Xiangxiaobei/test2 · Datasets at Fast360

image_name stringlengths 21 29	description stringlengths 9 1.42k
CXR1578_IM-0376-1001.png	Cardiac and mediastinal XXXX appear normal. Low lung volumes and bronchovascular crowding. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. Surgical clips are seen within the right upper abdomen. No acute radiographic cardiopulmonary process. .
CXR1578_IM-0376-5001.png	Cardiac and mediastinal XXXX appear normal. Low lung volumes and bronchovascular crowding. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. Surgical clips are seen within the right upper abdomen. No acute radiographic cardiopulmonary process. .
CXR1579_IM-0376-1001.png	The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. No acute pulmonary disease.
CXR158_IM-0377-1001.png	The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact. No acute cardiopulmonary abnormalities.
CXR158_IM-0377-2001.png	The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact. No acute cardiopulmonary abnormalities.
CXR1580_IM-0378-1001.png	Lungs are mildly hyperexpanded. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are diffuse degenerative changes of the spine. 1. No focal airspace consolidation. 2. Mildly hyperexpanded lungs, suggestive of obstructive lung disease.
CXR1580_IM-0378-2001.png	Lungs are mildly hyperexpanded. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are diffuse degenerative changes of the spine. 1. No focal airspace consolidation. 2. Mildly hyperexpanded lungs, suggestive of obstructive lung disease.
CXR1581_IM-0378-1001.png	Cardiomediastinal silhouettes are within normal limits. There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable. Right upper lobe lung nodules. Recommend XXXX.
CXR1581_IM-0378-2001.png	Cardiomediastinal silhouettes are within normal limits. There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable. Right upper lobe lung nodules. Recommend XXXX.
CXR1582_IM-0378-1001.png	Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR1582_IM-0378-1002.png	Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR1583_IM-0378-1001.png	Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mild spine curvature noted. No acute cardiopulmonary findings
CXR1583_IM-0378-3001.png	Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mild spine curvature noted. No acute cardiopulmonary findings
CXR1584_IM-0379-1001.png	The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Degenerative changes of the thoracic spine. Negative for acute cardiopulmonary abnormality.
CXR1584_IM-0379-2001.png	The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Degenerative changes of the thoracic spine. Negative for acute cardiopulmonary abnormality.
CXR1585_IM-0380-1001.png	Sternotomy XXXX and mediastinal clips are unchanged. Cardiomediastinal silhouette is unchanged. Pulmonary vasculature and XXXX are unchanged. No XXXX consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are unchanged. No interval change.
CXR1585_IM-0380-2001.png	Sternotomy XXXX and mediastinal clips are unchanged. Cardiomediastinal silhouette is unchanged. Pulmonary vasculature and XXXX are unchanged. No XXXX consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are unchanged. No interval change.
CXR1586_IM-0380-1001.png	The cardiac silhouette mediastinal contours are within normal limits. The lungs are clear bilaterally. No focal opacities. There is no large pleural effusion. No pneumothorax. There is XXXX deformities involving multiple vertebral bodies of the thoracic spine which appear stable compared to the previous exam. No acute cardiopulmonary abnormality. Stable XXXX deformities of the upper thoracic segments.
CXR1586_IM-0380-2001.png	The cardiac silhouette mediastinal contours are within normal limits. The lungs are clear bilaterally. No focal opacities. There is no large pleural effusion. No pneumothorax. There is XXXX deformities involving multiple vertebral bodies of the thoracic spine which appear stable compared to the previous exam. No acute cardiopulmonary abnormality. Stable XXXX deformities of the upper thoracic segments.
CXR1587_IM-0381-1002001.png	PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is within limits. Postoperative changes from spinal rods are demonstrated. There is elevation of the left hemidiaphragm. Multiple colonic loops are demonstrated in the left upper quadrant. The lungs are clear bilaterally. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation. 1. No active cardiopulmonary disease. 2. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation. This is XXXX related to the muscular dystrophy and decreased shoulder muscles support. 3. XXXX postoperative changes from the spinal XXXX placement.
CXR1587_IM-0381-1003002.png	PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is within limits. Postoperative changes from spinal rods are demonstrated. There is elevation of the left hemidiaphragm. Multiple colonic loops are demonstrated in the left upper quadrant. The lungs are clear bilaterally. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation. 1. No active cardiopulmonary disease. 2. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation. This is XXXX related to the muscular dystrophy and decreased shoulder muscles support. 3. XXXX postoperative changes from the spinal XXXX placement.
CXR1588_IM-0382-1001.png	Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. Normal chest
CXR1588_IM-0382-2001.png	Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. Normal chest
CXR1589_IM-0382-1001.png	The lungs are hyperinflated with mildly coarsened interstitial markings consistent with chronic lung disease. No focal consolidation, pneumothorax, or effusion identified. The mediastinal silhouette is stable and within normal limits for size. There is redemonstration without significant change in right hilar calcified lymph XXXX. The bony structures of the thorax demonstrate degenerative changes of the right shoulder and a XXXX right humerus consistent with distal humeral amputation. No acute bony abnormality identified. Changes of chronic lung disease without acute cardiopulmonary abnormality identified.
