IM-1294-1001.dcm.png,"both lungs remain clear and expanded. no focal parenchymal infiltrates or pleural air collections. heart and aorta are normal. no change in the large hiatus hernia. pelvis. bone density is decreased. hips are normal and symmetric. no fractures, dislocations, or bone destruction. note of a severe rotatory dextroscoliosis in the lumbar spine." 857_IM-2378-3003.dcm.png,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. 1178_IM-0121-1002.dcm.png,trachea is midline. normal heart. clear lungs. no pneumothorax. no pleural effusion. 945_IM-2440-2001.dcm.png,"in the interval, consolidation has developed in the left upper lobe. also, anterior segment opacity is present. right lung remains clear. heart size is normal." 3869_IM-1962-1001.dcm.png,"there are changes of prior midline sternotomy with surgical clips consistent with cabg, and stable mild cardiomegaly. no focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. visualized osseous structures appear intact." 218_IM-0792-4004.dcm.png,heart size is unchanged. aortic calcification is noted. no pneumothorax. no large pleural effusions. there are unchanged opacities throughout the lungs which represent scarring. lungs are hyperexpanded. 376_IM-1883-2001.dcm.png,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. no noncalcified nodules are identified. 813_IM-2344-1001.dcm.png,"the examination consists of frontal and lateral radiographs of the chest. the cardiomediastinal contours are unchanged. there are diminished lung volumes with central bronchovascular crowding. minimal atelectasis versus scarring seen in the left lung base. right lung is clear. no focal consolidation, pleural effusion, or pneumothorax identified. there are degenerative changes of the thoracic spine." 3765_IM-1884-1002.dcm.png,"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.." 123_IM-0153-4004.dcm.png,mild cardiomegaly. tortuous aorta. no focal infiltrate. no pneumothorax or large pleural effusion. soft tissue density identified in the medial right apex which is asymmetric compared to left. 3591_IM-1770-1001-0001.dcm.png,the heart and mediastinal contours are unchanged. there is a moderate hiatal hernia. the lungs are clear without focal infiltrate. no effusion or pneumothorax. 3628_IM-1796-1001.dcm.png,"the examination consists of frontal and lateral radiographs of the chest. the cardiomediastinal contours are within normal limits. pulmonary vascularity is within normal limits. no focal consolidation, pleural effusion, or pneumothorax identified. there are multilevel degenerative changes of the thoracic spine." 2631_IM-1118-1001.dcm.png,"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 . cholecystectomy." 2745_IM-1197-12012.dcm.png,normal heart size and mediastinal contours. clear lungs besides scattered calcified granulomas. no pneumothorax or pleural effusion. no acute bony abnormalities. 50_IM-2118-1001.dcm.png,a lung volumes. lungs are clear without focal airspace disease. no pleural effusions or pneumothoraces. cardiomegaly. degenerative changes in the spine. 2026_IM-0671-1001.dcm.png,"the trachea is midline. cardiomediastinal silhouette is normal. the lungs are clear, without evidence of focal consolidation or pleural effusion. there is no pneumothorax. the visualized bony structures reveal no acute abnormalities." 2926_IM-1328-1001.dcm.png,cardiac and mediastinal contours are within normal limits. the lungs are clear. bony structures are intact. 3121_IM-1466-1002.dcm.png,"heart size and mediastinal contour within normal limits. calcified granuloma right midlung. no focal airspace consolidation, pneumothorax, or large pleural effusion. degenerative changes in the thoracic spine." 353_IM-1726-2001.dcm.png,and lateral chest examination was obtained. there is improvement in bilateral pulmonary edema with mild residual. there is minimal rightsided pleural effusion. heart silhouette is not enlarged. there is calcified mediastinal lymph . there is no pneumothorax 886_IM-2400-1002.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 925_IM-2425-2001.dcm.png,increased interstitial lung changes with superimposed pulmonary edema. cardiomegaly. negative for effusion or pneumothorax. degenerative changes of the thoracic spine. 3729_IM-1864-1002.dcm.png,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 airfluid levels or free intraperitoneal air. no suspicious calcifications. there is curvature of the thoracolumbar spine. otherwise the osseous structures are grossly unremarkable. 364_IM-1804-2001.dcm.png,"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." 1341_IM-0220-3001.dcm.png,lungs are clear bilaterally. cardiac and mediastinal silhouettes are normal. pulmonary vasculature is normal. no pneumothorax or pleural effusion. no acute bony abnormality. the distal tip of a right ij duallumen central venous catheter is at the which junction. 1240_IM-0162-4001.dcm.png,feeding tube passes below the left hemidiaphragm. left subclavian central line tip is at the upper svc. shunt tubing courses along the anterior left hemithorax. there is grossly stable left lower lobe consolidation. stable mild residual medial right basilar airspace disease. there is no pneumothorax. heart size is within normal limits. there is aortic atherosclerotic vascular calcification. there are diffuse degenerative changes of the spine. 2246_IM-0843-2001.dcm.png,normal heart size and mediastinal contour. right lung base airspace disease on frontal . opacities in the left lung base consistent with atelectasis. no pneumothorax. no pleural effusion. mild wedge deformity of t. 90_IM-2407-1001.dcm.png,the lungs are clear. there is no focal airspace consolidation. no pleural effusion or pneumothorax. heart size and mediastinal contour are within normal limits. there are degenerative changes of the spine. 2698_IM-1167-2001.dcm.png,the lungs appear clear. the heart and pulmonary are normal. the pleural spaces are clear. mediastinal contours are normal. 3325_IM-1591-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 921_IM-2423-1001.dcm.png,"frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette. normal mediastinal contour, pulmonary and vasculature, central airways and aeration of the lungs. no pleural effusion." 2003_IM-0654-2001.dcm.png,"borderline enlarged heart. pulmonary vasculature appears within normal limits. no focal pulmonary opacity, pleural effusion or pneumothorax. no acute bony abnormality. possible right shoulder calcific tendinitis. calcifications of the abdominal aorta are seen." 1795_IM-0516-2001.dcm.png,there is moderate cardiomegaly. no interstitial edema or pleural effusion. no focal airspace consolidation. no pneumothorax. there is mild degenerative disc disease of the thoracic spine. 1419_IM-0267-1001.dcm.png,cardiac silhouette and pulmonary vascularity are normal. there is mild bibasilar focal atelectasis. no evidence of pleural effusion or pneumothorax. minimal atherosclerotic changes are present in the thoracic aorta. 1568_IM-0371-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are hypoinflated but clear. 258_IM-1078-1001.dcm.png,overall hyperexpanded lungs with flattening of the diaphragms consistent with obstructive lung disease. lungs are clear without focal consolidation. no pleural effusions or pneumothoraces. heart and mediastinum of normal size and contour. degenerative changes in the spine. 2432_IM-0974-4001.dcm.png,"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." 1182_IM-0124-2001.dcm.png,"heart size within normal limits. no alveolar consolidation, no findings of pleural effusion or pulmonary edema. no pneumothorax." 