dev (2).csv

findings,impression
"heart size near top normal limits technique . focal alveolar consolidation , definite pleural effusion seen . typical findings pulmonary edema . dense left lower lobe nodule suggests previous granulomatous process .",acute findings
"stable appearance left upper lung lobe scarring , volume loss , pleural thickening . cardiomediastinal silhouette within normal limits normal appearance , similar prior . volume loss left lung , stable . right lung clear .  focal airspace disease , pleural effusion , pneumothorax . mild scarring right apex . acute bony abnormality .",. acute cardiopulmonary process . . stable appearance left upper lobe .
lung volumes low . focal infiltrates . heart size normal ., change . hypoinflation visible active cardiopulmonary disease .
"heart normal size . mediastinal contours within normal limits . numerous bilateral pulmonary nodules varying sizes . largest noted left lower lobe , posteriorly measuring approximately . cm . acute infiltrate pleural effusion appreciated .",numerous bilateral pulmonary nodules dominant nodule mass left lower lung . diagnostic considerations would include primary lung carcinoma metastatic nodules versus secondary metastatic disease known brain tumor . suggest clinical correlation imaging  examination .
  lateral chest examination obtained . heart silhouette mediastinal contours enlarged . lungs demonstrate acute findings . effusion pneumothorax .,. acute pulmonary disease .
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen .,evidence active disease .
heart size normal . normal cardiomediastinal silhouette . lungs clear bilaterally . thoracic spine shows anterior osteophyte formation .,acute cardiopulmonary abnormality .
normal heart . clear lungs . pneumothorax . pleural effusion . trachea midline .,normal chest exam .
"hyperinflated lungs mildly flattened posterior diaphragm . focal alveolar consolidation , definite pleural effusion seen . heart size within normal limits , typical findings pulmonary edema .","hyperinflated lungs , air trapping versus inspiratory  ."
normal heart size mediastinal contours . interval improvement right lower lobe airspace disease .  mild air space opacity distribution .  airspace disease . pneumothorax pleural effusion .,improved right lower lobe consolidation mild residual recurrent pneumonia . recommend radiographic follow appropriate therapy confirm resolution . improvement consider  evaluation . .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. cardio mediastinal silhouette unremarkable . visualized osseous structures thorax without acute abnormality .",acute cardiopulmonary abnormality .
"gross consolidation , atelectasis infiltrate . pleural fluid collection pneumothorax . cardiomediastinal silhouette within normal limits .   intact .",. negative acute cardiopulmonary findings .
heart size pulmonary vascularity normal . stomach contour normal . right hemidiaphragm elevation . lungs clear . degenerative changes thoracic spine .,right hemidiaphragm elevation . acute cardiopulmonary process .
stable normal cardiomediastinal silhouette . lungs mildly hyperexpanded . blunting left costophrenic   represent scarring atelectasis . large pneumothorax effusion . acute osseous abnormalities .,. acute radiographic cardiopulmonary process .
pneumothorax . heart size normal . large pleural effusions . focal airspace opacities . definite visualized rib fractures .,acute cardiopulmonary abnormalities . visualized rib fractures .
"lungs clear . focal consolidation , pleural effusion , pneumothorax . heart mediastinum normal size shape .  soft tissues unremarkable .",acute cardiopulmonary disease .
"mild cardiomegaly . normal pulmonary vascularity . tortuosity descending aorta . focal infiltrate , pneumothorax pleural effusion .",mild cardiomegaly .
"lungs clear bilaterally focal infiltrate , pleural effusion , pneumothoraces . cardiomediastinal silhouette within normal limits .  soft tissues unremarkable .",acute cardiopulmonary abnormality . .
cardiac mediastinal silhouettes normal . lungs well expanded clear . focal airspace opacity . pneumothorax effusion . dextrocurvature thoracic spine .  deformity vertebral body . levocurvature lumbar spine significant degenerative change also noted .,. evidence acute cardiopulmonary process . . scoliotic curvature spine  deformity vertebral body .
"x mm calcified nodule left lower lobe . moderate hiatal hernia present . cardiomediastinal silhouette normal . pulmonary vasculature  normal . consolidation , pneumothorax large pleural effusion . osseous structures soft tissues normal .",. acute cardiopulmonary disease . . calcified left paraesophageal versus intrapulmonary lymph node . . moderate hiatus hernia .
focal areas consolidation . suspicious pulmonary opacities . heart size within normal limits . pleural effusions . evidence pneumothorax . stable left mid lung granuloma .,acute cardiopulmonary abnormality .
distortion right hilum may postsurgical versus neoplastic . volume loss right hand side . evidence focal infiltrate . pneumothorax . pleural effusion . normal heart size .,"question prior right upper lobe resection , acute abnormality ."
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen . degenerative changes present spine .,. evidence active disease .
heart size within normal limits . mild prominence pulmonary outflow tract otherwise pulmonary vascularity appears within normal limits . edema . lobar consolidation pleural effusion . pneumothorax . cholecystectomy clips seen right upper abdomen .,heart size within normal limits . mild prominence pulmonary outflow tract otherwise pulmonary vascularity appears within normal limits . edema . lobar consolidation pleural effusion . pneumothorax . cholecystectomy clips seen right upper abdomen .
"patchy bilateral airspace disease pulmonary  ,  combination atelectasis consolidation . borderline cardiac enlargement . tracheostomy tube tip . cm carina .","patchy bilateral airspace disease pulmonary  ,  combination atelectasis consolidation . borderline cardiac enlargement . tracheostomy tube tip . cm carina ."
heart lungs   interval . lungs clear expanded . heart mediastinum normal .,active disease .
normal cardiac contour . clear hyperexpanded lungs bilaterally pneumothorax pleural effusion .,. acute cardiopulmonary abnormalities .
focal areas consolidation . pleural effusions . pneumothorax . heart size within normal limits . calcified granulomas . degenerative changes thoracic spine .,
"images . moderate thoracic dextroscoliosis , similar prior imaging . heart size normal . focal airspace consolidation seen within lungs . pleural effusion pneumothorax .",acute changes prior imaging .
lungs clear . pleural effusions pneumothoraces . heart mediastinum normal size contour . scoliosis .,clear lungs .
radiograph  available interpretation  hours   . low lung volumes associated bronchovascular crowding basilar subsegmental atelectasis . cardiomediastinal silhouette pulmonary vasculature within normal limits . pneumothorax pleural effusion . focal areas consolidation .,acute cardiopulmonary abnormality .
"comparison chest x  . minimal lingular scarring . overall , well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified .","comparison chest x  . minimal lingular scarring . overall , well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified ."
"cardiomediastinal silhouette within normal limits size contour . lungs normally inflated without evidence focal airspace disease , pleural effusion , pneumothorax . osseous structures within normal limits patient age ..",. acute radiographic cardiopulmonary process .
"heart size normal . pneumothorax , pleural effusion , focal airspace disease . bony structures intact .",normal chest radiograph .
cardiomediastinal silhouette within normal limits appearance . trachea midline . focal pulmonary consolidation . pneumothorax . pleural effusion . minimal degenerative changes thoracic spine .,. acute cardiopulmonary process . .
stable cardiomediastinal silhouette borderline cardiomegaly . pneumothorax large pleural effusion . focal airspace disease . diffuse interstitial opacities . bony structures appear intact . nodular densities consistent chronic granulomatous disease .,negative acute cardiopulmonary disease .
"heart size moderately enlarged , stable mediastinal contours .   opacity left lung base . otherwise , focal alveolar consolidation , definite pleural effusion seen . typical findings pulmonary edema .",. cardiomegaly .   opacity left base  atelectasis
"mild cardiomegaly . pulmonary vasculature normal caliber . mild  opacities bilaterally , favoring scar atelectasis . lungs otherwise clear . pneumothorax pleural effusion . acute , displaced rib fractures demonstrated . visualized vertebral body  grossly intact .",". mild cardiomegaly . . acute cardiopulmonary findings . specifically , displaced rib fractures demonstrated . ."
lungs clear . pleural effusion pneumothorax . heart significantly enlarged . atherosclerotic changes aorta . arthritic changes skeletal structures noted .,acute pulmonary disease .
"postoperative changes sternotomy . cardiomegaly . contour ascending aorta prominent , consistent known ascending aortic aneurysm . lungs appear clear . focal airspace consolidation . pleural effusion pneumothorax . minimal degenerative changes spine .",". acute pulmonary abnormality demonstrated . . stable cardiomegaly . . prominent contour ascending aorta , consistent known ascending aortic aneurysm ."
prior sternotomy . midline sternotomy  . normal heart size . vascular congestion . overt edema lobar pneumonia . pleural effusion .,prior sternotomy . midline sternotomy  . normal heart size . vascular congestion . overt edema lobar pneumonia . pleural effusion .
"heart size normal . pneumothorax , large pleural effusion , focal airspace disease . bony structures appear intact . calcified right hilar nodules consistent chronic granulomatous disease .",acute cardiopulmonary abnormality .
"heart size mediastinal contour within normal limits . aortic atherosclerotic calcifications . emphysematous changes . nodular densities projecting right anterior fifth six ribs . focal airspace consolidation , pneumothorax , large pleural effusion . acute osseous abnormality .",nodular densities projecting right th th ribs may healing rib fracture  recommended rule underlying pulmonary nodule .  level veriphy message sent  .  regarding possible lung nodules  hours   .
"improved basilar aeration . persistent small bilateral pleural effusions ,  right , small left associated left basilar atelectasis . lungs otherwise clear . unremarkable mediastinal contour . changes emphysema .  acute abnormalities since previous chest radiograph .","improved basilar aeration . persistent small bilateral pleural effusions ,  right , small left associated left basilar atelectasis . lungs otherwise clear . unremarkable mediastinal contour . changes emphysema .  acute abnormalities since previous chest radiograph ."
"heart cardiomediastinal silhouette normal size contour . focal air space opacity , pleural effusion , pneumothorax . osseous structures intact .",acute cardiopulmonary finding .
"right jugular  catheter present tip overlying lower svc . curvilinear density projecting upper chest appears external lateral projection . correlate clinically . normal heart size mediastinal contour appear normal pulmonary vascularity .  scar subsegmental atelectasis lingula . focal airspace consolidation , pleural effusion , pneumothorax . acute osseous findings . mild degenerative changes spine .",acute cardiopulmonary findings .
"trachea midline . cardiomediastinal silhouette normal . lungs clear , without evidence focal infiltrate effusion . pneumothorax . visualized bony structures reveal acute abnormalities .",acute cardiopulmonary abnormalities . .
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen . degenerative changes present spine .,. evidence active disease .
"acute osseous abnormality . soft tissues within normal limits . normal appearing cardiomediastinal silhouette hilar contours . left lower lobe  density  representing atelectasis . focal area consolidation , pleural effusion , pneumothorax .",focal lung consolidation .
lung volumes low . bibasilar consolidation bilateral costophrenic  blunting present . heart size normal . pulmonary  normal . shunt tubing traverses entire image top  .,bibasilar airspace disease bilateral pleural fluid .
"heart normal size . mediastinum stable . lungs grossly clear .   opacities lung bases .  fragments overlying posterior left chest , right neck base  fragments left costophrenic  . pleural effusion pneumothorax ."," bullet fragments , described . evidence acute parenchymal abnormality ."
heart size mildly enlarged . pulmonary  mediastinum within normal limits . pleural effusion pneumothorax . focal air space opacity suggest pneumonia . mild degenerative changes spine . extensive vascular calcifications . left midlung calcified granuloma .,cardiomegaly without acute disease .
focal lung consolidation . heart size pulmonary vascularity within normal limits . pneumothorax pleural effusion . mild degenerative changes thoracic spine . degenerative changes  . tortuous aorta .,acute cardiopulmonary process .
"heart size normal . lungs clear . effusion , nodules , adenopathy , masses .","heart size normal . lungs clear . effusion , nodules , adenopathy , masses ."
"cardiomediastinal silhouette normal size configuration . pulmonary vasculature within normal limits . lungs well aerated . pneumothorax , pleural effusion , focal consolidation . levoscoliosis thoracic spine .",acute cardiopulmonary disease . .
"heart size normal . lungs clear .  normal . pneumonia , effusions , edema , pneumothorax , adenopathy , nodules masses .",normal chest
"unchanged elevation right hemidiaphragm . trachea midline . negative pneumothorax , pleural effusion focal airspace consolidation . heart size mildly enlarged . mild degenerative changes throughout thoracic spine anterior osteophytes noted inferiorly . pulmonary artery prominence .",. mild cardiomegaly . acute cardiopulmonary abnormality .
cardiomediastinal silhouette pulmonary vasculature within normal limits . pneumothorax pleural effusion . focal areas consolidation .,acute cardiopulmonary abnormality .
"heart size within normal limits , stable mediastinal hilar contours . focal alveolar consolidation , definite pleural effusion seen . typical findings pulmonary edema . pneumothorax . mild dextrocurvature spine noted .",acute findings
"exam quality limited hypoventilation kyphosis . low lung volumes , bibasilar opacities  due  part atelectasis . abnormal interstitial pulmonary pattern , nonspecific appearance  differential diagnosis including chronic lung disease , interstitial infiltrates , pulmonary edema . right hilar calcifications dense right lung nodule suggest previous granulomatous process . definite pleural effusion seen . heart size near top normal limits technique , sternotomy  , cabg clips , artifact aortic valve surgery .","exam quality limited hypoventilation kyphosis . low lung volumes , bibasilar opacities  due  part atelectasis . abnormal interstitial pulmonary pattern , nonspecific appearance  differential diagnosis including chronic lung disease , interstitial infiltrates , pulmonary edema . right hilar calcifications dense right lung nodule suggest previous granulomatous process . definite pleural effusion seen . heart size near top normal limits technique , sternotomy  , cabg clips , artifact aortic valve surgery ."
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen . mild prominence interstitial markings unchanged .,. evidence acute disease .
"heart cardiomediastinal silhouette normal size contour . focal airspace opacity , pleural effusion , pneumothorax . osseous structures intact .",acute cardiopulmonary finding .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. scattered calcified granulomas noted . cardio mediastinal silhouette unremarkable . visualized osseous structures thorax demonstrate mild multilevel degenerative disc disease thoracolumbar spine without acute abnormality .",acute cardiopulmonary abnormality .
lordotic film . low lung volumes . heart size within normal limits projection . lower thoracic spine fusion . small area atelectasis infiltrate adjacent right inferior hilum . may projectional followup films may helpful .,lordotic film . low lung volumes . heart size within normal limits projection . lower thoracic spine fusion . small area atelectasis infiltrate adjacent right inferior hilum . may projectional followup films may helpful .
"heart size mildly enlarged . tortuosity thoracic aorta . focal airspace consolidation , pleural effusions pneumothorax . acute bony abnormalities .",cardiomegaly without acute pulmonary findings .
"stable enlarged cardiac silhouette . persistent bilateral lower lobe airspace disease , significantly  compared prior . pleural effusion pneumothorax . acute bony abnormality .",significant change compared prior . bibasilar airspace disease may represent infection mild edema .
"stable right sided cardiac  generator . interval placement right internal jugular central venous catheter tip approximating low svc . evidence pneumothorax . generalized low lung volumes . bibasilar right midlung pulmonary opacities ,  atelectatic changes . stable cardiomediastinal silhouette . .","stable right sided cardiac  generator . interval placement right internal jugular central venous catheter tip approximating low svc . evidence pneumothorax . generalized low lung volumes . bibasilar right midlung pulmonary opacities ,  atelectatic changes . stable cardiomediastinal silhouette . ."
"streaky retrocardiac left lower lobe opacities , correct clinical setting could represent pneumonia . pneumothorax pleural effusion . cardiac silhouette within normal limits .","streaky left retrocardiac airspace opacities , correct clinical setting could represent pneumonia ."
normal heart size mediastinal contours . focal airspace consolidation . chronic appearing left greater right lung base scarring possible small effusions . pneumothorax . visualized osseous structures unremarkable appearance .,. chronic appearing bibasilar pleural abnormality possible small effusions . . evidence pneumonia . tips shunt visualized . .
"cardiomediastinal silhouette within normal limits size contour . lungs normally inflated without evidence focal airspace disease , pleural effusion , pneumothorax . osseous structures within normal limits patient age ..",. acute radiographic cardiopulmonary process .
"interval , cm uncalcified mass developed posterior segment right upper lobe . addition , pa view , mm opacity adjacent left  heart . opacity well identified lateral view . may artifactual , another mass left excluded . mediastinum normal evidence adenopathy . heart size normal . note  unchanged hiatal hernia ."," right upper lobe mass , suspicious neoplasm . ct chest abdomen head would helpful evaluation ."
"bilateral enlargement  ,  lymphadenopathy . consider correlation  chest . sarcoidosis would consideration , less  lymphoproliferative  lymphoma .","bilateral enlargement  ,  lymphadenopathy . consider correlation  chest . sarcoidosis would consideration , less  lymphoproliferative  lymphoma ."
frontal lateral views chest overlying external cardiac monitor leads show unchanged cardiomediastinal silhouette .  focal airspace consolidation pleural effusion .,"acute active cardiac , pulmonary pleural disease ."
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen .   foreign body noted soft tissues left chest wall .,evidence active disease .
"cardiomediastinal silhouette pulmonary vasculature within normal limits size . lungs clear focal airspace disease , pneumothorax , pleural effusion . acute bony findings .",acute cardiopulmonary findings . .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. previously seen right upper lobe mass lesion seen  study . cardio mediastinal silhouette unremarkable . visualized osseous structures thorax without acute abnormality .",acute cardiopulmonary abnormality .
heart size mediastinal contours appear within normal limits . streaky left basilar opacities blunting left costophrenic sulcus  secondary small effusion . pneumothorax . acute bony abnormalities .,small left pleural effusion left basilar atelectasis .
"stable cardiomediastinal silhouette . focal pulmonary opacity , pleural effusion pneumothorax . acute bony abnormality .",acute cardiopulmonary abnormality .
"heart size cardiomediastinal silhouette normal . lungs clear without focal airspace opacity , pleural effusion , pneumothorax . numerous calcified granuloma right perihilar region . multilevel degenerative changes thoracic spine .",acute cardiopulmonary finding .
cardiomegaly . infiltrates effusions . right catheter tip upper svc .  appears normal orientation lateral film . change position catheter since prior exam .,cardiomegaly . infiltrates effusions . right catheter tip upper svc .  appears normal orientation lateral film . change position catheter since prior exam .
"cardiac mediastinal contours unremarkable . pulmonary vascularity within normal limits . focal air space opacities , pleural effusion , pneumothorax .  grossly unremarkable . minimal degenerative changes thoracic spine . evidence chronic granulomatous disease .",. clear lungs .
heart size mediastinal silhouette within normal limits . pneumothorax pleural effusions . lungs clear . focal consolidations . osseous structures intact .,acute cardiopulmonary abnormalities . emphysematous changes lungs .
cardiac mediastinal silhouettes unremarkable . lungs well expanded clear . focal air space opacities . pneumothorax effusion . bony structures thorax intact evidence acute osseous abnormality .,evidence acute cardiopulmonary process . stable appearance chest .
"mild hypoventilation bronchovascular crowding prominent central basilar interstitial markings . focal alveolar consolidation , pleural effusion demonstrated . considering technical factors heart size  within normal limits .","prominent interstitial markings central lungs bases may secondary low lung volumes bronchovascular crowding , differential considerations include interstitial infiltrates inflammatory infectious etiology mild pulmonary edema . clinical correlation recommended ."
calcified granulomas present . area focal density overlying right first rib medial clavicle . approximately . cm diameter . may secondary overlapping structures . lungs otherwise clear . pleural effusion pneumothorax . heart normal . calcifications aortic  seen . skeletal structures unremarkable . left mastectomy .,. focal density overlying right first rib medial right clavicle . could bony origin underlying pulmonary lesion excluded . prior images currently available comparison . outside images available comparison recommended . otherwise  scan chest .
lungs clear . pleural effusions pneumothoraces . heart mediastinum stable ectasia aorta . heart size upper limits normal . degenerative changes spine .,stable appearance chest without acute abnormality .
"stable cardiomediastinal silhouette . mild congestion without edema . lungs expanded clear airspace disease . negative pneumothorax pleural effusion . redemonstrated endplate depressions vertebral bodies , compatible  cell changes .",. stable chest acute cardiopulmonary abnormality .
cardiomediastinal silhouette within normal limits . calcified right lower lobe granuloma . focal airspace consolidation .. visualized pneumothorax large pleural effusion . acute bony abnormalities .,acute cardiopulmonary abnormality .
cardiac mediastinal contours within normal limits . right lung base granuloma . lungs otherwise clear . thoracic spondylosis .,acute pulmonary findings .
heart size normal lungs clear .,heart size normal lungs clear .
"lungs clear . focal consolidation , effusion , pneumothorax . heart mediastinal contours normal . osseous structures intact .",acute cardiopulmonary disease .