CXR1589_IM-0382-2001.png	The lungs are hyperinflated with mildly coarsened interstitial markings consistent with chronic lung disease. No focal consolidation, pneumothorax, or effusion identified. The mediastinal silhouette is stable and within normal limits for size. There is redemonstration without significant change in right hilar calcified lymph XXXX. The bony structures of the thorax demonstrate degenerative changes of the right shoulder and a XXXX right humerus consistent with distal humeral amputation. No acute bony abnormality identified. Changes of chronic lung disease without acute cardiopulmonary abnormality identified.
CXR159_IM-0382-1001.png	Chest. The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left and right XXXX. Osteophytes are present at the acromioclavicular joints bilaterally and also on the humeral necks. The right glenohumeral joint is normal, but the left is narrowed. No fractures or bone destruction. 1. Chest. No active disease. 2. Left and right XXXX. Bilateral degenerative joint disease, left worse than right.
CXR159_IM-0382-1002.png	Chest. The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left and right XXXX. Osteophytes are present at the acromioclavicular joints bilaterally and also on the humeral necks. The right glenohumeral joint is normal, but the left is narrowed. No fractures or bone destruction. 1. Chest. No active disease. 2. Left and right XXXX. Bilateral degenerative joint disease, left worse than right.
CXR1590_IM-0383-3001.png	The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. No acute cardiopulmonary abnormality..
CXR1590_IM-0383-4001.png	The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. No acute cardiopulmonary abnormality..
CXR1591_IM-0384-13013.png	The trachea is midline. The cardio mediastinal silhouette is of normal size and contour. No evidence of focal infiltrate or effusion. Low lung volumes XXXX XXXX atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals degenerative changes of the thoracic spine. 1. No acute cardiopulmonary abnormalities. 2. Low lung volumes causing bibasilar atelectasis and bronchovascular crowding .
CXR1591_IM-0384-3001.png	The trachea is midline. The cardio mediastinal silhouette is of normal size and contour. No evidence of focal infiltrate or effusion. Low lung volumes XXXX XXXX atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals degenerative changes of the thoracic spine. 1. No acute cardiopulmonary abnormalities. 2. Low lung volumes causing bibasilar atelectasis and bronchovascular crowding .
CXR1592_IM-0385-1001.png	Stable cardiomediastinal silhouette with borderline cardiomegaly. No pneumothorax or large pleural effusion. No focal airspace disease. Diffuse interstitial opacities. Bony structures appear intact. Nodular densities consistent with chronic granulomatous disease. Negative for acute cardiopulmonary disease.
CXR1593_IM-0385-1001.png	Moderate sized right loculated pleural effusion with right lower lobe atelectasis. Normal cardiac contour with atherosclerotic changes throughout the aorta. Clear left lung XXXX. 1. Moderate right pleural effusion.
CXR1593_IM-0385-2001.png	Moderate sized right loculated pleural effusion with right lower lobe atelectasis. Normal cardiac contour with atherosclerotic changes throughout the aorta. Clear left lung XXXX. 1. Moderate right pleural effusion.
CXR1594_IM-0385-1001.png	The heart and cardiomediastinal silhouette are normal in size and shape. There is no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. No acute cardiopulmonary finding.
CXR1594_IM-0385-2001.png	The heart and cardiomediastinal silhouette are normal in size and shape. There is no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. No acute cardiopulmonary finding.
CXR1595_IM-0386-1001.png	The heart is large. Lung volumes are XXXX. XXXX opacity persists in the right midlung. No focal infiltrates. Persistent cardiomegaly. Right midlung scar. No visible acute failure or pneumonia.
CXR1595_IM-0386-2001.png	The heart is large. Lung volumes are XXXX. XXXX opacity persists in the right midlung. No focal infiltrates. Persistent cardiomegaly. Right midlung scar. No visible acute failure or pneumonia.
CXR1596_IM-0387-1001.png	Normal heart. Clear lungs. Stable calcified granuloma left midlung. No pneumothorax. No pleural effusion. Midline trachea. Normal chest exam.
CXR1596_IM-0387-2001.png	Normal heart. Clear lungs. Stable calcified granuloma left midlung. No pneumothorax. No pleural effusion. Midline trachea. Normal chest exam.
CXR1597_IM-0388-1001.png	Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. No acute abnormality.
CXR1597_IM-0388-2001.png	Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. No acute abnormality.
CXR1598_IM-0389-1001.png	Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality identified. No acute cardiopulmonary abnormality. .
CXR1598_IM-0389-2001.png	Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality identified. No acute cardiopulmonary abnormality. .
CXR1599_IM-0389-1001.png	Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Atherosclerotic calcifications identified within the aortic XXXX. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusion. Flowing thoracic spine osteophytes noted. 1. No evidence of active cardiopulmonary disease.
CXR1599_IM-0389-2001.png	Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Atherosclerotic calcifications identified within the aortic XXXX. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusion. Flowing thoracic spine osteophytes noted. 1. No evidence of active cardiopulmonary disease.
CXR16_IM-0389-1001.png	None None
CXR16_IM-0389-2001.png	None None