220_IM-0811-1001.dcm.png,the heart is normal in size. the mediastinum is stable. leftsided chest is again visualized with tip at cavoatrial junction. there is no pneumothorax. numerous bilateral pulmonary nodules have increased in size and number compared to prior study. the dominant nodulemass in the left midlung is also mildly increased. there is no pleural effusion. 2279_IM-0865-2001.dcm.png,heart size is enlarged. the aorta is unfolded. otherwise the mediastinal contour is normal. there are streaky bibasilar opacities. there are no nodules or masses. no visible pneumothorax. no visible pleural fluid. the are grossly normal. there is no visible free intraperitoneal air under the diaphragm. 855_IM-2376-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 961_IM-2452-84646002.dcm.png,"there is a opacity projecting over the left midlung, posterior on the lateral view. no pleural effusions. no evidence of pneumothorax. heart size top normal. degenerative changes thoracic spine." 1729_IM-0480-1001.dcm.png,chronic bilateral emphysematous changes. the heart size and mediastinal silhouette are within normal limits for contour. the lungs are clear. no pneumothorax or pleural effusions. the are intact. 999_IM-2480-1001.dcm.png,"lungs are clear bilaterally. there is no focal consolidation, pleural effusion, or pneumothoraces. cardiomediastinal silhouette is within normal limits. are unremarkable." 3420_IM-1656-1001.dcm.png,clear lungs. heart size is normal. no pneumothorax or large pleural effusion. 725_IM-2285-1001.dcm.png,the cardiomediastinal silhouette is within normal limits. lungs are clear without areas of focal consolidation. no pneumothorax or large pleural effusion. 1704_IM-0464-1001.dcm.png,there is blunting of the left costophrenic compatible with a moderate to large left pleural fluid collection. there are areas of airspace opacity within the left lung base which may represent atelectasis or infiltrate. minimal bandlike atelectasis within the right lung base. heart size is normal. leftsided tunneled catheter terminates at the caval atrial junction. right ij venous catheter terminates at the proximal svc. 397_IM-2030-2001.dcm.png,there is a 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. 2247_IM-0844-2001.dcm.png,the cardiomediastinal silhouette is normal in size and appearance. no pleural effusion or pneumothorax. lungs are clear. 2558_IM-1062-1001.dcm.png,there is no focal consolidation. there is no pneumothorax or large pleural effusion. the cardiomediastinal contours are grossly unremarkable. the heart size is within normal limits. 959_IM-2449-2001.dcm.png,the heart and mediastinal contours are stable. there is minimal patchy right lower lobe airspace disease identified. no pleural effusion or pneumothorax. 1161_IM-0107-1001.dcm.png,"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." 1516_IM-0334-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 3852_IM-1949-4004.dcm.png,heart size is normal. no pneumothorax or focal airspace disease. no pleural effusion. eventration of the right hemidiaphragm. mild degenerative changes of the thoracic spine without fracture. 1986_IM-0643-1001.dcm.png,"the heart size and cardia mediastinal silhouette are normal. there is no focal airspace opacity, pleural effusion, or pneumothorax. there is an approximately mm opacity overlying the sixth anterior rib. there are other scattered calcified granulomas. the osseous structures are intact. there are mild degenerative changes in the thoracic spine." 289_IM-1292-0001-0001.dcm.png,"heart size within normal limits, stable mediastinal and hilar contours, right chest tip in the low svc. monitoring device artifacts. no focal alveolar consolidation, no definite pleural effusion seen. no typical findings of pulmonary edema." 3960_IM-2025-1001.dcm.png,"heart size, mediastinal contour, and pulmonary vascularity are within normal limits. no focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. spondylosis of the midthoracic spine with large anterior osteophyte formations." 1485_IM-0313-1001.dcm.png,again seen are platelike horizontal opacities in both lung bases through this is consistent with scarring or subsegmental atelectasis. there are tspine osteophytes. the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there there is no lobar pneumonia. there are calcified right hilar granuloma. there are degenerative changes of the . there is a curvilinear density within and along the right costophrenic sulcus which most represents a skinfold. there is a unchanged fracture with callus at the left th lateral rib. 2555_IM-1060-1001.dcm.png,heart size is normal. mild lung hyperexpansion. the lungs are clear. there are no focal air space consolidations. no pleural effusions or pneumothoraces. the hilar and mediastinal contours are normal. normal pulmonary vascularity. 3370_IM-1622-2001.dcm.png,"lungs are clear without focal consolidation, effusion, or pneumothorax. normal heart size. bony thorax and soft tissues unremarkable." 1094_IM-0065-2001.dcm.png,"no acute osseous abnormality. the soft tissues are within normal limits. normal appearing cardiomediastinal silhouette and hilar contours. left lower lobe density representing atelectasis. no focal area of consolidation, pleural effusion, pneumothorax." 1034_IM-0028-1002.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. right middle lobe calcified granuloma is unchanged. heart and mediastinum unchanged. no change hiatus hernia. 13_IM-0198-2001.dcm.png,"the cardiac silhouette is borderline enlarged. otherwise, there is no focal opacity. mediastinal contours are within normal limits. there is no large pleural effusion. no pneumothorax." 1366_IM-0237-2001.dcm.png,lungs are clear. heart size normal. the are unremarkable. 2898_IM-1300-0001-0003.dcm.png,"heart size within normal limits. no focal alveolar consolidation, no definite pleural effusion seen. no typical findings of pulmonary edema." 3253_IM-1542-1001.dcm.png,"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." 964_IM-2454-1002.dcm.png,"in the interval, the heart size has become normal. pulmonary are normal. lungs are clear and expanded." 3317_IM-1587-1001.dcm.png,"the heart, pulmonary and mediastinum are within normal limits. there is no pleural effusion or pneumothorax. there is no focal air space opacity to suggest a pneumonia." 1417_IM-0266-1001.dcm.png,"cardiac and mediastinal contours are unremarkable. pulmonary vascularity is within normal limits. no focal air space opacities, pleural effusion, or pneumothorax. there are increased lucencies in the bilateral apices along with horizontal oblique scarring in the left upper lobe. this could suggest emphysematous bullae. are grossly unremarkable." 3159_IM-1487-1001-0002.dcm.png,moderate cardiomegaly. prominent vascular pedicleupper mediastinal contour. mild central vascular congestion. no overt edema or confluent lobar pneumonia. no pleural effusion. thoracic spondylosis. 326_IM-1546-12012.dcm.png,the lungs are clear. heart size and mediastinal contours are normal. no osseous abnormalities. 1679_IM-0448-1001.dcm.png,"heart size normal. lungs are clear. are normal. no pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses." 3471_IM-1687-2002.dcm.png,"heart size, mediastinal contour, and pulmonary vascularity are within normal limits. no focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. there is a rounded lucency seen above the diaphragm on lateral view, suggestive of small hiatal hernia. visualized osseous structures appear intact. degenerative changes of the thoracic spine seen." 1334_IM-0214-1001.dcm.png,mediastinal contours are normal. lungs are clear. there is no pneumothorax or large pleural effusion. 