"cardiomediastinal silhouette within normal limits size contour . lungs normally inflated without evidence focal airspace disease , pleural effusion , pneumothorax . osseous structures within normal limits patient age ..",. acute radiographic cardiopulmonary process .
normal heart size mediastinal contours . abnormal airspace opacities large cavitary lung lesions . visualized osseous structures unremarkable appearance .,radiographic evidence tuberculosis .
stable minimal cardiomegaly . lungs clear . pneumonia . minimal degenerative spurring thoracic spine,stable minimal cardiomegaly . lungs clear . pneumonia . minimal degenerative spurring thoracic spine
heart normal size . mediastinum unremarkable . lungs clear .,acute disease .
heart size normal lungs clear .,heart size normal lungs clear .
"heart size normal . lungs clear .  normal . pneumonia , effusions , edema , pneumothorax , adenopathy , nodules masses .",normal chest .
heart normal size . cardiomediastinal contours stable . stable bilateral pleural effusions partial right sided loculation . biapical scarring pleural thickening appears stable . right sided superior hilar retraction mild rightward  deviation . acute infiltrate appreciated .,". stable bilateral pleural effusions pleural thickening , right worse left , mild right sided loculation . . stable appearance right apical thickening atelectasis volume loss , possibly related prior radiation surgery . suggest clinical correlation ."
heart normal size . mediastinum unremarkable . emphysematous changes identified . lungs otherwise grossly clear .,emphysema without acute disease .
cardiac mediastinal contours within normal limits . prior granulomatous disease . lungs otherwise clear . bony structures intact .,acute findings .
heart normal size contour . mediastinal widening . lungs hyperexpanded . focal airspace disease . large pleural effusion pneumothorax . exaggerated kyphosis .,acute cardiopulmonary abnormalities .
"airspace disease , effusion noncalcified nodule . normal heart size mediastinum . visualized  chest  within normal limits .",acute cardiopulmonary abnormality .
chest comparison . cm diameter masslike density lingula partial obscuration left cardiac  . may ill defined opacity right mid lower lung zone . pleural effusion seen . heart borderline enlarged . aorta dilated tortuous . arthritic changes spine present . pelvis left hip impacted rotated fracture neck femur left . pelvic fracture seen . arthritic changes present lower lumbar spine . large amount stool  obscures portions pelvis . femur femoral images  area hip fracture . remaining portions femur appear intact fracture destructive process . extensive atherosclerotic vascular disease throughout superficial femoral artery present . left knee osteoporosis mild arthritic changes . fracture seen . dislocation identified . severe atherosclerotic changes superficial femoral popliteal artery seen .,chest . . left lower lobe nodule worrisome . prior films available comparison  scan evaluation . pelvis left hip . rotated subcapital fracture left hip . femur . . fracture remaining portions femur . left knee . . normal age . dr.   called informed critical results  .
heart upper limits normal size . pulmonary vascularity within normal limits appearance . focal air space opacities . pleural effusions pneumothorax . acute bony abnormalities .,acute cardiopulmonary abnormalities .
cardiomediastinal silhouette vasculature within normal limits size contour . lungs normally inflated clear . osseous structures within normal limits patient age .,. acute radiographic cardiopulmonary process .
large masslike opacity right lung base may represent lung cancer . additional evaluation  advised . right hilum appears prominent may contain enlarged lymph  . calcified granulomas seen within right lung . unremarkable mediastinal contour . effusions .,large masslike opacity right lung base may represent lung cancer . additional evaluation  advised . right hilum appears prominent may contain enlarged lymph  . calcified granulomas seen within right lung . unremarkable mediastinal contour . effusions .
focal consolidation . pneumothorax large pleural effusion . cardiomediastinal contours grossly unremarkable . heart size within normal limits . right upper extremity picc tip upper svc . surgical clips right upper abdomen .,acute cardiopulmonary findings .
minimal right left cardiomediastinal shift . cardiomediastinal silhouette otherwise normal size configuration . pulmonary vasculature within normal limits . moderate sized right pneumothorax . measures . cm level right apex .,"moderate sized right pneumothorax . minimal right left cardiomediastinal shift , suggesting  ."
lungs appear clear . heart pulmonary  normal . mediastinal contours normal . surgical clips identified mediastinum . pleural spaces clear . soft tissue  previously noted along right lateral chest wall resolved .,acute cardiopulmonary disease
cardiomediastinal silhouettes within normal limits . diffuse reticulonodular pattern lungs bilaterally . pulmonary vasculature within normal limits . negative pneumothorax large pleural effusion . bony thorax unremarkable,"diffuse reticulonodular pattern bilaterally . may represent heart failure , opportunistic infection , idiopathic interstitial pneumonitis .  chest characterization ."
"lungs clear bilaterally . focal consolidation , pleural effusion , pneumothoraces . heart size normal . stable right paratracheal prominence , consistent known calcified lymph node , seen prior ct chest dated  .  unremarkable .",acute cardiopulmonary abnormality .
". low lung volumes . patchy streaky bibasilar atelectasis scarring , unchanged prior study . blunting costophrenic  suggestive small pleural effusions . seen  posterior costophrenic recesses . esophagogastric  , distal tip coursing inferiorly stomach included study . previously noted esophagogastric flexion catheter removed . previously noted left sided picc line removed .",". low lung volumes . patchy streaky bibasilar atelectasis scarring , unchanged prior study . blunting costophrenic  suggestive small pleural effusions . seen  posterior costophrenic recesses . esophagogastric  , distal tip coursing inferiorly stomach included study . previously noted esophagogastric flexion catheter removed . previously noted left sided picc line removed ."
"heart size mediastinal contour normal . . cm vague nodular density right mid lung , probably within middle lobe given opacification lateral view . subtle left retrocardiac density also noted , obscuration aortic contour . pleural effusions pneumothorax .",right midlung left basilar airspace densities . recent study available comparison . recommend evaluation  .
heart size vascularity normal . mediastinal contour normal . lungs clear . pleural effusions pneumothoraces .,normal chest .
"lungs clear , without focal airspace opacity . cardiomediastinal silhouette stable prior exam . pneumothorax large pleural effusion . mediastinal surgical clips noted .",acute cardiopulmonary abnormality .
heart mildly enlarged stable . pulmonary vascularity normal . patient status post valve replacement .  sternotomy  intact . focal airspace disease effusion . residuals prior granulomatous infection . degenerative change spine . pneumothorax .,. stable cardiomegaly without evidence acute pulmonary process .
"lung volumes low . however compared prior study , increased perihilar opacities bilaterally . stable dextroscoliosis lower thoracic spine limited evaluation spinal  . tracheostomy tube unchanged position .","low lung volumes slightly increased perihilar opacities bilaterally ,  infectious etiology ."
"streaky bibasilar opacities suggestive atelectasis hypoventilation . heart size mildly enlarged technique , stable mediastinal contours . definite pleural effusion seen , typical findings pulmonary edema .","streaky bibasilar opacities suggestive atelectasis hypoventilation . heart size mildly enlarged technique , stable mediastinal contours . definite pleural effusion seen , typical findings pulmonary edema ."
"heart size within normal limits , stable mediastinal hilar contours . mild hyperinflation appears similar prior . focal alveolar consolidation , definite pleural effusion seen . scattered chronic appearing irregular interstitial markings , typical findings pulmonary edema .",acute findings
"frontal lateral views chest show normal size cardiac silhouette . normal mediastinal contour , pulmonary  vasculature , central airways lung volumes . pleural effusion .","acute active cardiac , pulmonary pleural disease ."
heart size normal lungs clear,heart size normal lungs clear
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pectus carinatum noted . calcified lymph  granuloma noted . pleural effusion pneumothorax seen . mild  deformity noted lower thoracic spine .,. evidence active disease . . evidence previous granulomatous infection . . pectus carinatum .
heart size vascularity normal . lungs clear . effusions . pneumothorax . visualized osseous structures unremarkable .,normal chest .
"cardiomediastinal silhouette stable unremarkable . stable eventration right hemidiaphragm . redemonstration without significant interval change mild subsegmental atelectasis left base . pneumonia seen ct examination dated  ,  seen prior chest x  seen either  chest x  .",acute cardiopulmonary abnormality ..
comparison chest x  . well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified .,comparison chest x  . well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified .
"cardiomediastinal silhouette normal size configuration . pulmonary vasculature within normal limits . lungs well aerated . pneumothorax , pleural effusion , focal consolidation .",acute cardiopulmonary disease . .
heart size normal lungs clear . calcified left hilar lymph  .,heart size normal lungs clear . calcified left hilar lymph  .
heart size normal . lungs clear . calcified granulomas .,heart size normal . lungs clear . calcified granulomas .
"cardiomediastinal silhouette normal size contour . focal consolidation , pneumothorax large pleural effusion . negative acute displaced rib fracture .",negative acute abnormality .
overall low lung lines . scarring subsegmental atelectasis right lung base . left lower lobe airspace disease consistent pneumonia . pneumothorax . heart mediastinum stable given lung volumes . degenerative changes spine .,. left lower lobe pneumonia minimal scarring subsegmental atelectasis right lung base .
"cardiac silhouette size upper limits normal . central vascular markings mildly prominent . lungs normally inflated focal airspace disease , pleural effusion , pneumothorax . acute bony abnormality .",". mild central vascular prominence ,  congestion . heart size upper limits normal ."
"cardiomediastinal silhouette pulmonary vasculature within normal limits size . lungs clear focal airspace disease , pneumothorax , pleural effusion . acute bony findings .",acute cardiopulmonary findings . .
"interstitial thickening bilaterally , prominent bases . cardiomediastinal silhouette normal size appearance . hyperexpansion .  infiltrates . two bullae seen right upper lung . small calcified granuloma stable prior exam .",stable changes copd .
cardiac contours normal . lungs clear . thoracic spondylosis .,acute findings .
heart normal size . mediastinum unremarkable . lungs clear .,acute disease .
heart size normal . mediastinal contour within normal limits . lungs free focal infiltrates . nodules masses . visible pneumothorax . visible pleural fluid .  grossly normal . visible free intraperitoneal air diaphragm .,. acute radiographic cardiopulmonary process .
heart size within normal limits . focal airspace disease . cavitations . pneumothorax pleural effusion .,"acute cardiopulmonary findings . specifically , radiographic evidence tuberculosis ."
"heart size normal . lungs clear .  normal . pneumonia , effusions , edema , pneumothorax , adenopathy , nodules masses .",normal chest
normal cardiomediastinal silhouette . focal consolidation .  large pleural effusion . pneumothorax . acute bony abnormality seen .,radiographic evidence acute cardiopulmonary disease .
"focal airspace disease , pleural effusion pneumothorax . cardiomediastinal silhouette within normal limits . prominent lateral osteophytes along right aspect mid thoracic spine stable . free subdiaphragmatic air .",acute pulmonary disease .
lungs clear bilaterally . cardiac mediastinal silhouettes normal . pulmonary vasculature normal . pneumothorax pleural effusion . acute bony abnormality .,acute cardiopulmonary abnormality .
cardiac contours normal . cardiac valve replacement . lungs clear . thoracic spondylosis .,acute process .
heart size normal lungs clear .,heart size normal lungs clear .
"stable right upper lobe calcified granuloma . pneumothorax , pleural effusion airspace consolidation . normal heart size pulmonary vasculature .   grossly intact . thoracic  fractures .",acute cardiopulmonary abnormality . .
normal cardiomediastinal contours . pneumothorax large pleural effusions . left basilar patchy opacities . small hiatal hernia .,"left basilar patchy opacities , may represent atelectasis infection . ."
"lungs appear clear . suspicious pulmonary nodules infiltrates . heart pulmonary  appear normal . pleural spaces clear . mediastinal contours normal . left sided tunneled catheter , distal tip mid superior   level .",acute cardiopulmonary disease .
"heart , pulmonary  mediastinum within normal limits . pleural effusion pneumothorax . focal air space opacity suggest pneumonia . mild degenerative changes thoracic spine . slight  deformity lower thoracic body age indeterminate .",age indeterminate lower thoracic slight  deformity otherwise negative exam .
"heart size near top normal , bilateral hilar fullness nonspecific appearance , mild aortic ectasia tortuosity . diaphragm flattening relative apical lucencies suggestive emphysema ,  irregular interstitial markings , right greater left . prominent left epicardial fat  , focal alveolar consolidation , definite pleural effusion seen . atrial septal occluder artifact . mild spine curvature .","borderline heart size abnormal interstitial pulmonary pattern may compatible chronic interstitial change , differential diagnosis  includes asymmetric pulmonary edema , inflammation , atypical infection , infiltrative process . comparison previous exams would  . bilateral hilar fullness may indicate pulmonary hypertension clinical correlation recommended , differential diagnosis reactive lymphadenopathy , metastatic disease ."
"crowded bronchovascular markings hilar perihilar region , right lower lung zones . low lung volumes . noncalcified pulmonary nodules seen . pleural effusion pneumothorax . small heart size . right diaphragmatic hump . soft tissues seen left cardiophrenic  , could represent ectatic descending aorta hiatal hernia . visualized  chest  within normal limits . degenerative changes demonstrated within visualized thoracic spine .",acute cardiopulmonary abnormality .
cardiomediastinal silhouette within normal limits appearance . thoracic aorta mildly tortuous calcified . focal areas pulmonary consolidation . pneumothorax . pleural effusion . mild degenerative changes thoracic spine . mild levoscoliosis thoracolumbar spine .,. acute intrathoracic abnormality .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion . cardiomediastinal silhouette unremarkable . visualized osseous structures thorax without acute abnormality .",acute cardiopulmonary abnormality .
"heart size pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . focal consolidation , pleural effusion , pneumothorax identified . acute bony changes .",acute cardiopulmonary abnormality identified .
"heart , pulmonary  mediastinum within normal limits . pleural effusion pneumothorax . focal air space opacity suggest pneumonia . mild degenerative changes spine .",acute cardiopulmonary disease .
heart enlarged . central pulmonary vasculature engorged . visualized osseous structures unremarkable . pneumothorax pleural effusion . small right juxtahilar opacity may represent infiltrate . lungs otherwise well aerated .,small right juxtahilar opacity may represent infiltrate setting  . followup chest x  recommended appropriate interval following treatment document  .
"lungs grossly clear without focal pneumonic consolidation , large effusion pneumothorax . heart size within normal limits .",clear lungs
prominence left hilum may represent adenopathy engorged vasculature . cardiac silhouette within normal limits size contour . pneumothorax large pleural effusion . acute bone abnormality .,prominence left hilum may secondary adenopathy enlarged pulmonary vasculature . chest ct contrast may helpful clarification .
lungs clear expanded . heart mediastinum normal .,active disease .
normal heart size . tortuous calcified aorta . scattered granulomas . lobar pneumonia . probable  post recess effusions . kyphotic degenerated osteopenic thoracic spine .,probable  posterior recess effusions mild basilar atelectasis . lobar pneumonia .
"calcified granuloma noted left upper lobe . low lung volumes , bronchovascular crowding result . heart size within normal limits . normal mediastinal contours . pleural effusion , pneumothorax focal airspace disease . free subdiaphragmatic air . osseous structures grossly intact .",low lung volumes . acute pulmonary disease .
"comparison  ,  . anticipated senescent changes . acute airspace disease chf . stable mediastinal contour .  acute abnormalities since previous examination ..","comparison  ,  . anticipated senescent changes . acute airspace disease chf . stable mediastinal contour .  acute abnormalities since previous examination .."
cardiac mediastinal silhouettes unremarkable . lungs well expanded clear . focal air space opacities . pneumothorax effusion . mild degenerative changes thoracic spine .,evidence acute cardiopulmonary process . stable appearance chest .
heart size normal . pneumothorax focal airspace disease . pleural effusion . eventration right hemidiaphragm . mild degenerative changes thoracic spine without fracture .,acute cardiopulmonary findings .
lungs clear . pleural effusion pneumothorax .   sternotomy . heart significantly enlarged . atherosclerotic changes aorta . arthritic changes skeletal structures noted .,acute pulmonary disease .
heart size normal cardiomediastinal silhouette normal contour . lungs clear bilaterally . pleural effusion pneumothorax . bony soft tissue abnormalities .,acute cardiopulmonary abnormality .
"heart mediastinal silhouettes within normal limits . lungs clear without focal airspace opacity , large effusion , pneumothorax .  grossly intact . degenerative spine osteophytes .",acute visualized cardiopulmonary abnormality .
"cardiomediastinal silhouette vasculature within normal limits size contour . lungs hyperexpanded without focal airspace consolidation , pleural effusion , pneumothorax .. degenerative endplate changes spine ..",. acute radiographic cardiopulmonary process .
increased interstitial opacities non specific . question edema atypical infection,"heart size normal . stable mediastinal silhouette . lobar consolidation , large pleural effusion pneumothorax . mild increased reticular interstitial opacity ."
"heart size normal . lungs clear .  normal . pneumonia , effusions , edema , pneumothorax , adenopathy , nodules masses .",normal chest
change lung  .  opacities present right lower lobe . focal infiltrates . heart mediastinum unremarkable . aorta normal .,findings copd right lung base focal atelectasis . evidence failure pneumonia .
"heart , pulmonary  mediastinum within normal limits . pleural effusion pneumothorax . focal air space opacity suggest pneumonia . chronic left hemidiaphragm elevation . aorta tortuous ectatic atherosclerotic calcifications .",suspected left hemidiaphragm paralysis . consider fluoroscopic evaluation confirmation . consider  neck nasopharynx intravenous contrast known potential  . critical result notification documented primordial .
heart size normal . focal consolidations . degenerative changes throughout midlower thoracic spine . pneumothorax pleural effusion .,acute cardiopulmonary findings .
"cardiomediastinal silhouette within normal limits . focal consolidation , pneumothorax , pleural effusion . multiple granulomas . acute bony abnormalities .",". acute cardiopulmonary abnormalities . . acute bony abnormalities . continued concern occult fracture , consider dedicated rib series . ."
  lateral chest examination obtained . heart silhouette normal size contour . aortic  appear unremarkable . lungs demonstrate acute findings . effusion pneumothorax .,. acute pulmonary disease .
heart size normal . mild   atelectasis . lungs otherwise clear . pleural effusions pneumothoraces . hilar mediastinal contours normal . normal pulmonary vascularity .,"bibasilar atelectasis . otherwise , acute abnormality"
heart size normal . hyperexpanded lungs minimal interstitial prominence .  represents  lung . nodules masses . bilateral nipple shadows seen,heart size normal . hyperexpanded lungs minimal interstitial prominence .  represents  lung . nodules masses . bilateral nipple shadows seen
changes post bilateral thoracotomy  sternotomy . intact   . stable position epicardial   . mild cardiomegaly . lungs clear . bilateral small pleural effusions .,. stable postop changes mild cardiomegaly . . small bilateral pleural effusions .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. cardio mediastinal silhouette unremarkable . visualized osseous structures thorax without acute abnormality .","acute cardiopulmonary abnormality .. specifically , evidence active tuberculous process ."
heart normal size . mediastinum unremarkable . patchy infiltrate within normal right lower lobe . mild  opacities retrocardiac region . large effusions pneumothorax .,patchy right lower lobe infiltrate well probable left basilar infiltrate versus atelectasis .
"cardiomediastinal silhouette pulmonary vasculature within normal limits size . lungs clear focal airspace disease , pneumothorax , pleural effusion . acute bony findings .",acute cardiopulmonary findings . .
"mild hyperinflation . focal consolidation , suspicious pulmonary opacity , pneumothorax definite pleural effusion . heart size pulmonary vascularity within normal limits , visualized osseous structures appear intact .",mildly hyperexpanded lungs without acute focal infiltrate .
"heart size within normal limits , stable mediastinal hilar contours . focal alveolar consolidation , definite pleural effusion seen . typical findings pulmonary edema . mild spine curvature noted .",acute findings
heart size normal . lungs clear . minimal platelike atelectasis left base .,heart size normal . lungs clear . minimal platelike atelectasis left base .
low lung volumes present . heart size pulmonary vascularity appear within normal limits . interval development bibasilar opacities . appearance right base opacity  atelectasis . left base opacities could represent early pneumonia areas atelectasis . pneumothorax pleural effusion seen .,. low lung volumes . .   opacities . right base appears represent atelectasis . left base could atelectasis pneumonia .
lungs clear expanded . heart mediastinum normal .,active disease .
"interval cabg . sternotomy  cerclage  appear intact . focal air space opacity . pleural effusion pneumothorax . stable , mild degenerative disc disease thoracic spine . visualized bony structures otherwise unremarkable appearance . atherosclerotic calcifications thoracic aorta .",. clear lungs . acute chest findings . . peripheral vascular disease .
"heart size normal . lungs clear .  normal . pneumonia , effusions , edema , pneumothorax , adenopathy , nodules masses .",normal chest
heart normal size . mediastinum unremarkable .   opacity left midlung . lungs clear .,acute disease .