CXR160_IM-0390-1001.png	The heart is normal in size. The mediastinum is unremarkable. There is patchy infiltrate within normal right lower lobe. Mild XXXX opacities in the retrocardiac region. No large effusions or pneumothorax. Patchy right lower lobe infiltrate as well as probable left basilar infiltrate versus atelectasis.
CXR160_IM-0390-2001.png	The heart is normal in size. The mediastinum is unremarkable. There is patchy infiltrate within normal right lower lobe. Mild XXXX opacities in the retrocardiac region. No large effusions or pneumothorax. Patchy right lower lobe infiltrate as well as probable left basilar infiltrate versus atelectasis.
CXR1600_IM-0390-1001.png	The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. Thoracic aorta is mildly ectatic, stable. Old right clavicular fracture is again noted. Clear lungs.
CXR1600_IM-0390-2001.png	The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. Thoracic aorta is mildly ectatic, stable. Old right clavicular fracture is again noted. Clear lungs.
CXR1601_IM-0390-1001.png	The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. 1. No acute pulmonary abnormality.
CXR1601_IM-0390-2001.png	The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. 1. No acute pulmonary abnormality.
CXR1602_IM-0390-1001.png	None The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.
CXR1602_IM-0390-2001.png	None The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.
CXR1603_IM-0391-1001.png	Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. Normal chest No evidence of tuberculosis
CXR1603_IM-0391-1002.png	Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. Normal chest No evidence of tuberculosis
CXR1604_IM-0392-1001.png	None Heart size, mediastinal silhouette and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion or pneumothorax. Very mild right apex curvature and upper thoracic spine is nonspecific.
CXR1604_IM-0392-2001.png	None Heart size, mediastinal silhouette and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion or pneumothorax. Very mild right apex curvature and upper thoracic spine is nonspecific.
CXR1605_IM-0393-3001.png	None No comparison chest x-XXXX. Clear lungs. No effusions. Unremarkable mediastinal contour. No acute cardiopulmonary abnormality identified..
CXR1606_IM-0394-2001.png	The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. No acute disease.
CXR1607_IM-0394-2001.png	The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Unchanged multiple XXXX foreign bodies overlying the left clavicle and midline in the posterior soft tissues. The bony thorax is grossly intact. Negative for acute cardiopulmonary abnormality.
CXR1608_IM-0394-1001.png	The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax. No pulmonary nodules are identified. No acute process. No definite pulmonary nodules are seen. If clinically indicated, further evaluation with CT of the thorax can be performed to identify a small nodule. Correlation with prior radiographs would be helpful to identify the location of the previously described nodule.
CXR1608_IM-0394-2001.png	The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax. No pulmonary nodules are identified. No acute process. No definite pulmonary nodules are seen. If clinically indicated, further evaluation with CT of the thorax can be performed to identify a small nodule. Correlation with prior radiographs would be helpful to identify the location of the previously described nodule.
CXR1609_IM-0394-1001.png	Calcified lymph XXXX in both XXXX. XXXX amount of focal atelectasis posterior to the left heart. The trachea is midline. Negative for pneumothorax, pleural effusion or large focal airspace consolidation. The heart size is normal. 1. Focal atelectasis to the left lung, posterior to the heart.
CXR1609_IM-0394-2001.png	Calcified lymph XXXX in both XXXX. XXXX amount of focal atelectasis posterior to the left heart. The trachea is midline. Negative for pneumothorax, pleural effusion or large focal airspace consolidation. The heart size is normal. 1. Focal atelectasis to the left lung, posterior to the heart.
CXR161_IM-0394-1001.png	Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. No pleural effusion or pneumothorax is seen. Scattered XXXX of left base atelectasis are noted. Left XXXX-a-XXXX is in XXXX with the tip projecting over the caval atrial junction. 1. XXXX of left base atelectasis. Otherwise, clear.
CXR161_IM-0394-2001.png	Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. No pleural effusion or pneumothorax is seen. Scattered XXXX of left base atelectasis are noted. Left XXXX-a-XXXX is in XXXX with the tip projecting over the caval atrial junction. 1. XXXX of left base atelectasis. Otherwise, clear.
CXR1610_IM-0395-1001.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR1610_IM-0395-2001.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR1610_IM-0395-3001.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR1612_IM-0397-1001.png	Mild cardiomegaly. Tortuous thoracic aorta with atherosclerosis. No pneumothorax or pleural effusion. Degenerative changes in the thoracic spine without evidence of XXXX deformity. The visualized osseous structures are intact. No displaced rib fractures. No edema or airspace consolidation No evidence of acute cardiopulmonary process.
CXR1614_IM-0397-1001.png	None Borderline cardiac enlargement. Tortuous aorta. Prominent hilar contours. Worsening patchy peripheral opacification in the right midlung, somewhat pleural based. A pneumonia superimposed on changes of emphysema and parenchymal scarring would be a consideration. A followup study and 4 to 6 weeks could be considered to evaluate for resolution. If this area does not resolve, further characterization with XXXX may be warranted.
CXR1614_IM-0397-2001.png	None Borderline cardiac enlargement. Tortuous aorta. Prominent hilar contours. Worsening patchy peripheral opacification in the right midlung, somewhat pleural based. A pneumonia superimposed on changes of emphysema and parenchymal scarring would be a consideration. A followup study and 4 to 6 weeks could be considered to evaluate for resolution. If this area does not resolve, further characterization with XXXX may be warranted.