2058_IM-0696-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are mildly hypoinflated but clear. 2117_IM-0745-1001.dcm.png,stable appearance of chest with no findings of disease progression. heart and mediastinum stable configuration. stable elevation of left hemidiaphragm. lungs clear of consolidation. no pneumothorax or pleural effusion. bony thorax intact. minimal spondylosis of the lower thoracic spine. 1952_IM-0620-3001.dcm.png,"the trachea is midline. the cardiomediastinal silhouette is normal. there are low lung volumes, causing bibasilar atelectasis and bronchovascular crowding. pulmonary opacity seen in the right lung base, may indicate focal infiltrate. there is no pleural effusion or pneumothorax. the visualized bony structures reveal no acute abnormalities." 1723_IM-0477-1001.dcm.png,heart size is normal. there are densely calcified mediastinal and right hilar lymph which suggest prior histoplasmosis exposure. no consolidating airspace disease is seen within the lungs. no pleural effusion or pneumothorax. no convincing acute bony findings. 3892_IM-1974-0001-0002.dcm.png,"normal heart size. bibasilar patchy opacities, left greater than right. no pneumothorax or large pleural effusions. leftsided subclavian central venous catheter with tip in the right atrium. no significant pulmonary edema. low lung volumes. exaggeration of the thoracic kyphosis with evidence of lower thoracic vertebral body the deep opacities. multiple mild vertebral body wedge deformities in the mid thoracic spine. moderate degenerative changes of the thoracic spine. multiple bilateral rib fractures, some of which appear old. interval deformity of the vertebral body the level of the two vertebroplasty ." 3119_IM-1466-1001.dcm.png,heart size is normal. no focal airspace consolidations. no pneumothorax or pleural effusion. no acute osseous findings. 421_IM-2064-2001.dcm.png,"lungs are clear without focal consolidation, effusion, or pneumothorax. normal heart size. bony thorax and soft tissues grossly unremarkable. negative for pneumoperitoneum." 3354_IM-1609-1002.dcm.png,"heart size and mediastinal contours appear within normal limits. hyperinflated lungs with flattening of diaphragms, compatible with emphysema. no focal consolidation, pleural effusion or pneumothorax. no acute bony abnormality." 1112_IM-0078-2001.dcm.png,there is widening of the mediastinum. there is moderate cardiomegaly identified. the central pulmonary appear enlarged. correlate for pulmonary vascular congestion. no focal infiltrate. no large effusion or pneumothorax. 3442_IM-1667-1001.dcm.png,normal cardiomediastinal contours. low lung volumes with minimal left basilar opacities. no pneumothorax or pleural effusions. 3777_IM-1894-1001.dcm.png,"low lung volumes. the trachea is midline. negative for pneumothorax, pleural effusion or focal airspace consolidation. the heart size is normal. mild degenerate change of the thoracic spine. stable cholecystectomy clips in the right upper quadrant." 859_IM-2380-1001.dcm.png,"the cardiomediastinal silhouette and vasculature are within normal limits for size and contour. right lower lung opacity represents combination of soft tissue overlay and minimal atelectasis. no focal airspace consolidation, pleural effusion, or pneumothorax. osseous structures are within normal limits for patient age." 606_IM-2195-1001.dcm.png,"sternotomy are in and intact. normal cardiomediastinal silhouette. the bilateral costophrenic are excluded from the image on the pa view. lungs are clear without focal areas of consolidation, pleural effusion, or pneumothorax. are intact without acute osseous abnormality. mild degenerative changes throughout the thoracic spine." 3738_IM-1867-1001.dcm.png,"the heart size and mediastinal contours appear within normal limits. no focal airspace consolidation, pleural effusion or pneumothorax. no acute bony abnormalities." 2558_IM-1062-10001.dcm.png,there is no focal consolidation. there is no pneumothorax or large pleural effusion. the cardiomediastinal contours are grossly unremarkable. the heart size is within normal limits. 1855_IM-0555-1001.dcm.png,heart size within normal limits. there is focal left lateral base airspace disease. there is a mm nodular opacity in the right midlung. no pneumothorax. no pleural effusion. no displaced rib fractures. there is an apparent deformity of the right humeral surgical neck. this is not seen on the comparison. correlate clinically with history of fracture. 1204_IM-0138-2001.dcm.png,"pa and lateral views the chest were obtained. heart size is upper limits normal or mildly enlarged. the thoracic aorta is mildly tortuous. pulmonary are within normal limits. no pneumothorax, pleural effusion, or focal air space consolidation." 2459_IM-0991-1002.dcm.png,the heart and mediastinum are unremarkable. the lungs are clear without infiltrate. there is no effusion or pneumothorax. 2185_IM-0795-1001.dcm.png,there are low lung volumes with bibasilar opacities representing subsegmental atelectasis. the cardio the cardiac silhouette is of the of normal. there is no pneumothorax or pleural effusion. 1567_IM-0370-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. opacity in left midlung. the lungs are clear. 1731_IM-0481-1001.dcm.png,"low lung volumes bilaterally. 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." 1701_IM-0462-1001.dcm.png,cardiac and mediastinal contours are within normal limits. the lungs are clear. bony structures are intact. 3531_IM-1726-1001.dcm.png,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. 427_IM-2070-1001.dcm.png,"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.." 2477_IM-1006-1001.dcm.png,"intact sternotomy . stable cardiomegaly with grossly unchanged rightward mediastinal shift. unchanged appearance of left perihilar calcified lymph and left basilar calcified granuloma. relatively unchanged appearance of prominent interstitial markings with patchy bibasilar atelectasis. the negative for pneumothorax, focal infiltrate, or large pleural effusion. no acute bony abnormalities." 697_IM-2262-3003.dcm.png,"there is obscuration of the left hemidiaphragm, suggesting left retrocardiac airspace disease. this is not identified in the lateral view, which is limited by rotation. no evidence for effusion." 3451_IM-1674-3001.dcm.png,the heart is normal in size. the mediastinum is stable. calcified ap lymph are seen. a small rightsided pleural effusion versus thickening. right inferior rib deformities. 3602_IM-1778-2001.dcm.png,"normal cardiomediastinal silhouette and hilar contours. calcified bilateral lung and perihilar granulomas. the lungs are clear without focal area of consolidation, pleural effusion, or pneumothorax.. are intact without acute osseous abnormality." 368_IM-1832-1001.dcm.png,cardiomediastinal silhouette and pulmonary vasculature are within normal limits. lungs are clear. no pneumothorax or pleural effusion. no acute osseous findings. 2634_IM-1121-2001.dcm.png,lungs are clear. no focal infiltrate or effusion. no pneumothorax. heart and mediastinal contours within normal limits. there are significant degenerative changes of the thoracic spine. 3757_IM-1881-12012.dcm.png,the lungs and pleural spaces show no acute abnormality. heart size and pulmonary vascularity within normal limits. mild tortuosity of the descending thoracic aorta. sternotomy noted. inferior sternotomy is disrupted. 3608_IM-1781-2001.dcm.png,chest the heart is enlarged. there may be a pericardial effusion. no definite pulmonary edema is seen. lungs appear clear. there is no pleural effusion. the skeletal structures and soft tissues are unremarkable. kub single view of the abdomen was obtained. the bowel pattern is nonspecific. there is no evidence for obstruction or free intraperitoneal air. no large soft tissue masses or organomegaly are identified. the skeletal structures appear normal. 