"lungs clear , without focal air space opacity . cardiomediastinal silhouette upper limits normal size stable prior exam . tortuosity thoracic aorta , stable . pneumothorax large pleural effusion .",acute cardiopulmonary abnormality .
focal areas consolidation . pleural effusions . evidence pneumothorax . heart size within normal limits . osseous structures intact .,acute cardiopulmonary abnormality . .
normal heart size mediastinal contours . focal airspace consolidation . tracheostomy tip approximately cm carina . pleural effusion pneumothorax .,acute cardiopulmonary abnormality .
"cardiomediastinal silhouette within normal limits size . pulmonary vasculature within normal limits . focal consolidations , effusions , pneumothoraces . acute bony abnormality .",acute cardiopulmonary abnormality .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. cardio mediastinal silhouette unremarkable . visualized osseous structures thorax without acute abnormality .",acute cardiopulmonary abnormality ..
lungs clear bilaterally . cardiac mediastinal silhouettes normal . pulmonary vasculature normal . pneumothorax pleural effusion . acute bony abnormality .,acute cardiopulmonary abnormality .
cavity left upper lobe decreased size . bilateral apical bullae parenchymal scars unchanged .  infiltrates lower lobes . heart size remains normal .,bullous disease upper lobe scars . decreasing right upper lobe cavity .
significant interval decrease right middle right lower lobe opacification . persistent small right pleural effusion   atelectasis . pneumothorax . stable appearance cardiomediastinal silhouette . acute bone abnormality .,. improved right mid lung right basilar consolidation . . decreasing right pleural effusion .
lungs clear bilaterally . cardiac mediastinal silhouettes normal . pulmonary vasculature normal . pneumothorax pleural effusion . acute bony abnormality .,acute cardiopulmonary abnormality .
cardiomediastinal silhouette within normal limits appearance . focal areas pulmonary consolidation . calcified granuloma identified peripheral aspect left lower lobe . calcified lymph  identified left hilar region . pneumothorax . pleural effusion . minimal degenerative endplate changes thoracic spine .,. acute intrathoracic abnormality .
heart normal size . mediastinum unremarkable . lungs clear .,acute disease .
lungs appear clear . heart pulmonary  appear normal . pleural spaces clear .  contours appear normal .  fracture midthoracic vertebral body . vertebral body appear sclerotic . age fracture unknown . healed fractures several left anterior ribs . healed left clavicle fracture .,". acute cardiopulmonary disease . evidence pulmonary nodules . . single nonsclerotic mid thoracic vertebral  fracture present . without comparison study , age fracture unknown . metastatic disease possible , however given nonsclerotic appearance ,  . . healed left clavicle left anterior rib fractures ."
cardiac mediastinal contours within normal limits . lungs clear . bony structures intact .,acute findings .
"heart size cardiomediastinal silhouette normal . aorta tortuous atherosclerotic . lungs hyperexpanded flattening hemidiaphragms increased retrosternal airspace . focal airspace opacity , pleural effusion , pneumothorax . degenerative changes thoracic spine .",. acute cardiopulmonary finding . . emphysema atherosclerosis .
lungs clear bilaterally . cardiac mediastinal silhouettes normal . pulmonary vasculature normal . pneumothorax pleural effusion . acute bony abnormality .,acute cardiopulmonary abnormality .
"heart size normal . sternotomy bypass grafting . lungs clear . effusions , edema , pneumonia .","heart size normal . sternotomy bypass grafting . lungs clear . effusions , edema , pneumonia ."
lungs hyperexpanded consistent emphysema . pectus carinatum noted . heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . calcified granuloma noted . vascular calcification noted .,. hyperexpanded lungs consistent emphysema . . pectus carinatum . . evidence acute disease .
normal heart . clear lungs . stable calcified granuloma left midlung . pneumothorax . pleural effusion . midline trachea .,normal chest exam .
numerous surgical clips thoracic inlet . small areas  scarring seen left base . lungs otherwise clear . pleural effusion pneumothorax . heart mediastinum normal . skeletal structures normal .,acute pulmonary disease .
calcified mediastinal  . focal areas consolidation . heart size within normal limits . pleural effusions . evidence pneumothorax . degenerative changes thoracic spine .,acute cardiopulmonary abnormality . .
focal areas consolidation . heart size within normal limits . pleural effusions . evidence pneumothorax . osseous structures appear intact .,acute cardiopulmonary abnormality . .
mild blunting costophrenic  . right basilar airspace disease . pneumothorax . cardiac mediastinal silhouettes normal . pulmonary  slightly prominent . calcified hilar lymph  . acute bony abnormalities .,"right basilar infiltrate atelectasis ,  bilateral pleural effusions ."
"cardiomediastinal silhouette normal size contour . lungs clear without focal airspace opacity , pleural effusion , pneumothorax . osseous structures intact .",acute cardiopulmonary process .
"cardiomediastinal silhouette within normal limits size contour . lungs normally inflated without evidence focal airspace disease , pleural effusion , pneumothorax . acute osseus abnormality .",acute cardiopulmonary process .
"right mid lung nodule stable  etiology determined . noncalcified , stable since ct examination   benign etiology . lungs well inflated without focal consolidation . cardiomediastinal silhouette appears unremarkable . costophrenic  clear . visualized spine vertebrae appear normal  alignment . overlying leads .",stable radiographic view chest .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. cardio mediastinal silhouette unremarkable . stable  foreign body left breast  nipple piercing . visualized osseous structures thorax without acute abnormality .",acute cardiopulmonary abnormality .
cardiomegaly present . pulmonary vascularity appears within normal limits . scattered  opacities present whose appearance  scarring atelectasis . focal airspace disease seen . pleural effusion noted . pneumothorax identified . left hemidiaphragm elevated . scoliosis present involving lumbar spine . previous surgical resection left th rib .,. cardiomegaly without overt heart failure . . continued elevation left hemidiaphragm . . scattered  left base scarring atelectasis .
lungs clear expanded . heart mediastinum normal .,active disease .
scattered calcified granulomas . focal infiltrate . pleural effusion pneumothorax . heart size mediastinal contour within normal limits . degenerative changes spine .,evidence active disease .
"heart size cardiomediastinal contours normal . low lung volumes without focal airspace opacity , pleural effusion , pneumothorax . multilevel degenerative changes spine .",negative acute cardiopulmonary findings .
"cardiomediastinal silhouette within normal limits size appearance . pulmonary vascularity unremarkable . prominent coarse interstitial markings throughout lungs , focal streaky bibasilar opacities , seen frontal  ,  atelectasis . negative focal airspace disease consolidation . negative pneumothorax pleural effusion . limited evaluation reveals   grossly intact .",. acute cardiopulmonary abnormality .
heart size mediastinal contour normal . pulmonary vascularity normal . lungs mildly hyperexpanded clear . pleural effusions pneumothoraces . degenerative changes thoracic spine .,emphysema without acute cardiopulmonary process .
evaluation limited body habitus ap technique . enteric suction catheter courses diaphragm  film . stable heart size mediastinal contours . low lung volumes . pneumothorax . cardiac  generator leads  right atrium right ventricle . two  bilateral pleural effusions .,. technically limited exam . . low lung volumes  bilateral pleural effusions . .
"exam quality limited hypoventilation apical lordotic frontal projection . considering technical factors heart size   mildly enlarged . focal alveolar consolidation , definite pleural effusion seen . bronchovascular crowding without typical findings pulmonary edema .","exam quality limited hypoventilation apical lordotic frontal projection . considering technical factors heart size   mildly enlarged . focal alveolar consolidation , definite pleural effusion seen . bronchovascular crowding without typical findings pulmonary edema ."
lungs clear bilaterally . cardiac mediastinal silhouettes normal . pulmonary vasculature normal . pneumothorax pleural effusion . acute bony abnormality .,acute cardiopulmonary abnormality .
lungs appear clear . heart pulmonary  normal . mediastinal contours normal . pleural spaces clear .,acute cardiopulmonary disease .
"cardiac silhouette near upper limits normal size . pulmonary vasculature normal caliber . minimal  atelectasis scar left lung base . lungs otherwise grossly clear . small calcified granuloma left upper lobe . pneumothorax pleural effusion . acute , displaced rib fractures demonstrated .",". minimal left basilar atelectasis scar . . acute , displaced rib fractures demonstrated . ."
normal cardiac contours . clear lung  bilaterally . pneumothorax pleural effusion .,acute cardiopulmonary abnormalities .
small calcification right lung base appearance old granulomatous disease . also small perihilar calcified lymph  . lungs clear . active parenchymal disease .  pleural effusions . pulmonary edema . normal heart size .  active cardiopulmonary disease . unchanged .,small calcification right lung base appearance old granulomatous disease . also small perihilar calcified lymph  . lungs clear . active parenchymal disease .  pleural effusions . pulmonary edema . normal heart size .  active cardiopulmonary disease . unchanged .
"cardiomediastinal silhouette pulmonary vasculature within normal limits size . lungs clear focal airspace disease , pneumothorax , pleural effusion . corticated irregularity right posterior th rib ,  secondary old rib fracture . gross acute bony findings .",acute cardiopulmonary findings .
heart normal size . mediastinum unremarkable . lungs clear .,acute disease .
  lateral views chest obtained  . lung volumes normal . lungs clear pleural effusions . mediastinum pulmonary  normal . bony elements remarkable .,acute cardiopulmonary abnormalities seen . end report .
"heart size mediastinal contours unremarkable . pneumothorax , pleural effusion , focal airspace consolidation .",acute cardiopulmonary findings .
"heart normal size . stable appearance coronary stent .  sternotomy changes present . focal consolidation , pneumothorax pleural effusion . mild degenerative changes thoracic spine .",acute cardiopulmonary abnormalities .
lungs overall hyperexpanded flattening diaphragms . focal consolidation . pleural effusions pneumothoraces . heart mediastinum normal size contour . degenerative changes thoracic spine .,hyperexpanded clear lungs .
"normal heart size . clear , hyperaerated lungs . pneumothorax . pleural effusion .  substernal density may related pectus deformity .",acute cardiopulmonary abnormality .
heart within normal limits size . surgical suture material projects right lung apex . lungs hyperlucent hyperinflated compatible emphysema . left lower lobe airspace disease identified . moderate left pleural effusion small right pleural effusion . visualized pneumothorax .,". left lower lobe airspace disease bilateral pleural effusions , left greater right . may secondary inhalational injury . recommend followup ensure complete resolution ."
"heart size mediastinal contour within normal limits . focal airspace consolidation , pneumothorax , large pleural effusion . degenerative changes thoracic spine .","acute cardiopulmonary abnormality , specifically evidence acute tuberculosis ."
lungs clear . pleural effusion seen . heart mediastinum normal . arthritic changes spine present .,active disease .
normal heart size mediastinal contours . lungs clear . pneumothorax pleural effusion . acute bony abnormalities .,acute cardiopulmonary process . obvious rib fractures . .
normal stable cardiomediastinal contours . pneumothorax pleural effusions . focal lung consolidation .,acute cardiopulmonary abnormality .
"cardiomediastinal silhouette within normal limits size contour . lungs normally inflated without evidence focal airspace disease , pleural effusion , pneumothorax . acute bone abnormality .",acute cardiopulmonary process .
heart top normal size . mediastinum stable . aorta atherosclerotic .  opacities noted lung bases compatible scarring atelectasis . acute infiltrate pleural effusion .,chronic changes without acute disease .
normal heart size . stable tortuous aorta . pneumothorax pleural effusion . suspicious focal air space opacities . levoscoliosis thoracolumbar spine . hyperinflated lungs flattened diaphragms consistent emphysematous lung changes . prior granulomatous disease .,stable emphysematous lung changes . acute abnormality seen .
lungs clear . pleural effusions pneumothoraces . heart mediastinum normal size contour .,clear lungs suspicious pulmonary nodules masses .
"cardiomediastinal silhouette normal size contour . peripheral right basilar calcified granuloma . focal consolidation , pneumothorax large pleural effusion . apparent nodular opacity lateral projection , immediately retrocardiac ,  represent confluence overlapping silhouettes . negative acute bone abnormality .",negative acute abnormality .
lungs clear expanded . heart mediastinum normal .,active disease .
"frontal view kyphotic rotated , low lung volumes bronchovascular crowding . otherwise , definite airspace consolidation pleural effusion . accounting technical factors heart size  borderline enlarged .","low lung volumes , otherwise , definite acute findings ."
"heart normal size contour . lungs clear , without evidence infiltrate . pneumothorax effusion .",acute cardiopulmonary disease .
cardiac silhouette pulmonary vascularity normal . lungs clear . evidence pleural effusion pneumothorax . mild degenerative changes present  spine .,evidence acute cardiopulmonary disease .
"low lung volumes . cardiac silhouette , upper mediastinum pulmonary vasculature within normal limits . acute pulmonary consolidation , pleural effusion pneumothorax .",acute cardiopulmonary process .
"cardiac silhouette , mediastinum , pulmonary vasculature within normal limits . lungs clear . pleural fluid pneumothorax appreciated .",unremarkable chest x  . .
"cardiomediastinal silhouette within normal limits size contour . lungs normally inflated without evidence focal airspace disease , pleural effusion , pneumothorax . acute osseus abnormality .",acute cardiopulmonary process .
low lung volumes . cardiomegaly . minimal left base perihilar minimal infiltrate .,low lung volumes . cardiomegaly . minimal left base perihilar minimal infiltrate .
"acute osseous abnormalities . questionable old left posterior third fourth rib fractures . visualized soft tissues within normal limits . normal heart size . normal hilar vascular markings . subtle prominence interstitial markings bases , left worse right . focal area consolidation , pleural effusion , pneumothorax .","subtle interstitial markings bilateral , may represent mild pulmonary edema chronic interstitial changes ."
"stable calcified superior mediastinal lymph  . lungs clear bilaterally . focal consolidation , pleural effusion , pneumothoraces . cardiomediastinal silhouette within normal limits .  unremarkable .",acute cardiopulmonary abnormality .
"focal alveolar consolidation , definite pleural effusion seen , left hilar calcifications dense nodule left lung suggest previous granulomatous process . considering differences technical factors  stable cardiomediastinal silhouette normal heart size , bronchovascular crowding without typical findings pulmonary edema .","focal alveolar consolidation , definite pleural effusion seen , left hilar calcifications dense nodule left lung suggest previous granulomatous process . considering differences technical factors  stable cardiomediastinal silhouette normal heart size , bronchovascular crowding without typical findings pulmonary edema ."
normal heart size mediastinal contours . abnormal airspace opacities . pleural effusion pneumothorax . visualized osseous structures unremarkable appearance .,acute cardiopulmonary abnormalities .
focal consolidation . pneumothorax large pleural effusion . cardiomediastinal contours grossly unremarkable . heart size within normal limits .,acute cardiopulmonary findings . .
heart size normal lungs clear . right aortic  probable aberrant left subclavian artery . normal variant seen one patients . evidence tuberculosis,heart size normal lungs clear . right aortic  probable aberrant left subclavian artery . normal variant seen one patients . evidence tuberculosis
"cardiac silhouette normal size . normal mediastinal contour pulmonary vasculature . lungs without focal airspace consolidation , large pleural effusion , pneumothoraces .",acute cardiopulmonary findings .
"heart , pulmonary  mediastinum within normal limits . pleural effusion pneumothorax . focal air space opacity suggest pneumonia . mild degenerative changes spine .",acute cardiopulmonary disease .
"prominence right heart  , consistent right atrial enlargement .  density demonstrated frontal view exaggerated posterior projection cardiac silhouette , suggesting left atrial enlargement . cardiac silhouette overall enlarged . mediastinal contours otherwise within normal limits appearance . focal areas pulmonary consolidation . pneumothorax . pleural effusion . mild pulmonary hyperexpansion . mild left apical pleural thickening . moderate degenerative changes thoracic spine . .",. right left atrial enlargement cardiomegaly . acute pulmonary abnormality demonstrated . .
cardiomediastinal silhouette pulmonary vasculature within normal limits size . ill defined airspace opacity posterior left lower lobe . focal opacity right upper lobe suggests scar granulomatous calcification . pneumothorax pleural effusion .,". patchy left lower lobe airspace disease , concerning pneumonia . . right upper lobe opacity , favoring scarring granulomas . ."
"hyperinflated appearing lungs stable slightly prominent appearing interstitial markings  representing mild chronic inflammatory change . stable biapical chronic inflammatory change pleural thickening . acute airspace disease , effusions , chf . stable mediastinal contour .  acute abnormalities since previous chest radiograph .","hyperinflated appearing lungs stable slightly prominent appearing interstitial markings  representing mild chronic inflammatory change . stable biapical chronic inflammatory change pleural thickening . acute airspace disease , effusions , chf . stable mediastinal contour .  acute abnormalities since previous chest radiograph ."
"left sided medication injection  tip projecting cavoatrial junction . trachea midline . extensive bilateral bronchiectasis , cystic changes , scarring represents sequela patient cystic fibrosis . evidence focal pulmonary infiltrate pleural effusion . large pneumothorax developed interim . overlying bony structures reveal acute abnormalities . heart size normal .",". extensive pulmonary bronchiectasis scarring cystic fibrosis , significantly  prior . . left sided medication injection  tip projecting cavoatrial junction . ."
cardiac mediastinal contours within normal limits . lungs clear . bony structures intact .,acute findings .
"multiple cavitary bilateral pulmonary masses nodules .  increased prior radiograph  , seen  chest  , largest left base measuring approximately . x . cm . pleural effusion , pneumothorax . heart size normal .","multiple cavitary bilateral pulmonary masses nodules .  increased prior radiograph  , seen  chest  , largest left base measuring approximately . x . cm . pleural effusion , pneumothorax . heart size normal ."
low lung volumes . heart size mediastinal silhouette within normal limits contour . lungs clear . pneumothorax pleural effusions .  intact .,low lung volumes . acute cardiopulmonary abnormalities .
strandy infiltrate developed left lower lobe . right lung clear . heart size remains normal .,"patchy left lower lobe infiltrate focal atelectasis , consistent pneumonitis ."
heart normal size . mediastinum unremarkable .   opacities right mid lung . lungs otherwise grossly clear .,acute disease .
cardiomediastinal silhouette within normal limits size appearance . pulmonary vascularity unremarkable . lungs expanded clear airspace disease . negative pneumothorax pleural effusion . limited bone evaluation reveals acute abnormality . incompletely evaluated lumbar levoscoliosis .,acute cardiopulmonary abnormality .
cardiac mediastinal contours within normal limits . lungs clear . mild prominence left hilar contour . bony structures intact .,acute preoperative findings .
"cardiomediastinal silhouette normal size contour . atherosclerosis aortic  . focal consolidation , pneumothorax large pleural effusion . spine osteophytes .",negative acute abnormality .
"stable appearance cardiomediastinal silhouette . pneumothorax , pleural effusion , focal airspace consolidation .",acute cardiopulmonary findings .
marked cardiomegaly . questionable dilation pulmonary arteries . low lung volumes . focal airspace consolidation . pleural effusion pneumothorax . prominent interstitial markings  due low lung volumes . elevated right hemidiaphragm .,. marked cardiomegaly . . low lung volumes .
normal heart size mediastinal contours . atherosclerotic calcifications thoracic aorta . focal airspace opacity . pleural effusion pneumothorax . visualized bony structures unremarkable appearance .,acute cardiopulmonary abnormalities .
"heart lungs   interval . lungs clear expanded . aorta tortuous , heart mediastinum otherwise normal .",active disease .
normal heart size . normal pulmonary vasculature . normal mediastinal contours . small calcifications left lung base appearance old granulomatous disease . otherwise lung parenchyma clear . airspace disease . pulmonary edema .  pleural effusions .  active cardiopulmonary disease .,normal heart size . normal pulmonary vasculature . normal mediastinal contours . small calcifications left lung base appearance old granulomatous disease . otherwise lung parenchyma clear . airspace disease . pulmonary edema .  pleural effusions .  active cardiopulmonary disease .
normal heart size . normal pulmonary vasculature . normal mediastinal contours . lung parenchyma clear . airspace disease . pulmonary edema .  pleural effusions .  active cardiopulmonary disease .,normal heart size . normal pulmonary vasculature . normal mediastinal contours . lung parenchyma clear . airspace disease . pulmonary edema .  pleural effusions .  active cardiopulmonary disease .
moderate cardiomegaly . bibasilar perihilar interstitial opacities . pneumothorax . pleural effusions .,cardiomegaly mild interstitial pulmonary edema .
" examination consists frontal lateral radiographs chest . cardiac silhouette enlarged . apparent interval increase low density convexity left cardiophrenic  . calcified granuloma seen right upper lobe . consolidation , pleural effusion pneumothorax .","increased size density left cardiophrenic  . primary differential considerations include increased size prominent epicardial fat , pericardial mass , pleural mass cardiac aneurysm . ct chest contrast recommended . findings recommendations discussed  .  dr.   telephone  p.m.   . dr.   technologist receipt results ."
lungs clear . heart pulmonary  normal . pleural spaces clear . mediastinal contours normal .,acute cardiopulmonary disease
"heart normal size contour . mediastinal widening . lungs clear bilaterally . large pleural effusion pneumothorax . mild dextro curvature thoracic spine , possibly positional .",acute cardiopulmonary abnormalities .