CXR1615_IM-0398-4004.png	None None
CXR1616_IM-0399-1001.png	Chest. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. Ribs. There are no displaced rib fractures, or obvious nondisplaced rib fractures. Soft tissues appear normal. Chest. No acute cardiopulmonary abnormality. Ribs. No displaced rib fractures, or obvious nondisplaced rib fractures.
CXR1616_IM-0399-1002.png	Chest. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. Ribs. There are no displaced rib fractures, or obvious nondisplaced rib fractures. Soft tissues appear normal. Chest. No acute cardiopulmonary abnormality. Ribs. No displaced rib fractures, or obvious nondisplaced rib fractures.
CXR1617_IM-0399-1001.png	The cardiac contours are normal. Calcified tortuous thoracic aorta. Emphysema. Mild apical scarring. The lungs are otherwise clear. Thoracic spondylosis. No acute process.
CXR1617_IM-0399-2001.png	The cardiac contours are normal. Calcified tortuous thoracic aorta. Emphysema. Mild apical scarring. The lungs are otherwise clear. Thoracic spondylosis. No acute process.
CXR1618_IM-0399-1001.png	None Heart size is normal and lungs are clear. No pneumonia.
CXR1618_IM-0399-1002.png	None Heart size is normal and lungs are clear. No pneumonia.
CXR1619_IM-0400-1001.png	The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but clear of focal airspace disease, pneumothorax, or pleural effusion. There are multiple XXXX sternotomy XXXX and surgical clips compatible with prior CABG. The most caudal XXXX sternotomy XXXX is fractured. There are no acute bony findings. 1. Low lung volumes. No acute pulmonary findings. 2. Fractured XXXX sternotomy XXXX, without evidence of complication. .
CXR1619_IM-0400-2001.png	The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but clear of focal airspace disease, pneumothorax, or pleural effusion. There are multiple XXXX sternotomy XXXX and surgical clips compatible with prior CABG. The most caudal XXXX sternotomy XXXX is fractured. There are no acute bony findings. 1. Low lung volumes. No acute pulmonary findings. 2. Fractured XXXX sternotomy XXXX, without evidence of complication. .
CXR162_IM-0401-1001.png	Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. Normal chest
CXR162_IM-0401-2001.png	Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. Normal chest
CXR1620_IM-0402-1001.png	The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. No pneumothorax or pleural effusion. XXXX lucency under the right hemidiaphragm may represent a focus of free air. 1. XXXX lucency under the right hemidiaphragm may represent free intraperitoneal air. Left lateral decubitus film may be helpful. 2. Clear lungs.
CXR1620_IM-0402-2001.png	The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. No pneumothorax or pleural effusion. XXXX lucency under the right hemidiaphragm may represent a focus of free air. 1. XXXX lucency under the right hemidiaphragm may represent free intraperitoneal air. Left lateral decubitus film may be helpful. 2. Clear lungs.
CXR1621_IM-0403-1001.png	The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is at the upper limits of normal. Calcified granuloma in the right lower lobe is stable in appearance XXXX compared to the previous examinations. No acute cardiopulmonary abnormality.
CXR1621_IM-0403-1002.png	The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is at the upper limits of normal. Calcified granuloma in the right lower lobe is stable in appearance XXXX compared to the previous examinations. No acute cardiopulmonary abnormality.
CXR1622_IM-0404-1001.png	The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality.. No acute cardiopulmonary process.
CXR1622_IM-0404-2001.png	The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality.. No acute cardiopulmonary process.
CXR1623_IM-0405-1001.png	Normal cardiomediastinal contours. No pneumothorax, pleural effusions or focal lung consolidation. No acute cardiopulmonary abnormality.
CXR1623_IM-0405-4004.png	Normal cardiomediastinal contours. No pneumothorax, pleural effusions or focal lung consolidation. No acute cardiopulmonary abnormality.
CXR1624_IM-0406-1001.png	Heart size mildly enlarged, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mild cardiomegaly, no acute pulmonary findings
CXR1624_IM-0406-2001.png	Heart size mildly enlarged, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mild cardiomegaly, no acute pulmonary findings
CXR1625_IM-0406-1002.png	The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aortic XXXX are present. The lungs are clear. No acute disease.
CXR1625_IM-0406-1003.png	The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aortic XXXX are present. The lungs are clear. No acute disease.
CXR1626_IM-0407-1001.png	The heart is normal in size. The mediastinal contours are within normal limits. There are numerous bilateral pulmonary nodules of varying sizes. The largest is noted in the left lower lobe, posteriorly measuring approximately 7.0 cm. No acute infiltrate or pleural effusion are appreciated. Numerous bilateral pulmonary nodules with dominant nodule/mass in the left lower lung. Diagnostic considerations would include primary lung carcinoma with metastatic nodules versus secondary metastatic disease from known brain tumor. Suggest clinical correlation and further imaging XXXX examination.
CXR1626_IM-0407-3003.png	The heart is normal in size. The mediastinal contours are within normal limits. There are numerous bilateral pulmonary nodules of varying sizes. The largest is noted in the left lower lobe, posteriorly measuring approximately 7.0 cm. No acute infiltrate or pleural effusion are appreciated. Numerous bilateral pulmonary nodules with dominant nodule/mass in the left lower lung. Diagnostic considerations would include primary lung carcinoma with metastatic nodules versus secondary metastatic disease from known brain tumor. Suggest clinical correlation and further imaging XXXX examination.