2687_IM-1158-1001.dcm.png,"the heart size and mediastinal contours appear within normal limits. no focal airspace consolidation, pleural effusions or pneumothorax. surgical clips overlying the left breast soft tissues. multilevel degenerative changes of the thoracic spine. no acute bony abnormalities." 112_IM-0080-1001.dcm.png,previous lower spine cervical fusion. lungs are overall hyperexpanded with flattening of the diaphragms consistent with obstructive lung disease. lungs are clear without focal consolidation. no pleural effusions or pneumothoraces. heart and mediastinum of normal size and contour. degenerative changes in the spine. 3305_IM-1581-4001.dcm.png,there is a right picc with tip overlying the right brachiocephalic vein. the cardiac silhouette is enlarged. no overt pulmonary edema. there are streaky bibasilar opacities. no large pleural effusion. the right hemidiaphragm is elevated. no pneumothorax is identified. there are degenerative changes of the spine. bilateral surgical clips are noted. 2786_IM-1221-1001.dcm.png,"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." 1962_IM-0628-2002.dcm.png,"no pneumothorax, pleural effusion or airspace consolidation. stable right lower lung granuloma. interval to right clavicle procedure. heart size and pulmonary vasculature appear within normal limits. are intact." 2637_IM-1122-1001.dcm.png,"moderatetomarked enlargement of the cardiac silhouette, mediastinal contours appear similar to prior. mild bilateral posterior sulcus blunting, interstitial and alveolar opacities greatest in the central lungs and bases with indistinct vascular margination." 3337_IM-1598-1001.dcm.png,"chest. lungs are clear and expanded. heart size normal. a calcified pleural plaque in the right subpulmonic area has not since the abdomen ct. left and right knees. , spaces, and soft tissues are normal." 419_IM-2062-1001.dcm.png,cardiac and mediastinal contours are within normal limits. the lungs are clear. bony structures are intact. 3439_IM-1664-2001.dcm.png,normal heart size. clear lungs. no pneumothorax or pleural effusion. 3566_IM-1751-2001.dcm.png,normal heart size and mediastinal contours. low lung volumes mild bibasilar atelectasis. no focal airspace consolidation. no pleural effusion or pneumothorax. visualized osseous structures are unremarkable in appearance. the lateral views are limited by patient positioning and motion. large cervical spine osteophytes. 1839_IM-0543-13014.dcm.png,the heart is normal in size. the mediastinum is stable. granulomatous sequela are noted. the previously visualized nodular density in the right upper lobe is not wellseen on todays study. there is no acute infiltrate or pleural effusion. 3246_IM-1538-2001.dcm.png,the cardiac contours are normal. prominent pulmonary arteries. the lungs are clear. thoracic spondylosis. 2877_IM-1283-1001.dcm.png,"the cardiomediastinal silhouette is normal in size and contour. no focal consolidation, pneumothorax or large pleural effusion. normal ." 2338_IM-0905-1001.dcm.png,"compared to prior examination, there is significant improvement in aeration bilaterally, with improved bilateral airspace opacities. currently, there are only minimal streaky opacities in the bilateral midlung, which may represent mild residual airspace disease, atelectasis, or underlying changes of chronic lung disease. no large focal consolidations, pneumothorax, or definite pleural effusions identified. the mediastinal silhouette is stable and within normal limits for size and contour. no acute osseous abnormality is identified." 2258_IM-0849-2001.dcm.png,"mild hypoventilation with bronchovascular crowding and prominent central and basilar interstitial markings. no focal alveolar consolidation, no pleural effusion demonstrated. considering technical factors heart size within normal limits." 91_IM-2415-2001.dcm.png,minimal righttoleft cardiomediastinal shift. the cardiomediastinal silhouette is otherwise normal size and configuration. pulmonary vasculature within normal limits. there is a moderate sized right pneumothorax. this measures . cm at the level the right apex. 1379_IM-0243-1001.dcm.png,heart size is within normal limits. no focal airspace disease. no pneumothorax or effusion. 3936_IM-2007-3001.dcm.png,"heart size within normal limits. no alveolar consolidation, no findings of pleural effusion or pulmonary edema. no pneumothorax." 3912_IM-1988-2001-0002.dcm.png,"examination is somewhat limited, the costophrenic and posterior costophrenic sulci are excluded. patient is rotated to the right. heart size upper limits normal, but stable. mediastinal contour is grossly unremarkable. lung parenchyma is clear, no focal airspace consolidation. no large effusion, no visible pneumothorax within the limits of the study." 1826_IM-0535-0001.dcm.png,"the central airway is midline and is . the cardiomediastinal silhouette is within normal limits. there is no focal lung consolidation, pleural effusion, or pneumothorax seen. the osseous structures appear within normal limits." 3529_IM-1725-2001.dcm.png,status post midline sternotomy with intact . stable mild cardiomegaly. normal lung vascularity. the lungs are clear. 432_IM-2072-1002.dcm.png,"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. cholecystectomy clips overlie the right upper quadrant. no acute bone abnormality." 2027_IM-0672-0001-0002.dcm.png,heart size and pulmonary vascularity appear within normal limits. lungs are free of focal airspace disease. no pleural effusion or pneumothorax is seen. in the left midlung zone there is identified a . cm nodule. this appears somewhat dense and may contain calcium although this cannot be stated with certainty. 299_IM-1377-2001.dcm.png,cardiac and mediastinal contours are within normal limits. the lungs are clear. bony structures are intact. small hiatal hernia. 106_IM-0042-1001.dcm.png,heart size and mediastinal contour are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusions or pneumothoraces. 741_IM-2297-1001.dcm.png,"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 acute bony changes." 3143_IM-1477-2001.dcm.png,and lateral chest examination was obtained. the heart silhouette is normal in size and contour. aortic appear unremarkable. lungs demonstrate no acute findings. there is no effusion or pneumothorax. 1028_IM-0022-1001.dcm.png,"cardiac and mediastinal contours are within normal limits. the lungs are clear. acromioclavicular arthritis is present, severe." 266_IM-1141-4004.dcm.png,"the lungs and pleural spaces show no acute abnormality. heart size is mildly enlarged, pulmonary vascularity within normal limits. atherosclerotic calcifications are present in the aortic ." 917_IM-2419-2001.dcm.png,there are stable sternotomy . the heart and mediastinal contours are unchanged. the lungs are clear without focal infiltrate. there is no effusion or pneumothorax. 2509_IM-1031-2001.dcm.png,"the lungs are hyperexpanded, with increased ap diameter of the chest. the cardiomediastinal silhouette is stable and normal. there is no pneumothorax or large pleural effusion." 1001_IM-0004-1002.dcm.png,interstitial markings are diffusely prominent throughout both lungs. heart size is normal. pulmonary normal. 1771_IM-0505-1001.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. heart and mediastinum normal. 768_IM-2313-2001.dcm.png,normal heart size and mediastinal contours. no focal air space opacities. no pleural effusion. visualized osseous structures are unremarkable. 