"heart size mediastinal contours appear within normal limits . pulmonary vascularity within normal limits . focal consolidation , suspicious pulmonary opacity , pneumothorax definite pleural effusion . visualized osseous structures appear intact .",acute cardiopulmonary abnormality .
heart size normal . lungs clear . pleural line suggest pneumothorax costophrenic  blunting suggest large pleural effusion . bony structures within normal limits .,acute cardiopulmonary findings .
"heart size within normal limits . negative focal pulmonary consolidation , pleural effusion , pneumothorax .",. acute abnormality . . dextroscoliosis thoracic spine unchanged . .
  lateral chest examination obtained . heart silhouette normal size contour . aortic  appear unremarkable . lungs demonstrate increased interstitial markings probably copd . calcified hilar lymph  . effusion pneumothorax .,. acute pulmonary disease .
"stable cardiomegaly significantly low lung volumes associated bronchovascular crowding bibasilar atelectasis . definite pleural effusion , consolidation , pneumothorax identified . acute bony abnormality .",limited examination stable cardiomegaly low lung volumes without acute cardiopulmonary abnormality identified .
heart size mediastinal contour normal . pulmonary vascularity normal . lungs hyperexpanded clear . biapical scarring noted . pleural effusions pneumothoraces .,hyperexpanded lungs without focal air space disease .
"heart size , mediastinal contour , pulmonary vascularity within normal limits . focal consolidation , suspicious pulmonary opacity , large pleural effusion , pneumothorax identified . visualized osseous structures appear intact .",acute cardiopulmonary abnormality .
heart normal size . mediastinum unremarkable . lungs clear .,acute disease .
"midline sternotomy  mediastinal clips consistent prior cabg . heart enlarged unfolding aorta . prominence interstitial markings fluid fissures consistent interstitial edema . focal airspace opacity , large pleural effusion , pneumothorax . multilevel degenerative spine changes .",. interstitial pulmonary edema . . cardiomegaly .
"heart , pulmonary  mediastinum within normal limits . pleural effusion pneumothorax . focal air space opacity suggest pneumonia . minimal degenerative changes spine .",acute cardiopulmonary disease .
lungs clear . heart size normal . pneumothorax .,clear lungs . acute cardiopulmonary abnormality . .
normal heart size mediastinal contours . clear lungs . pneumothorax pleural effusion . unremarkable  .,acute cardiopulmonary process . .
"heart size normal . slightly dilated tortuous aorta , unchanged . lungs clear . effusions pneumonia","heart size normal . slightly dilated tortuous aorta , unchanged . lungs clear . effusions pneumonia"
heart size pulmonary vascularity appear within normal limits . retrocardiac soft tissue density present . appears air within could suggest represents hiatal hernia . vascular calcification noted . calcified granuloma seen . interval development bandlike opacity left lung base . may represent atelectasis . pneumothorax pleural effusion seen . osteopenia present spine .,. retrocardiac soft tissue density . appearance suggests hiatal hernia . .  left base bandlike opacity . appearance suggests atelectasis .
"lungs clear . focal consolidation , effusion , pneumothorax . heart mediastinal contours normal . osseous structures intact .",acute cardiopulmonary disease
minimal cardiomegaly . lungs clear . fat seen within  fissure right .,minimal cardiomegaly . lungs clear . fat seen within  fissure right .
cardiomegaly . mediastinal contours normal limits . increased interstitial opacities . pneumothorax large pleural effusion . acute osseous abnormality .,cardiomegaly increased interstitial opacities  represent interstitial edema .
". lines tubes stable ,  position . . limited portable study stable appearance lung  stable widened mediastinum .  acute findings pneumothorax noted .",". lines tubes stable ,  position . . limited portable study stable appearance lung  stable widened mediastinum .  acute findings pneumothorax noted ."
focal consolidation . pneumothorax large pleural effusion . cardiomediastinal contours grossly unremarkable . heart size within normal limits . cardiac  generator overlies left upper thorax   tips overlying right atrium ventricles .,acute cardiopulmonary findings . .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. cardio mediastinal silhouette unremarkable . visualized osseous structures thorax without acute abnormality .",acute cardiopulmonary abnormality ..
"cardiomediastinal silhouette pulmonary vasculature within normal limits size . lungs clear focal airspace disease , pneumothorax , pleural effusion . acute bony findings .",acute cardiopulmonary findings .
"heart normal size contour . lungs clear , without evidence infiltrate . pneumothorax effusion .",acute cardiopulmonary disease .
"pleural effusion , pneumothorax focal airspace opacities . cardiomediastinal silhouette within normal limits . trachea midline . free subdiaphragmatic air . included osseous structures grossly intact .",acute pulmonary disease .
lungs clear expanded . heart mediastinum normal .,active disease .
"cardiomediastinal silhouette normal size contour . focal consolidation , pneumothorax large pleural effusion . normal  .",negative acute abnormality .
"cardiac mediastinal silhouettes unremarkable . lungs well expanded clear . focal air space opacity , pneumothorax , effusion . large calcified mediastinal right hilar granulomas . bony structures thorax intact evidence acute abnormality .",evidence acute cardiopulmonary process . stable appearance chest .
"frontal lateral views chest show unchanged cardiomediastinal silhouette . right sided aortic  . normal mediastinal contour , pulmonary  vasculature , central airways aeration lungs . right basal  patchy opacity bibasal atelectasis scarring . pleural effusion pneumothorax . right apical calcified granuloma noted .",". right basal acute airspace disease . please correlate clinically pneumonia . . chronic interstitial pattern , may reflect copd ."
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. cardio mediastinal silhouette unremarkable . visualized osseous structures thorax without acute abnormality .",acute cardiopulmonary abnormality ..
lower cervical upper thoracic  spinal fixation  . multiple sternotomy  . bilateral calcified granulomas degenerative change spine . lungs appear clear .,lower cervical upper thoracic  spinal fixation  . multiple sternotomy  . bilateral calcified granulomas degenerative change spine . lungs appear clear .
cardiac mediastinal contours within normal limits . lungs clear . bony structures intact .,acute findings .
lung volumes  .  opacities present lung bases . hiatal hernia present . heart pulmonary  normal .,hypoinflation bibasilar focal atelectasis .
slight cardiomegaly . lungs clear effusions edema,slight cardiomegaly . lungs clear effusions edema
clear lungs . heart size normal . pneumothorax large pleural effusion .,acute cardiopulmonary findings .
"heart normal size contour . aorta calcified tortuous . lung volumes low . elevation right hemidiaphragm . minimal streaky opacities lung bases ,  subsegmental atelectasis . pleural effusion pneumothorax .",. low lung volume study minimal bibasilar atelectasis . stable chest .
"surgical  distal left clavicle . acute osseous abnormality . soft tissue structures within normal limits . stable normal cardio mediastinal silhouettes hilar structures . lungs normally inflated without evidence focal airspace disease , pleural effusion , pneumothorax . .",. acute radiographic cardiopulmonary process .
heart size normal . mediastinal contour within normal limits . lungs free focal infiltrates . small calcified granuloma within left upper lobe . nodules masses . visible pneumothorax . visible pleural fluid .  grossly normal . visible free intraperitoneal air diaphragm .,acute radiographic cardiopulmonary process .
heart normal size contour . mediastinal widening . lungs clear bilaterally . large pleural effusion pneumothorax .  intact .,acute cardiopulmonary abnormalities .
heart size mediastinal contours normal appearance . consolidative airspace opacities . radiographic evidence pleural effusion pneumothorax . visualized osseous structures appear intact .,acute cardiopulmonary abnormality .
"heart size within normal limits . dense mitral annular calcification . tortuous ectatic , atherosclerotic aorta . edema . lungs mildly hyperinflated . left basilar scarring .  consolidation , pleural effusion pneumothorax .","heart size within normal limits . dense mitral annular calcification . tortuous ectatic , atherosclerotic aorta . edema . lungs mildly hyperinflated . left basilar scarring .  consolidation , pleural effusion pneumothorax ."
"cardiomediastinal silhouette pulmonary vasculature within normal limits size . lungs clear focal airspace disease , pneumothorax , pleural effusion .  closure device demonstrated projecting right heart . acute bony findings .",acute cardiopulmonary findings .
heart size normal . degenerative spurring thoracic spine . calcified right left hilar lymph  . minimal interstitial nodular opacities right left midlung . could consistent sarcoidosis . small nodular opacities present old ct scan ,heart size normal . degenerative spurring thoracic spine . calcified right left hilar lymph  . minimal interstitial nodular opacities right left midlung . could consistent sarcoidosis . small nodular opacities present old ct scan 
"lungs clear without focal consolidation , effusion , pneumothorax . normal heart size . bony thorax soft tissues grossly unremarkable . calcified left hilar  .",negative acute cardiopulmonary abnormality .
lungs clear . heart pulmonary  normal . pleural spaces clear . mediastinal contours normal . stable lucency right mid clavicle dating back  .,acute cardiopulmonary disease
stable appearance lower cervical fusion  . heart size normal . pneumothorax pleural effusion . focal airspace disease . calcified nodules consistent chronic granulomatous disease . bony structures appear intact . dish thoracic spine .,negative acute cardiopulmonary disease .
"exam technically limited patient body habitus . lung volumes decreased . evidence acute airspace disease , large pleural effusion pneumothorax . heart size stable .","exam technically limited patient body habitus . lung volumes decreased . evidence acute airspace disease , large pleural effusion pneumothorax . heart size stable ."
"apical lordotic frontal view . heart size near top normal limits , aortic calcifications ectasia tortuosity . focal alveolar consolidation , definite pleural effusion seen . typical findings pulmonary edema .","apical lordotic frontal view . heart size near top normal limits , aortic calcifications ectasia tortuosity . focal alveolar consolidation , definite pleural effusion seen . typical findings pulmonary edema ."
focal lung consolidation .  density overlying left costophrenic   due overlying soft tissues . heart size pulmonary vascularity within normal limits . pneumothorax pleural effusion . osseous structures grossly intact .,acute cardiopulmonary process .
cardiac silhouette appears upper limits normal borderline enlarged . mediastinum parahilar structures also slightly prominent unchanged . portacatheter noted tip superior   . appears unchanged . slightly  inspiratory effort noted frontal film . unchanged . osseous structures appear grossly unremarkable . pneumothorax obvious pulmonary lesions seen .,cardiac silhouette appears upper limits normal borderline enlarged . mediastinum parahilar structures also slightly prominent unchanged . portacatheter noted tip superior   . appears unchanged . slightly  inspiratory effort noted frontal film . unchanged . osseous structures appear grossly unremarkable . pneumothorax obvious pulmonary lesions seen .
stable moderate cardiomegaly . mediastinal contours unchanged . stable prominence central pulmonary vasculature coarse central interstitial markings . decreased left basilar airspace disease . visible pleural effusion pneumothorax .,. stable moderate cardiomegaly prominent central pulmonary vasculature . . improved left basilar atelectasis infiltrate .
low lung volumes .  normal heart size . pneumothorax . large effusion . focal infiltrate .,"low lung volumes , acute cardiopulmonary disease ."
heart size cardiomediastinal silhouette within normal limits . pulmonary vasculature appears normal . focal air space consolidation . pleural effusion pneumothorax .,heart size cardiomediastinal silhouette within normal limits . pulmonary vasculature appears normal . focal air space consolidation . pleural effusion pneumothorax .
cardiomediastinal silhouette pulmonary vasculature within normal limits . lungs clear . pneumothorax pleural effusion . acute osseous findings .,acute cardiopulmonary findings .
"chest . heart , pulmonary  mediastinum within normal limits . pleural effusion pneumothorax . focal air space opacity suggest pneumonia . calcified granuloma left lung base . soft tissue neck . reversal normal cervical lordosis may indicate muscle spasm versus positional phenomenon . prevertebral soft tissue  . epiglottis within normal limits . mm x mm density identified lateral exam , possibly within one piriform sinuses .",soft tissue neck . small x mm density possibly piriform sinus seen lateral exam . chest . acute cardiopulmonary disease .
"enlarged cardiac contour , stable . calcified vasculature . sequelae prior granulomatous disease . confluent consolidation , pleural effusion , overt pulmonary edema . mild thoracic spondylosis .",acute findings . stable cardiac enlargement .
patchy airspace disease present lateral view probably within right lower lobe . severe underlying emphysema . aorta calcified . spondylosis .,"patchy airspace disease lateral view , probably within right lower lobe ,  pneumonia superimposed  severe underlying emphysema . recommend following process resolution ."
heart size normal . vascular congestion bilateral hilar areas . lungs hyperexpanded flattened diaphragms . acute bony abnormalities . effusion infiltrate . pneumothorax pneumomediastinum .,. hyperexpanded lungs . . otherwise normal chest x  .
"heart  , mediastinum ,  , bony structures lung  unremarkable .",radiographic evidence acute cardiopulmonary disease
within posterior lateral th rib deformity along cortex associated oblique lucency . addition within posterior lateral th rib appears obliquely oriented lucency cortical disruption . findings concerning possible left rib fractures . otherwise cardiomediastinal silhouette within normal limits . lungs clear bilaterally . multiple small punctate radiopaque foreign bodies seen within subcutaneous tissues present previous ct scan  .,possible lower posterior lateral left rib fractures described . concern rib fractures dedicated rib films would better evaluate . otherwise acute cardiopulmonary disease .
"heart mediastinal silhouettes within normal limits . lungs clear without focal airspace opacity , large effusion , pneumothorax .  grossly intact . interval removal right picc . persistent elevation left hemidiaphragm .",acute visualized cardiopulmonary abnormality .
" opacities left lung ,  subsegmental atelectasis .  opacities overlying left lung base frontal   reflect epicardial fat  overlying breast tissue . focal airspace consolidation . pleural effusion pneumothorax . heart size upper limits normal . diffuse degenerative changes spine .",acute findings . left mid lung subsegmental atelectasis .
"cardiac mediastinal contours unremarkable . pulmonary vascularity within normal limits . focal air space opacities , pleural effusion , pneumothorax . increased lucencies bilateral apices along horizontal oblique scarring left upper lobe . could suggest emphysematous bullae .  grossly unremarkable .",. active disease .
"lungs clear bilaterally . focal consolidation , pleural effusion , pneumothoraces . cardiomediastinal silhouette within normal limits .  unremarkable .",acute cardiopulmonary abnormality .
"cardiomediastinal silhouette within normal limits . acute bony abnormality identified . slightly increased  opacity right base compared left may minimal right basilar airspace disease ,  right middle lobe . left lung clear . pneumothorax effusion identified .","minimal right basilar airspace disease ,  right middle lobe ."
stable appearing bilateral calcified lymph  . cardiac silhouette mediastinal contours within normal limits . focal opacity . large pleural effusion . pneumothorax .,acute cardiopulmonary abnormality .
"lungs mildly hyperinflated , upper lobe areas lung lucency suggesting obstructive pulmonary disease emphysema . superimposed focal airspace consolidation seen . pleural effusion pneumothorax . heart size normal .",emphysema .
"normal heart size mediastinal contours . lungs free focal airspace disease . left lung base , mm nodule definitively calcified . pneumothorax pleural effusion . acute bony abnormalities .",. acute cardiopulmonary process . . mm left lower lobe pulmonary nodule definitively calcified . recommend comparison prior images document stability . none available consider nonemergent  chest characterization . .
heart mediastinum unremarkable . lungs clear without infiltrate . effusion pneumothorax . mild degenerative changes thoracic spine .,. acute cardiopulmonary disease .
"heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen . vp shunt tubing identified . bony structures , visualized , appear unremarkable .",evidence active disease .
"cardiomediastinal silhouette pulmonary vasculature within normal limits size . lungs clear focal airspace disease , pneumothorax , pleural effusion . acute bony findings .",acute findings . .
"lobulated contour right paratracheal stripe , possibly consistent vascular structure lymph  . cardiomediastinal silhouette otherwise within normal limits appearance . focal areas pulmonary consolidation . pneumothorax . pleural effusion . thoracic spine appears intact .",". lobulated contour right paratracheal stripe . may represent vascular structure enlarged lymph node could evaluated chest ct. otherwise , acute intrathoracic abnormality ."
"heart size within normal limits . focal alveolar consolidation , definite pleural effusion seen . typical findings pulmonary edema . pneumothorax .",acute cardiopulmonary findings
"left sided biventricular pacemaker . leads overlie right ventricle lateral cardiac vein . leads appear intact . cardiac silhouette mildly enlarged . mild diffuse bilateral interstitial opacities ,  pulmonary edema .  opacities overlying left lung base frontal view . large pleural effusion seen lateral view . pneumothorax identified .",". left sided biventricular cardiac pacemaker . leads appear intact . pneumothorax . . cardiomegaly mild interstitial pulmonary edema . .  opacities overlying left lung base frontal view , possibly lingular atelectasis infiltrate . large pleural effusion ."
"heart size mildly enlarged stable .. lungs normally inflated without evidence focal airspace disease , pleural effusion , pneumothorax . osseous structures within normal limits patient age ..",. acute radiographic cardiopulmonary process .
"heart , pulmonary  mediastinum within normal limits . pleural effusion pneumothorax . focal air space opacity suggest pneumonia . pulmonary nodule identified . left humerus prosthesis partly demonstrated .",acute cardiopulmonary disease . evidence metastatic disease radiographic evaluation .
"heart size normal . mediastinal silhouettes pulmonary vascularity within normal limits . calcified lingular granuloma . focal consolidations pleural effusions . pneumothorax . breast implants moderate wedge  deformity midthoracic vertebrae ,  , age indeterminate .","heart size normal . mediastinal silhouettes pulmonary vascularity within normal limits . calcified lingular granuloma . focal consolidations pleural effusions . pneumothorax . breast implants moderate wedge  deformity midthoracic vertebrae ,  , age indeterminate ."
"normal heart size . dilated pulmonary arteries . atherosclerotic calcifications aorta . focal airspace consolidation . decreased biapical vascular markings moderate hyperexpansion lungs , consistent obstructive pulmonary disease . pleural effusion pneumothorax .",. moderate hyperinflation lungs . . dilated pulmonary arteries . may reflect pulmonary hypertension .
lungs clear expanded . heart mediastinum normal .,active disease .
lung volumes low . focal infiltrates . heart size normal .,hypoinflation visible active cardiopulmonary disease .
lungs remain hyperexpanded . change right middle lobe opacification .  infiltrates masses . pulmonary arteries prominent centrally ., change copd . chronic right middle lobe scar atelectasis . pulmonary arterial hypertension .
heart size normal lungs clear,heart size normal lungs clear
cardiomediastinal silhouette stable . lung volumes remain low . pleural line suggest pneumothorax costophrenic  blunting suggest large pleural effusion . bony structures within normal limits .,low lung volumes . acute cardiopulmonary findings .
cm right upper lobe anterior segment mass . effusion . adenopathy . ct scan   determine mediastinal adenopathy . bony abnormalities .,cm right upper lobe anterior segment mass . effusion . adenopathy . ct scan   determine mediastinal adenopathy . bony abnormalities .
heart size normal . lungs clear . mm right apical granuloma overlying anterior first right rib .,heart size normal . lungs clear . mm right apical granuloma overlying anterior first right rib .
left lower lobe  segment pneumonia . heart size normal . lungs otherwise clear . effusion,left lower lobe  segment pneumonia . heart size normal . lungs otherwise clear . effusion
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. cardio mediastinal silhouette unremarkable . visualized osseous structures thorax without acute abnormality .",acute cardiopulmonary abnormality ..
mediastinal contours normal . lungs clear . pneumothorax large pleural effusion .,acute cardiopulmonary abnormality .
heart normal size . mediastinum unremarkable . lungs hypoinflated grossly clear .,acute disease .
apparent scarring within lingula . lungs otherwise clear . pleural effusions pneumothoraces . heart mediastinum normal size contour .,"apparent scarring within lingula , otherwise unremarkable ."
"cardiac mediastinal contours within normal limits . atherosclerotic aorta . mild blunting left costophrenic recess , possibly mild atelectasis scarring . confluent lobar consolidation large volume pleural effusion . thoracic spondylosis .","mild blunting left costophrenic recess , possibly mild atelectasis scarring ."
cardiac contours normal . lungs clear . thoracic spondylosis .,acute process .
cardiac mediastinal contours within normal limits . lungs clear . bony structures intact .,negative chest x  .
pneumothorax large pleural effusion . borderline cardiomegaly . minimal retrocardiac airspace disease . bony structures appear intact .,bony structures appear intact . minimal retrocardiac airspace disease .
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen .,. evidence active disease .
"cardiac mediastinal contours within normal limits . lungs well inflated clear . mm nodule left lower lobe ,  calcified granuloma . pneumothorax effusion . bony structures thorax intact minimal early degenerative change .",". evidence acute cardiopulmonary process . . mm nodule left lung base ,  calcified granuloma ."