CXR1578_IM-0376-1001.png

Cardiac and mediastinal XXXX appear normal. Low lung volumes and bronchovascular crowding. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. Surgical clips are seen within the right upper abdomen. No acute radiographic cardiopulmonary process. .

CXR1578_IM-0376-5001.png

Cardiac and mediastinal XXXX appear normal. Low lung volumes and bronchovascular crowding. No visible pneumothorax, focal airspace opacity, or pleural effusion is seen. No visible free air under the diaphragm. The osseous structures appear intact. Surgical clips are seen within the right upper abdomen. No acute radiographic cardiopulmonary process. .

CXR1579_IM-0376-1001.png

The lungs are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. No acute pulmonary disease.

CXR158_IM-0377-1001.png

The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact. No acute cardiopulmonary abnormalities.

CXR158_IM-0377-2001.png

The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact. No acute cardiopulmonary abnormalities.

CXR1580_IM-0378-1001.png

Lungs are mildly hyperexpanded. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are diffuse degenerative changes of the spine. 1. No focal airspace consolidation. 2. Mildly hyperexpanded lungs, suggestive of obstructive lung disease.

CXR1580_IM-0378-2001.png

Lungs are mildly hyperexpanded. The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are diffuse degenerative changes of the spine. 1. No focal airspace consolidation. 2. Mildly hyperexpanded lungs, suggestive of obstructive lung disease.

CXR1581_IM-0378-1001.png

Cardiomediastinal silhouettes are within normal limits. There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable. Right upper lobe lung nodules. Recommend XXXX.

CXR1581_IM-0378-2001.png

Cardiomediastinal silhouettes are within normal limits. There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable. Right upper lobe lung nodules. Recommend XXXX.

CXR1582_IM-0378-1001.png

Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.

CXR1582_IM-0378-1002.png

Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.

CXR1583_IM-0378-1001.png

Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mild spine curvature noted. No acute cardiopulmonary findings

CXR1583_IM-0378-3001.png

Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mild spine curvature noted. No acute cardiopulmonary findings

CXR1584_IM-0379-1001.png

The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Degenerative changes of the thoracic spine. Negative for acute cardiopulmonary abnormality.

CXR1584_IM-0379-2001.png

The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Degenerative changes of the thoracic spine. Negative for acute cardiopulmonary abnormality.

CXR1585_IM-0380-1001.png

Sternotomy XXXX and mediastinal clips are unchanged. Cardiomediastinal silhouette is unchanged. Pulmonary vasculature and XXXX are unchanged. No XXXX consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are unchanged. No interval change.

CXR1585_IM-0380-2001.png

Sternotomy XXXX and mediastinal clips are unchanged. Cardiomediastinal silhouette is unchanged. Pulmonary vasculature and XXXX are unchanged. No XXXX consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are unchanged. No interval change.

CXR1586_IM-0380-1001.png

The cardiac silhouette mediastinal contours are within normal limits. The lungs are clear bilaterally. No focal opacities. There is no large pleural effusion. No pneumothorax. There is XXXX deformities involving multiple vertebral bodies of the thoracic spine which appear stable compared to the previous exam. No acute cardiopulmonary abnormality. Stable XXXX deformities of the upper thoracic segments.

CXR1586_IM-0380-2001.png

The cardiac silhouette mediastinal contours are within normal limits. The lungs are clear bilaterally. No focal opacities. There is no large pleural effusion. No pneumothorax. There is XXXX deformities involving multiple vertebral bodies of the thoracic spine which appear stable compared to the previous exam. No acute cardiopulmonary abnormality. Stable XXXX deformities of the upper thoracic segments.

CXR1587_IM-0381-1002001.png

PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is within limits. Postoperative changes from spinal rods are demonstrated. There is elevation of the left hemidiaphragm. Multiple colonic loops are demonstrated in the left upper quadrant. The lungs are clear bilaterally. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation. 1. No active cardiopulmonary disease. 2. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation. This is XXXX related to the muscular dystrophy and decreased shoulder muscles support. 3. XXXX postoperative changes from the spinal XXXX placement.

CXR1587_IM-0381-1003002.png

PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is within limits. Postoperative changes from spinal rods are demonstrated. There is elevation of the left hemidiaphragm. Multiple colonic loops are demonstrated in the left upper quadrant. The lungs are clear bilaterally. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation. 1. No active cardiopulmonary disease. 2. Left humeral head is positioned anterior and inferior to the glenoid, concerning for anterior shoulder subluxation. This is XXXX related to the muscular dystrophy and decreased shoulder muscles support. 3. XXXX postoperative changes from the spinal XXXX placement.

CXR1588_IM-0382-1001.png

Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. Normal chest

CXR1588_IM-0382-2001.png

Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. Normal chest

CXR1589_IM-0382-1001.png

The lungs are hyperinflated with mildly coarsened interstitial markings consistent with chronic lung disease. No focal consolidation, pneumothorax, or effusion identified. The mediastinal silhouette is stable and within normal limits for size. There is redemonstration without significant change in right hilar calcified lymph XXXX. The bony structures of the thorax demonstrate degenerative changes of the right shoulder and a XXXX right humerus consistent with distal humeral amputation. No acute bony abnormality identified. Changes of chronic lung disease without acute cardiopulmonary abnormality identified.

CXR1589_IM-0382-2001.png

The lungs are hyperinflated with mildly coarsened interstitial markings consistent with chronic lung disease. No focal consolidation, pneumothorax, or effusion identified. The mediastinal silhouette is stable and within normal limits for size. There is redemonstration without significant change in right hilar calcified lymph XXXX. The bony structures of the thorax demonstrate degenerative changes of the right shoulder and a XXXX right humerus consistent with distal humeral amputation. No acute bony abnormality identified. Changes of chronic lung disease without acute cardiopulmonary abnormality identified.