928_IM-2426-2002.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 3411_IM-1649-0001-0001.dcm.png,"there are low lung volumes with bronchovascular crowding. there is patchy left lower lobe airspace disease. there are opacities in the right mid lung, subsegmental atelectasis. no significant pleural effusion. no pneumothorax. heart size is within normal limits. there is aortic atherosclerotic vascular calcification." 820_IM-2351-1001.dcm.png,there are tspine osteophytes. small nodule projecting near the left heart is unchanged from and appears calcified. this represents a calcified granuloma. the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. 662_IM-2238-1001.dcm.png,"heart , mediastinum, , bony structures and lung are unremarkable." 2997_IM-1381-1001.dcm.png,"lungs are clear without focal consolidation, effusion, or pneumothorax. normal heart size. bony thorax and soft tissues unremarkable." 3183_IM-1502-2001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 1511_IM-0331-1001.dcm.png,both lungs are clear and expanded. heart and mediastinum normal. 1159_IM-0107-1001.dcm.png,lungs are clear. there is no pneumothorax or pleural effusion. the heart and mediastinum are within normal limits. bony structures are intact. 376_IM-1883-1001.dcm.png,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. no noncalcified nodules are identified. 3661_IM-1821-1001.dcm.png,there are no focal areas of consolidation. no pleural effusions. no pneumothorax. heart size within normal limits. osseous structures intact. 914_IM-2417-1001.dcm.png,"the cardiomediastinal silhouette is normal in size and contour. negative for focal consolidation, pneumothorax or large pleural effusion. middle lobe calcified granulomas. normal ." 820_IM-2351-2001.dcm.png,there are tspine osteophytes. small nodule projecting near the left heart is unchanged from and appears calcified. this represents a calcified granuloma. the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. 3045_IM-1418-1001.dcm.png,heart size and vascularity normal. mediastinal contour normal. lungs are clear. no pleural effusions or pneumothoraces. 292_IM-1322-1001.dcm.png,the heart is normal in size and contour. there is a vague area of airspace disease identified within the right midlung on the pa view. this is not welldemonstrated on the lateral view. there is no pneumothorax or effusion. 2768_IM-1212-1001.dcm.png,and lateral chest examination was obtained. the heart silhouette is normal in size and contour. aortic appear unremarkable. lungs demonstrate no acute findings. there is no effusion or pneumothorax. 3515_IM-1715-1002.dcm.png,lungs are clear. a calcified small granuloma is present in the left lower lobe. heart size normal. mediastinum normal. 3994_IM-2045-1001.dcm.png,similar mild cardiomegaly. of the pulmonary vascularity is prominent. no focal consolidations or effusions. no pneumothorax. no acute bony abnormality. 2174_IM-0787-1001.dcm.png,"the examination consists of frontal and lateral radiographs of the chest. the cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen are normal." 1268_IM-0180-2001.dcm.png,"the cardiomediastinal silhouette is normal size and configuration. the thoracic aorta is tortuous. pulmonary vasculature within normal limits. the lungs are wellaerated. there is no pneumothorax, pleural effusion, or focal consolidation. there is no obvious displaced rib fracture. if there is concern for fracture consider rib series." 1097_IM-0067-2001.dcm.png,"heart size and mediastinal contours are within normal limits. diffuse bilateral calcified sequelae of prior granulomatous infection. no pulmonary vascular congestion. no edema. no focal consolidation. there is no visible pleural effusion or pneumothorax. there is mild anterior wedging of a lower thoracic vertebral body, approximately t level." 1833_IM-0539-1001.dcm.png,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. 417_IM-2060-1002.dcm.png,"stable calcified granulomas. the trachea is midline. negative for pneumothorax, pleural effusion or focal airspace consolidation. the heart size is normal." 1913_IM-0595-1002.dcm.png,"the heart size and cardiopulmonary silhouette is normal. there is no focal airspace opacity, pleural effusion, or pneumothorax. the obstruction are intact with mild degenerative change in the thoracic spine." 2740_IM-1195-2001.dcm.png,"the trachea is midline. the cardiomediastinal silhouette is normal. the lungs are clear, without evidence of acute infiltrate or effusion. there is no pneumothorax. the visualized bony structures reveal no acute abnormalities. lateral view reveals degenerative changes of the thoracic spine." 3112_IM-1461-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 2370_IM-0931-2001.dcm.png,"in the interval, consolidation and atelectasis have developed in the right lower lobe. costophrenic blunted on the right. left lung clear. heart size normal." 1981_IM-0638-2001.dcm.png,"the heart is normal size. the mediastinum is unremarkable. there is no pleural effusion, pneumothorax, or focal airspace disease. chronic degenerative changes are present within the spine." 327_IM-1552-1001.dcm.png,"there is stable, mild cardiomegaly with normal caliber pulmonary vasculature. there are grossly intact sternotomy and mediastinal surgical clips. there is no focal airspace disease, pneumothorax, or pleural effusion. there are no acute bony findings." 2628_IM-1115-1001.dcm.png,the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. lungs are mildly hypoinflated with minimal streaky atelectasis or scar in the lung bases. lungs are otherwise grossly clear of focal airspace disease. there is a stable calcified granuloma in the posterior left midlung. there is no pneumothorax or pleural effusion. there are no acute bony findings. 463_IM-2091-2001.dcm.png,there is a approximately cm opacity with one margin and the other illdefined in the lateral lower left lung is seen on the pa view. this is not definitely seen on the lateral view. there is no pneumothorax or pleural effusion. the cardiac silhouette is within normal limits. there are tspine osteophytes. there is no pneumothorax or pleural effusion. there are calcified hilar lymph there 2882_IM-1286-2001.dcm.png,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. 785_IM-2325-2001.dcm.png,"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." 1487_IM-0314-2001.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. heart and mediastinum normal. 2176_IM-0789-2001.dcm.png,"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." 3969_IM-2030-1001.dcm.png,the lungs hyperexpanded suggesting emphysema. the heart size and pulmonary vascularity appear within normal limits. lungs are free of focal airspace disease. no pleural effusion or pneumothorax is seen. osteopenia and degenerative changes are present in the spine. 3069_IM-1432-1001.dcm.png,right upper lobe airspace disease consistent with pneumonia given patients history. the lungs are otherwise clear. no pleural effusions or pneumothoraces. heart and mediastinum of normal size and contour. 331_IM-1584-1001.dcm.png,the heart size and mediastinal silhouette are within normal limits for contour. the lungs are clear. no pneumothorax or pleural effusions. the are intact. 1925_IM-0599-3003.dcm.png,the heart is normal in size. there is bihilar prominence. the lungs are clear. 1600_IM-0390-1001.dcm.png,"the lungs are clear. there is no focal airspace consolidation. no pleural effusion or pneumothorax. heart size is at the upper limits of normal. thoracic aorta is mildly ectatic, stable. old right clavicular fracture is again noted." 