"stable marked cardiomegaly mediastinal contour . pulmonary vascularity within normal limits . left chest pacemaker unchanged comparison exam fractured proximal lateral   tips overlying right ventricle . focal consolidation , suspicious pulmonary opacity , pleural effusion , pneumothorax . visualized osseous structures appear intact .",stable marked cardiomegaly . acute cardiopulmonary abnormalities .
"heart size enlarged , pulmonary vascularity within normal limits . cardiac defibrillator generator projects left mid lateral lung . visible pneumothorax pleural effusion . minimal streaky airspace opacities lower lobes .",. cardiomegaly without pulmonary edema . . minimal bibasilar opacities may reflect atelectasis infiltrate .
heart size mediastinal contour stable within normal limits allowing rotation . pulmonary vascularity normal . gt lung volumes low . focal airspace disease effusion . expansile lesion right posterior th rib  represents sequelae known multiple myeloma .,heart size mediastinal contour stable within normal limits allowing rotation . pulmonary vascularity normal . gt lung volumes low . focal airspace disease effusion . expansile lesion right posterior th rib  represents sequelae known multiple myeloma .
heart normal size . pulmonary vascularity within normal limits appearance . focal air space opacities . pleural effusions pneumothorax . acute bony abnormalities .,acute cardiopulmonary abnormalities .
"low lung volumes bilaterally , lungs otherwise grossly clear . focal consolidation , pneumothorax , large pleural effusion . cardiomediastinal silhouette unremarkable . acute osseous abnormalities identified .",low lung volumes without acute cardiopulmonary abnormality .
heart size normal lungs clear . stable degenerative spurring thoracic spine . clips overlie right medial hilum .,heart size normal lungs clear . stable degenerative spurring thoracic spine . clips overlie right medial hilum .
"lungs clear bilaterally , focal consolidation , pleural effusion , pneumothoraces . cardiomediastinal silhouette within normal limits . calcified densities within right paratracheal region left perihilar region , may represent calcified granulomas . round opacity measuring cm diameter within posterior mediastinum .  unremarkable .",. round opacity measuring cm diameter within posterior mediastinum . recommend evaluation nodule chest ct iv contrast .
seen platelike horizontal opacities lung bases consistent scarring subsegmental atelectasis . spine osteophytes . cardiomediastinal silhouette pulmonary vasculature within normal limits . pneumothorax pleural effusion . lobar pneumonia . calcified right hilar granuloma . degenerative changes  . curvilinear density within along right costophrenic sulcus  represents skinfold . unchanged fracture callus left th lateral rib .,unchanged platelike bibasilar opacities  representing scarring subsegmental atelectasis . acute cardiopulmonary abnormality .
 left upper lobe opacities . lungs otherwise appear clear . pleural effusion pneumothorax . heart size within normal limits .,. evidence active tuberculosis . .  left upper lobe opacities . appearance  subsegmental atelectasis scarring .
heart enlarged . lungs clear . pleural effusion .,acute abnormality .
pulmonary nodules masses masses previous exam smaller definitely seen . lungs otherwise clear . heart size normal . pneumothorax . right chest  tip projecting lower svc .,interval decrease size numerous pulmonary nodules masses . nodules masses definitely seen  radiograph . .
heart size upper limits normal . mediastinal silhouette otherwise pulmonary vascularity within normal limits . left chest wall changes suggest prior thoracotomy . pleural effusion pneumothorax . focal airspace consolidation .,heart size upper limits normal . mediastinal silhouette otherwise pulmonary vascularity within normal limits . left chest wall changes suggest prior thoracotomy . pleural effusion pneumothorax . focal airspace consolidation .
"bilateral calcified granulomas stable compared prior examination , without focal consolidation , pneumothorax , pleural effusion identified . cardiomediastinal silhouette stable unremarkable . acute osseous abnormality identified .",acute cardiopulmonary abnormality ..
" left effusion left lateral costophrenic recess . minimal residual left lung base airspace disease . stable heart size , moderately enlarged tortuous calcified aorta . clear right lung ."," left effusion left lateral costophrenic recess . minimal residual left lung base airspace disease . stable heart size , moderately enlarged tortuous calcified aorta . clear right lung ."
cardiac mediastinal contours within normal limits . lungs clear . bony structures intact .,acute preoperative findings .
"heart , pulmonary  mediastinum within normal limits . pleural effusion pneumothorax . focal air space opacity suggest pneumonia . minimal degenerative changes spine .",acute cardiopulmonary disease .
lungs clear . pleural effusion pneumothorax . heart mediastinum normal . skeletal structures normal .,acute pulmonary disease .
heart size upper limits normal . small amount left basilar airspace disease . right lung clear . cavitary lesions seen . pneumothorax . pleural effusions .,"left basilar atelectasis infiltrate , radiographic evidence tuberculosis ."
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen . left hemidiaphragm elevated . unchanged . focal airspace disease seen . pneumothorax pleural effusion noted . eventration right hemidiaphragm .,. continued elevation left hemidiaphragm . . evidence active disease .
cardiac contours normal . lungs clear . thoracic spondylosis . mild   curvature thoracolumbar junction .,active pulmonary disease .
lungs clear . heart pulmonary  normal . pleural spaces clear . mediastinal contours normal . mild degenerative changes thoracic spine .,. evidence pneumonia post primary tuberculosis infection . acute cardiopulmonary disease
"lungs pleural spaces show acute abnormality . heart size upper limits normal , pulmonary vascularity within normal limits . straightening normal thoracic kyphosis . levocurvature lumbar spine , incompletely imaged .",. acute pulmonary abnormality .
heart normal size . mediastinum unremarkable . mild emphysematous changes noted . lungs otherwise clear .,acute disease .
heart normal size contour . mediastinal widening . lungs clear bilaterally . large pleural effusion pneumothorax .  intact .,acute cardiopulmonary abnormalities .
lungs clear . pleural effusion pneumothorax . heart mediastinum normal . skeletal structures normal .,acute pulmonary disease .
stable normal heart size . calcified aorta . eventration right diaphragm . scarring pulmonary apices . acute findings . thoracic spondylosis .,stable normal heart size . calcified aorta . eventration right diaphragm . scarring pulmonary apices . acute findings . thoracic spondylosis .
normal heart size . clear lungs . pneumothorax . pleural effusion . opacity base mediastinum  hiatal hernia .,acute cardiopulmonary abnormality .
heart lungs   interval . lungs clear expanded . heart mediastinum normal .,active disease .
"small focal opacity left upper lobe , differential diagnosis includes subsegmental atelectasis , small infiltrate , scarring , followup recommended . definite pleural effusion seen . heart size within normal limits , typical findings pulmonary edema . mediastinal left hilar calcifications suggest previous granulomatous process .","small focal opacity left upper lobe , differential diagnosis includes subsegmental atelectasis , small infiltrate , scarring , followup recommended . definite pleural effusion seen . heart size within normal limits , typical findings pulmonary edema . mediastinal left hilar calcifications suggest previous granulomatous process ."
blunting left costophrenic  compatible moderate large left pleural fluid collection . areas airspace opacity within left lung base may represent atelectasis infiltrate . minimal bandlike atelectasis within right lung base . heart size normal . left sided tunneled catheter terminates caval atrial junction . right ij venous catheter terminates proximal svc .,"lines tubes . moderate large left pleural effusion , adjacent airspace disease atelectasis ."
rib films . fractures dislocations . chest . heart size normal . lungs clear . effusion pneumothorax . minimal degenerative disease thoracic spine,rib films . fractures dislocations . chest . heart size normal . lungs clear . effusion pneumothorax . minimal degenerative disease thoracic spine
enlargement cardiac silhouette . focal opacity within right upper lung . dense calcification thoracic aorta . pneumothorax . large pleural effusion .,". right upper lobe opacity . without comparisons , may represent focal area infection pneumonia . however , correlation  possible tuberculosis exposure tuberculosis infection could appearance . discordant clinical suspicion , resolve follow imaging , consider evaluation  scan . . enlargement cardiac silhouette ."
heart size normal . fibrosis . right apical left base mm calcified granulomas . calcified hilar lymph  . effusions .,heart size normal . fibrosis . right apical left base mm calcified granulomas . calcified hilar lymph  . effusions .
"mediastinal contours normal . heart size within normal limits . multiple scattered calcified pulmonary nodules ,  sequela prior granulomatous disease . otherwise lungs clear .. pneumothorax large pleural effusion . bony abnormality .",acute cardiopulmonary abnormality .
heart size pulmonary vascularity appear within normal limits . ascending aorta prominent descending thoracic aorta tortuous . aorta appears unchanged compared study . lungs free focal airspace disease . pleural effusion pneumothorax seen . discrete nodules identified . oblong density projecting anterior left th rib . appearance suggests old rib fracture ., since previous study . . clear lungs . . apparent old rib fractures left anterior chest .
"moderate bilateral interstitial edema , cardiomegaly bilateral effusion consistent moderate cardiac failure . large calcified right mediastinal adenopathy ,  chronic fungal . pneumothorax .",moderate congestive cardiac failure .
heart size normal . mild lung hyperexpansion . lungs clear . focal air space consolidations . pleural effusions pneumothoraces . hilar mediastinal contours normal . normal pulmonary vascularity .,acute abnormality . .
heart size within normal limits . focal airspace consolidations . pneumothorax pleural effusion .,acute cardiopulmonary findings .
heart size enlarged . tortuous aorta . otherwise mediastinal contour within normal limits . lungs free focal infiltrates . nodules masses . visible pneumothorax . visible pleural fluid .  grossly normal . visible free intraperitoneal air diaphragm .,. cardiomegaly without lung infiltrates .
focal consolidation . visualized pneumothorax . heart size normal . large pleural effusions . cardiomediastinal silhouette grossly unremarkable .,. acute cardiopulmonary findings .
shaped thoracolumbar scoliosis . spine osteophytes .  opacity left lower lobe  represents atelectasis scarring . pneumothorax . large pleural effusion . cardiomediastinal silhouette within normal limits . lobar pneumonia . calcified hilar lymph  ., opacity left lung base  represents atelectasis scarring .
"heart size , mediastinal contour , pulmonary vascularity within normal limits . focal consolidation , suspicious pulmonary opacity , large pleural effusion , pneumothorax identified . visualized osseous structures appear intact .",. acute cardiopulmonary abnormality . . evidence active changes chronic tuberculosis infection .
cardiomediastinal silhouette pulmonary vasculature within normal limits . lungs clear . pneumothorax pleural effusion . acute osseous findings .,acute cardiopulmonary findings .
"trachea midline . cardiomediastinal silhouette normal . low lung volumes , causing bibasilar atelectasis bronchovascular crowding .  opacity left lingula . pleural effusion pneumothorax . visualized bony structures reveal acute abnormalities .",". low lung volumes . . opacity lingula favored represent prominent pericardial fat , lingular atelectasis infiltrate ruled . ."
cardiac contours normal . prominent hilar contours . lungs clear . thoracic spondylosis .,cardiac contours normal . prominent hilar contours . lungs clear . thoracic spondylosis .
"borderline cardiomegaly ,   partially accentuated low lung volumes . right upper lobe calcified granuloma . focal consolidation , pneumothorax large pleural effusion . negative acute bone abnormality .","low lung volumes , otherwise clear ."
"chest . lungs clear bilaterally . cardiac mediastinal silhouettes normal . pulmonary vasculature normal . pneumothorax pleural effusion . acute bony abnormality . ribs . displaced rib fractures , obvious nondisplaced rib fractures . soft tissues appear normal .","chest . acute cardiopulmonary abnormality . ribs . displaced rib fractures , obvious nondisplaced rib fractures ."
lungs clear . cardiomediastinal silhouette within normal limits . pneumothorax pleural effusion .,negative chest .
"cardiomediastinal silhouette within normal limits size contour . lungs hyperinflated flattening diaphragms consistent emphysematous change . evidence focal airspace disease , pleural effusion , pneumothorax . multilevel degenerative changes spine noted .",. emphysematous change without evidence acute cardiopulmonary process .
single view chest obtained ap projection . limited study secondary body habitus . cardiomediastinal silhouette enlarged . lungs demonstrate focal infiltrates . effusion pneumothorax .,. acute pulmonary disease .
lungs clear . cardiomediastinal silhouette within normal limits . pneumothorax pleural effusion .,negative chest .
cardiomegaly . pneumothorax pleural effusion . clear lung  bilaterally .,. cardiomegaly .
"lung lines remain low . however , focal infiltrates identified . heart pulmonary  normal .", change . hypoinflation visible active cardiopulmonary disease .
low lung volumes bibasilar hypoventilation patchy atelectasis . overt airspace consolidation pleural effusions . visualized mediastinal contour grossly within normal limits .,low lung volumes bibasilar hypoventilation patchy atelectasis . overt airspace consolidation pleural effusions . visualized mediastinal contour grossly within normal limits .
consolidation developing left lower lobe . patchy infiltrate also present right lower lobe . heart size normal .,bibasilar pneumonia .
"lungs clear without focal consolidation , effusion , pneumothorax . normal heart size . soft tissues unremarkable",negative acute cardiopulmonary abnormality .
heart size normal.no significant change left base airspace disease small effusion . small residual right pneumothorax . increased right base atelectasis.catheter overlying right mediastinum may outside patient .,heart size normal.no significant change left base airspace disease small effusion . small residual right pneumothorax . increased right base atelectasis.catheter overlying right mediastinum may outside patient .
"stable appearance right aortic  . normal heart size . pneumothorax , pleural effusion suspicious focal airspace opacity .",stable exam known right aortic  .
active disease .,active disease .
frontal lateral views chest overlying external cardiac monitor leads show normal size configuration cardiac silhouette . normal pulmonary vasculature central airways . interstitial prominence basilar patchy air space opacity . focal airspace consolidation pleural effusion .,"nonspecific interstitial prominence basilar patchy airspace disease . maybe due pulmonary fibrosis , scarring atelectasis . comparison outside previous films may useful ."
heart normal size . mediastinum unremarkable . lungs hypoinflated clear .,acute disease .
lucency crosses th left posterior rib . visualized portions thoracic spine unremarkable . mediastinal contours normal . lungs clear . pneumothorax large pleural effusion .,"question posterior rib fracture , correlate  tenderness ."
normal heart size mediastinal contours . lungs clear . pneumothorax pleural effusion . degenerative changes seen spine .,acute cardiopulmonary process . .
heart normal size . mediastinum unremarkable . lungs clear .,acute disease .
trachea midline . cardiomediastinal silhouette normal size contour . lungs clear without evidence acute infiltrate effusion . pneumothorax . visualized bony structures reveal acute abnormalities .,acute cardiopulmonary abnormalities .
"heart size moderately enlarged , stable mediastinal contours . lateral view curvilinear densities heart suggestive coronary artery stents . diaphragm eventration . focal alveolar consolidation , definite pleural effusion seen . typical findings pulmonary edema .","cardiomegaly , acute pulmonary findings"
"cardiomediastinal silhouette within normal limits overall size appearance . central vascular markings symmetric within normal limits . lungs normally inflated focal airspace disease , pleural effusion pneumothorax . acute bony abnormality . stable scarring right lung apex .",. acute cardiopulmonary process .
mediastinal contours normal . opacity within right middle lower lobes . displacement   fissure . pneumothorax ..,opacification right middle lower lobes .
"trachea midline . cardiomediastinal silhouette normal . low lung volumes , causing bibasilar atelectasis bronchovascular crowding . pulmonary opacity seen right lung base , may indicate focal infiltrate . pleural effusion pneumothorax . visualized bony structures reveal acute abnormalities .",. right lower lobe opacity may represent focal infiltrate versus atelectasis . . low lung volumes . .
"cardiomediastinal silhouette pulmonary vasculature within normal limits size . lungs clear focal airspace disease , pneumothorax , pleural effusion . acute bony findings .",acute cardiopulmonary findings . .
lungs clear . pleural effusion pneumothorax identified . heart mediastinum normal . skeletal structures soft tissues normal .,active disease .
mild cardiomegaly . changes chronic lung disease . pneumothorax pleural effusion . accentuated thoracic kyphosis .,chronic lung disease acute cardiopulmonary abnormality .
normal heart size mediastinal contours . reticular opacities medial right middle lobe tubular airway ectasia obscures right heart  . present previously compatible bronchiectasis .  focal airspace disease . pneumothorax pleural effusion . unremarkable  .,". acute cardiopulmonary process . . stable right middle lobe bronchiectasis ,  postinfectious postinflammatory . ."
"frontal lateral views chest show unchanged cardiomediastinal silhouette . bibasal interstitial opacity left basal platelike opacity  due discoid atelectasis  scarring . emphysematous changes , particularly within right upper lobe .  focal airspace consolidation pleural effusion .",. copd . basilar probable pulmonary fibrosis scarring . . acute cardiac pulmonary disease process identified .
"heart size normal . lungs clear .  normal . pneumonia , effusions , edema , pneumothorax , adenopathy , nodules masses .",normal chest
stable heart size mediastinal contours . focal airspace consolidation . stable calcified granuloma right upper lobe . low lung volumes . focal airspace disease .,"low lung volumes , otherwise acute cardiopulmonary abnormality ."
normal heart size . normal pulmonary vasculature . normal mediastinal contours . lung parenchyma clear . airspace disease . pulmonary edema .  pleural effusions .  active cardiopulmonary disease . unchanged .,normal heart size . normal pulmonary vasculature . normal mediastinal contours . lung parenchyma clear . airspace disease . pulmonary edema .  pleural effusions .  active cardiopulmonary disease . unchanged .
"heart size within normal limits , minimal aortic ectasia tortuosity . abnormal interstitial pattern , nonspecific appearance  differential diagnosis including chronic interstitial lung disease , infectious , inflammatory process , atypical pulmonary edema . highly characteristic appearance contusion aspiration . chronic appearing contour deformity distal right clavicle suggests old injury . definite pleural effusion seen , pneumothorax .","heart size within normal limits , minimal aortic ectasia tortuosity . abnormal interstitial pattern , nonspecific appearance  differential diagnosis including chronic interstitial lung disease , infectious , inflammatory process , atypical pulmonary edema . highly characteristic appearance contusion aspiration . chronic appearing contour deformity distal right clavicle suggests old injury . definite pleural effusion seen , pneumothorax ."
"trachea midline . cardiomediastinal silhouette normal unchanged compared prior examination . tubular densities overlying heart   coronary artery stents . small round calcific densities bilateral lobes unchanged prior exam  represent sequelae old granulomatous disease . otherwise lungs clear , without evidence acute infiltrate effusion . pneumothorax . visualized bony structures reveal acute abnormalities . lateral view reveals mild degenerative changes thoracic spine .",acute cardiopulmonary abnormalities .
lungs clear without evidence focal airspace disease . evidence pneumothorax large pleural effusion . cardiac mediastinal contours within normal limits . degenerative changes throughout thoracic spine .,radiographic evidence acute cardiopulmonary disease .
heart size normal . focal consolidations . pneumothorax pleural effusion .,negative chest . .
cardiomediastinal silhouette normal . lungs hyperexpanded clear without evidence effusion infiltrate . small right lower lobe calcified granuloma unchanged prior examinations . acute bony abnormality . pneumothorax pneumomediastinum .,. hyperexpanded lungs .
"lungs clear without focal consolidation , effusion , pneumothorax . normal heart size . degenerative changes thoracic spine .",negative acute cardiopulmonary abnormality .
images . cardiac silhouette enlarged . thoracic aortic atherosclerotic calcifications present . finding status post sternotomy cabg .  atelectasis scar noted within left midlung . blunting left costophrenic  . pneumothorax .,. cardiomegaly . . minimal left midlung atelectasis . . blunting left costophrenic  . could indicate small amount pleural fluid versus pleural parenchymal scarring .
focal consolidation . visualized pneumothorax . pleural effusions . heart size normal . cardiomediastinal silhouette unremarkable .,. acute cardiopulmonary findings .
"radiographic attenuation obscures detail . grossly , lungs clear expanded . heart large . pulmonary  normal .",stable cardiomegaly without gross evidence failure pneumonia .
hyperexpanded lungs suggesting obstructive lung disease . sequelae old granulomatous disease . focal airspace disease . pleural effusions pneumothoraces . heart mediastinum normal size contour . degenerative changes spine .,hyperexpanded clear lungs .
"cardiomediastinal silhouette within normal limits size contour . lungs normally inflated without evidence focal airspace disease , pleural effusion , pneumothorax . stable calcified granuloma within right upper lung . acute bone abnormality ..",acute cardiopulmonary process .
"lungs clear , without focal air space opacity . cardiomediastinal silhouette normal size contour , stable . pneumothorax large pleural effusion .",acute cardiopulmonary abnormality .