CXR159_IM-0382-1001.png

Chest. The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left and right XXXX. Osteophytes are present at the acromioclavicular joints bilaterally and also on the humeral necks. The right glenohumeral joint is normal, but the left is narrowed. No fractures or bone destruction. 1. Chest. No active disease. 2. Left and right XXXX. Bilateral degenerative joint disease, left worse than right.

CXR159_IM-0382-1002.png

Chest. The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left and right XXXX. Osteophytes are present at the acromioclavicular joints bilaterally and also on the humeral necks. The right glenohumeral joint is normal, but the left is narrowed. No fractures or bone destruction. 1. Chest. No active disease. 2. Left and right XXXX. Bilateral degenerative joint disease, left worse than right.

CXR1590_IM-0383-3001.png

The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. No acute cardiopulmonary abnormality..

CXR1590_IM-0383-4001.png

The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. No acute cardiopulmonary abnormality..

CXR1591_IM-0384-13013.png

The trachea is midline. The cardio mediastinal silhouette is of normal size and contour. No evidence of focal infiltrate or effusion. Low lung volumes XXXX XXXX atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals degenerative changes of the thoracic spine. 1. No acute cardiopulmonary abnormalities. 2. Low lung volumes causing bibasilar atelectasis and bronchovascular crowding .

CXR1591_IM-0384-3001.png

The trachea is midline. The cardio mediastinal silhouette is of normal size and contour. No evidence of focal infiltrate or effusion. Low lung volumes XXXX XXXX atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals degenerative changes of the thoracic spine. 1. No acute cardiopulmonary abnormalities. 2. Low lung volumes causing bibasilar atelectasis and bronchovascular crowding .

CXR1592_IM-0385-1001.png

Stable cardiomediastinal silhouette with borderline cardiomegaly. No pneumothorax or large pleural effusion. No focal airspace disease. Diffuse interstitial opacities. Bony structures appear intact. Nodular densities consistent with chronic granulomatous disease. Negative for acute cardiopulmonary disease.

CXR1593_IM-0385-1001.png

Moderate sized right loculated pleural effusion with right lower lobe atelectasis. Normal cardiac contour with atherosclerotic changes throughout the aorta. Clear left lung XXXX. 1. Moderate right pleural effusion.

CXR1593_IM-0385-2001.png

Moderate sized right loculated pleural effusion with right lower lobe atelectasis. Normal cardiac contour with atherosclerotic changes throughout the aorta. Clear left lung XXXX. 1. Moderate right pleural effusion.

CXR1594_IM-0385-1001.png

The heart and cardiomediastinal silhouette are normal in size and shape. There is no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. No acute cardiopulmonary finding.

CXR1594_IM-0385-2001.png

The heart and cardiomediastinal silhouette are normal in size and shape. There is no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. No acute cardiopulmonary finding.

CXR1595_IM-0386-1001.png

The heart is large. Lung volumes are XXXX. XXXX opacity persists in the right midlung. No focal infiltrates. Persistent cardiomegaly. Right midlung scar. No visible acute failure or pneumonia.

CXR1595_IM-0386-2001.png

The heart is large. Lung volumes are XXXX. XXXX opacity persists in the right midlung. No focal infiltrates. Persistent cardiomegaly. Right midlung scar. No visible acute failure or pneumonia.

CXR1596_IM-0387-1001.png

Normal heart. Clear lungs. Stable calcified granuloma left midlung. No pneumothorax. No pleural effusion. Midline trachea. Normal chest exam.

CXR1596_IM-0387-2001.png

Normal heart. Clear lungs. Stable calcified granuloma left midlung. No pneumothorax. No pleural effusion. Midline trachea. Normal chest exam.

CXR1597_IM-0388-1001.png

Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. No acute abnormality.

CXR1597_IM-0388-2001.png

Heart and mediastinum within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. No acute abnormality.

CXR1598_IM-0389-1001.png

Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality identified. No acute cardiopulmonary abnormality. .

CXR1598_IM-0389-2001.png

Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion, or pneumothorax is identified. No acute osseous abnormality identified. No acute cardiopulmonary abnormality. .

CXR1599_IM-0389-1001.png

Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Atherosclerotic calcifications identified within the aortic XXXX. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusion. Flowing thoracic spine osteophytes noted. 1. No evidence of active cardiopulmonary disease.

CXR1599_IM-0389-2001.png

Normal heart size, mediastinal and aortic contours. Normal pulmonary vascularity. Atherosclerotic calcifications identified within the aortic XXXX. The lungs are clear. No focal consolidation, visible pneumothorax or large pleural effusion. Flowing thoracic spine osteophytes noted. 1. No evidence of active cardiopulmonary disease.

CXR16_IM-0389-1001.png

None None

CXR16_IM-0389-2001.png

None None

CXR160_IM-0390-1001.png

The heart is normal in size. The mediastinum is unremarkable. There is patchy infiltrate within normal right lower lobe. Mild XXXX opacities in the retrocardiac region. No large effusions or pneumothorax. Patchy right lower lobe infiltrate as well as probable left basilar infiltrate versus atelectasis.

CXR160_IM-0390-2001.png

The heart is normal in size. The mediastinum is unremarkable. There is patchy infiltrate within normal right lower lobe. Mild XXXX opacities in the retrocardiac region. No large effusions or pneumothorax. Patchy right lower lobe infiltrate as well as probable left basilar infiltrate versus atelectasis.