2491_IM-1017-1001.dcm.png,the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. 632_IM-2213-1001.dcm.png,"cardiac and mediastinal silhouette are unremarkable. lungs are clear. no focal consolidation, pneumothorax, or pleural effusion identified. and soft tissue are unremarkable." 3977_IM-2036-1001.dcm.png,normal heart size. stable unfolding the thoracic aorta. no focal air space consolidation. no pleural effusion or pneumothorax. stable calcified granuloma in the left lower lobe. visualized osseous structures are unremarkable appearance. 1022_IM-0017-2001.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. no change in the small calcified right upper lobe nodule. heart and mediastinum normal. 1562_IM-0367-2001.dcm.png,"low lung volumes with magnified appearance of the heart, normal heart size. negative for consolidation, effusion, or pneumothorax. bony thorax and soft tissues grossly unremarkable." 2925_IM-1327-1001.dcm.png,the lungs are clear. the cardiomediastinal silhouette is within normal limits. no pleural effusion is identified. 3181_IM-1500-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 3931_IM-2003-3001.dcm.png,"the heart size is normal. the cardiomediastinal silhouette is stable in appearance. the lungs are clear without focal airspace opacity, pneumothorax, or pleural effusion. the are normal in appearance." 1831_IM-0538-2001.dcm.png,"heart size within normal limits. no focal alveolar consolidation, no definite pleural effusion seen. no typical findings of pulmonary edema. no pneumothorax." 185_IM-0551-1001.dcm.png,the heart is normal in size. the mediastinum is stable. lungs are mildly hypoinflated. increased opacities on lateral projection reflect bronchovascular crowding. there is no acute infiltrate or pleural effusion. 2215_IM-0820-1001.dcm.png,"the cardiomediastinal silhouette is normal in size and contour. no focal consolidation, pneumothorax or large pleural effusion. negative for acute bone abnormality." 3804_IM-1914-1001.dcm.png,"cardiomediastinal silhouette stable and within normal limits for size with unchanged atherosclerosis and tortuosity thoracic aorta. there is no focal consolidation, pneumothorax, or effusion. no acute bony abnormality. stable left proximal humeral enchondroma versus remote bony infarct. stable multilevel degenerative disc disease of the thoracic spine. calcified granuloma seen anteriorly on lateral view is stable since ." 1075_IM-0054-1001.dcm.png,"lungs are hyperinflated with interstitial changes of severe emphysema. there is an illdefined pleural parenchymal opacity in the left upper lobe. this may represent scarring but is incompletely evaluated on the outside study, without coronal and sagittal reformats. there is mild scarring andor atelectasis in the lung bases. lungs otherwise grossly clear. there is no pneumothorax or pleural effusion. heart size is normal. there are mild degenerative endplate changes in the thoracic spine. there is generalized osteopenia." 2382_IM-0941-1001.dcm.png,moderate cardiomegaly with narrowed severe mediastinal contours. been sternotomy noted. no pneumothorax. no large pleural effusions. no focal lung consolidation. 3851_IM-1948-1001.dcm.png,"no pneumothorax, pleural effusion, or focal airspace disease. nodular densities consistent with chronic granulomatous disease. bony structures appear intact. heart size normal." 1648_IM-0425-0001-0002.dcm.png,the lungs are mildly hyperexpanded. there is no focal airspace consolidation. no suspicious pulmonary mass or nodule is identified. heart size and mediastinal contour are within normal limits. there are degenerative changes of the spine. 1852_IM-0554-1001.dcm.png,"lungs are clear. no focal consolidation, effusion, or pneumothorax. heart and mediastinal contours are normal. osseous structures intact." 1734_IM-0484-2001.dcm.png,heart size and mediastinal contour are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusions or pneumothoraces. 983_IM-2471-2001.dcm.png,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 . this was present previously and is most compatible with bronchiectasis. there is no focal airspace disease. no pneumothorax or pleural effusion. unremarkable . 2041_IM-0685-1001.dcm.png,no pneumothorax. no large pleural effusions. heart size is normal. no acute focal space opacities. 2282_IM-0869-1001.dcm.png,"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. specifically, no evidence of rib fractures." 3930_IM-2003-3001.dcm.png,lungs are overall hyperexpanded consistent with obstructive lung disease. lungs are clear without focal consolidation. no suspicious pulmonary nodules or masses are noted. no pleural effusions or pneumothoraces. heart size is upper limits of normal. 1565_IM-0368-1001.dcm.png,"pa and lateral views of the chest were obtained. the cardiomediastinal silhouette is normal in size and configuration. the lungs are well aerated. there is no pneumothorax, pleural effusion, or focal air space consolidation. mild basilar atelectasis. increased density the lung bases, favored this attenuation from overlying breast shadows." 2096_IM-0726-1001.dcm.png,normal heart size and mediastinal contours. clear lungs. no pneumothorax or pleural effusion. unremarkable . 237_IM-0930-1001.dcm.png,"the heart size and cardiomediastinal silhouette are normal. the lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. there are numerous calcified granuloma in the right perihilar region. there are multilevel degenerative changes in the thoracic spine." 3599_IM-1775-2001.dcm.png,"there are intact midline sternotomy and postsurgical changes of prior cabg. the aorta is unfolded. the heart size and cardiomediastinal silhouette are normal. there is no focal airspace opacity, pleural effusion, or pneumothorax. there are mild degenerative changes in the thoracic spine." 2285_IM-0870-1001.dcm.png,sternotomy and mediastinal postsurgical changes. stable cardiomegaly. crowded bronchovascular and interstitial markings related to low lung volumes and technique. grossly stable appearance of the lungs compared to prior exam without overt edema or gross airspace consolidation. 1727_IM-0479-2001.dcm.png,"rightsided internal jugular central venous catheter with tip approximating the right atrium. postsurgical changes of the mediastinum including sternotomy . 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." 1144_IM-0097-2001.dcm.png,"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." 87_IM-2390-1001.dcm.png,"no focal airspace disease, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no free subdiaphragmatic air." 3125_IM-1469-1001.dcm.png,"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." 3763_IM-1883-2001.dcm.png,both lungs are clear and expanded. heart and mediastinum normal. 24_IM-0949-2001.dcm.png,cardiomediastinal silhouette is within normal limits of size and appearance. the pulmonary vascularity is unremarkable. lungs are expanded and clear of airspace disease. negative for pneumothorax or pleural effusion. limited bone evaluation reveals no acute abnormality. there is incompletely evaluated lumbar levoscoliosis. 3995_IM-2046-1001.dcm.png,"the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. the lungs are mildly hyperinflated with flattening of the diaphragms and expansion of the retrosternal clear space. compared with prior exam, there has been interval resolution of previously demonstrated bibasilar infiltrates. there is minimal scarring or atelectasis in the right midlung. there is no focal airspace disease. there is no pneumothorax or pleural effusion. there are no acute bony findings." 