"heart size cardia mediastinal silhouette normal . focal airspace opacity , pleural effusion , pneumothorax . approximately mm opacity overlying sixth anterior rib . scattered calcified granulomas . osseous structures intact . mild degenerative changes thoracic spine .",acute cardiopulmonary finding .
mediastinal contours normal . heart size within normal limits . lungs clear . pneumothorax large pleural effusion .,acute cardiopulmonary abnormality .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. left basilar subsegmental atelectasis versus scar noted . cardio mediastinal silhouette unremarkable . visualized osseous structures thorax without acute abnormality .","acute cardiopulmonary abnormality . specifically , evidence active tuberculous process ."
cardiomediastinal silhouette within normal limits size contour . lingular airspace disease .. osseous structures within normal limits patient age ..,. lingular airspace disease setting  concerning pneumonia .
heart size mediastinal contour normal . pulmonary vascularity normal . lungs clear . pleural effusions pneumothoraces . degenerative changes thoracic spine .,acute cardiopulmonary process .
"mild cardiomegaly , similar prior exams . focal consolidation . visible pleural effusion pneumothorax .",stable mild cardiomegaly . acute pulmonary abnormality .
"prominent epicardial fat pads , unchanged prior . cardiomediastinal silhouette pulmonary vasculature within normal limits . pneumothorax pleural effusion . focal areas consolidation . atherosclerosis aortic  . unchanged streaky opacities bilateral costophrenic sulci  represent chronic scarring atelectasis .",acute cardiopulmonary abnormality .
 sternotomy  mediastinal surgical clips  secondary cabg procedure . small spine osteophytes . cardiomediastinal silhouette pulmonary vasculature within normal limits . pneumothorax pleural effusion . focal areas consolidation . cholecystectomy clips . eventration right hemidiaphragm .,acute cardiopulmonary abnormality .
"comparison  ,  . well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified . stable chest .","comparison  ,  . well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified . stable chest ."
"heart size normal . lungs clear .  normal . pneumonia , effusions , edema , pneumothorax , adenopathy , nodules masses .",normal chest
heart normal size . mediastinum unremarkable . lungs clear .,acute disease .
heart size normal . lungs clear . stable mm calcified right midlung nodule,heart size normal . lungs clear . stable mm calcified right midlung nodule
focal areas consolidation . suspicious pulmonary opacities . heart size within normal limits . pleural effusions . evidence pneumothorax . osseous structures intact .,acute cardiopulmonary abnormality .
heart enlarged . bilateral pulmonary arteries appear enlarged . lungs hyperexpanded hemidiaphragms flattened . pneumothorax pleural effusion . focal areas consolidation .,. pulmonary emphysema . . large bilateral pulmonary arteries suggestive pulmonary arterial hypertension . . suspicious nodules identified .
" examination consists frontal lateral radiographs chest . posterior costophrenic  excluded lateral view . cardiomediastinal contours within normal limits . pulmonary vascularity within normal limits . focal consolidation , pleural effusion , pneumothorax identified . visualized osseous structures upper abdomen unremarkable .",evidence acute cardiopulmonary process .
cardiomegaly noted . pleural effusions . pneumothorax . perihilar prominence interstitial opacification .,stable cardiomegaly prominent perihilar opacities may represent scarring edema .
lungs hypoventilated . focal airspace opacity . cardiomediastinal silhouette normal size . pneumothorax large pleural effusion .,acute cardiopulmonary abnormality .
"heart size cardiomediastinal contours normal . aorta mildly tortuous . lungs clear without focal airspace opacity , pleural effusion , pneumothorax . mild degenerative changes spine .",negative acute cardiopulmonary findings .
"heart mediastinum within normal limits . negative focal pulmonary consolidation , pleural effusion , pneumothorax .",acute abnormality .
"lungs clear bilaterally focal infiltrate , pleural effusion , pneumothoraces . cardiomediastinal silhouette within normal limits .  soft tissues unremarkable .",acute cardiopulmonary findings . .
heart size mediastinal silhouette within normal limits contour . lungs clear . pneumothorax pleural effusions .  intact .,acute cardiopulmonary abnormalities .
lower lung volumes . central bronchovascular crowding . volume loss medial right upper lobe seen  well demonstrated radiography . lobar consolidation . pleural effusion pneumothorax .,acute abnormality identified .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. cardio mediastinal silhouette unremarkable . visualized osseous structures thorax demonstrate stable , mild multilevel thoracolumbar degenerative disc disease without acute abnormality . upper abdominal midline surgical sutures likewise stable .",acute cardiopulmonary abnormality ..
heart size normal . lungs clear . low lung volumes . pneumothorax large pleural effusion .,acute cardiopulmonary findings .
lungs clear . cardiomediastinal silhouette within normal limits . pleural effusion identified .,acute cardiopulmonary abnormalities .
chest . right hemidiaphragm remains elevated . consolidation atelectasis present right lung base . left lung clear . pleural air collections . shoulder clavicle . fractures present right scapula base glenoid process . attached coracoid process portion spine . humeral head located within glenoid articular surface . cutaneous air present . fracture present posterior portion right rd rib . acromioclavicular joint coracoclavicular joints widened .,. chest . continued right hemidiaphragm elevation right lower lobe airspace disease . . right shoulder . scapular fracture . . clavicle . acromioclavicular separation .
cardiac mediastinal contours within normal limits . lungs clear . bony structures intact .,acute findings .
two left sided chest tubes noted . interval improved aeration left lung compared prior . interval improvement left lung pleural fluid . right lung clear . endotracheal tube noted tip approximately . cm carina . left internal jugular central venous catheter tip approximating high svc . evidence pneumothorax .,interval improvement aeration left lung interval reduction size left pleural effusion . persistent patchy left lung airspace disease noted . stable left sided chest tubes . .
hyperinflation lungs appear clear . pleural effusion heart normal . atherosclerotic changes aorta . skeletal structures normal .,copd . acute pulmonary disease .
lungs clear . heart size normal . dilated aorta secondary aortic dissection .,lungs clear . heart size normal . dilated aorta secondary aortic dissection .
lungs clear . cardiomediastinal silhouette within normal limits . pleural effusion identified .,acute abnormality .
. low lung volumes . exam limited lateral view superimposed soft tissue bony structures arm . lungs appear grossly clear . evidence pneumonia . . heart pulmonary  appear normal . pleural spaces clear . mediastinal contours appear normal . acute cardiopulmonary disease exam,. low lung volumes . exam limited lateral view superimposed soft tissue bony structures arm . lungs appear grossly clear . evidence pneumonia . . heart pulmonary  appear normal . pleural spaces clear . mediastinal contours appear normal . acute cardiopulmonary disease exam
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen . calcified lymph  granuloma noted . mild degenerative changes present spine .,. evidence active disease .
comparison chest x  . well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified .,comparison chest x  . well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. cardio mediastinal silhouette unremarkable . visualized osseous structures thorax without acute abnormality .",acute cardiopulmonary abnormality .
eventration left diaphragm noted . question left basilar atelectasis versus infiltrate . evidence pneumothorax . generalized lung volumes . definite pleural effusions . heart size within normal limits . osseous structures intact .,"generalized low lung lungs eventration left hemidiaphragm . question concomitant left basilar opacity , may represent atelectasis infiltrate ."
stable cardiac enlargement . vascular congestion redemonstrated . patchy atelectasis airspace disease present left base . right base clear . large effusion pneumothorax .,stable cardiac enlargement . vascular congestion redemonstrated . patchy atelectasis airspace disease present left base . right base clear . large effusion pneumothorax .
"aortic  , cardiac apex , stomach left sided . cardiomediastinal silhouette within normal limits overall size appearance . pulmonary vascular markings symmetric within normal limits . lungs normally inflated focal airspace disease , pleural effusion , pneumothorax . acute bony abnormality .",. acute cardiopulmonary process .
cardiac contours normal . lungs clear . thoracic spondylosis .,acute process .
chronic changes lungs appearance emphysema . acute airspace disease . pulmonary edema .  pleural effusions . findings grossly unchanged compared prior chest ct  .,chronic changes lungs appearance emphysema . acute airspace disease . pulmonary edema .  pleural effusions . findings grossly unchanged compared prior chest ct  .
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen .,. evidence active disease .
"cardiomediastinal silhouettes within normal limits . lungs hyperexpanded . lungs clear without focal consolidation , pneumothorax , pleural effusion . bony thorax unremarkable .",acute cardiopulmonary abnormalities .
"left hilum retracted superiorly . collapsed left upper lobe stranding pneumatoceles . additionally , pleural thickening present left apex . infiltrates present left lower lobe right lung . heart size normal . findings similar previous outside examination .",stable left upper lobe collapse associated parenchymal scarring pleural thickening . findings consistent previous active pulmonary tuberculosis pneumonia .
"mediastinal silhouette widened overlying sternotomy  . heart size normal . lungs clear without evidence effusion , infiltrate pneumothorax . visualized bony structures intact acute abnormalities .",". wide mediastinal  , consistent history aortic dissection . . otherwise normal chest x  ."
"heart size cardiomediastinal silhouette within normal limits . pulmonary vasculature appears normal . minimal blunting lateral sulci bilaterally  reflects pleural thickening scarring , dependent pleural fluid posteriorly . minimal right base subsegmental atelectasis . lobar consolidation . pneumothorax .","heart size cardiomediastinal silhouette within normal limits . pulmonary vasculature appears normal . minimal blunting lateral sulci bilaterally  reflects pleural thickening scarring , dependent pleural fluid posteriorly . minimal right base subsegmental atelectasis . lobar consolidation . pneumothorax ."
"cardiomediastinal silhouette pulmonary vasculature within normal limits size . minimal  atelectasis scar left lung base . lungs clear focal airspace disease , pneumothorax , pleural effusion . acute bony findings .",acute cardiopulmonary findings . .
heart size normal lungs clear .,heart size normal lungs clear .
lungs appear clear . calcified nodules projecting right upper lung . mediastinal contours appear normal . heart pulmonary  appear normal . pleural spaces clear . surgical clips identified right neck left mediastinum .,acute cardiopulmonary disease .
cardiomediastinal silhouette pulmonary vasculature within normal limits . lungs clear . pneumothorax pleural effusion . acute osseous findings .,acute cardiopulmonary findings .
heart size mediastinal contour normal . pulmonary vascularity normal . lungs clear . pleural effusions pneumothoraces . degenerative changes thoracic spine .,normal chest .
heart size within normal limits . focal air space opacities . pneumothorax . pleural effusion . displaced rib fractures .,acute findings .
heart size normal . mediastinal contour within normal limits . lungs free focal infiltrates . mild lung hyperinflation . nodules masses . visible pneumothorax . visible pleural fluid . degenerative changes seen within midthoracic spine . visible free intraperitoneal air diaphragm .,. acute radiographic cardiopulmonary process .
"trachea midline . cardiomediastinal silhouette normal . superior thoracic spine noted , unchanged prior . lucent pulmonary parenchyma consistent appearance emphysema appears unchanged prior examinations . evidence pneumothorax . focal airspace disease pleural effusion . vague density medial right lung apex  representing overlying shadows bony structures , stable .",. acute cardiopulmonary abnormalities . . emphysema chronic bony abnormalities unchanged prior exams . .
heart size normal cardiomediastinal silhouette normal contour . lungs clear bilaterally .  consolidations . pleural effusion . pneumothorax .  soft tissues unremarkable . lungs hyperinflated .,acute cardiopulmonary abnormality
lungs clear . pleural effusion pneumothorax . heart significantly enlarged . atherosclerotic changes aorta . arthritic changes skeletal structures noted .,acute pulmonary disease .
"heart size pulmonary vascularity appear within normal limits . patient status post cabg .  opacities present left base , appearance  scarring atelectasis . pneumothorax pleural effusion seen . degenerative changes present spine .",".  opacities left base , appearance  scarring atelectasis . otherwise , clear ."
heart size normal . mediastinal contour within normal limits . lungs free focal infiltrates . nodules masses . visible pneumothorax . visible pleural fluid .  grossly normal . visible free intraperitoneal air diaphragm .,. acute radiographic cardiopulmonary process .
"heart size normal . mediastinal contour within normal limits . low lung volumes bronchovascular crowding . mild bibasilar opacities ,  atelectasis . lungs free focal infiltrates . nodules masses . visible pneumothorax . visible pleural fluid . stable degenerative change throughout thoracic spine . stable thoracolumbar retrolisthesis . visible free intraperitoneal air diaphragm .",acute radiographic cardiopulmonary process .
cardiomediastinal silhouette pulmonary vasculature within normal limits . lungs clear . pneumothorax pleural effusion . acute osseous findings .,acute cardiopulmonary findings .
"right subclavian catheter , distal tip posterior head clavicle , level subclavian vein . low lung volumes . pleural effusion . left lower lobe airspace disease ,  atelectasis . cardiomediastinal size within normal limits . pulmonary vasculature normal .   intact .",". right subclavian catheter , distal tip region subclavian vein level clavicular head . . low lung volumes , left lower lung atelectasis . ."
cardiomediastinal silhouette pulmonary vasculature within normal limits . lungs clear . pneumothorax pleural effusion . acute osseous findings .,acute cardiopulmonary findings .
"heart size within normal limits . negative focal pulmonary consolidation , pleural effusion , pneumothorax . upper lobe airspace disease cavitary lesions identified .",. acute abnormality . . evidence pulmonary tuberculosis .
"cardiomediastinal silhouette normal size contour . negative effusion , pneumothorax , focal airspace consolidation . lungs normally aerated .","clear lungs , focal airspace consolidation ."
heart size normal . lungs clear pneumonia . patient stable interstitial fibrotic changes throughout lungs .,heart size normal . lungs clear pneumonia . patient stable interstitial fibrotic changes throughout lungs .
"heart , pulmonary  mediastinum within normal limits . pleural effusion pneumothorax . focal air space opacity suggest pneumonia . mild degenerative changes spine .",acute cardiopulmonary disease .
status post mediastinal surgery . cardiomegaly . atherosclerotic disease thoracic aorta . lung volumes reduced . suspicion   bilateral pleural effusions . acute airspace disease . pulmonary edema .,status post mediastinal surgery . cardiomegaly . atherosclerotic disease thoracic aorta . lung volumes reduced . suspicion   bilateral pleural effusions . acute airspace disease . pulmonary edema .
"lungs clear , without focal air space opacity . cardiomediastinal silhouette normal size contour , stable . calcifications aortic  . calcified granuloma left lower lung . pneumothorax large pleural effusion .",acute cardiopulmonary abnormality .
cardiac silhouette mediastinal contours within normal limits . pneumothorax . large pleural effusion . focal opacity .,review staff radiologist right upper lobe focal opacity  reflecting pneumonia .
heart normal size contour . mediastinal widening . focal airspace disease . left upper lobe granuloma . evidence active tuberculosis . stable chronic blunting right costophrenic  . pneumothorax .  intact .,"acute cardiopulmonary abnormalities . specifically , evidence active tuberculosis ."
"cardiomegaly unchanged . stable superior mediastinal contour tortuous calcified aorta . normal pulmonary vascularity . focal air space consolidation , pleural effusion , pneumothorax . acute bony abnormality . changes prior right mastectomy .",stable appearance chest . acute cardiopulmonary findings .
heart size mildly enlarged . pulmonary  mediastinum within normal limits . pleural effusion pneumothorax . focal air space opacity suggest pneumonia . moderate sized hiatal hernia . mild degenerative changes spine .,cardiomegaly hiatal hernia without acute abnormality identified .
"focal consolidation , suspicious pulmonary opacity , pneumothorax definite pleural effusion . heart size pulmonary vascularity within normal limits , visualized osseous structures appear intact .",acute cardiopulmonary abnormality .
cardiac mediastinal contours within normal limits . lungs clear . bony structures intact .,acute preoperative findings .
"negative cardiac enlargement . negative vascular congestion . several small circular opacities right upper lung , centrally lucent . negative bony abnormality .",multiple round opacities right upper lobe measuring mm . exact etiology unclear .
cardiomediastinal silhouette within normal limits . lungs clear without areas focal consolidation . pneumothorax large pleural effusion . acute bone abnormality .,acute cardiopulmonary process .
heart size normal . expanded lungs . aortic valve prosthesis . calcified right hilar lymph node . stable peripheral right lower lobe opacities seen anterior th th right ribs may represent pleural reaction small pulmonary nodules . patient  right middle lobe atelectasis scarring region old ct scans .  .,heart size normal . expanded lungs . aortic valve prosthesis . calcified right hilar lymph node . stable peripheral right lower lobe opacities seen anterior th th right ribs may represent pleural reaction small pulmonary nodules . patient  right middle lobe atelectasis scarring region old ct scans .  .
lungs appear clear . focal airspace opacities suggest pneumonia . pleural spaces clear . heart pulmonary  normal . mediastinal contours normal . pneumothorax .,acute cardiopulmonary disease .
"trachea midline . cardiomediastinal silhouette normal . lungs clear , without evidence focal consolidations pleural effusion . pneumothorax . visualized bony structures reveal acute abnormalities .",acute cardiopulmonary findings . .
pneumothorax . large pleural effusions . heart size normal . acute focal space opacities .,acute cardiopulmonary abnormalities .
focal consolidation . visualized pneumothorax . heart size normal . cardiac mediastinal silhouette grossly unremarkable .,. acute cardiopulmonary findings .
"images . heart size pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . focal consolidation , pleural effusion , pneumothorax identified . convincing acute bony findings .",acute cardiopulmonary abnormality identified .
"heart mildly enlarged . mediastinal contour pulmonary vascularity within normal limits . streaky left basilar airspace opacities , compatible atelectasis seen comparison abdomen pelvis ct. left upper lung granuloma . otherwise , focal consolidation , large pleural effusion , pneumothorax .  appear intact .",left basilar atelectasis . acute cardiopulmonary abnormalities .
heart normal size . mediastinum stable . postsurgical changes left breast . lungs clear .,acute disease .
normal heart size . mild unfolding thoracic aorta . focal airspace opacity . pleural effusion pneumothorax . visualized osseous structures unremarkable appearance .,acute cardiopulmonary abnormalities .
heart normal size . mediastinum unremarkable . lungs clear .,acute disease .
cardiac contours normal .  basilar atelectasis . lungs clear . thoracic spondylosis . lower cervical  arthritis .,basilar atelectasis . confluent lobar consolidation pleural effusion .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. cardio mediastinal silhouette unremarkable . visualized osseous structures thorax without acute abnormality .",acute cardiopulmonary abnormality ..
. left picc mid svc . negative pneumothorax . . unchanged bibasilar airspace opacities compatible pulmonary effusions atelectasis . increased interstitial prominence may reflect underlying pulmonary edema possibly secondary infectious etiology . . stable postsurgical changes distal right clavicle .,. left picc mid svc . negative pneumothorax . . unchanged bibasilar airspace opacities compatible pulmonary effusions atelectasis . increased interstitial prominence may reflect underlying pulmonary edema possibly secondary infectious etiology . . stable postsurgical changes distal right clavicle .
"lung volumes low . prominent increased interstitial markings lungs unchanged interval . bullae present upper lobes , right worse left . pleural air collections . heart size normal .",chronic interstitial bullous disease . acute findings .
"pneumothorax , pleural effusion airspace consolidation . cardiomediastinal size within normal limits .   intact .",acute cardiopulmonary abnormality . .
"cardiomediastinal silhouette normal size configuration . pulmonary vasculature within normal limits . lungs well aerated . pneumothorax , pleural effusion , focal consolidation .",acute cardiopulmonary disease . .
normal cardiomediastinal contours . pneumothorax pleural effusions . focal lung consolidation .,. acute cardiopulmonary abnormalities .
stable left lower lung increased interstitial markings .  focal alveolar opacities . low lung volumes . heart size normal . pneumothorax pleural effusions .,stable left lower lung interstitial infiltrates fibrosis . acute cardiopulmonary findings .
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen . right   remains  .,. evidence active disease .
scattered calcified granulomas . lungs otherwise grossly clear . cardiac mediastinal silhouettes normal . pulmonary vasculature normal . pneumothorax pleural effusion . acute bony abnormality .,acute cardiopulmonary abnormality .
 change . lungs clear expanded . heart mediastinum normal .,active disease .. visible cardiopulmonary injuries .
"moderate cardiomegaly . mild bilateral costophrenic  blunting fissural thickening , interstitial opacities greatest central lungs bases indistinct vascular margination . dense right lower lobe nodule right hilar calcifications suggest previous granulomatous process .",". cardiomegaly small bilateral pleural effusions . abnormal pulmonary opacities suggestive pulmonary edema , primary differential diagnosis atypical infection inflammation"
"heart size normal . lungs clear .  normal . pneumonia , effusions , edema , pneumothorax , adenopathy , nodules masses .",normal chest
heart size within normal limits . focal airspace disease . pneumothorax . effusions . multiple old right sided rib fractures noted .,acute cardiopulmonary findings .
"small patchy left lower lobe opacity , primary differential considerations include atelectasis , infiltrate , aspiration , clinical correlation recommended . definite pleural effusion seen . heart size within normal limits technique , typical findings pulmonary edema .","small patchy left lower lobe opacity , primary differential considerations include atelectasis , infiltrate , aspiration , clinical correlation recommended . definite pleural effusion seen . heart size within normal limits technique , typical findings pulmonary edema ."