CXR1600_IM-0390-1001.png

The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. Thoracic aorta is mildly ectatic, stable. Old right clavicular fracture is again noted. Clear lungs.

CXR1600_IM-0390-2001.png

The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size is at the upper limits of normal. Thoracic aorta is mildly ectatic, stable. Old right clavicular fracture is again noted. Clear lungs.

CXR1601_IM-0390-1001.png

The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. 1. No acute pulmonary abnormality.

CXR1601_IM-0390-2001.png

The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. 1. No acute pulmonary abnormality.

CXR1602_IM-0390-1001.png

None The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.

CXR1602_IM-0390-2001.png

None The heart size and cardiomediastinal silhouette are within normal limits. Pulmonary vasculature appears normal. There is no focal air space consolidation. No pleural effusion or pneumothorax.

CXR1603_IM-0391-1001.png

Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. Normal chest No evidence of tuberculosis

CXR1603_IM-0391-1002.png

Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. Normal chest No evidence of tuberculosis

CXR1604_IM-0392-1001.png

None Heart size, mediastinal silhouette and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion or pneumothorax. Very mild right apex curvature and upper thoracic spine is nonspecific.

CXR1604_IM-0392-2001.png

None Heart size, mediastinal silhouette and pulmonary vascularity are within normal limits. No focal consolidation, pleural effusion or pneumothorax. Very mild right apex curvature and upper thoracic spine is nonspecific.

CXR1605_IM-0393-3001.png

None No comparison chest x-XXXX. Clear lungs. No effusions. Unremarkable mediastinal contour. No acute cardiopulmonary abnormality identified..

CXR1606_IM-0394-2001.png

The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. No acute disease.

CXR1607_IM-0394-2001.png

The lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Unchanged multiple XXXX foreign bodies overlying the left clavicle and midline in the posterior soft tissues. The bony thorax is grossly intact. Negative for acute cardiopulmonary abnormality.

CXR1608_IM-0394-1001.png

The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax. No pulmonary nodules are identified. No acute process. No definite pulmonary nodules are seen. If clinically indicated, further evaluation with CT of the thorax can be performed to identify a small nodule. Correlation with prior radiographs would be helpful to identify the location of the previously described nodule.

CXR1608_IM-0394-2001.png

The cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no acute air space infiltrate, pleural effusion or pneumothorax. No pulmonary nodules are identified. No acute process. No definite pulmonary nodules are seen. If clinically indicated, further evaluation with CT of the thorax can be performed to identify a small nodule. Correlation with prior radiographs would be helpful to identify the location of the previously described nodule.

CXR1609_IM-0394-1001.png

Calcified lymph XXXX in both XXXX. XXXX amount of focal atelectasis posterior to the left heart. The trachea is midline. Negative for pneumothorax, pleural effusion or large focal airspace consolidation. The heart size is normal. 1. Focal atelectasis to the left lung, posterior to the heart.

CXR1609_IM-0394-2001.png

Calcified lymph XXXX in both XXXX. XXXX amount of focal atelectasis posterior to the left heart. The trachea is midline. Negative for pneumothorax, pleural effusion or large focal airspace consolidation. The heart size is normal. 1. Focal atelectasis to the left lung, posterior to the heart.

CXR161_IM-0394-1001.png

Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. No pleural effusion or pneumothorax is seen. Scattered XXXX of left base atelectasis are noted. Left XXXX-a-XXXX is in XXXX with the tip projecting over the caval atrial junction. 1. XXXX of left base atelectasis. Otherwise, clear.

CXR161_IM-0394-2001.png

Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. No pleural effusion or pneumothorax is seen. Scattered XXXX of left base atelectasis are noted. Left XXXX-a-XXXX is in XXXX with the tip projecting over the caval atrial junction. 1. XXXX of left base atelectasis. Otherwise, clear.

CXR1610_IM-0395-1001.png

The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.

CXR1610_IM-0395-2001.png

The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.

CXR1610_IM-0395-3001.png

The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.

CXR1612_IM-0397-1001.png

Mild cardiomegaly. Tortuous thoracic aorta with atherosclerosis. No pneumothorax or pleural effusion. Degenerative changes in the thoracic spine without evidence of XXXX deformity. The visualized osseous structures are intact. No displaced rib fractures. No edema or airspace consolidation No evidence of acute cardiopulmonary process.

CXR1614_IM-0397-1001.png

None Borderline cardiac enlargement. Tortuous aorta. Prominent hilar contours. Worsening patchy peripheral opacification in the right midlung, somewhat pleural based. A pneumonia superimposed on changes of emphysema and parenchymal scarring would be a consideration. A followup study and 4 to 6 weeks could be considered to evaluate for resolution. If this area does not resolve, further characterization with XXXX may be warranted.

CXR1614_IM-0397-2001.png

None Borderline cardiac enlargement. Tortuous aorta. Prominent hilar contours. Worsening patchy peripheral opacification in the right midlung, somewhat pleural based. A pneumonia superimposed on changes of emphysema and parenchymal scarring would be a consideration. A followup study and 4 to 6 weeks could be considered to evaluate for resolution. If this area does not resolve, further characterization with XXXX may be warranted.

CXR1615_IM-0398-4004.png

None None

CXR1616_IM-0399-1001.png

Chest. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. Ribs. There are no displaced rib fractures, or obvious nondisplaced rib fractures. Soft tissues appear normal. Chest. No acute cardiopulmonary abnormality. Ribs. No displaced rib fractures, or obvious nondisplaced rib fractures.