3810_IM-1920-2001.dcm.png,"the heart and mediastinum are unremarkable. the lungs are clear without infiltrate. there is no effusion or pneumothorax. there is surgical clips projected over the left lung apex, as well as, over the right upper quadrant of the abdomen." 1580_IM-0378-2001.dcm.png,lungs are mildly hyperexpanded. the lungs are clear. there is no focal airspace consolidation. no pleural effusion or pneumothorax. heart size and mediastinal contour are within normal limits. there are diffuse degenerative changes of the spine. 3727_IM-1863-1001.dcm.png,lung volumes are low. no focal infiltrates. heart and pulmonary normal. an indwelling catheter from the left has its tip at the superior . 2033_IM-0678-2001.dcm.png,"the cardiac silhouette is near upper limits of normal in size. pulmonary vasculature is normal in caliber. there is mild tortuosity of the descending thoracic aorta. the lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. there are no acute bony findings. there are mild degenerative endplate changes in the thoracic spine." 3835_IM-1938-3001.dcm.png,"lungs are clear bilaterally. there is no focal consolidation, pleural effusion, or pneumothoraces. there is widening adjacent to the right paratracheal stripe, most represents the svc with rotated position. are unremarkable." 1053_IM-0040-1001.dcm.png,"there are postoperative changes of sternotomy and cabg. there is stable mild cardiomegaly. there are scattered of subsegmental atelectasis, decreased from the prior chest radiograph. no focal airspace consolidation. no pleural effusion or pneumothorax. there are minimal degenerative changes of the spine." 1946_IM-0615-1001.dcm.png,"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." 1150_IM-0102-1003.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. heart and mediastinum normal. 36_IM-1776-2001.dcm.png,"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." 3137_IM-1476-1002.dcm.png,"the trachea is midline. cardiomediastinal silhouette is normal. there is a calcified density in the left mid lung, most a calcified granuloma. lungs are otherwise clear, without evidence of acute infiltrate or effusion. specifically, there is no evidence of tuberculous disease. there is no pneumothorax. the bony structures show no acute abnormalities." 2694_IM-1165-1001.dcm.png,"the heart is normal in size and contour. the lungs are clear, without evidence of infiltrate. there is no pneumothorax or effusion." 2477_IM-1006-1002.dcm.png,"intact sternotomy . stable cardiomegaly with grossly unchanged rightward mediastinal shift. unchanged appearance of left perihilar calcified lymph and left basilar calcified granuloma. relatively unchanged appearance of prominent interstitial markings with patchy bibasilar atelectasis. the negative for pneumothorax, focal infiltrate, or large pleural effusion. no acute bony abnormalities." 3702_IM-1849-23001.dcm.png,lungs are overall hyperexpanded with flattening of the diaphragms. lungs are clear without focal airspace disease. no pleural effusions or pneumothoraces. heart and mediastinum of normal size and contour. degenerative changes within the spine. there are expansile changes within the right clavicle which were seen on the previous ct. findings are consistent with changes of multiple myeloma. 3856_IM-1951-1001.dcm.png,"pa and lateral views. the cardiomediastinal silhouette is normal. the lungs are clear. no effusions, consolidation or pneumothorax." 633_IM-2213-2001.dcm.png,the lungs are clear. there is no focal airspace consolidation. no pleural effusion or pneumothorax. heart size and mediastinal contour are within normal limits. there are multilevel degenerative changes of the spine. 127_IM-0181-1001.dcm.png,"heart size and mediastinal contour within normal limits. calcified granuloma in the left lung base. no focal airspace consolidation, pneumothorax, or large pleural effusion. no acute osseous abnormality." 1152_IM-0103-1001.dcm.png,"the heart is enlarged. the mediastinum is unremarkable. atherosclerotic calcifications present within the thoracic aorta. there is no pleural effusion, pneumothorax, or focal airspace disease. chronic degenerative changes are noted within the spine." 2156_IM-0775-2001.dcm.png,the heart is normal in size. the pulmonary vascularity is within normal limits in appearance. no focal air space opacities. no pleural effusions or pneumothorax. no acute bony abnormalities. 3761_IM-1883-1001.dcm.png,heart size is mildly enlarged. tortuous aorta. lungs are normally inflated and clear. mild degenerative changes of the spine. 862_IM-2383-1001.dcm.png,the parenchymal scar in the left lower lobe is unchanged in the interval. no infiltrates or masses in the lungs. heart and mediastinum are normal. 2420_IM-0964-0001-0001.dcm.png,the heart is normal in size. the mediastinum is within normal limits. aorta is tortuous. right chest tip is visualized at the proximal right atrium. the lungs are grossly clear. no pneumothorax is seen. there are deformities of the left lateral th and th ribs possibly healing or old fractures. 3336_IM-1598-1001.dcm.png,"the heart, pulmonary 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 ageindeterminate leftsided rib fractures noted. there is a calcified right hilar lymph node. there basilar calcified granulomas. there minimal degenerative changes of the spine." 40_IM-2050-1002.dcm.png,"mild hyperexpansion of the lungs. numerous bilateral rib deformities. no focal airspace disease. heart size is normal. no pneumothorax or effusion. large, flowing anterior endplate osteophytes of the thoracic spine." 1050_IM-0038-4004.dcm.png,"technically limited study secondary to patient . decreased lung volumes with associated bronchopulmonary crowding without evidence of focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. visualized osseous structures appear intact." 3154_IM-1486-4004.dcm.png,"there is severe dextroscoliosis of the thoracic spine with chronic deformity of the bilateral ribs. the lungs are chronically hypoinflated. there is visualization of the hemidiaphragms, which may be due to basilar airspace diseaseatelectasis. evaluation of the lungs is markedly limited. overall, the appearance is similar to the prior study from . there is no evidence of pneumothorax or large pleural effusion." 43_IM-2070-1001.dcm.png,the heart and lungs have in the interval. both lungs are clear and expanded. heart and mediastinum normal. 871_IM-2391-2001.dcm.png,chest. heart size within normal limits. no focal airspace disease. no pneumothorax or effusions. pelvis. there are numerous clips overlying the pelvis and lower abdomen. nonobstructive bowel pattern. no pathologic calcifications. hip joint spaces are symmetric and normal. sacroiliac joints are unremarkable. no fractures or dislocations. 2632_IM-1119-3001.dcm.png,"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." 3132_IM-1473-2001.dcm.png,the and soft tissue appear normal. the cardiac silhouette and mediastinum size are normal. the aortic is on the left. the trachea is well seen and appears normal. the lungs are clear. 2702_IM-1170-1001.dcm.png,cardiomegaly. prominent are stable. low lung volumes. no pneumothorax. minimal right costophrenic blunting. no focal infiltrates. 922_IM-2423-1001.dcm.png,the heart is slightly large. pulmonary are normal. no infiltrates. 207_IM-0703-2001.dcm.png,normal heart size and mediastinal contours. the lungs are clear. there is no pneumothorax or pleural effusion. no acute bony abnormalities. 181_IM-0524-1002.dcm.png,normal heart size mediastinal contours. eventration of the right hemidiaphragm. no focal airspace consolidation. no pleural effusion or pneumothorax. 