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion . cardiomediastinal silhouette unremarkable . visualized osseous structures thorax without acute abnormality .",acute cardiopulmonary abnormality .
lateral view nondiagnostic due patient positioning . normal heart size mediastinal contours . focal airspace consolidation . pneumothorax large pleural effusion . visualized osseous structures unremarkable appearance .,. technically limited exam . . acute cardiopulmonary abnormalities . .
focal consolidation . visualized pneumothorax . large pleural effusions . heart size cardiomediastinal silhouette grossly unremarkable .,. acute cardiopulmonary findings .
mild streakiness right base . focal infiltrate effusion . pneumothorax . calcified granulomatous disease noted . heart mediastinal contours within normal limits . osseous structures intact .,"mild streakiness , subsegmental atelectasis versus early infiltrate right lower lobe ."
"heart normal size contour . lungs clear , without evidence infiltrate . pneumothorax effusion .",acute cardiopulmonary disease .
"heart normal size . mediastinum unremarkable . pleural effusion , pneumothorax , focal airspace disease . calcific granulomas present right upper lobe .  unremarkable .",acute cardiopulmonary abnormality .
"lungs hyperexpanded . heart normal size . pulmonary vascularity within normal limits appearance . focal airspace opacities , pneumothorax pleural effusion . calcific density left midlung zone  represents old granulomatous disease . acute bony abnormalities .",hyperexpanded lungs focal airspace disease .
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen .,. evidence active disease .
cardiac contours normal . lungs clear . thoracic spondylosis .,acute process .
" examination consists frontal lateral radiographs chest . diminished lung volumes   hypoventilatory changes . cardiac silhouette enlarged . mild tortuosity thoracic aorta . pulmonary vascularity within normal limits . focal consolidation , pleural effusion , pneumothorax identified . surgical clips seen upper abdomen . acute osseous abnormalities demonstrated .",low lung volumes without evidence acute cardiopulmonary process .
"cardiomediastinal silhouettes within normal limits . lungs clear without focal consolidation , pneumothorax , pleural effusion . bony thorax unremarkable .",acute cardiopulmonary abnormalities .
three images available review . heart size normal . mediastinal contour within normal limits . lungs free focal infiltrates . nodules masses . visible pneumothorax . visible pleural fluid .  grossly normal . visible free intraperitoneal air diaphragm .,. acute radiographic cardiopulmonary process .
"marked interval increase heart size . heart also demonstrates   configuration , compatible pericardial effusion . small right pleural effusion present . lungs otherwise clear without focal infiltrates . normal pulmonary vascularity . pneumothorax .",large pericardial effusion .
heart size within normal limits . cardiomediastinal contour normal . right upper lobe nodule measuring mm diameter . trachea midline . lungs otherwise clear .  soft tissues unremarkable .,". right upper lobe pulmonary nodule ,  granuloma ."
"frontal lateral views chest show unchanged cardiomediastinal silhouette . aorta unfolded . left base streaky opacity due  scarring discoid atelectasis . midright lung small calcified granuloma . small nodular opacities projecting right base right costophrenic sulcus , posterior right th rib anterior vertebral body .  focal airspace consolidation pleural effusion .",".  indeterminant small nodular opacities . may granulomas bone islands . however ,  recommended given history malignancy . . otherwise acute cardiac pulmonary disease process identified ."
"hyperinflated lungs compatible emphysema . left apical chronic inflammatory fibrotic changes apical hilar retraction , unchanged since prior  .  opacities chronic inflammatory change right midlung . stable mediastinal contour without overt evidence adenopathy . acute airspace disease chf .  acute abnormalities since previous chest radiograph .","hyperinflated lungs compatible emphysema . left apical chronic inflammatory fibrotic changes apical hilar retraction , unchanged since prior  .  opacities chronic inflammatory change right midlung . stable mediastinal contour without overt evidence adenopathy . acute airspace disease chf .  acute abnormalities since previous chest radiograph ."
"heart size within normal limits , stable mediastinal hilar contours . focal alveolar consolidation , definite pleural effusion seen . typical findings pulmonary edema .",acute findings
lungs clear bilaterally . cardiac mediastinal silhouettes normal . pulmonary vasculature normal . pneumothorax pleural effusion . acute bony abnormality .,acute cardiopulmonary abnormality .
heart size within normal limits . focal airspace consolidations . pneumothorax pleural effusion .,acute cardiopulmonary findings .
"cardiomediastinal silhouette pulmonary vasculature within normal limits size . lungs mildly hyperinflated , without evidence focal airspace disease , pneumothorax , pleural effusion . incidental note  azygos fissure . acute bony findings .","mildly hyperinflated , clear lungs ."
"cardiomediastinal silhouette pulmonary vasculature within normal limits size . lungs mildly hypoinflated clear focal airspace disease , pneumothorax , pleural effusion . multiple  sternotomy  surgical clips compatible prior cabg . caudal  sternotomy  fractured . acute bony findings .",". low lung volumes . acute pulmonary findings . . fractured  sternotomy  , without evidence complication . ."
focal consolidation . visualized pneumothorax . heart size cardiomediastinal silhouette grossly unremarkable . large pleural effusions .,. acute cardiopulmonary findings .
heart mediastinum unremarkable . lungs clear without infiltrate . effusion pneumothorax .,. acute cardiopulmonary disease .
"obscuration left hemidiaphragm , suggesting left retrocardiac airspace disease . identified lateral view , limited rotation . evidence effusion .",left basilar airspace disease . recommend follow chest x  document resolution  better characterization .
stable cm right apical pneumothorax . minimal atelectasis left base . heart size normal,stable cm right apical pneumothorax . minimal atelectasis left base . heart size normal
lungs clear . heart size normal .  unremarkable .,acute cardiopulmonary finding .
"heart normal size . mediastinum unremarkable . pleural effusion , pneumothorax , focal airspace disease .  unremarkable .",acute cardiopulmonary abnormality .
"chest . minimally displaced fracture present right rib . small amount pleural fluid  deep fracture . pleural air collection . lungs clear expanded . heart mediastinum normal . note  levoscoliosis thoracolumbar spine . right shoulder .  , soft tissues , alignment normal . right humerus .  soft tissues intact .",. chest . right th rib fracture . cardiopulmonary injury . pleural air collection . . right shoulder negative . . right humerus negative .
  lateral chest examination obtained . heart silhouette normal size contour . aortic  appear unremarkable . lungs demonstrate acute findings . effusion pneumothorax .,. acute pulmonary disease .
lungs clear . cardiomediastinal silhouette within normal limits . pleural effusion identified .,normal chest radiograph
heart size normal lungs clear .,heart size normal lungs clear .
heart size pulmonary vascularity appear within normal limits . bilateral hilar fullness present consistent adenopathy . appearance unchanged . prominence interstitial markings bilaterally . also unchanged . focal superimposed airspace disease seen . pneumothorax pleural effusion noted .,. continued hilar fullness consistent adenopathy bilateral interstitial opacities . stable compared earlier study . changes compatible known diagnosis sarcoidosis .
"stable cardiomegaly mediastinal contour . lungs clear without focal consolidation , large pleural effusion , pneumothorax . left basilar airspace opacity  secondary epicardial fat overlying soft tissues . dish thoracic spine noted . otherwise , visualized osseous structures unremarkable .",stable cardiomegaly . clear lungs . .
heart size normal . mediastinal contour within normal limits . lungs free focal infiltrates . nodules masses . visible pneumothorax . visible pleural fluid .  grossly normal . visible free intraperitoneal air diaphragm .,acute radiographic cardiopulmonary process .
heart size normal . mediastinal contour within normal limits . lungs free focal infiltrates . nodules masses . visible pneumothorax . visible pleural fluid .  grossly normal . visible free intraperitoneal air diaphragm .,. acute radiographic cardiopulmonary process .
heart lungs   interval . lungs clear expanded . heart mediastinum normal .,active disease .
"comparison  ,  clear lungs . effusions . unremarkable mediastinal contour . acute cardiopulmonary abnormality identified .. stable chest .","comparison  ,  clear lungs . effusions . unremarkable mediastinal contour . acute cardiopulmonary abnormality identified .. stable chest ."
"lungs clear , without focal air space opacity . cardiomediastinal silhouette normal size contour , stable . pneumothorax large pleural effusion .",acute cardiopulmonary abnormality .
well expanded clear lungs . conspicuous size mm nodular opacity projecting right lung probably small calcified granuloma . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified .,well expanded clear lungs . conspicuous size mm nodular opacity projecting right lung probably small calcified granuloma . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified .
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen .,. evidence active disease .
heart normal size . mediastinum unremarkable . lungs mildly hyperlucent clear . denser lumbar scoliosis .,acute disease .
"tracheostomy tube terminates level clavicles . moderate cardiomegaly stable . increased interstitial markings patchy opacities bases . nonspecific , findings may indicate edema atypical infection . pleural effusions . pneumothorax .","tracheostomy tube terminates level clavicles . moderate cardiomegaly stable . increased interstitial markings patchy opacities bases . nonspecific , findings may indicate edema atypical infection . pleural effusions . pneumothorax ."
sequelae old granulomatous disease . lungs clear without focal airspace disease . pleural effusions pneumothoraces . heart mediastinum normal size contour .,clear lungs .
lungs hyperexpanded . infiltrates masses lungs . heart size normal . change calcified left hilar  left small granuloma ., change . copd acute disease .
normal heart size mediastinal contours . lungs clear . pneumothorax pleural effusion . left shoulder arthroplasty noted . old left rib fractures .,acute cardiopulmonary process . .
"heart normal size . mediastinum stable . innumerable  bilateral nodules identified , appear calcified  examination . acute infiltrate effusion .  lingular scarring atelectasis .",acute disease .
lungs overall hyperexpanded consistent obstructive lung disease . lungs clear without focal consolidation . suspicious pulmonary nodules masses noted . pleural effusions pneumothoraces . heart size upper limits normal .,hyperexpanded clear lungs .
cardiomediastinal contours within normal limits . pulmonary vasculature unremarkable . focal airspace opacity . pleural effusion pneumothorax seen . multiple healed bilateral rib fractures . acute bony abnormality identified .,acute cardiopulmonary abnormality .
heart size within normal limits . focal airspace consolidations . pneumothorax pleural effusion .,acute cardiopulmonary findings .
"heart size mediastinal contours appear within normal limits . vague . cm nodular opacity right upper lobe anterior second third ribs , could represent focal infiltrate lung nodule . pleural effusion . pneumothorax . acute bony abnormality .","vague nodular opacity right lobe , could represent focal infiltrate nodule . recommend followup resolution ."
"frontal lateral views chest show normal size configuration cardiac silhouette . normal mediastinal contour , pulmonary  vasculature , central airways aeration lungs . pleural effusion .","acute active cardiac , pulmonary pleural disease ."
focal lung consolidation . pneumothorax pleural effusion.heart size pulmonary vascularity within normal limits.minimal degenerative changes thoracic spine . previously br described  deformity midthoracic spine seen . subcutaneous shunt catheter tubing along anterior chest wall,acute cardiopulmonary process .
lung volumes low . focal infiltrates . heart pulmonary  normal . indwelling catheter left tip superior   .,hypoinflation visible active cardiopulmonary disease .
rounded dense opacity lateral left midlung zone probably left upper lobe suggestive rounded pneumonia . pleural effusion . heart mediastinum normal . skeletal structures normal .,opacity  representing left upper lobe pneumonia . recommend followup radiographically cleared ensure underlying mass .
focal lung consolidation . heart size pulmonary vascularity within normal limits . pneumothorax pleural effusion . osseous structures grossly intact .,acute cardiopulmonary process .
"considering differences technical factors  stable cardiomegaly stable mediastinal contours . focal alveolar consolidation , definite pleural effusion seen . bronchovascular crowding without typical findings pulmonary edema .",acute findings
heart upper limits normal size . mild tortuosity thoracic aorta . lungs clear without infiltrate . effusion pneumothorax .,. acute cardiopulmonary disease .
"comparison  ,  . suspicious appearing lung nodules . well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified . stable chest .","comparison  ,  . suspicious appearing lung nodules . well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified . stable chest ."
heart lungs   interval . lungs clear expanded . heart mediastinum normal .,active disease .
". residual right pleural effusion identified status post thoracentesis . pneumothorax . . mediastinum , cardiac size grossly stable . . small moderate left sided pleural effusion , increased  compared prior chest radiograph . left lung base atelectasis airspace disease .",". residual right pleural effusion identified status post thoracentesis . pneumothorax . . mediastinum , cardiac size grossly stable . . small moderate left sided pleural effusion , increased  compared prior chest radiograph . left lung base atelectasis airspace disease ."
"compared prior examination , significant improvement aeration bilaterally , improved bilateral airspace opacities . currently , minimal streaky opacities bilateral midlung , may represent mild residual airspace disease , atelectasis , underlying changes chronic lung disease . large focal consolidations , pneumothorax , definite pleural effusions identified . mediastinal silhouette stable within normal limits size contour . acute osseous abnormality identified .",significant improvement bilateral airspace disease improved aeration bilaterally described .
lungs clear without evidence focal airspace disease . evidence pneumothorax large pleural effusion . cardiac mediastinal contours within normal limits .  unremarkable .,radiographic evidence acute cardiopulmonary disease .
limited exam left costophrenic  excluded pa view . heart size normal . mediastinal contour within normal limits . mild lung hyperinflation . lungs free focal infiltrates . large calcified granuloma within medial right lung base . nodules masses . visible pneumothorax . visible pleural fluid . mild multilevel degenerative changes seen within thoracic spine . visible acute fracture . visible free intraperitoneal air diaphragm .,. acute radiographic cardiopulmonary process . . mild hyperinflation .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. cardio mediastinal silhouette unremarkable . visualized osseous structures thorax demonstrates stable mild multilevel degenerative disc disease thoracolumbar spine well chronic left sided rib fractures without acute abnormality .",acute cardiopulmonary abnormality .
"cardiac silhouette , upper mediastinum pulmonary vasculature within normal limits . acute air space infiltrate , pleural effusion pneumothorax .",acute process .
"pa lateral views obtained . , chronic increased pulmonary markings seen without change . acute airspace process . pneumothorax pleural effusion . heart mediastinum within normal limits . bony structures intact .","pa lateral views obtained . , chronic increased pulmonary markings seen without change . acute airspace process . pneumothorax pleural effusion . heart mediastinum within normal limits . bony structures intact ."
persistent cardiomegaly suggestion left atrial enlargement evidenced cardiac contour lateral image  density frontal image . lungs clear . visible pleural effusion pneumothorax .,. persistent cardiomegaly . . clear lungs .
heart mediastinum stable . lungs clear without infiltrate . effusion pneumothorax .,. acute cardiopulmonary disease .
"comparison  ,  . well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified . stable chest .","comparison  ,  . well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified . stable chest ."
"heart mediastinum normal . lungs clear . mild blunting right costophrenic  . infiltrate , mass pneumothorax . right internal jugular catheter removed .",mild blunted right costophrenic  could due  effusion scarring .
"heart size within normal limits . thoracic aorta tortuous , stable prior radiograph . aortic stent graft overlies descending thoracic aorta upper abdominal aorta , grossly stable prior chest radiograph . scattered calcified granulomas . focal airspace consolidation . pleural effusion pneumothorax . left hemidiaphragm remains mildly elevated . mild degenerative changes spine .",acute findings .
"lungs clear without focal consolidation , effusion , pneumothorax . normal heart size . bony thorax unremarkable .",negative acute cardiopulmonary abnormality .
"heart size , mediastinal contour , pulmonary vascularity within normal limits . right chest  central venous catheter tip overlying high svc . focal consolidation , suspicious pulmonary opacity , large pleural effusion , pneumothorax identified . visualized osseous structures appear intact .",acute cardiopulmonary abnormality .
minimal patchy opacity left base may represent atelectasis scarring . lungs otherwise clear . heart mediastinum normal age . arthritic changes skeletal structures previous rotator  repair right .,minimal left basilar opacity  representing atelectasis chronic scarring .
"heart size mediastinal contours appear within normal limits . calcified granuloma left midlung . focal airspace consolidation , pleural effusion pneumothorax . acute bony abnormalities .",acute cardiopulmonary findings .
right picc tip overlying right brachiocephalic vein . cardiac silhouette enlarged . overt pulmonary edema . streaky bibasilar opacities . large pleural effusion . right hemidiaphragm elevated . pneumothorax identified . degenerative changes spine . bilateral surgical clips noted .,. streaky bibasilar opacities appearance  subsegmental atelectasis . . enlarged cardiac silhouette . . mildly elevated right hemidiaphragm .
large calcified granuloma right apex . mild patchy opacities seen upper lung zones bilaterally similar prior studies . heart mediastinum normal . scoliosis arthritic changes spine present .,persistent biapical opacities . acute pulmonary disease identified .
"normal cardiomediastinal contours . marrow pneumothorax , focal lung consolidation pleural effusions .",acute cardiopulmonary abnormality .
"moderate layering left pleural effusion , grossly stable . moderate right pleural effusion , partially loculated . pleural fluid tracking along right  fissure . bibasilar airspace disease , possibly passive atelectasis . pneumothorax identified . heart size within normal limits . right picc tip svc . mild degenerative changes spine .",". partially loculated right pleural effusion , grossly stable . . stable moderate layering left pleural effusion . . bibasilar airspace disease , possibly atelectasis ."
cardiac contours normal . mild atherosclerosis . lungs clear . thoracic spondylosis .,acute preoperative findings .
"pa lateral views chest obtained . cardiomediastinal silhouette normal size configuration . lungs well aerated . pneumothorax , pleural effusion , focal air space consolidation . minimal scarring atelectasis left lung base .",acute cardiopulmonary disease .
lung volumes remain  .  opacities present lower lobes . old rib fractures pleural thickening present right . heart pulmonary  normal .,hypoinflation bibasilar focal atelectasis .
  lateral chest examination obtained . heart silhouette normal size contour . aortic  appear unremarkable . lungs demonstrate acute findings . effusion pneumothorax .,. acute pulmonary disease .
heart size normal . pleural effusions . pneumothorax . focal air space opacities . mild degenerative osteophytes noted thoracic spine .,acute cardiopulmonary abnormalities .
"normal cardiomediastinal silhouette hilar contours . lungs clear without focal area consolidation , pleural effusion , pneumothorax . findings compatible prior granulomatous disease . visualized   intact without acute osseous abnormality .",chest radiograph . . acute radiographic cardiopulmonary process .
"frontal lateral views chest demonstrate cardiomediastinal silhouette normal . normal distribution pulmonary vascularity . lungs clear . effusion , consolidation , pneumothorax .","stable chest x  , without acute cardiopulmonary findings ."
lungs clear . focal airspace consolidation . pleural effusion pneumothorax . normal cardiomediastinal silhouette . mild degenerative changes spine .,evidence active disease .
 sternotomy  remain  . cardiomediastinal silhouette within normal limits appearance . focal areas pulmonary consolidation . pneumothorax . pleural effusion . minimal degenerative changes thoracic spine .,. acute intrathoracic abnormality .
cardiomegaly tortuous calcified thoracic aorta unchanged . normal pulmonary vascularity . minimal streaky bibasilar opacities . blunted left costophrenic  . bony demineralization . degenerative changes spine . verterbroplasty change near thoracolumbar junction . upper abdominal surgical changes . chronic appearing deformity proximal right humerus . old right rib fractures .,. mild cardiomegaly without pulmonary edema . . minimal bibasal subsegmental atelectasis scar . . small left pleural effusion .
heart lungs   interval . lungs clear expanded . heart mediastinum normal .,active disease .
"heart size within normal limits . right hemidiaphragm eventration noted . focal alveolar consolidation , definite pleural effusion seen . typical findings pulmonary edema .",acute cardiopulmonary findings
"cardiomediastinal silhouette within normal limits appearance . focal areas pulmonary consolidation . pneumothorax . pleural effusion . thoracic spine appears intact . acute , displaced rib fractures identified .",. acute intrathoracic abnormality .
"normal cardiomediastinal contours . hyperexpansion lungs flattening diaphragm . focal lung consolidation , pneumothorax pleural effusions .",cardiopulmonary abnormality .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. cardio mediastinal silhouette unremarkable . visualized osseous structures thorax without acute abnormality .",acute cardiopulmonary abnormality .
pneumonia . heart size normal . scoliosis .,pneumonia . heart size normal . scoliosis .
cardiomegaly midlung lower lobe edema . shunt catheter overlies right anterior chest .,cardiomegaly midlung lower lobe edema . shunt catheter overlies right anterior chest .
heart size upper limits normal . pulmonary  mediastinum within normal limits . pleural effusion pneumothorax . focal air space opacity suggest pneumonia .,acute cardiopulmonary disease .
"cardiac size , mediastinal contour , pulmonary vascularity within normal limits . focal consolidation , suspicious pulmonary opacity , pleural effusion , pneumothorax . visualized osseous structures appear intact .",acute cardiopulmonary abnormalities .