CXR1616_IM-0399-1002.png

Chest. Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. Ribs. There are no displaced rib fractures, or obvious nondisplaced rib fractures. Soft tissues appear normal. Chest. No acute cardiopulmonary abnormality. Ribs. No displaced rib fractures, or obvious nondisplaced rib fractures.

CXR1617_IM-0399-1001.png

The cardiac contours are normal. Calcified tortuous thoracic aorta. Emphysema. Mild apical scarring. The lungs are otherwise clear. Thoracic spondylosis. No acute process.

CXR1617_IM-0399-2001.png

The cardiac contours are normal. Calcified tortuous thoracic aorta. Emphysema. Mild apical scarring. The lungs are otherwise clear. Thoracic spondylosis. No acute process.

CXR1618_IM-0399-1001.png

None Heart size is normal and lungs are clear. No pneumonia.

CXR1618_IM-0399-1002.png

None Heart size is normal and lungs are clear. No pneumonia.

CXR1619_IM-0400-1001.png

The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but clear of focal airspace disease, pneumothorax, or pleural effusion. There are multiple XXXX sternotomy XXXX and surgical clips compatible with prior CABG. The most caudal XXXX sternotomy XXXX is fractured. There are no acute bony findings. 1. Low lung volumes. No acute pulmonary findings. 2. Fractured XXXX sternotomy XXXX, without evidence of complication. .

CXR1619_IM-0400-2001.png

The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hypoinflated but clear of focal airspace disease, pneumothorax, or pleural effusion. There are multiple XXXX sternotomy XXXX and surgical clips compatible with prior CABG. The most caudal XXXX sternotomy XXXX is fractured. There are no acute bony findings. 1. Low lung volumes. No acute pulmonary findings. 2. Fractured XXXX sternotomy XXXX, without evidence of complication. .

CXR162_IM-0401-1001.png

Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. Normal chest

CXR162_IM-0401-2001.png

Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. Normal chest

CXR1620_IM-0402-1001.png

The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. No pneumothorax or pleural effusion. XXXX lucency under the right hemidiaphragm may represent a focus of free air. 1. XXXX lucency under the right hemidiaphragm may represent free intraperitoneal air. Left lateral decubitus film may be helpful. 2. Clear lungs.

CXR1620_IM-0402-2001.png

The cardiomediastinal silhouette is within normal limits. The lungs are clear without areas of focal consolidation. No pneumothorax or pleural effusion. XXXX lucency under the right hemidiaphragm may represent a focus of free air. 1. XXXX lucency under the right hemidiaphragm may represent free intraperitoneal air. Left lateral decubitus film may be helpful. 2. Clear lungs.

CXR1621_IM-0403-1001.png

The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is at the upper limits of normal. Calcified granuloma in the right lower lobe is stable in appearance XXXX compared to the previous examinations. No acute cardiopulmonary abnormality.

CXR1621_IM-0403-1002.png

The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is at the upper limits of normal. Calcified granuloma in the right lower lobe is stable in appearance XXXX compared to the previous examinations. No acute cardiopulmonary abnormality.

CXR1622_IM-0404-1001.png

The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality.. No acute cardiopulmonary process.

CXR1622_IM-0404-2001.png

The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality.. No acute cardiopulmonary process.

CXR1623_IM-0405-1001.png

Normal cardiomediastinal contours. No pneumothorax, pleural effusions or focal lung consolidation. No acute cardiopulmonary abnormality.

CXR1623_IM-0405-4004.png

Normal cardiomediastinal contours. No pneumothorax, pleural effusions or focal lung consolidation. No acute cardiopulmonary abnormality.

CXR1624_IM-0406-1001.png

Heart size mildly enlarged, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mild cardiomegaly, no acute pulmonary findings

CXR1624_IM-0406-2001.png

Heart size mildly enlarged, stable mediastinal and hilar contours, mediastinal calcifications suggest a previous granulomatous process. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Mild cardiomegaly, no acute pulmonary findings

CXR1625_IM-0406-1002.png

The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aortic XXXX are present. The lungs are clear. No acute disease.

CXR1625_IM-0406-1003.png

The heart is normal in size. The mediastinum is stable. Atherosclerotic calcifications of the aortic XXXX are present. The lungs are clear. No acute disease.

CXR1626_IM-0407-1001.png

The heart is normal in size. The mediastinal contours are within normal limits. There are numerous bilateral pulmonary nodules of varying sizes. The largest is noted in the left lower lobe, posteriorly measuring approximately 7.0 cm. No acute infiltrate or pleural effusion are appreciated. Numerous bilateral pulmonary nodules with dominant nodule/mass in the left lower lung. Diagnostic considerations would include primary lung carcinoma with metastatic nodules versus secondary metastatic disease from known brain tumor. Suggest clinical correlation and further imaging XXXX examination.

CXR1626_IM-0407-3003.png

The heart is normal in size. The mediastinal contours are within normal limits. There are numerous bilateral pulmonary nodules of varying sizes. The largest is noted in the left lower lobe, posteriorly measuring approximately 7.0 cm. No acute infiltrate or pleural effusion are appreciated. Numerous bilateral pulmonary nodules with dominant nodule/mass in the left lower lung. Diagnostic considerations would include primary lung carcinoma with metastatic nodules versus secondary metastatic disease from known brain tumor. Suggest clinical correlation and further imaging XXXX examination.