2919_IM-1321-2001.dcm.png,"the heart is significantly enlarged. prominent pulmonary vascularity. no focal airspace consolidation, suspicious pulmonary opacity, or definite pleural effusion. no pneumothorax. visualized osseous structures appear intact." 3935_IM-2006-2001.dcm.png,left picc line remains in . the tip projects over the upper svc. it has moved outward since the previous study. the heart size and pulmonary vascularity appear within normal limits. previously present left base airspace disease has cleared. there is blunting of the right costophrenic which may represent small amount of pleural effusion or pleural reaction. some scattered bandlike opacities are present which appear to represent scars. degenerative changes are present in the right shoulder. 2815_IM-1240-1001.dcm.png,the heart is normal in size. the mediastinum is unremarkable. granulomatous sequela are noted. the lungs are otherwise clear. 1249_IM-0169-1001.dcm.png,the lungs are clear without evidence of focal airspace disease. there are calcified granulomas in the left lower lobe. there is no evidence of pneumothorax or large pleural effusion. the cardiac and mediastinal contours are within normal limits. the are unremarkable. 3043_IM-1417-2001.dcm.png,"the heart and mediastinum are normal. the lungs are clear. there is mild blunting of the right costophrenic . there is no infiltrate, mass or pneumothorax. the right internal jugular catheter has been removed." 1833_IM-0539-2001.dcm.png,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. 220_IM-0811-1002.dcm.png,the heart is normal in size. the mediastinum is stable. leftsided chest is again visualized with tip at cavoatrial junction. there is no pneumothorax. numerous bilateral pulmonary nodules have increased in size and number compared to prior study. the dominant nodulemass in the left midlung is also mildly increased. there is no pleural effusion. 2445_IM-0981-2002.dcm.png,the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. 1190_IM-0128-1003.dcm.png,both lungs are clear and expanded. heart and mediastinum normal. 916_IM-2419-1001.dcm.png,lungs are clear without focal airspace disease. numerous calcifications are again noted. no pleural effusions or pneumothoraces. heart size is upper limits of normal. 2822_IM-1244-0001.dcm.png,"no focal consolidation, effusion, or pneumothorax. normal heart size. stable left subclavian chest catheter tip in mid svc. lungs are well expanded. calcified granuloma posteriorly in the medial right lower lobe. postsurgical changes of anterior lower cervical spine fusion. thoracic spine demonstrates mild degenerative changes with some mild loss of t and t vertebral bodies." 2062_IM-0699-0001-0001.dcm.png,"right subclavian catheter, distal tip posterior to the head of the clavicle, the level of the subclavian vein. low lung volumes. no pleural effusion. left lower lobe airspace disease, atelectasis. cardiomediastinal size is within normal limits. pulmonary vasculature is normal . intact." 2873_IM-1279-2002.dcm.png,heart size and vascularity normal. external contour normal. lungs clear. no pleural effusions or pneumothoraces. 793_IM-2330-2001.dcm.png,"the examination consists of frontal and lateral radiographs of the chest. the cardiomediastinal contours are within normal limits. pulmonary vascularity is within normal limits. no focal consolidation, pleural effusion, or pneumothorax identified. oval sclerotic density projecting over the inferior right glenoid may represent synovial osteochondromatosis or cortical . this is unchanged . the remaining osseous structures and visualized upper abdomen are unremarkable in appearance." 3065_IM-1429-1001.dcm.png,lungs are without focal airspace disease. no pleural effusions or pneumothoraces. heart size is normal status post sternotomy. degenerative changes in the thoracic spine. incidental note is of previous left rotator repair. 411_IM-2056-4001.dcm.png,there is some minimal patchy opacity in left base which may represent atelectasis or scarring. the lungs are otherwise clear. the heart and mediastinum are normal for age. there is some arthritic changes of the skeletal structures and there has been previous rotator repair on the right. 2328_IM-0898-2001.dcm.png,heart size is normal. the lungs are clear. there are no 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. 2225_IM-0829-4001.dcm.png,the cardiomediastinal silhouette and vasculature are within normal limits for size and contour. the lungs are normally inflated and clear. osseous structures are within normal limits for patient age. 142_IM-0267-2001.dcm.png,cardiomediastinal silhouette and pulmonary vasculature are stable and within normal limits. lungs are clear. no pneumothorax or pleural effusion. no acute osseous findings. 3549_IM-1739-1001-0003.dcm.png,"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." 1315_IM-0204-2001.dcm.png,"normal heart size. normal mediastinal silhouette. no pneumothorax, pleural effusion or suspicious focal air space opacity." 941_IM-2438-2001.dcm.png,"surgical at the distal left clavicle. no acute osseous abnormality. soft tissue structures are within normal limits. stable normal cardio mediastinal silhouettes and hilar structures. the lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. ." 2469_IM-0999-3001.dcm.png,"there is mild opacification over both , secondary to soft tissue attenuation. there are no focal air space opacities. no pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. trachea is midline. no free subdiaphragmatic air." 641_IM-2220-1001.dcm.png,"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. mild dextrocurvature of the spine again noted." 1750_IM-0493-1001.dcm.png,the heart size is within normal limits. after cirrhotic calcification of the thoracic aorta. hyperexpanded lungs with flattened diaphragms and increased retrosternal clear space suggestive of emphysema. streaky left basilar opacities are favored to represent scarring. no pleural effusions or pneumothorax. exaggerated thoracic kyphosis. scattered calcified granulomas bilaterally. no acute bony abnormalities. 1303_IM-0199-2001-0002.dcm.png,"in the interval, a cm uncalcified mass has developed in the posterior segment of the right upper lobe. in addition, on the pa view, an mm opacity is adjacent to the left of the heart. this opacity cannot be well identified on the lateral view. it may be artifactual, but another mass on the left cannot be excluded. mediastinum is normal with no evidence for adenopathy. heart size normal. note of an unchanged hiatal hernia." 3480_IM-1691-1001.dcm.png,the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. cholecystectomy clips are present. 2377_IM-0937-1001.dcm.png,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. 1113_IM-0078-1001.dcm.png,"previous sulcal is normal in size and contour. lungs are clear. no focal consolidation, pneumothorax, or pleural effusion. interval resolution of previously described right midlung opacity suggesting resolved inflammatoryinfectious process. lungs are hyperexpanded with flattened diaphragms. and soft tissue are unremarkable." 184_IM-0544-2001.dcm.png,pa and lateral views were obtained. lungs are clear. there is no pneumothorax or pleural effusion. the heart and mediastinum are within normal limits. bony structures are intact. a mm stable right apical nodule. 3974_IM-2034-2002.dcm.png,the lungs are hyperexpanded consistent with emphysema. the heart size and pulmonary vascularity appear within normal limits. no pneumothorax or pleural effusion is seen. patchy airspace disease is present in the right middle lobe. degenerative changes are present spine. 1439_IM-0282-1001.dcm.png,lungs are . opacities are present in the left lung base. heart size normal. mediastinum normal.