"images . heart size pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . focal consolidation , pleural effusion , pneumothorax identified . convincing acute bony findings .",acute cardiopulmonary abnormality identified .
"heart size , mediastinal contour , pulmonary vascularity within normal limits . focal consolidation , pleural effusion , pneumothorax identified . acute osseous abnormality identified .",acute cardiopulmonary abnormality . .
"cardiomediastinal silhouette stable appearance . extensive fibrotic changes right lung rightward shift trachea , similar previous exam . left lung well aerated without focal airspace consolidation , pleural effusions pneumothorax . left apical pleural parenchymal scarring . acute bony findings .",". acute cardiopulmonary findings . . extensive fibrotic changes right lung , similar previous exam ."
heart size normal lungs clear .,heart size normal lungs clear .
cardiomediastinal silhouette pulmonary vasculature within normal limits . pneumothorax pleural effusion . focal areas consolidation .,acute cardiopulmonary abnormalities .
stable cardiomediastinal silhouette borderline heart size aortic ectasia tortuosity . stable hyperinflation without focal alveolar consolidation . definite pleural effusion seen . typical findings pulmonary edema . healed left rib fractures noted .,acute findings
"airspace disease , effusion noncalcified nodule . normal heart size mediastinum . visualized  chest  within normal limits .",acute cardiopulmonary abnormality .
"cardiac mediastinal contours unremarkable . pulmonary vascularity within normal limits . focal air space opacities , pleural effusion , pneumothorax . stable calcified granuloma right lower lobe . hiatal hernia present unchanged prior study .  grossly unremarkable .",. clear lungs . . stable hiatal hernia .
heart size normal . lungs clear,heart size normal . lungs clear
"heart size normal . minimal fibronodular scarring right apex , otherwise lungs clear","heart size normal . minimal fibronodular scarring right apex , otherwise lungs clear"
small focal nodular infiltrate lingula . correlate clinically  infection pneumonia . pleural effusion pneumothorax . edema . normal heart size . mediastinal right lung calcifications compatible old granulomatous disease . right upper abdominal clips prior cholecystectomy .,small focal nodular infiltrate lingula . correlate clinically  infection pneumonia . pleural effusion pneumothorax . edema . normal heart size . mediastinal right lung calcifications compatible old granulomatous disease . right upper abdominal clips prior cholecystectomy .
heart normal size . pulmonary vascularity within normal limits appearance . focal air space opacities . pleural effusions pneumothorax . acute bony abnormalities .,acute cardiopulmonary abnormalities .
"cardiomediastinal silhouette normal size contour . focal consolidation , pneumothorax large pleural effusion . negative acute displaced rib fracture .",negative acute abnormality .
low lung volumes . elevation right hemidiaphragm . patchy opacities right base noted . left lung clear . heart size top normal . aortic calcification . granulomas . evidence pneumothorax . blunting bilateral costophrenic  . degenerative changes thoracic spine .,right lower lobe airspace disease . .
heart lungs   interval . lungs clear expanded . heart mediastinum normal .,active disease .
"cardiomediastinal silhouette unchanged mild cardiomegaly . relative elevation right hemidiaphragm consistent history right lower lobectomy , without focal consolidation , pneumothorax , effusion identified . irregularity right fifth sixth ribs stable since    postsurgical post traumatic  . left shoulder rotator  bone anchor noted . acute osseous abnormality identified .",surgical changes right hemithorax mild cardiomegaly without acute cardiopulmonary abnormality identified . .
lungs clear . calcified small granuloma present left lower lobe . heart size normal . mediastinum normal .,active disease .
heart lungs   interval . lungs clear expanded . heart mediastinum normal .,active disease .
cardiac silhouette mediastinal contours within normal limits . low lung volumes . focal opacities . pneumothorax . large pleural effusion .,low lung volumes without acute cardiopulmonary disease .
moderate amount retained contrast within distal esophagus . evidence aspiration . . cm nodule present within right hilum . moderate large pleural effusion pneumothorax identified . cardiomediastinal silhouette within normal limits . pulmonary vasculature normal .,. retained contrast distal esophagus . . unchanged right hilar mass .
"mediastinal contours within normal limits . heart size within normal limits . focal consolidation , pneumothorax pleural effusion .",acute cardiopulmonary abnormality .
heart normal size contour . vague area airspace disease identified within right midlung pa view . well demonstrated lateral view . pneumothorax effusion .,vague area focal airspace disease within right midlung . raises concern pneumonia . recommend followup appropriate treatment document complete resolution .
heart lungs   interval . lungs clear expanded . change small calcified right apical granuloma . heart mediastinum normal .,active disease .
cardiomediastinal silhouette normal size contour . lungs clear without focal areas consolidation . pneumothorax large pleural effusion . acute bone abnormality .,acute cardiopulmonary process .
sequelae old granulomatous disease . suspicious pulmonary nodules masses . pleural effusions pneumothoraces . heart mediastinum normal size contour . degenerative changes thoracic spine .,clear lungs without suspicious pulmonary nodules masses .
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen .,. evidence active disease .
lungs clear . heart normal size . trachea midline . pneumothorax . large pleural effusion .,acute cardiopulmonary findings .
heart normal size . mediastinum stable . previously visualized bilateral pneumothoraces resolved . right chest wall surgical  removed . improved aeration lung bases mild residual  opacities compatible scarring atelectasis .,mild   opacities compatible residual atelectasis scarring .
lungs appear clear . heart pulmonary  normal . pleural spaces clear . mediastinal contours normal . bony overlap lung apices could obscure small pulmonary nodule .,acute cardio pulmonary disease
"cardiomediastinal silhouette within normal limits overall size appearance . central vascular markings symmetric within normal limits . lungs normally inflated focal airspace disease , pleural effusion , pneumothorax . acute bone abnormality .",. acute cardiopulmonary process .
"stable cardiomediastinal silhouette . focal pulmonary opacity , pleural effusion pneumothorax . acute bony abnormality .",acute cardiopulmonary abnormality .
lungs clear . cardiomediastinal silhouette within normal limits . pneumothorax pleural effusion .,negative chest .
"heart normal size . mediastinum unremarkable . left upper extremity pic catheter tip overlies distal aspect left clavicle  within subclavian vein . pneumothorax . lungs mildly hyperinflated clear . deformity lateral left th rib ,  old injury .",acute disease . left upper extremity pic catheter tip  within left subclavian vein . findings communicated  primordial .
"heart size within normal limits , stable mediastinal hilar contours . focal alveolar consolidation , definite pleural effusion seen . typical findings pulmonary edema .  convexity also present previous exam .",acute findings
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion .. cardio mediastinal silhouette unremarkable . visualized osseous structures thorax without acute abnormality .",acute cardiopulmonary abnormality ..
normal cardiomediastinal contours . focal consolidation pleural effusions . pneumothorax .,acute cardiopulmonary abnormalities .
mediastinal contours normal . lungs clear . pneumothorax large pleural effusion .,acute cardiopulmonary abnormality .
heart size mildly enlarged . patient post aortic valve replacement .  sternotomy  intact . pulmonary  mediastinum within normal limits . pleural effusion pneumothorax . focal air space opacity suggest pneumonia . mild degenerative changes spine .,acute cardiopulmonary disease . critical result notification documented primordial .
"heart size normal . slightly tortuous aorta , unchanged . lungs clear . nodules masses . pneumonia .","heart size normal . slightly tortuous aorta , unchanged . lungs clear . nodules masses . pneumonia ."
lungs clear . pneumothorax pleural effusion . heart mediastinum within normal limits . bony structures intact .,acute cardiopulmonary process .
cardiomediastinal silhouette pulmonary vasculature within normal limits . pneumothorax pleural effusion . focal areas consolidation . prominent left epicardial fat  .,acute cardiopulmonary abnormality .
heart size normal . lungs clear .,heart size normal . lungs clear .
lungs clear . heart pulmonary  appear normal . pleural spaces clear mediastinal contours normal . nodular density overlying anterior left th rib  represents healing rib fracture .,. acute cardiopulmonary disease
"apparent cardiomegaly   partially accentuated low lung volumes . focal consolidation , pneumothorax large pleural effusion . right base calcified granuloma . stable right infrahilar nodular density lateral view . negative acute bone abnormality .",borderline cardiomegaly without heart failure .
"cardiomediastinal silhouette within normal limits appearance . pulmonary hypoinflation bronchovascular crowding . focal areas pulmonary consolidation . pneumothorax . pleural effusion . thoracic spine appears intact . acute , displaced rib fractures .",". pulmonary hypoinflation . otherwise , acute intrathoracic abnormality ."
"heart size within normal limits , stable mediastinal contours , mediastinal surgical clips , mediastinal right hilar calcifications suggest previous granulomatous process . improved lung volumes ,  left base opacities suggestive scarring . focal alveolar consolidation , definite pleural effusion seen . bronchovascular crowding without typical findings pulmonary edema .","heart size within normal limits , stable mediastinal contours , mediastinal surgical clips , mediastinal right hilar calcifications suggest previous granulomatous process . improved lung volumes ,  left base opacities suggestive scarring . focal alveolar consolidation , definite pleural effusion seen . bronchovascular crowding without typical findings pulmonary edema ."
"frontal lateral views chest show normal size cardiac silhouette , allowing ap projection . normal contour mediastinum aorta . grossly clear lungs . obvious pneumothorax hemothorax . acute displaced clavicle rib fractures .",acute thoracic  .
"hyperexpanded lungs . lungs clear without focal consolidation , effusion , pneumothorax . normal heart size . multiple surgical clips overlie midabdomen .",negative acute cardiopulmonary abnormality .
lungs clear without evidence focal airspace disease . calcified granulomas left lower lobe . evidence pneumothorax large pleural effusion . cardiac mediastinal contours within normal limits .  unremarkable .,radiographic evidence acute cardiopulmonary disease .
low lung volumes present . heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen . surgical clips present abdomen .,evidence active disease .
"trachea midline . cardio mediastinal silhouette normal contour overlying sternotomy  . lungs clear without acute infiltrate , effusion pneumothorax . visualized bony structures reveal fractures dislocations .",acute abnormalities .
"heart  , mediastinum ,  , bony structures lung  unremarkable . significant interval change compared prior study ,  infiltrates noted .",radiographic evidence acute cardiopulmonary disease
"heart size mildly enlarged technique , mediastinal contours appear similar prior , right chest  tip high svc . focal alveolar consolidation , definite pleural effusion seen . bronchovascular crowding without typical findings pulmonary edema .","heart size mildly enlarged technique , mediastinal contours appear similar prior , right chest  tip high svc . focal alveolar consolidation , definite pleural effusion seen . bronchovascular crowding without typical findings pulmonary edema ."
"heart size normal . lungs clear . elevated right diaphragm , unchanged","heart size normal . lungs clear . elevated right diaphragm , unchanged"
persistent mm pneumothorax small amount pleural effusion . heart size normal . enteric tube tip stomach . midline abdominal clips .  right upper quadrant . bullet overlies l .,persistent mm pneumothorax small amount pleural effusion . heart size normal . enteric tube tip stomach . midline abdominal clips .  right upper quadrant . bullet overlies l .
"cardiomediastinal silhouette normal size contour . focal consolidation , pneumothorax large pleural effusion . normal  .",negative .
comparison chest x  . well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified .,comparison chest x  . well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified .
cardiopulmonary silhouette normal . heart size normal . lungs clear pulmonary effusions pneumothorax .,acute cardiopulmonary findings .
"allowing underpenetration , lungs appear clear cardiac silhouette within normal limits .","allowing underpenetration , lungs appear clear cardiac silhouette within normal limits ."
"cardiomediastinal silhouette normal size contour . hyperexpanded lungs , without focal consolidation , pneumothorax large pleural effusion .  right upper lobe scarring atelectasis . aortic calcifications .",hyperexpanded lungs .  right upper lobe scarring atelectasis . focal pneumonia .
"heart size within normal limits , stable mediastinal hilar contours . focal alveolar consolidation , definite pleural effusion seen . typical findings pulmonary edema . dense nodule noted right lower lobe suggesting previous granulomatous process .",acute findings
cardiomediastinal silhouette normal size appearance . pneumothorax pleural effusion . lung zones clear . bony abnormalities,unremarkable chest .
"left midlung opacity noted , visualized prior . heart size within normal limits . pleural effusions . evidence pneumothorax . osseous structures intact .","left mid lung opacity noted , compatible atelectasis versus infiltrate . recommend clinical correlation . ."
"cardiomediastinal silhouette normal size contour . focal consolidation , pneumothorax large pleural effusion .",negative acute abnormality .
"stable , mild enlargement cardiac silhouette . stable mediastinal silhouette . low lung volumes bronchovascular crowding . scattered  opacities right lung base  representing foci subsegmental atelectasis scattered airspace opacities medial left lower lobe . pneumothorax . pleural effusion . degenerative changes thoracic spine possibly consistent dish .",. low lung volumes mild cardiomegaly scattered right basilar subsegmental atelectasis scattered retrocardiac airspace opacities .
"low lung volumes magnified appearance heart ,  normal heart size . negative consolidation , effusion , pneumothorax . bony thorax soft tissues grossly unremarkable .",negative acute cardiopulmonary abnormality .
tracheostomy tube stable position . right subclavian catheter tip lower svc . left upper extremity picc tip mid svc . surgical  overlie soft tissues neck . lungs clear . heart size normal . pneumothorax .,. acute cardiopulmonary findings . .
cardiomediastinal silhouette pulmonary vasculature within normal limits . lungs clear . pneumothorax pleural effusion . acute osseous findings .,acute cardiopulmonary findings .
lungs clear expanded . heart mediastinum normal .,active disease . evidence heart failure .
trachea midline . cardiomediastinal silhouette normal . lungs clear without evidence acute infiltrate effusion . evidence tuberculous disease . pneumothorax . dextroscoliosis lower thoracic spine .,acute cardiopulmonary abnormalities .
heart size enlarged . aorta unfolded . otherwise mediastinal contour normal . streaky bibasilar opacities . nodules masses . visible pneumothorax . visible pleural fluid .  grossly normal . visible free intraperitoneal air diaphragm .,cardiomegaly mild bibasilar infiltrates versus atelectasis .
"dual lumen right internal jugular central venous catheter , distal tip projects right atrium . apparent pneumothorax . focal lung opacity pleural effusion . stable right upper lung lucency . cardiopulmonary mediastinal silhouettes stable . visualized osseous structures appear within normal limits .",. distal tip dual lumen right internal jugular central venous catheter projects right atrium . . apparent pneumothorax . . stable right upper lung lucency . ct chest may helpful characterize .
"chest heart size cardiomediastinal silhouette normal . lungs clear without focal airspace opacity , pleural effusion , pneumothorax . osseous structures intact . left knee fracture dislocation . degenerative changes medial compartment osteophytes . suprapatellar effusion .  .","chest acute cardiopulmonary finding . left knee minimal degenerative changes , however acute bony abnormality ."
heart normal size . mediastinum stable . calcified right paratracheal lymph  seen . aorta atherosclerotic . lungs mildly hypoinflated without focal consolidation . pleural effusion .,acute disease .
cardiac silhouette mediastinum size within normal limits . pulmonary edema . focal consolidation .  large pleural effusion . evidence pneumothorax .,evidence acute cardiopulmonary disease . .
heart normal size . mediastinum unremarkable . lungs clear .,acute disease .
"diffuse , right greater left , interstitial opacities . central vascular congestion . pneumothorax focal consolidation . pleural effusion . heart size normal .",bilateral interstitial opacities central vascular congestion  interstitial edema .
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen . calcified granuloma present right lung base . bibasilar bandlike opacities present . appearance  scarring atelectasis .,. evidence previous granulomatous infection . . bibasilar bandlike opacities . appearance  atelectasis scar .
"heart size within normal limits , stable mediastinal hilar contours . focal alveolar consolidation , definite pleural effusion seen . typical findings pulmonary edema .",acute findings
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen .,evidence active disease .
stable normal heart size . elevated right diaphragm . lungs clear .,stable normal heart size . elevated right diaphragm . lungs clear .
"lungs appear slightly hyperinflated , suggestive emphysema . acute airspace abnormality seen . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified .","lungs appear slightly hyperinflated , suggestive emphysema . acute airspace abnormality seen . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified ."
interval placement dual lumen dialysis catheter distal tip projected right atrium . moderate cardiomegaly identified . mild calcification transverse  .  airspace opacities identified bilateral pleural effusions .,. interval placement dual lumen dialysis catheter distal tip projected right atrium . . bibasilar airspace opacities bilateral pleural effusions .
calcified granuloma periphery left lung . well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified .,calcified granuloma periphery left lung . well expanded clear lungs . mediastinal contour within normal limits . acute cardiopulmonary abnormality identified .
heart lungs   interval . lungs clear expanded . heart mediastinum normal .,active disease .
"heart size within normal limits , stable mediastinal hilar contours , right chest  tip low svc . monitoring device artifacts . focal alveolar consolidation , definite pleural effusion seen . typical findings pulmonary edema .",acute findings
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen . low left paraspinal retrocrural adenopathy present . appears unchanged .,. left paraspinal retrocrural adenopathy .
heart mildly enlarged stable . mediastinal contour normal . pulmonary vascularity normal . lungs hyperexpanded clear . pleural effusions pneumothoraces .,. stable mild cardiomegaly . . hyperexpanded clear lungs .
"cardiac silhouette near upper limits normal size . pulmonary vasculature normal caliber . mild tortuosity descending thoracic aorta . lungs clear focal airspace disease , pneumothorax , pleural effusion . acute bony findings . mild degenerative endplate changes thoracic spine .",acute cardiopulmonary findings .
heart size cardiomediastinal silhouette within normal limits . pulmonary vasculature appears normal . focal air space consolidation . pleural effusion pneumothorax .,heart size cardiomediastinal silhouette within normal limits . pulmonary vasculature appears normal . focal air space consolidation . pleural effusion pneumothorax .
"pa lateral radiograph chest demonstrate stable cardiomediastinal silhouette . focal consolidation , large pleural effusion , pneumothorax identified . evidence prior granulomatous disease . visualized osseous structures appear intact .",acute cardiopulmonary abnormality .
"frontal lateral views chest show normal size configuration cardiac silhouette . normal mediastinal contour , pulmonary  vasculature , central airways lung volumes . pleural effusion .","acute active cardiac , pulmonary pleural disease ."
"technically limited study secondary patient  . decreased lung volumes associated bronchopulmonary crowding without evidence focal consolidation , suspicious pulmonary opacity , large pleural effusion , pneumothorax identified . visualized osseous structures appear intact .","acute cardiopulmonary abnormality . mild nonspecific prominence mediastinum , consider repeat cxr  concern vascular process ."
cardiomediastinal silhouette pulmonary vasculature within normal limits size . minimal  opacity lung bases . lungs otherwise grossly clear . acute bony findings .,acute cardiopulmonary findings . .
heart size pulmonary vascularity appear within normal limits . lungs free focal airspace disease . pleural effusion pneumothorax seen . degenerative changes present spine .,. evidence active disease .
"low lung volumes bronchovascular crowding result . pleural effusion , pneumothorax focal airspace disease . cardiomediastinal silhouette within normal limits . free subdiaphragmatic air .",low lung volumes . acute pulmonary disease .
"interval , consolidation atelectasis developed right lower lobe . costophrenic  blunted right . left lung clear . heart size normal .",left lower lobe airspace disease consistent pneumonia . associated right pleural effusion .
"lungs clear bilaterally . specifically , evidence focal consolidation , pneumothorax , pleural effusion . cardiomediastinal silhouette unremarkable . tortuosity thoracic aorta . visualized osseous structures thorax without acute abnormality .",acute cardiopulmonary abnormality .
"stable cardiomediastinal silhouette . focal airspace consolidation , suspicious pulmonary opacity , pneumothorax , pleural effusion . changes right mastectomy . sequelae prior granulomatous disease . mild thoracic spine degenerative change",acute cardiopulmonary abnormality .
"lungs hypoinflated mild basilar bronchovascular crowding atelectasis . fracture left anterior th rib  left anterior th rib , uncertain acuity . correlate  tenderness . mild  atelectasis left lung base . corticated deformity right anterior th rib ,  remote fracture . evidence pneumothorax large pleural effusion .",". suspected fractures left anterior th th ribs , uncertain acuity . correlate  tenderness . . low lung volumes mild basilar atelectasis , left greater right . ."
"cardiomediastinal silhouette normal size contour . focal consolidation , pneumothorax large pleural effusion . spine osteophytes .",negative acute abnormality .
"cardiomediastinal silhouette within normal limits size contour . lungs normally inflated without evidence focal airspace disease , pleural effusion , pneumothorax . acute bone abnormality .",acute cardiopulmonary process .
bilateral opacities prominent lower lobes bilaterally . evidence pneumothorax large pleural effusion . cardiac mediastinal contours within normal limits .  unremarkable . embolization  overlying left upper quadrant .,bilateral opacities prominent lower lobes  representing airspace disease edema .